Elderly couples have a right to live together. On June 1st 2006 the Swedish government extended couples? rights, granting special consideration to elderly partners to enable them to receive care in the same home. But what happens if only one of them is eligible for care? This paper has studied how elderly couples were affected in situations where one partner was unable to continue living at home, and what measures could be taken to improve their situation.

Background:Alzheimer's disease is a disease that primarily affects the elderly but also younger people. Alzheimer's disease is a type of dementia which means that you get changes in the cerebral cortex and cells gradually die. The disease causes memory loss and things that were obvious before will be difficult for the sufferer. Alzheimer's disease also affects next of kin to a large degree; they will have to take a great responsibility. The next of kin are entitled to support from healthcare.Aim:The aim was to highlight next of kin' experiences of healthcare to their family members with Alzheimer's disease.Method: The study was based on narratives, which in this case means analysis of autobiographies.

Elective joint surgery increases for every year and the operations are associated with postoperative pain. Postoperative pain is a well known phenomenon and pain physiology and analgesics are well known by caregivers, but the significance of the interaction between patient and caregiver is not illuminated. There are still patients experiencing unnecessary postoperative pain. Among patients in elective surgery, 25% runs a risk for underestimated pain. The aim of the study was to describe patient?s experiences of nursing interaction in the context of postoperative pain during hospitalisation after going through knee- or hiparthropasty.

The number of elderly continues to increase in Sweden which puts pressure on the elderly care. Aproposed solution is to increase the use of information and communication technologies (ICT) inhome care to both streamline care and enable older people to manage on their own to a greaterextent. So far Västerås is the only municipality that has made a decision on an ICT solution, whichthey have chosen to call ?eHemtjänst? (eHomecare). The purpose of this paper was to investigatethe specific prerequisites and requirements for Gothenburg city regarding the potentialimplementation of eHemtjänst.

Den sociala och fysiska miljö som omger måltiden är av stor betydelse för den äldre patienten. Syftet med studien var att beskriva äldre patienters måltidsmiljö och dess effekter ur ett omvårdnadsperspektiv. Metoden som användes var en litteraturstudie. Litteratursökningen har skett i databaserna CINAHL och Medline. Efter urval och granskning återstod 12 artiklar som var publicerade mellan åren 1994-2005, åtta kvalitativa och fyra kvantitativa artiklar.

The aim of this study was to investigate how staff members at residential homes experience encountering sexuality among the youths. The study was conducted by using qualitative interviews with four staff members at four different residential homes. The interviews have been analyzed by using content analysis and have been looked at through a perspective of experience, as described by Richard Stevens, and by applying developmental psychology. The results show that, although sexuality is experienced as being distinctly present and being a topic of major concern, the staff members have given sex-education as a means by which to raise their own competence little or no thought. One way to interpret this is that sexuality and sex-education haven?t been given a sufficient space in the work with the youths.

Syfte: Syftet är att utifrån ett omvårdnadsperspektiv undersöka hur utvecklingen av syndromet sarkopeni på ett effektivt sätt kan förebyggas. Metod: Systematisk litteraturstudie där originalartiklar söktes i databaserna PubMed och Cinahl varav 15 originalartiklar granskades och sammanställdes. Resultat: Omvårdnadsåtgärder som förebygger sarkopeni indelas i nutrition, styrketräning, vibrationsträning, och övrig fysisk aktivitet. Styrketräning kan med medelhög intensitet och proteinrik kost minska fettmassan, öka muskelmassan och muskelstyrkan och öka den fysiska funktionen. Fysisk aktivitet och ett stort proteinintag kan inte förhindra men bromsa utvecklingen av sarkopeni. Ett högt proteinintag i samband med träning är ett effektivt sätt att förebygga sarkopeni. Vibrationsträning kan stärka muskelgrupper och i kombination med styrketräning även öka muskelstyrka, rörlighet och muskelmassa. Slutsats: Fysisk aktivitet och då framför allt styrketräning kan motverka sarkopeni.

The purpose of the literature study was to describe older people´s difficulties and attitudes to take several drugs. Literature has been sought in two large databases and included literature is selected, quality assessed and analyzed, based on the study purpose and questions. The authors conducted a descriptive literature review of qualitative and quantitative articles. Difficulties to access different types of pharmaceutical packaging, or to remember when to take their medicines are difficulties the elderly encounter. Cultural and socioeconomic differences become apparent.

