Bakgrund: Patienter med kronisk obstruktiv sjukdom (KOL) som behandlas med Non-invasiv ventilation (NIV) har risk för trycksår och malnutrition. Observation och övervakning av patienterna är viktigt för att kunna följa behandlingsförloppet och tidigt upptäcka en eventuell försämring samt förebygga komplikationer. Dokumentation av given omvårdnad måste kunna följas för att utvärdera och säkerställa kraven på en god och säker vård. Syfte: Syftet med studien var att granska omvårdnadsdokumentationen för patienter med KOL som behandlats med NIV på en medicinsk akutvårdsavdelning. Metod: Studien genomfördes som en retrospektiv systematisk journalgranskning i 75 journaler med en granskningsmall.

The Intensive Care Unit (ICU) is a special unit for patients who is in the need for emergency life-sustaining measures and every patient has complex medical- technical equipment. The experiences of a critical illness and the needs of critical care are experienced in different ways. The purpose of this study was to describe the experiences from patients in the ICU and how this experience has an influence on the patients. The method was a study of literature with a qualitative inception based on eight scientific articles and the analysis of content has been inspired by Graneheim and Lundman (2003). The result of the study is presented by four categories: to loose the ability to make themselves understood, to be forced to adjust to the environment of caring, to have the lack of connection with reality and to be in an intensive care environment, The results showed that patients in the ICU are affected by the attitude from the staff, the equipment around them as well as the sounds and lights in the environment there.

Den här studien berör några av de miljöpsykologiska grunderna i Alnarps Rehabiliteringsträdgårds uppbyggnad. Den ger förslag på hur karaktären rofylld kan förstärkas och hur säsongen kan förlängas i den restorativa delen av välkomstträdgården med växter som tilltalar flera av våra sinnen. Deltagarna som kommer till trädgården har i regel stressrelaterade åkommor såsom utmattningssyndrom och har varit sjukskrivna en längre tid. De är ofta mycket känsliga på grund av fysisk och psykisk utmattning. Studier visar att deltagarna har behov av en kravlös miljö där de kan få vara ostörda.

Kroniskt obstruktiv lungsjukdom är en underdiagnostiserad sjukdom som drabbar allt fler individer. Sjukdomen förekommer främst bland rökare men även icke-rökare kan drabbas. De mest förekommande symtomen vid kroniskt obstruktiv lungsjukdom är andfåddhet och andnöd. Symtomen påverkar varandra och kan ge upphov till en känsla av ångest hos patienterna. Syftet med litteraturstudien var att belysa upplevelsen av att leva med kroniskt obstruktiv lungsjukdom med fokus på ångestsymtom.

Kognitiv beteendeterapi för primär insomni är inte lika effektivt som KBT för annan problematik. Behandlingen har mest fokuserat på förändring av sömn och bortsett från andra faktorer som kan bidraga till problematiken. Denna studie syftade till att utvärdera effekten av att addera en intervention mot en ytterligare faktor, nämligen oro, till behandling. Studien hade en single subject-design med två betingelser, med och utan oroshantering, för- och eftermätning och sju deltagare. Resultaten tyder på att metoden konstruktiv oro tillförde bättre utfall på sömn, oro och daglig funktion.

Introduction Postoperative wound infections leads to increased patient suffering and cost society money because it leads to longer hospital stays. Previous research shows that patient related risk factors such as smoking, diabetes, Chronic Obstructive Pulmonary Disease (COPD), advanced age (>65 years) a low preoperative hemoglobin level (<140g/L) and a high BMI (> 30) increases the risk of suffering a postoperative wound infection. Aim To investigate whether patients that underwent surgery with Coronary artery Bypass Graft (CABG) in a university hospital in central Sweden in 2013 and had any of these risk factors more often suffer from post-operative wound infection.MethodThe study has a descriptive design and is based on an ongoing infection registration area of operations. The study included 148 patients out of 255 (58%) undergoing CABG in 2013. Possible risk factors were collected through medical record review.Results There was no significant correlation between surgical wound infection and patient-related risk factors such as smoking (not quit smoking four weeks before surgery), diabetes, COPD, advanced age (>65 years), low preoperative hemoglobin (<140g/L) or a high BMI (>30) and suffered a postoperative wound infection.Conclusion More research and a larger sample is needed in the field to produce a reliable result could be presented..

SUMMARYThere was no previous study in what high level dressage riders had for ideas of how to best prepare for their training sessions with an instructor. Neither any study of how high level dressage riders seemed to be more or less susceptible to the instructions from their instructor during their training sessions. If the sport had more knowledge about this, it might result in more riders on a higher level. The purpose of this study was to find out how high level dressage riders are preparing themselves for the best result for an instructor led training session and how they could bring as much as possible instructions from the coach. The two questions of the study were: How are high level dressage riders preparing themselves for a training session with an instructor, practically and mentally, and how can they affect their susceptibility to instructions?The study was carried out both by reviewing existing literature and studies in general education and pedagogy in the riding education, and by a qualitative interview study of six dressage riders who rode on a difficult level at the competitions, during the year of 2009.

