Backgrund: Staphylococcus aureus förmåga till resistensutveckling mot antibiotika utgör ett globalt problem, samtidigt är andelen patienter med MRSA i Sverige relativt få i jämförelse mot andra länder i Europa och världen. Tidigare forskning har visat att sjukvårdspersonal som vårdar patienter med MRSA beskrivit att de varit obekväma i mötet med dessa patienter. Det har även framkommit att sjukvårdspersonal uppvisat brister i tillämpandet av gällande riktlinjer och rutiner i vården av patienter med MRSA.Syfte: Syftet var att undersöka individers upplevelser av att vara bärare av MRSA.Metod: Arbetet har utformats inom ramar för en litteraturöversikt. Tio artiklar inkluderades i litteraturöversiktens resultat hämtade från databasen CINAHL Plus with Full Text.Resultat: I litteraturöversiktens resultat framkom att individer med MRSA upplevde att bemötandet från vårdpersonal varit ovärdigt samt att vårdpersonal uppvisat ett avståndstagande i kontakten med individerna.  Individer med MRSA kände sig ovälkomna och oönskade inom sjukvården. Vidare framkom att individer med MRSA förknippade sitt bärarskap med negativa känslor.Diskussion: Resultatet diskuterades utifrån Travelbees teori om mellanmänskliga relationer samt relaterades till annan vetenskaplig litteratur.

The purpose of this essay was to investigate the care personnel's experience, and thoughts concerning the elderlies use of sedatives and sleeping tablets. The purpose was also to make a comparison between different forms of living, in an attempt to find out if the form of living in itself was a factor that affected the use of sedatives and sleeping-tablets.In order to investigate this, the main questions of this essay became:- To what extent do the patients use sedatives and sleeping tablets?- What is the care personnel's experience of, and thoughts about the patients' use of sedatives and sleeping tablets?To obtain answers to my questions I interviewed care personnel working at different types of homes for elderly people and working with elderly people still living at home.I came to the conclusion that where you live may also have an influence on the use of sedatives and sleeping tablets. This could be seen when a group of elderly people lived together, and some of them were suffering from dementia. Then it could happen that the elderly with dementia where given sedatives and sleeping tablets, not just in order to calm them, but also to give the others a better environment to live in..

Bakgrund: Långvarig smärta är svår att bota. Smärtan är svår att lindra och kan vara mycket påfrestande för kroppen. Sjuksköterskans bemötande kan påverka patientens smärtupplevelse. Ett gott bemötande kan hjälpa patienten att finna tilltro till vården samt lindra smärtan medans ett dåligt bemötande kan förvärra smärtupplevelsen.Syfte: Syftet är att ta reda på hur patienter med långvarig smärta upplever sin smärta samt hur de upplever sjuksköterskans bemötande i omvårdnaden.Metod: En litteraturstudie har genomförts där tio artiklar rörande långvarig smärta har granskats och analyserats och sammanställts i olika teman. Artiklarna har varit både kvalitativa och kvantitativa.

The aim of this literature study was to give a clear picture of what gastric dilatation-volvulus is, and how the acute- and postoperative treatment and care is managed. The general aim is to support and help the veterinary technicians in their clinical work. Gastric dilatation volvulus is always an emergency. The primarily goal when these dogs are hospitalized is to establish an adequate cardiovascular function. This is done by immediate intravenous fluid therapy followed by decompression of the dilated stomach.

The purpose of this paper is to test a procedure that would be useful for a certain, more final purpose. Assume that you want to know if the differences in the result of a certain effort in health care have any connection with differences between the life situations of the patients. This would be easier to investigate if the life situations of the patients had connection to the easily available variable Health Care Cost (in Swedish VK). In that case the searching for connections between VK of patient groups and the result of health care efforts would be sufficient to gain knowledge of possible connection between health care efforts and life situations. Thus that is the final purpose.

The purpose of this essay is to examine how health care staff, in dementia care, feel that their work situation is affected by using two methods which are specifically designed for use in work with elderly persons suffering from dementia: validation and reminiscense.To examine this, we used a qualitative research method in the form of semistructured interviews with 6 assistant nurses/nurses. These nurses work in a living with dementia targeting which have recently applied the above two methods. Of the results reveals that nursing staff feel positive effects in their work through the use of validation and reminiscense. Examples of these positive effects are greater inclusiveness and strengthen relations in the staff group, strengthen relations between staff and residents, reduced medication of soothing medicine and improved communication with the persons suffering from dementia. The results show that nursing staff feel that it can be difficult to absorb the working methods, the importance of sufficient time and continuous guidance in the exercise of the methods and the need for a genuine interest for them to generate positive effects.