Background: Insufficient nutritional support is associated with prolonged hospitalisation, impaired wound healing and impaired survival for patients in intensive care. In severe sepsis and septic chock, calculation of nutritional need is complicated since the metabolism is affected by decease. Aim: The aim of the study was to investigate nutritional support and to examine the quality of nursing documentation of nutritional status and nutritional support in patient records in severe sepsis and septic chock.  Method: The study was conducted as a retrospective investigation where 64 patient records were studied. The quality of documentation was examined in 10 patient records using an examinational model.Findings: Calculation of average nutritional support showed insufficient supply particularly in the two first days of intensive care. During the next five days nutritional supply was higher but individual variation was seen, why a clear picture of nutritional support is hard to detect.

The purpose of this essay is to describe and analyse the dilemmas within assessments to establish the parenting ability of mentally handicapped parents, and furthermore to see how these assessments are carried out.To achieve this purpose we have interviewed eight professionals from three different professions who comes into contact with mentally handicapped parents throughout these assessments. These professions we have interviewed people from, are employees from social services, employees from assessment homes and lawyers.We have summarized the results of our interviews into three main themes. The first is focusing on which method/model employees from social services and assessment homes use to help establish the parenting ability of mentally handicapped parents. The second theme describes different dilemmas that can arise in these assessments and the last theme describes the knowledge that people we interviewed have regarding mentally handicapped parents.Professions which carry out assessments of mentally handicapped parents often come across a variety of different dilemmas, one of the clearest is how to enable these parents to understand the necessity behind the assessment and to give them an understanding of what kind of help and support they need in order to give their children a "good enough" childhood..

Nursing and care for the pregnant bitch and her neonatal puppies is an important part of the animal nursing profession either if it concerns normal reproductionphysiology, pregnancies, diseases or complications at home of the animalowner. This piece of work gives a guidance of what a Veterinary nurse at a clinic should have in mind while given treatments, complications and normal physiology with the bitch and her neonatal puppies in order to be able to perform a professional cooperation with the veterinary surgeon at emergency teatmentcases and to make the animal owners satisfied with enough knowledge to answer their questions about the subject..

The purpose of this litterature review is to illustrate the nursing care to patient with chronic pain. As a theoretic frame for this study we choose Aron Antonowsky. The results of this study are based on 8 scientific articles. The findings are presented in main categories and ideas. The findings show that chronic pain is a multidimensional phenomenon that influences peoples quality of life in a physical, psychological as well as social way.

Context: Lip-to-Lift (L-t-L) is a bedside-method for measuring oral transit time at swallow. It was designed for a swallowing examination of persons on nursing homes where weight loss was noted in people with average L-t-L-time >5 seconds (Sandin, 2005). The measurement was validated and evaluated by Eriksson, Bremer Zerpe (2008).Objectives: The study objective was to examine L-t-L on a group of young adults without swallowing disorders and as to examine the inter- and intra-judgereliability of the measure.Questions:What is the L-t-L-time for young adults without swallowing disorders?Are there any gender differences regarding L-t-L-time?How high is the inter/intra-judge reliability of L-t-L?Method: Examination of L-t-L-time was carried out on 20 young adults, aged 19-27 years, without swallowing disorders after Sandin?s (2005) instructions. Measurements of 20 swallows per person were made.Results: The average L-t-L-time of young adults without deglutition-difficulties was 1.13 seconds (sd =.14).

In light of health scandals and intense debate in the media about the elderly, the authors investigates two Swedish newspaper and their depiction of elder care in Sweden. Using Faircloughs three-dimensional model and critical discourse analysis, it is investigated if there is a more prominent discourse and if so the impact of globalization on this discourse concerning swedish elderly care. A sample of a total of ten articles in the Swedish newspaper Aftonbladet and Dagens Nyheter is analyzed. The authors found that older people who are granted home help or place of accommodation rarely make their voices heard. Rarely were also relatives of residents given the opportunity to speak.

Background and aims: The population of older people in our society is increasing. Agerelated changes in the skin results in a diminished perception of pain and pressure and a decreased microcirculation in the skin affects its ability to adapt to injury. Occurrence of pressure sore on geriatrikal clinics are 5-10%, witch means that between five and ten thousand patients gets daily treat for pressure sores. When the patient gets a pressure sore the need for help increases. A common apprehension is that if the patient?s affects with pressure sores it?s because of deficiency in care.