The Intensive Care Unit (ICU) is a special unit for patients who is in the need for emergency life-sustaining measures and every patient has complex medical- technical equipment. The experiences of a critical illness and the needs of critical care are experienced in different ways. The purpose of this study was to describe the experiences from patients in the ICU and how this experience has an influence on the patients. The method was a study of literature with a qualitative inception based on eight scientific articles and the analysis of content has been inspired by Graneheim and Lundman (2003). The result of the study is presented by four categories: to loose the ability to make themselves understood, to be forced to adjust to the environment of caring, to have the lack of connection with reality and to be in an intensive care environment, The results showed that patients in the ICU are affected by the attitude from the staff, the equipment around them as well as the sounds and lights in the environment there.

The purpose of this report is to investigate teachers views of whether pupils with Asperger Syndrome, autistic symptoms or ADHD shall go in ordinary classes or special groups. The study tells you about what difficulties these pupils often have, what adjustments they need in their schoolsituation and the positive and negative effects of joining a special group.A teacher for special needs, two teachers in special groups and two teachers in ordinary classes have been intervjued and earlier made researches have been studied.The conclusions of this study are that the decision of whether a pupil shall go in a normal class or a special group must be made individually. Most pupils who are capable to profit from the training in a normal class and pass their examination, shall go in a normal class. The greater part of the recommended adjustments are possible to do in a normal class. But it requires more resourses and teachers with better knowledges about theese handicaps..

Sömnsvårigheter kan försämra upplevelsen av livskvalité och förekommer även tillsammans med många andra psykiatriska svårigheter. KBT vid primär insomni har visat sig vara en framgångsrik behandling, men majoriteten av de individer som söker hjälp blir endast erbjudna farmakologisk behandling. I syfte att skapa en mer lättillgänglig behandlingsform har en självhjälpsbehandling utarbetats och prövats ut på en liten grupp undersökningsdeltagare med sömnsvårigheter. Det har tidigare gjorts en svensk vetenskaplig studie av internetbehandling av kronisk insomni. Föreliggande studie har ett explorativt syfte, där behandlingen består av sömnrestriktion, stimuluskontroll, avslappning, tankestund och visualisering.

Syfte: Syftet med studien var att, utifrån vetenskaplig litteratur, beskriva hur patienter med KOL upplever att livskvaliteten påverkas av sjukdomen och hur sjuksköterskor kan bidra till att bibehålla livskvaliteten hos dessa patienter samt att beskriva artiklarnas kvalitet gällande deltagare och bortfall i undersökningsgruppen.Metod: Deskriptiv litteraturstudie. Artiklarna har sökts i databasen Medline och via manuella sökningar vilket resulterade i 13 artiklar.Resultat: Patienter med KOL beskriver att oro och ångest över de fysiska begränsningarna som kommer med sjukdomen kan ha en negativ inverkan på livskvaliteten. Genom att delta i fritidsaktiviteter samt att umgås med familj och vänner höjdes välmående och livskvaliteten. Trots att de flesta patienterna var påverkade av symtom, sjukdom och oförmåga att delta i aktiviteter ansåg sig de flesta ha en god livskvalitet. För sjuksköterskan är det viktigt att inge hopp, ge stöd och stärka patienternas hanteringsförmåga.

Background: Multiple Sclerosis (MS) is a chronic disease that mainly strikes young people in working age, twice as many women than men falls ill. Approximately 85 % suffers from MS-related fatigue that divides itself from common fatigue in that way that it is persistent and does not disappear in spite of sleep. This fatigue is experienced of many as one of the most difficult symptoms, which has considerable impact on the everyday life. Aim: The aim with the study was to elucidate how MS-related fatigue was experienced by persons with MS. Method: The study has been implemented as a literature study through systematic review of scientific articles.

The aim of this study is to examine the opinion of teachers as to the situation of young people suffering from Aspergers syndrome in the Sixth Form(gymnasium. In order to find this out I have chosen to interview four teachers with work experience of Aspergers in three different gymnasium in middle Sweden. They were confronted with the following questions: What resources are available for these pupils in the gymnasium? How do they experience that the school situation functions and how would they as teachers like the school situation to function for these young people at school?The result shows that special teachers have an extremely important function to fulfil. Those interviewed felt that there are sufficient resources available, for example guidance and further education for techers as well as both support and means for helping the young people.However, every teacher does not understand this handicap.

The aim of this study is to through six interviews, with six experienced, social workers?, in three cities, understand how the child?s position in the Swedish child protective services? enquiries has change, and the factors behind it. The aim is also to compare if the social workers? view of the child?s position in the enquire has change accordingly to Socialstyrelsens intentions of BBIC. The theoretical approaches that was used is the new institutionalism, the Shier?s pathways to participation and the term discretion.

Benign Childhood Epilepsy with Centrotemporal Spikes - BCECTS is a common neurological syndrome but the possible cognitive effects are still relatively unknown. In the study 12 children with the diagnose BCECTS, 9 boys and 3 girls between the ages of 5,5 and 13,5 years, were examined. An extensive battery of neuropsychological tests were administered. The results indicates normal cognitive functioning as compared to the normal population, with one exception; an aspect of attention. But the results also indicate several negatively effected performances when compared to the cognitive g-factor of each child.