Background:Malnutrition is a nursing issue that causes both physical and psychological suffering of those who are affected. In order to achieve care that is safe and has a good quality, it must be based on the assessment and actions of the state. District nurses play a central role in this work. Aim: The aim of this study was to describe the district nurses' work with identifying and addressing malnutrition in older people in nursing Home Care of the Community. Method: Six interviews with district nurses were conducted.

The aim of this study was to understand how evaluations are implemented and used in procured nursing homes for elderly. Our methodological approach consisted of a single-case study research. The case in this study was Växjö municipality. Three procured nursing homes for elderly were chosen in the municipality as examples of implementation and use of evaluation. The method for retrieving empirical data and the analyzing of it was based on triangulation.

Different forms of relaxing methods can be used in rehabilitation for individuals with tinnitus and Ménièré?s disease. Research continues to find convincing proof of effects from the different methods. This study presents methods of relaxing, massage and Mindfulness, as possible complementary rehabilitation tools.The purpose of this study was to investigate opinions about relaxing from professionals working with hearing care. A qualitative approach with phenomenological influence was chosen for the study.

SummaryPatients with burn injuries involving more than 20 percent of the total body surface area lose a lot of fluid and are in the risk of developing a severe hypovolemia. Fluid resuscitation is a corner stone in burn care and is important for preventingfurthercomplications. The most common resuscitation formula is the Parkland Formula. Hourly urine output is a measure used to evaluate if the fluid given is sufficient enough to maintain a sustainable tissue perfusion. Inhalation injury, abuse of alcohol and drugs are some of the factors that may increase the amountoffluid needed.

En vårdfilosofi kan fungera som en grund för hur man ska handla och en förklaring till varför man har handlat som man har. Studien syftar till att beskriva en personcentrerad vårdfilosofi och hur den kommer till uttryck i demensvård. I denna studie har kvalitativa studier av demensvård med ett personcentrerat perspektiv analyserats för att öka förståelsen för hur denna vård upplevs av patienterna och hur den uttrycks i vården.På grund av att patienter med demenssjukdom är extremt sårbara och beroende av andra för sitt välbefinnande är det speciellt viktigt att formulera en vårdfilosofi inom demensvård.Det som är återkommande i resultatet av studien är synen på patienten som en person. Att bli sedd som en person och inte som en sak eller diagnos ger mening åt livet och möjlighet till att uppleva välbefinnande.Personcentrerad vård inom demensvård innebär att bekräfta patienten, vara närvarande i mötet, lyssna till och försöka tolka patientens berättelse, ge patienten frihet och möjlighet att välja och bestämma över sin situation, hjälpa patienten att bevara sina relationer och underlätta eller kompensera för personens förlorade förmågor..

The study is based on a new approach on how Swedish healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.

SummaryPatients with burn injuries involving more than 20 percent of the total body surface area lose a lot of fluid and are in the risk of developing a severe hypovolemia. Fluid resuscitation is a corner stone in burn care and is important for preventingfurthercomplications. The most common resuscitation formula is the Parkland Formula. Hourly urine output is a measure used to evaluate if the fluid given is sufficient enough to maintain a sustainable tissue perfusion. Inhalation injury, abuse of alcohol and drugs are some of the factors that may increase the amountoffluid needed.

Rheumatoid arthritis is an autoimmune disease, where joints are attacked by the own immune system, leading to chronic inflammation and destruction of bone and cartilage. Inflammation is a complex process, controlled by many different substances. One of them is adenosine, which has anti-inflammatory properties. In this project, three polymorphisms in different genes, involved in synthesis and signaling of adenosine, were genotyped for 188 patients with RA and 362 controls without RA. The results shows that for the polymorphism in A2a, a gene coding for an adenosine receptor, there was no significant difference in genotype distribution between the groups.

Background: Sleep-disturbances in persons with Alzheimer´s disease are prevalent. They are characterized as increased frequency and duration of awakenings, decreased slow-wave sleep, REM-sleep and increase of day-time napping. Depression and lower quality of life are associated with sleep-disturbances. Altogether a significant source of stress for caregivers and an important factor in institutionalization. Non-pharmacological treatment alternatives are rare.Method: Single-case A-B-C design, with non-concurrent multiple baselines, a pilotstudy.Aim: To explore if an educational program on sleep, sleep disturbances and behavioural change directed towards caregivers improved sleep, depression and quality of life in persons with Alzheimer´s disease living at home.