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.

Studies show that older is an increased proportion patients in hospital and that it is a patient group that can be difficult to communicate with because of older patients' often multiple disease picture. Relatives to the patient can be help for caregivers in the communication and the care of the patient. The aim with the study was to examine relative's experience of participation, meeting/support, accessibility and information on a geriatrics rehabilitation care unit. The study had a descriptive design and was designed as a questionnaire study. It was implemented on one geriatrics rehabilitation care unit on the countryside in central Sweden, belong to Uppsala University hospital.

The purpose with this study was to examine which opinions and knowledge the directors have about the physical residential environment's importance on accommodations for people with dementia disease and how they do to create and to maintain a good physical residential environment. The issues have been: Which opinions and knowledge the directors had about the physical residential environment's importance for the people with dementia? How did the managers work in order to create and maintain a good physical residential environment? We had four themes, homelike environment on the accommodations, priorities on the accommodation, care/nursing in the physical residential environment and the manager?s possibility to influence the physical residential environment. The study followed a qualitative method. Five managers were interviewed on four accommodations and the managers were said to work actively with the physical residential environment.

Introduktion: Vid hj?rtstopp upph?r kroppens cirkulation. Omedelbara insatser med hj?rt- och lungr?ddning (HLR) ?r avg?rande f?r ?verlevnad och god prognos. Varje ?r drabbas cirka 13 000 personer i Sverige av hj?rtstopp.

Introduction: Anxiety and depression are common among patients enrolled in psychiatric outpatient care. Ear Acupuncture is an alternative form of treatment that has been shown to relieve anxiety and depression in previous studies.Aim: To evaluate ear acupuncture as a group treatment for depression and anxietyMethod: A psychiatric outpatient clinic has been offering group treatments with ear acupuncture for anxiety and depression for 5 weeks. Participants of the study have answered self-rating scales Montgomery Åsberg Depression Rating Scale, Beck Anxiety Inventory and Sheehan Disability scale before and after the treatment period. Material was collected in the period 2008-2012 and has been analyzed in SPSS.Results: Data from 31 patients were included in the study. The results from the study showed a significant difference, between the measurements before and after treatment, with a reduction of the average values in the three different scales.Summary: From this study, it is difficult to draw any conclusions about the effect of ear acupuncture.

Bakgrund: Alla personer oavsett ålder har mänskliga behov som behöver tillgodoses för att personen ska kunna känna välbefinnande. Ibland tvingas en individ att flytta till ett särskilt boende på grund av särskilda behov. För en del personer kan det vara svårt att vänja sig att bo på ett särskilt boende, som kan leda till ensamhet och depression. Vården som ges till de äldre ska se till de fysiska, psykiska och sociala behoven. Det är därför relevant att fördjupa sig i vad som skulle kunna underlätta denna förändring, vilket skulle kunna vara en hund.   Syfte: Syftet med denna studie var att undersöka om och i så fall hur hundar påverkar äldre personer som bor på särskilt boende.

Syftet med följande litteraturgranskning var att beskriva upplevelser av att vara närstående till en familjemedlem som vårdas i livets slut samt att beskriva behovet av stöd som sjuksköterskan kan tillhandahålla. De begrepp som arbetet utgår ifrån är hopp, hopplöshet, sorg, hantering av sorg, behov av information och kommunikation samt stöd från sjuksköterskan. I bakgrunden beskrivs dessa begrepp och resultatet behandlar aktuell forskning inom området. Litteratursökningen genomfördes i databasen CINAHL och de sökord som användes var family members, grief, bereavement, palliative care, nursing, families, dying patients, end of life care, family, qualitative och bereaved family members. Analysmetoden som valts syftar till att granska litteraturen förutsättningslöst och efter detta finna gemensamma hållpunkter.

Success in treatment with platinum-based chemotherapy against different types of cancer tumors is limited by side-effects such as hearing loss which can have a large impact on the individual`s quality of life. It is of great importance to continue with studies that address this complex of problems.Objective: The aim of this literature review is to investigate the impact of platinum-based chemotherapy on hearing in children and adolescents treated for different types of cancer.Method: A descriptive review of literature was made based on sources from 15 different studies on the impact of platinum-based chemotherapy on hearing in the target group.Results: The survey of the studies shows that platinum-based chemotherapy causes incidence of hearing loss by differing degree in the target group. Dosage of a platinum-based substance appeared to be the most significant factor. Treatment with both cisplatin and carboplatin was more ototoxic than treatment with only one of these. Greater risk for hearing loss was to a higher degree observed in younger children.

