BACKGROUND: One of the nurse?s areas of responsibility is to relieve suffering. Research has shown that nurses give an indication of an emotional load in the interaction with dying patients. This means that patients need of relieved suffering gets disregarded because of nurse?s fear of the unknown.

In a situation with dying patients it can be difficult for a nurse to know how to act..

BACKGROUND: There is a high incidence of pain amongst older people. Several studies have shown that between 50 to 80 % of older people, who require domestic care or live in care homes, suffer from pain. Despite this many older people are under treated. AIM: The aim of this study was to explore what care providers perceive to be obstacles and opportunities of managing pain in older people. METHOD: A qualitative approach was used and the date was semi-structured interviews with open-ended questions.

Female genital mutilation is an ancient custom, practiced mainly in African countries. For several years, Africans has immigrated to Sweden and many of the women are genitally mutilated or circumcised. The aim of this study was to bring some clarity to the attitudes and experiences regarding female genital mutilation among those who are affected. Articles for this literature review were searched for in international databases, and in the university library database. The outcome of this study shows that health care staff is in need of greater knowledge about this custom, in order to be able to handle the situation appropriately.

Innan en patient som bedöms vara i behov av insatser från kommunens socialtjänst eller annan öppenvård med mera skrivs ut från slutenvården måste en vårdplanering utföras. Vårdplaneringen utförs av patientansvarig sjuksköterska tillsammans med ett antal representanter från öppenvården. Syftet med studien är att belysa hur sjuksköterskor inom landstinget upplever samordnad vårdplanering. Metoden som användes var en kvalitativ enkätundersökning. Resultatet baseras på tio enkäter ifyllda av sjuksköterskor på lungmedicin på KSS i Skövde.

This study is essentially based on my own questions concerning contemporary playgrounds. Why are they so unimaginative? What do the children say about them? Is it possible to create playgrounds less constructed, and with more natural elements? This report starts with references to literature studies, personal references and my personal view, and ends with a suggestion for a physical solution for an actual day care centre. The aim is to learn more about how the natural environment affects children, the importance of playing, and try to use this knowledge in a design of a day care centre. My main theme can be summarized in the following question: Why is natural elements in playgrounds considered to be healthy for children? I wanted to create a playground with natural characteristics which I myself would have appreciated as a child.

 Intensivvårdsjuksköterskan möter i sitt dagliga arbete många patienter som behandlas i respirator. Långvarig respiratorbehandling innebär ofta ökade risker för komplikationer. Med anledningen av detta är det viktigt att minska tiden i respirator med effektiv urträning. Att tränas ur respiratorn är en individuell process och bör därför anpassas efter patientens förmåga. Syftet med examensarbetet var att beskriva intensivvårdssjuksköterskors erfarenheter av tracheostomerade patienters urträning ur respirator.

The aim of this literature review was to describe how the literature presents parents? need for information and how parents perceive the information from care personnel when their child 0-18 years of age is diagnosed with diabetes. The literature search was performed in the databases PubMed and Cinahl. Thirteen articles that met the inclusion criteria were studied. The results showed that when a child is diagnosed with diabetes the whole family faces a new situation and the parents are in great need for adequate information from care personnel to be able to deal with the new life situation and participate in the care.

The beauty industry has experienced a turnover increase of 220 % the last 20 years (Jones, 2010). At the moment the market for men's skin care is seeing the fastest growth rate in the cosmetic industry and multinational companies such as Procter and Gamble and L'Oréal have identified a "multibillion-dollar potential" within the segment. BUT - fresh research from the category leading company L'Oréal, shows that only 48 % of the male consumers use a skin care product specially adapted for men. It further shows that as many as 28 % of these do not even know how that skin care product got into their bathroom cabinet. The purpose of this paper is to get a deeper insight into men's relationship with skin care products and grooming.

The proponents for conscience wants to get a clause that will allow the health professionals to due. scruples waive certain duties. Swedens decision makers has despite pressure from the Christian De-mocrats and the Sweden Democrats decided not to implement freedom of conscience in health care. The purpose of this paper is to investigate whether Sweden has the obligation to provide for freedom of conscience in health care. Furthermore, it must be examined, whose rights according to the law will go first, health professionals right to freedom of conscience or the patient right to equal treat-ment.

While conducting our practical training we experienced how the structure and the complexity of the municipal administration could, from a white-collar workers perspective, become a limitation and burden for efficient work. Deriving from this experience we found an interest in how politicians reasoned with regards to their relationship with supervisor in municipal old-age care. Kouzes och Micos (1979) ?Theory of organizational behavior in human service? became our point of departure. Their framework was therefore the foundation for our research and work throughout this paper.Our aim with this research was to examine how politicians viewed their relationship with supervisor in municipal old-age care.

Health care costs in relation to GDP are escalating all over Europe and the Swedish health care industry is not an exception. Between 30 and 50 percent of resources used in health care are considered waste, in the sense that they don't contribute to increased health. This illustrates the big need for hospitals to become more efficient which is why many hospitals today are trying to move towards a process-oriented organization. This paper therefore aims to identify the elements necessary for this type of organizational change, the barriers encountered when moving from a functional to process oriented hospital as well as how to overcome them. The case study was conducted at Karolinska Universitetssjukhuset and shows the importance of not just transmitting a sense of urgency but also communicating that the upcoming change is long term.

The aim of the study was to see how men and women taken into custody care byLVM were described in the sentences through a gender perspective. The aim wasalso to lay more focus on young substance abusers and see in which extent youngsubstance abusers are judged to institutional care through custody care by LVM.Through a documentary study of 77 LVM sentences in Småland in Sweden, theintention of the study was to see whether women and men are judged and treatedequally or if gender makes a difference and in which way the judgement is different?The questions are in witch extent men and women are judged to institutional carethrough custody care by LVM and how the social indication LVM 4 § 3 b) are usedin the sentences when it is younger men and women that are substance abusers. Thestudy also covered a survey about how women and men are described in the sentencethrough a gender perspective and more focus is laid on younger substance abusersunder 30 years old. The methodological approaches that were used in the study areboth qualitative and quantitative with focus on the qualitative method.

The Intensive Care Unit (ICU) is a special unit for patients who is in the need for emergency life-sustaining measures and every patient has complex medical- technical equipment. The experiences of a critical illness and the needs of critical care are experienced in different ways. The purpose of this study was to describe the experiences from patients in the ICU and how this experience has an influence on the patients. The method was a study of literature with a qualitative inception based on eight scientific articles and the analysis of content has been inspired by Graneheim and Lundman (2003). The result of the study is presented by four categories: to loose the ability to make themselves understood, to be forced to adjust to the environment of caring, to have the lack of connection with reality and to be in an intensive care environment, The results showed that patients in the ICU are affected by the attitude from the staff, the equipment around them as well as the sounds and lights in the environment there.

Diabetes mellitus is a metabolic disorder that brings great changes in every individual's way of living. The goal in diabetes treatment is that the individual will be able to live a normal life, with normal length. To achieve this there is need to avoid complications, both acute and long-term. To be able to do this this the patient need knowledge about the illness and how to adjust pharmacological treatment to diet and exercise. In this, patient education is an important part.