Swedish studies have shown that more people than expected have problems with leg ulcers and that the yearly cost for treatment per patient is approximately 26 500kr. Since the elderly population is on the rise, there is a need to highlight this growing problem, to make sure that proper assessment tools are used and to improve the standard of care given to patients with leg ulcers. The aim was to show what a difference the nurse can make to patients with leg ulcers. With all types of wounds it is imperative to establish if there is any underlying reasons since certain illnesses can cause more wounds or delay the healing process. The doctor is responsible for making the diagnosis and to prescribe the correct treatment whereas the nurse?s responsibility is for the nursing care and its documentation.

Introduction: Parental involvement is becoming increasingly common in the paediatric health care. Parental participation at home means that parents receive instruction by nursing staff in order to perform a caregiving procedure at home.Aim: To explore parents' feelings about performing caregiving procedures on their child at home, and their experience of instruction about these, and to explore nurses? experiences of their instruction to parents.Method: A descriptive quantitative and qualitative design using questionnaires with statements to be responded by nurses and parents according to scales graded 1-10. The study was carried out during the autumn of 2009 at a pediatric unit in the University Hospital in Uppsala.Results: Ten completed questionnaires from the nursing staff and ten from parents were obtained. The mean assessment of parents' perceived safety and security, and their perception that their questions had been answered ranged between 8,6 and 9,2.

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.

Koronarangiografi används för att visualisera hjärtats kranskärl och diagnostisera eventuella kranskärlsjukdomar. I samband med undersökningen kan en perkutan koronar intervention (PCI) utföras som behandling. Denna undersökning kan orsaka ångest och rädsla hos patienterna, vilket kan ge fysiska symtom såsom ökad hjärtrytm och blodtryck som kan påverka undersökningen och en eventuell intervention negativt. Vid undersökningen har röntgensjuksköterskan främsta ansvaret för omvårdnaden. För att kunna ge mest optimal omvårdnad till patienterna ska röntgensjuksköterskan ha kunskap om bakomliggande orsaker till ångest och rädsla relaterade till koronarangiografi.

No-fly Zones have been used in three recent conflicts. For every intervention the time taken to achieve the end-state has decreased. It took twelve years in Iraq, three years in Bosnia and only nine months in Libya. NATO was part of the intervention in both Bosnia and Libya, facing almost the same size of opponent, but it took them four times longer to achieve the end-state in Bosnia compared to Libya. The purpose of this essay is to analyze this difference in the time taken to achieve the end-state with a structured focused comparison of Bosnia and Libya based on Robert Pape´s theory of coercion with a focus on No-fly Zones. The results show that the mandate can explain the difference. In Libya NATO had the opportunity, due to the mandate, to use pre-emptive strikes, which they did not have in Bosnia.

Hypertoni är en folksjukdom som drabbar en femtedel av den svenska befolkningen. Orsaker till hypertoni kan vara livsstilsrelaterade, som stress, övervikt eller fysisk inaktivitet. Distriktssköterskor har som uppdrag att kontrollera patienters blodtryck, ge stöd och rådgivning till förändrad livsstil. Detta för att främja hälsa och förebygga hypertoni eller förbättra ett förhöjt blodtryck.Syftet med examensarbetet är att sammanställa befintlig kunskap från litteratur om distriktssköterskors hälsofrämjande omvårdnadsåtgärder till patienter med hypertoni.Examensarbetet är en litteraturstudie där kunskap från 12 vetenskapliga studier förts samman till ett nytt övergripande resultat, en metasyntes. Resultatet visar att de hälsofrämjande omvårdnadsåtgärder distriktssköterskor utför till patienter med hypertoni sker som Hälsoutbildning på standardiserat eller personcentrerat sätt.

