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1973 Uppsatser om Older patients - Sida 14 av 132

Vilken omvårdnad får den polikliniska patienten vid cytostatikabehandling för att uppleva livskvalitet

Every year an avorage of 40 000 Swedes fall ill with different forms of cancer. Chemotheraphy has an effect on the tumour cells as well as the healthy cells in the body, this causes many side effects which can be very problematic for the patient. The study was carried out in order to indicate the care measures that are taken to deal with the side effects i. e stomatit, loss of hair and sickness/vomiting, that are connected with chemotheraphy so that the outpatients will experience a quality of life. The method used was a qualitative interview with six nurses from the South if Sweden, all of whom are working with chemotheraphy patients.

Sjuksköterskans upplevelser om sin kunskapskompetens : intervjustudie med sjuksköterskor inom hemsjukvård

The aim with this project was to describe how nursing staff working in the home care environment perceive their level of knowledge regarding mental ill health and if this level of knowledge is sufficient / insufficient in their dealings with mentally ill patients. The study is empirical and a qualitative method has been used. Questionaires have been used and interviews have been carried out with nurses working in the home care system and data has also been collected from previous research in this area. Result The result show that home care nurses consider that they have inadequate knowledge of treating patients with mental ill health and they seek more training, guidance and collaboration with psychiatric nurses. Conclusion Increased knowledge of mental health care and continuous guidance would make home care nurses more confident in their dealings with patients suffering from mental ill health.

Sjuksköterskors attityder till och upplevelser av att vårda personer med emotionellt instabil personlighetsstörning

Background: Patients with borderline personality disorder represent a large group in healthcare who are struggling with painful emotions in life. Caring should be based on strengthening health processes by focusing on the patients, but research made by the patient's perspective has shown that this population rather felt that their health processes was counteracted, than promoted. The patients felt that the nurses displayed a negative attitude towards them. Attitudes are defined as a system of values, emotions and actions towards others. Aim: the purpose of this study was to highlight the attitudes and experiences of nurses towards caring for people with borderline personality disorder  Methods: A study on the literature based on nine scientific papers was performed. The articles have been analyzed, systematically coded and compiled into a new unit. Results: This study shows that nurses have an overall negative attitude towards patients with borderline personality disorder.

Typ av demens relaterad till övriga sjukdomar och tidigare genomgången anestesi/kirurgi : En retrospektiv pilotstudie

This retrospective study reviews and investigates type of dementia, related to co morbidity, symptoms of dementia, previus anaesthesia/surgery, intraoperative events and postoperative cognitive symptoms. The patient co morbidity was compared to occurrence in an age-matched population of 1095 individuals. Fifty-two patients with different types of dementia participated. Data was collected from patient journals.Compared to population, heredity for dementia, heart insufficiency, hypertension, depression and B12- deficiency was more frequent in the patients. B12- deficiency was common in vascular dementias and "burn-out syndrome" in early-onset AD.

Arbetsmotivation och psykisk hälsa bland sjuksköterskor inom psykiatrin : En jämförande studie mellan yngre och äldre sjukksöterskor

Background: The relation between work motivation and well-being are relatively well theoretically entrenched, but few studies have been conducted on nurses within psychiatry. Objective: The aim of the present study was to examine the differences in intrinsic work motivation (autonomy, competence, relatedness), mental health and burnout between young (?40 years) and older (>40 years) nurses employed in psychiatry. Method: The study was an observational study with a cross-sectional design and group comparisons, conducted as a survey. The sample constituted of 60 employed nurses.

Kommunikationsstöd för cancerpatienter. Upplevelse, trygghet och säkerhet

Telephone counselling has been around for more than forty years and remains a widely accepted communication support, both in the primary care and the outpa-tient departments of our hospitals. In many cases, this form of communication might be the only way in which the patient will have contact with the health ser-vices, primarily the nurse. In this study, the authors have chosen the word com-munication support as a generic name for the various technology tools, which are already present or in the future, might be an important link between the patient and the nurse. The aim of this study was to examine which communication sup-port that is available and patients´ perceptions of those and the patients´ percep-tions. Our patients can sometimes be affected by their illness, which means that their perception might be influenced and the advices or the prescriptions given by telephone will not be correctly perceived.

PATIENTENS DELAKTIGHET : En förutsättning för god vård

Today patients are more aware of their rights regarding their own care. They are more informed, more engaged and have more and individual requirements, which leads to increased demands for information and participation increases. The Health Act sets out the patients´ right to participation. Participation increases patient satisfaction with care, promotes healing and increases adherence to health care advise. The patient doesn´t always experience participation in their own care to the extent they wish, which suggests that nurse?s does not always succeed in getting the patient involved.

