Bakgrund: Sexualitet är viktigt för alla individer då det ingår i människans fysiska och mentala behov. För äldre personer oavsett sexuell läggning (hetero? bi? homosexuell) är sexualitet viktigt för upplevelsen av ett hälsosamt liv. Forskning visar att många äldre saknar just kärlek och en fysisk nära kontakt. Patienters sexuella uttryck i form av verbala och sexuella handlingar kan skapa oro hos personalen då de saknar kunskap inom detta område.

Venous leg ulcers are a chronic disease mostly among elderly individuals. The leg ulcers are often painful and interfere with the individual?s daily life. The aim of this literature review was to describe individuals? experiences of living with venous leg ulcers.

The purpose of this study was to understand how the concept of quality as an idea was spread to and translated in municipal elderly care. A central question was: How does literature, policy documents and key people describe the function and meaning of the concept of quality? The method of analysis was a qualitative case study with a critical discourse. The theoretical framework of the study is mainly what is known as institutional theory and a line of thought describing how ideas are transferred and spread. The theoretical focus is on how original ideas are interpreted and why they gain a foothold in new contexts.

Energy efficiency is important both to reduce costs and to reduce greenhouse gas in the atmosphere. In Sweden 40 percent of the energy consumption is related to the buildings sector. Hospitals are complex buildings with different activities in the same building, which requires flexible technical systems for ventilation, heating and lightning. A quarter of the total energy consumption in Swedish hospitals is related to user activities in the hospitals. Therefore it is not only important to work with operational optimization but also to change user activities, to reduce energy consumption.The objective of this thesis was to examine the user-related energy efficiency work at two care units, at the central hospital in Sundsvall within Västernorrlands County.

This essay discusses children?s rights and control and system of rules in HVB-homes that provide treatment for adolescences with drug abuse prob­lems or criminal behavior. The results of this study are based on interviews with four persons working in managerial positions on different HVB-homes and shows the difficulties of having a children?s rights perspective in a con­text where a higher level of control is necessary to protect the best interest of the child. The study suggests that the question of balance between children?s right and the need for controlling system of rules needs to be fur­ther dis­cussed to improve, and as far as possible guarantee that these adoles­cence receive best possible care and do not suffer unfair restrictions on liber­ties..

AbstractOur purpose for making this study is to study the implementation, the use of and the effects of Lean within our case objects.  We chose to make this thesis by case studies. The three themes mentioned above is also the main research questions that we aim to find an answer to by this study. We have chosen to do a cross section analysis where we conducted structured interviews to find answers to these questions. The theoretical reference frame consists partly of traditional theoreticians within Lean but also more recent research within the subject as well as theory specifically for Lean within the Health Care sector.The result of this study shows in all our case studies that the Management has been supporting the implementation, but that the implementation process proceeds faster if also the professionals are involved in the process.  To succeed with the implementation there is a great need for good reasons and strives that can benefit the professionals. By the use of Lean our case studies have evaluated its processes, with the main intentions being to reduce waste activities and to create flows with ?pull systems?.

The elderly care is an area of great importance to women. Women are more often in need of elderly care; they work with the service and provide a majority of the informal service. Research shows that managers? work-related prerequisites are significantly different between the male dominated technical administration and the female dominated care and educational administration. Studies also show that what the highest managerial organisation gives priority to, often permeate the whole organisation.

The aim of this study is to become aware of how the children at the after-school care perceive the adults at after-school care. The most interesting parts are to find out what they thought made a good teacher, which qualities were preferable and how the children expressed their opinions. The children often spend long time at the after-school care which means that the children?s work environment matters. The children look at adults from another perspective and see other qualities than adults see in each other.

With good knowledge about the disease and the treatment, the fear and worry of children and parents can be reduced. Children may be helped by painting to express their experiences. In order to have a good care, the care-personnel need to see and understand what the children need. It is important to live an as regular life as possible during the disease and its treatment. The aim of this study was to elucidate how children experience chemotherapy in conection with their cancer disease.

Every day in medical care the nurse and the patient meet, they are not just represented as the care giver and the care taker, but also as two unique individuals. The meeting is a very important part in caring and few studies have been made on this topic from the patient.s perspective. The purpose of this study was to describe the patient.s perspective on the meeting with the nurse. The study is a literature review, where articles have been reviewed, encoded, and then categorized. The result builds on our four main categories, confirmed as a unique indidual, the meaning of the information according to the patient, the humanistic side of the nurse, and the importance of humor in the meeting.

Aim: Compare occurrences of first-time-events reported by mothers and fathers with children at high tech NICU according to kangaroo-mother-care method in two university hospitals. Method: Descriptive, quantitative design. Fourty-five couples of parents, with premature children born and cared for at university hospitals in Uppsala or Örebro, answered questionnaires about first-time-events: interaction-events, measures-of-care-events and sleeping-place-events. Results: All differences regarding the children?s age at first-time-events showed Uppsala-children to be younger than Örebro-children. Interaction-events were reported first in children?s lives, measures-of-care-events and sleeping-place-events later.

Background: During the 1980s, the fear of HIV spread over the world. Health professionals'attitudes to patients with HIV, was negatively impacted because of their fear to be infected.Patients with HIV have therefore,during disease history's first two decades, experienced stigma and discrimination in the response from health professionals. Because of the increasing knowledge of HIV it is of interest to study patients' contemporary experiences of the encounter with health professionals. Aim:To explore how patients with HIV experiencing the meeting with health professionals. Method:Literature study with seven qualitative and three quantitative articles.

The aim of this study was to, using previously collected data from self-declared antisocial behaviour questionnaires, examine if the crime frequency has been different between adolescents that have either been referred to two different forms of open care in social service, child and youth psychiatric inpatient care or have been sent to Homes for Specialised Supervision. The criminality frequency and the most common crimes committed were compared between the study groups and further between genders in each particular study group. Statistical significance testing was used and the results of the survey revealed that juvenile delinquents that had committed severe criminal acts were represented in all four groups. The study group with adolescents in national care was the most different from other groups. These youths seemed to have had a lower crime frequency than the other groups with the exception assault and robbery.

Munnen är ett viktigt organ vad gäller äldres fysiska, psykiska och sociala välbefinnande. Syftet med studien är att sammanställa sjuksköterskans syn på vilka faktorer och förhållande som spelar in på hur den orala vården utförs på äldre. Metoden för studien är en litteraturstudie. Resultatet visade att kunskapsbrist, rutinbrist, tidsbrist, utvärderingsredskap, oral hälsa i syfte att förebygga sjukdomar, etiska dilemma och samarbete med tandvården hade en stor betydelse för hur den orala vården utfördes. Kunskapsbristen ansågs vara kärnan till varför de äldres orala vård försummades av vårdpersonalen.

Amyotrofisk lateralskleros, ALS, är en obotlig sjukdom som klassas som en neurologisk sjukdom där de motoriska nervcellerna i hjärnan, hjärnstammen och ryggmärgen förtvinar. Sjukdomen kan ha ett hastigt förlopp vilket gör att patienterna är i behov av många hjälpinsatser. Syftet med studien är att öka kunskapen hos sjuksköterskor genom att belysa patienters upplevelser av att leva med ALS. För att beskriva dessa har en kvalitativ innehållsanalys använts. Med hjälp av denna modell fördjupas förståelsen av patienternas upplevelser, erfarenheter och förväntningar av sjukdomen.