The aim of the study was to illustrate how care managers reflect and act in regards to self-determination and integrity when caring for residents over 65 years old who have a dementia diagnosis. Our main questions dealt with how care managers handle the right to self-determination and integrity when a person has dementia, to which extent the care managers listen to the person with dementia and how the care managers look upon the residents with dementia?s ability of self-determination. To find the answers to our questions, we interviewed ten care managers within the elderly care in Gothenburg, Sweden. We used qualitative interviews based on a semi-structured interview guide.

The purpose of this literature review was to find common factors for the persons who predispose to eating disorders. These factors shall help the nurse to recognise early signs of eating disorder behaviors. The literature review is directed to the nurse and will answer the issue: Which groups in the community run the risk of developing eating disorders? Furthermore, this knowledge shall lead to a better understanding of persons having eating disorders and be used as an aid in his/her encounter with these patients. The method was a literature review based on eight scientific articles, which were interpreted on the basis of the competence of the nurse.

Particular to the cat among our pets is its´ unique nutritional needs and metabolism. The cat cannot produce some nutrients by themselves and must get them through their diet. This means that the cat quickly can suffer from various diseases unless the nutritional needs are covered. In those cases where man is completely in control of the cat?s diet, the right knowledge is crucial for the cat?s wellbeing.

Ett av målen med Mobil Intensivvårdsgrupp (MIG) på Karolinska Universitetssjukhuset i Solna är att erbjuda intensivvårdskunnande och expertis för att höja kunskapsnivån på respektive vårdavdelning. Syftet med denna undersökning var att utvärdera om sjuksköterskorna på vårdavdelningarna upplevde att MIG fungerade som ett tillfälle till bedsideundervisning. En strukturerad intervju genomfördes med ett eget utformat frågeformulär, 47 sjuksköterskor deltog i undersökningen. Det framkom i resultatet att MIG förmedlade kunskap till vårdavdelningarna. Resultatet visade även att sjuksköterskor som arbetat i mindre än fem år upplevde att MIG var ett tillfälle till bedsideundervisning, i högre utsträckning än sjuksköterskor som arbetat i fem år eller mer.

Distriktssköterskan är ofta den sista länken i vårdkedjan från den somatiska vården och hemsjukvården. En fungerande överrapportering från den slutna somatiska vården till hemsjukvården är av yttersta vikt för patientens trygghet och säkerhet och det är därför viktigt att innehållet i omvårdnadsepikrisernas uppfattas som relevant för den fortsatta vården. En omvårdnadsepikris skall innehålla en slutanteckning över de omvårdnadsåtgärder som genomförts på sjukhuset och en kort beskrivning över patientens aktuella omvårdnadsbehov. Syftet med studien var att beskriva distriktssköterskors uppfattning om omvårdnadsepikrisernas relevans och användbarhet i den fortsatta vården i hemmet av palliativa patienter samt att jämföra dessa med det faktiska innehållet i omvårdnadsepikriser skrivna av sjuksköterskor inom den slutna somatiska vården.Studien har genomförts med en innehållsanalys av 16 omvårdnadsepikriser insamlade från en kirurgiavdelning på ett större sjukhus i Göteborgsregionen samt semistrukturerade intervjuer med fem distriktssköterskor i Göteborgsregionen. Avslutningsvis jämfördes resultatet från de två datakällorna för att bedöma överensstämmelsen mellan dessa.

The core process is responsible for internal business development and is the process that runs through the organization and the results which creates a value for the customer. Some research suggests that identification of the client's conscious or unconscious needs clarifying the so-called core process in the organization and operations can thus be more effective. The study aims to identify and analyze the experience of the core process within child health care. The method has been interviews with nine managers and 10 clinic nurses in a county. The results show a lack of knowledge regarding core process and process work.

The aim of this study was to investigate how maternity and child care was carried out at Regional Hospital in Morogoro, Tanzania as well as how it was perceived by mothers and children. The study was conducted with a qualitative method through observation and interviews. The results of the study showed that the staff knew what they were doing and how they should treat their patients and that they helped them without thinking about preventive measures. The study concluded that people wanted to seek the care provided at the hospital and some people stated that they had confidence in the staff. The people that came to the hospital sought care for various diseases and conditions and they all got medical attention of some sort.