Vacuumassisterad sa?rbehandling pa? en ka?rlkirurgisk va?rdavdelning ? Utva?rdering av behandlingsresultat pa? olika sa?rtyper och hur patienter skattar sin sma?rta i samband med byte av VAC-svamp : En journalgranskningsstudie

Background: Vacuum assisted closure, VAC, is a method which can benefit wound closure. There are not many reliable studies about the effects of VAC in different types of wounds. Previous studies have shown that patients have experienced pain during dressing changes.Aim: The aim of the study was to survey in what kind of wounds the vascular surgery ward have been using VAC, to study the treatment process of VAC and how it has been documented and also to investigate if patients with VAC experienced pain during dressing changes.Method: The patients were chosen from a ledger, which contained 77 patients that had been treated with VAC on the vascular surgery ward. Data were collected with a journal survey protocol.Results: The result is based on 67 patients with a total of 79 wounds. VAC was shown to have a good effect on wound healing and infected surgical wounds were the most commonly wound category undergoing treatment with VAC.

Faktorer som påverjar uteblivande och återbud inom tandvården -en enkätstudie

Non-attendance and cancellations within dental care is a problem resulting in both financial and time consuming losses. The purpose of this questionnaire was to investigate different factors influencing non-attendance and cancellations. Six public and private dental clinics located in Skåne participated. Information about the clinics and patient-related factors were collected. Result: Totally 182 patients cancelling or not attending their appointment were registered.

Neurointensivvårdspatientens förutsättningar för ett optimalt neurologiskt wake-up test : en observationsstudie

Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

Psykisk störning och samhällsskydd : Finns det ett behov av att kunna  skydda samhället mot vissa särskilt farliga individer?

Background For patients in need for psychiatric care who refuse treatment, coercive care might be necessary due to The Law of Psychiatric Compulsory Care, LPT. The purpose of this law is to make sure the patient later on will be able to increase autonomy. The most frequent patients in coercive care suffer from psychosis, heavy depression or having high risk of committing suicide. One of the most important tasks in the nurse profession is to increase patients? autonomy.

Att vårda sjuka barn i hemmet : Distriktssköterskors och sjuksköterskors upplevelser

Background: Contracting asexually transmitted disease is strongly associated with stigmaand shame. Stigma associated with these diseases has a significant impact on self-image andpropensityto seek care. Despitehigh incidencethere is a generallack of awareness about therisks and theeffectsthatthese diseases have on both mental and physical health. Health carepersonnel are experiencing difficulties to meet and care for these patients. Aim: The aim ofthis studyisto describe patients'experiences of health care after they were diagnosed with asexually transmitted disease.

Europa som begrepp - då och nu : En komparativ studie av läroböcker

I started this project with the understandning that European hisory has become more important in government documents as a part in a larger European discourse, and that this fact is likely to be reflected in the chools textbooks. Therefore this essay deals with the task of comparing history textbooks over time trying to find changes. Firstly to find out how much space European history is afforded in the textbooks, and secondly how Europe is described and used in the textbooks. In my first task I will use a content analysis and in my second a conceptual analysis. My material consists of eight books and I have three pieces of older educational materials from the years 1949, 1954 and 1962.

Patienters skattning av hindrande smärta och self-efficacy före och efter diskbråcksoperation

Objectives: The purpose of the study was to examine if a pre- and post-operative difference could be seen in self-reported pain disability and self-efficacy among patients undergoing surgery as treatment for spinal disc herniation in order to improve process of rehabilitation.Method: A quantitative and descriptive design was used. 10 patients awaiting surgical treatment for spinal disc herniation were included at Akademiska sjukhuset (The Academic Hospital) in Uppsala. Participation was voluntary and the selection was made by convenience. Data was collected using The Pain Disability Index and Self-Efficacy Scale by which the patient would estimate how hindered they felt because of their pain in everyday activities and their self-efficacy to perform everyday activities. This was done the day before surgery and two weeks after surgery.

Nya sjuksköterskors upplevelser vid bemötande av anhöriga vid dödsfall

Previous studies have shown positive results on the use of music as postoperative pain relief. Quantitative studies have examined the effect of music on rated pain and otherparameters such as anxiety, relaxation and blood-pressure. The purpose of this study was to investigate the expectations and experiences of patients and nurses onimplementing music as postoperative pain relief in an orthopedic unitQualitative design and semi-structured interviews were used to examine expectations and experiences. Five patients and five nurses in the unit were interviewed.Four themes developed during the data-analysis. These themes were ?Expectations on music as postoperative pain relief?, ?Experiences of music as postoperative pain relief?,?Effects of music as postoperative pain relief? and ?Continued implementation of musicas postoperative pain relief?.

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