The aim of this study was to conduct an instrument test of the Canadian questionnaire Alberta Context Tool (ACT) version Long-Term care for Swedish conditions. ACT is designed in order to measure the context in the care environment and different behaviours related to the changes in clinical practice. In total, 159 Licensed Practical Nurses (LPNs) and Registered Nurses (RNs) within municipality care of the elderly were included in the survey. The test included the instrument's reliability and face validity.The reliability test was implemented through calculation of Cronbach´s Alpha, and showed internal consistency for five of the scales of the ACT-instrument with Cronbach´s Alpha values ranging between 0,728 and 0,873. However, three dimensions got lower values (0,558 - 0,683).The analysis was carried out with content analysis and carried out for LPNs and RNs in separate groups.

På många intensivvårdsavdelningar skrivs det dagbok för patienten. Dagboksskrivande på intensivvårdsavdelning är dokumentation av vårdtiden skrivet till patienten av sjuksköterskor och annan vårdpersonal och i vissa fall närstående. Intensivvårdsavdelningen är en tekniktät miljö som kan upplevas skrämmande och stressig för patienten, vård på intensivvårdsavdelning kan orsaka posttraumatisk stress syndrom efter vårdtiden. Forskning visar att dagboken tillsammans med uppföljningsverksamhet efter vårdtiden på intensivvårdsavdelningen kan minska risken för utveckling av post traumatisk stress syndrom. Syftet med studien var att beskriva innehållet i patientens dagbok från vårdtiden på intensivvårdsavdelningen.

Syftet med denna systematiska litteraturstudie var att beskriva patienters upplevelse av livskvalitet samt sjuksköterskans omvårdnadsåtgärder i samband med cytostatikabehandling vid cancersjukdom. För att besvara studiens syfte har sökning efter artiklar (n=17) genomförts i databaserna Blackwell Synergy samt Elin@Dalarna. Följande sökord har använts i olika kombinationer; cancer, patients, experience, nurse care, quality of life, scale, instrument, chemotherapy och care. Resultatet visade att cytostatikabehandlingen hade både positiv och negativ inverkan på patienternas livskvalitet. Livskvaliteten ökade då symtom lindrades.

Syftet med denna studie var att genom analys av tillgänglig litteratur inom området advocacy in nursing klarlägga innebörden av begreppet advocacy sett från sjukvårdens synpunkt, vem/vilka som skall ha funktionen som advocate i sjukvården, hur advocacy i praktiken bäst skall beskrivas inom sjukvården samt hur den som skall ha rollen som advocate bäst skall utbildas och föreberedas för sin uppgift. Som metod användes studium och analys av en selektion av tillgänglig litteratur inom området med speciell inriktning mot den egentliga innebörden av begreppet advocacy, argument för och emot sjuksköterskans funktion i rollen som advocate, hur advocacy bäst skall integreras och tillämpas i vårdprocessen och hur den som har rollen som advocate bäst skall förberedas för den. Resultat av litteraturstudien visade brist på enhetlig definition av begreppet advocacy, vilket skapar svårigheter att analysera och jämföra erfarenheter inom området. Även om motargument beskrevs, talade all erfarenhet inom området i denna studie för att sjuksköterskan är den mest lämpade att ha denna roll. Risken för att sjuksköterskan vid fullgörande av denna uppgift hamnar i en konfliktsituation mot övrig vårdpersonal betonades genomgående i denna litteratur, illustrerande betydelsen av att advocacy utförs som ett teamarbete med stöd och medverkan av all personal även om sjuksköterskan har huvudrollen.

This study aims to investigate possible correlations between cognitive functions and self perceived psychological wellbeing, possible correlations between cognitive functions and degree of mindfulness and possible correlations between degree of mindfulness and self perceived psychological wellbeing. 18 patients diagnosed with ICD-10 taking part in a transdiagnostical cognitive behavioural group therapy participated in the study. The study measures relevant variables before and after a group therapy. Of the 18 patients participating, only 11 were able to be tested on both occasions due to time limit. The following tests are used: Rey Auditory Verbal Learning Test, Wechsler Adult Inventory Scale-III, Trail Making Test, Controlled Oral Word Association Test, Colour Word Test, Beck's Anxiety Inventory, Beck's Depression Inventory, Quality of Life Inventory and Kentucky Inventory of Mindfulness Skills.

Syftet med denna litteraturstudie är att granska vetenskaplig litteratur med avsikt att undersöka vilka riskfaktorer som leder till utbrändhet bland sjuksköterskor samt hur dessa kan förebyggas..

The aim of the present literature study was to describe the significant factors contributing to the development of moral distress and the consequences of moral distress can lead to in the nurse profession. A literature search was performed in the databases Medline through PubMed and Academic Search Elite on the basis of in advanced defined criterions. A total of 19 articles was reviewed and included in the study. The main result revealed that nurses experience moral distress and that it is frequent within the nurse profession. The findings revealed that there seem to be several significant factors in the development of moral distress, such as providing life-sustaining care, competing loyalties, conflicts with the physician, communication barriers, emotional barriers, cultural barriers, regulation and rules and working environment that gives the nurse difficult or unsolved ethical dilemmas.