Att bli svårt sjuk eller skadad innebär, förutom det fysiska traumat, också att vi blir utelämnade till dem som skall vårda oss. För att patient och närstående skall uppleva trygghet i vårdsituationen är det viktigt att sjuksköterskan har förmåga att se och bekräfta patienten och de närstående i deras lidande. Syftet var att beskriva hur den vårdande relationen uppstår och kommer till uttryck mellan intensivvårdssjuksköterskan och patient/närstående. Syftet var också att belysa betydelsen av en vårdande relation. Studien genomfördes i form av en litteraturstudie, där 14 vetenskapliga artiklar granskades.

Background: A health damage that has been specifically related to nursing is pressure ulcers. Pressure ulcers are a complication caused by disease, care and treatment and can result in great suffering for the patient. Pressure ulcers can affect people both physically and psychosocially and is experienced, by most patients, as a serious and unnecessary complication of care. Today there are hundreds of identified risk factors for pressure ulcers described that can be divided into patient and care-related risk factors. A successful pressure ulcer prevention and treatment is to reduce or eliminate the underlying causes for the development of pressure ulcers, prevent deterioration and to treat existing ulcers.

Döden är ett kontroversiellt ämne som väcker starka känslor hos många människor. Syftet med föreliggande litteraturstudie var att undersöka sjuksköterskors upplevelser i samband med omvårdnaden av den döende patienten och hur sjuksköterskan hanterar sina upplevelser. Litteratursökning gjordes i sex databaser. 12 vetenskapliga artiklar granskades och resultatet visade att sjuksköterskors upplevelser är av både positiv, styrkande art och av negativ, energikrävande art. Resultat uppkom även om sjuksköterskans förhållningssätt till yrkesrollen och hantering av upplevelser.

Introduction: Reversal of a temporary loop-ileostomy is the final step after a long treatment for rectalcancer, an event that the patient has been looking forward to for a long time. Studies have shown that patients often have a significant impact on the bowel function after reversal of the stoma.Aim: To describe how the patient experienced the first time at home after reversal of a temporary loop-ileostomy due to rectalcancer. Method: Qualitative semi-structured interviews, with 15-20 patients who have undergone reversal of a temporary loop-ileostomy due to rectal cancer, will be conducted. The interviewes will be analysed using qualitative content analysis according to Graneheim & Lundman (2004). The patients will be recruited from the colorectal unit at Sahlgrenska University hospital/Östra and from the surgical unit at Kungälvs hospital.

Syftet med föreliggande studie var att ta reda på vårdpersonal och närståendes upplevelser vad gäller vanlig palliativ vård och strukturerade vårdplaner så som LCP/ICP. Studien genomfördes som en systematisk litteraturstudie där underlaget inhämtades genom att med specifika sökord söka i Högskolan Dalarnas databas ELIN@ efter vetenskapliga artiklar. En artikel har även sökts från en annan referenslista där artikelnamnet använts som sökord. Vid sökningarna har sökorden använts var för sig och i kombination med varandra varvid 13 stycken artiklar valdes ut till resultatet. Resultatet visade att det fanns brister i den ordinarie palliativa vården vad det gäller kommunikation, symtomlindring och anhörigvård.

Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

BackgroundWhen women have breast pain this usually is not associated with myocardial infarction, which results in that they get less attention and wrong treatment. The nurse has an important role in informing and educating patients and families during hospitalization, which is usually short. Continuous training, written information and repetition for patient and family throughout the hospital stay are of considerable importance to clarify that the patient understands and to reduce the anxiety of being discharged.AimThe aim is to describe nurses' experiences of caring for older women with myocardial infarction.MethodsA qualitative method was used. The collection of data was done by six interviews with nurses in geriatric care and elderly care. Dataset has been processed based on a content analysis and divided into subcategories and main categories using meaningful units.ResultsNot having knowledge of older women with myocardial infarction was expressed as frustrating and nurses described how they were afraid to ask their colleagues.

The aim of this study is to examine the language, used in parts of The day care report of 1968 (?1968 års Barnstugeutredning?). The day care report of 1968 was a public investigation appointed by the cabinet intended to prepare new policies on the part of the Swedish state.  I focus on the change, which can be assumed to have occurred, when replacing the names ?day care? (?dagis/daghem?) and ?kindergarten? (?lekskola?) with the name ?preschool? (?förskola?).