The main aim of this master thesis was to examine the visual ergonomics and the systematic work environment management concerning lighting issues for nurses within domiciliary care. Further aims were to examine a few existing lighting solutions, to come up with ideas for future possible lighting solutions, and to evaluate if the legal regulations for lighting is satisfying and if the regulations are obeyed in domiciliary nursing.The methods used were a questionnaire completed by 55 nurses, field studies of used lightings in cooperation with a student in industrial esign, test of ten existing lighting solutions in a laboratory environment, and a field test of five existing lighting solutions tested by nine nurses in the home of the patient.The result indicates that 40 % of the asked nurses were dissatisfied with the working light in the patient?s homes. All respondents reported poor working light close to the patient, 50 % reported that this problem occurred daily. One third reported that they had to work in uncomfortable working postures due to insufficient working light, and 15 % reported risk of making mistakes due to the same reason.

Syfte: Att utifrån litteratur beskriva hur sjuksköterskor kan identifiera smärta hos äldre personer med demenssjukdom, samt att undersöka vilka mätinstrument som finns att tillgå för att beskriva smärta. Metod: Litteraturstudien var av deskriptiv design. Litteratursökningen gjordes i databaserna PubMed och Cinahl. Resultat: Resultatet baserades på 14 vetenskapliga artiklar som visar att det finns många uttryck för smärta som sjuksköterskan kan använda sig av för att identifiera smärta hos äldre personer med demenssjukdom. Resultatet visade att det är mycket svårare att identifiera smärta vid omvårdnad av äldre demenssjuka, då de inte kan kommunicera som kognitivt intakta personer.

There are more and more elderly people and different diseases will affect them. How will the public care be able to face this need of care for the elderly? There are a lot that shows that there will be an increasing demand on the achievements of the relatives. How can this development be answered to? Shall the achievements be concentrated on giving support to the relatives, or will there be a concentration on nursing staff? The purpose of the study was to enlighten who elderly people will be nursed by if a disease affects them.

ABSTRACTBackground: Obesity and overweight are health issues that more than every tenth person around the world suffers from and the number of individuals with BMI >30 is every growing. As a result, more patients that are subjects to anesthesia will have an increased BMI. Changes in respiration, airway anatomy, altered drug metabolism and multiple physiological changes in the body makes general anesthesia, of the patient with obesity, an anesthesiological challenge.Purpose: The aim of this study is to identify the specific anesthesiological nursing care of the patient with a BMI >30, undergoing general anesthesia.Method: A research plan is created and to test its credibility, a pilotstudy of 15 surveys in two surgical departments will be conducted. This study has a qualitative inductive design and the data collected through semistructured questionnaires. The result was analyzed using qualitative content analysis.Result: The result showed a clear focus on three main areas; airway management, pharmaceuticals and positioning of the patient.

Pain related behaviour in 1.5 year old colts was studied both prior to and following castration. The horses were filmed 24 h prior to surgery and 24 h postoperatively. Parameters, inactive and active behaviours, were recorded in terms of cumulative time observed. Both groups of horses were exercised three times and the gait quality was evaluated. Few differences were observed between the groups.

Bakgrund: Smärta är en av de vanligaste orsakerna till att människor söker akut vård. Adekvat smärtbedömning är förutsättningen för god smärtbehandling. Syfte: Att belysa resultatet av sjuksköterskans användande av smärtskattningsinstrument för bedömning av akut smärta hos vuxna patienter på akutmottagning. Metod: Litteraturstudie med ett systematiskt arbetssätt. Resultat: Val av smärtskattningsinstrument: VAS och NRS är tillförlitliga instrument för att bedöma akut smärta.

Vaccination of fish can be assumed to cause pain. This study was designed to see if we can minimize the suffering of fish following vaccination. Fishes are cold-blooded animals and thus more primitive than warm-blooded animals. Despite this, many organs, e.g. the nervous system, have the same basic structure as that of other vertebrates. The fibre system for conducting pain is more diffuse than in humans.

The objective of this thesis was to examine and analyse how various directors within old-age care, the resident-coordinator, nursing-staff, and the dementia-team apprehend the organisation of dementia nursing homes in the municipality. Our questions were the following:How important is it that the care-receivers are examined and diagnosed?Do the respondents experience difficulties with non-differentiated dementia nursing homes?Which are the advantages and disadvantages for care receivers/patients and nursing-staff if dementia care homes are differentiated according to the care-receivers dementia diagnosis and phase of illness?Are there alternative solutions to the way the municipality organise the residence for carereceivers today that might improve the situation for care-receivers/patients and nursing-staff?How does cooperation or the lack of it mint the conditions for care in dementia nursing homes?Which goals does the municipality have for the organisation of dementia care?Our approach was a qualitative method consisting of interviews to answer the objective of this thesis and our questions. Our findings are supported by a sociological analysis of organisations. Our findings show that there is a conflict of interest between the principle of permanent residence which imply that the care-receiver should not have to move against her or his will and between the use of differentiated dementia nursing homes.