Att vara sjuksköterskestudent innebär mycket klinisk praktik. Möjlighet erbjuds att känna på hur det dagliga arbetet organiseras på klinikerna. Erfarenheter av detta gav inspiration till denna studie. Hur upplever människor att vara del av en organisation? Syftet med studien var att sammanställa beskrivningar av upplevelser från beprövade sätt att organisera omvårdnadsarbetet inom sjuksköterskans område.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

SAMMANFATTNING En bristfällig munvård kan leda till olika sjukdomstillstånd. En god munvård är en viktig del i det fysiska och psykiska välbefinnandet. Allt fler äldre personer behåller idag sina egna tänder. De som inte kan sköta sin egen munvård p.g.a. sjukdom eller åldrande behöver därför hjälp.

Aim: The aim of this study is to analyse the possible motives behind the actions of the five permanent members of the UN Security Council in relation to the conflict in Syria. The background of this aim is the Arab Spring and the protests and violence that have followed the uprising. While, in Libya, the UN Security Council adopted resolutions that allowed sanctions against the Libyan government, no such resolutions have been adopted yet in Syria.Theory: The principal theory of the analysis is Stephen D. Krasner´s theory on sovereignty.Method: I have researched various resolutions and statements done in the Security Council, together with official statements from the actors, through Hadenius´ motive analysis methodology and Gilje & Grimen and Ödmans theories on hermeneutics.Conclusion: The conclusion of the analysis is that there, in the case of Syria and Libya, are two different parties in the Security Council. One that stands for sovereignty and one that stands for intervention.

This thesis puts together general guidelines for the design of outdoor environment at nursing homes for people with dementia. The goal is to give the residents a greater quality of life with the garden.The garden must be safe and secure while offering places for fellowship or retirement and experiences of joy and competence. The plant material and other elements in the garden are inserted to stimulate the senses and to inspire to different activities. The paper describes the health promoting effects of nature and gardens by referring to scientific studies. These studies encompass the impact of nature on all human beings as well as how the outdoor environment affects our target group, elderly people with dementia. An essential part of the work focus on the conditions in a garden for people with dementia, on the contact between residence and garden and the access to surrounding life. Eventually, the general guidelines are applied to a real building project ? the Vega project in Lomma,a new nursing home for persons with dementia.

To increase the understanding of how individuals total life situation affects their stress level and health has lately more frequently been discussed in different contexts. Furthermore, it is important to have knowledge of power structures that exist under given circumstances in a society to get an increased understanding of how to structure the health promoting work to get the highest possible benefits. People?s work life is essential to their health, since we spend a lot of time at work. The aim of this study was to find out which factors that relate to nursing staff?s health and stress level from a general perspective.

BackgroundResearch shows that the majority of patients feel anxiety before and during anesthesia. It has been shown in several studies that preoperative anxiety may cause adverse effects in the postoperative course. Nurse anesthetists have a key role in creating a safe environment and the opportunity to use different interventions to reduce the degree of anxiety.AimThe aim of the study was to examine which interventions may reduce anxiety in adult patients before and during both general, local and regional anesthesia.DesignSystematic literature review with a quantitative approach.ResultsSeveral studies indicate that gabapentin and pregabalin can reduce anxiety before and during anesthesia. The anxiety reducing effect appeared to be dose dependent. The naturopathic drugs Citrus aurantium blossom and Passiflora incarnata Linneaus were found to reduce anxiety before anesthesia.

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.

Humanitär intervention är ett begrepp inom internationella relationer som väcker många känslor och frågor. Trots att idén om att använda våld för att stoppa brott mot de mänskli-ga rättigheter kan verka attraktivt från ett moraliskt perspektiv, vilket man i århundraden har gjort, har denna praktik varit synnerligen oregelbunden. Detta i hög grad beroende på den ambivalens som finns inför de internationella normer som skall reglera staters använ-dande av militärt våld.Synen på humanitära interventioner har ändrats i överensstämmelse med de förändringar som skett inom det internationella systemet. Dessa ändringar har, till viss del, medfört en förändrad syn på de normer som legitimerar användandet av våld inom det internationella samfundet.Humanitära interventioner som begrepp och praktik innehåller många dilemman i vår tid. Detta eftersom det berör traditionella normer av suveränitet och ickeintervention, som är de främsta byggstenarna för det moderna internationella systemet, tillika del av Förenta Na-tionernas (FN) stadgar.