Ryggsmärta, främst i ländryggen, drabbar så mycket som 80 procent av Sveriges befolkning och flera av dem lider av bestående besvär. Smärta är ett komplext och subjektivt fenomen och det kan därför vara en utmaning för sjuksköterskor att ge en god vård till patienter med långvarig ryggsmärta. Sjuksköterskor behöver inte bara ha god kunskap om hur smärta kan lindras utan även kunskap om hur långvarig ryggsmärta kan upplevas i det dagliga livet. Syftet var därför att belysa upplevelser av att leva med långvarig ryggsmärta. En systematisk litteraturstudie genomfördes och resulterade i elva vetenskapliga artiklar.

Cancer är av de vanligaste sjukdomarna i västvärlden. Sjukdomen innebär för många smärta och minskad livskvalitet. För att bidra till ökad livskvalitet även hos personer med cancer som inte går att bota, har palliativ vård utvecklats. Denna vård syftar bland annat till att bedöma och utvärdera smärta och utifrån detta erbjuda behandling. Syftet med studien var att kartlägga hur patienter upplever cancersmärta, vilka faktorer som påverkar upplevelsen och hur patienterna upplever sjukvårdens insatser för att lindra smärtan.

Aim: To describe the lived experience of women with polycystic ovary syndrome (PCOS). Method: Eight scientific articles of appropriate quality were found, analyzed, condensed and synthesized. Different experiences by women with PCOS were found and ordered into themes. The findings were then anchored in associated literature and discussed. Results: Four different themes were found: Feeling different; Disturbing symptoms; Searching for answers; Care treatment.

Every year 300 children in Sweden are diagnosed with cancer, but through research and successful clinical work 70 % of the children survive their cancer. Aim: To illuminate nursing care of children with cancer. Method: The study was carried out as a general literature study through systematic review and analyse of 18 scientific articles. Result: The analysis resulted in five themes: Support, play as a psychological assistance, alternatives to alleviation of pain, nutrition and relieving symptoms of fatigue.Conclusion: It is important that the nurse has knowledge about the children and their family?s experiences when dealing with a cancer illness to provide the children with adequate care.

To which extent elderly people at nursing homes have an influence on their daily living is currently debated. Studies have shown that they have limited influence due to restricting routines associated with nursing homes. Therefore the aim of this study was to examine how elderly people experience the ability to influence their daily living at nursing homes and how limited influence is revealed in the daily care. Five elderly people, from four different nursing homes, underwent a structured interview. The outcome of the interviews was analyzed in relation to established theories related to geriatric care.

AbstractAim: The aim of this study was to investigate if treatment with ?dry needling? in myofascial triggerpoints (MTrPs) in the rotatorcuff muscles may affect impingement symptoms such as pain during provocative tests, shoulder mobility, and function. The research questions were: Does the value of pain change on the Visual Analog Pain Scale (VAS) between before and after treatment? Do the positive provocative tests for impingement change between before and after treatment? Does the active shoulder mobility change between before and after treatment? Does the self-rated function change between before and after treatment?Method: The study was a prospective randomized intervention study and 19 persons with impingement symptoms (mean ± standard deviation; 58 ± 18 years, and shoulder pain duration 3.9 ± 1.6 months) were randomized into two groups. The groups were tested before, directly after and 3 weeks after treatment.

Bakgrund: Äldre personer med en demensdiagnos är en växande patientgrupp som ställer högre krav på sjuksköterskans förmågor. Demenssjuka personer kräver ett annorlunda synsätt och andra typer av observationer vid bedömning av smärta och smärtlindring, än personer med intakt kognitivt medvetande. Syfte: Syftet med litteraturstudien är att belysa sjuksköterskans erfarenhet av att smärtbedöma och smärtlindra personer med demenssjukdom. Metod: En litteraturstudie där 10 vetenskapliga artiklar granskats, analyserats och tematiserats utifrån valt syfte. Resultat: Fem olika teman identifierades: Sjuksköterskans upplevelser i mötet med den demenssjuka, sjuksköterskans smärtbedömning av demenssjuka personer, sjuksköterskans erfarenhet av att använda bedömningsinstrument, farmakologisk smärtlindring och icke-farmakologisk smärtlindring.