?Studies have shown that patients receiving mechanical ventilation in an intensive care unit (ICU), who are entirely dependent on the nursing staff, often experience frustration due to a temporary loss of the voice source. Limited communication is an important factor contributing to patient discomfort. Nursing staff also report communication as frustrating and difficult.The aim of the present study is to introduce a neck-type electrolarynx as a communication aid in an ICU, to study the nursing staff experiences of communication with tracheotomized patients receiving mechanical ventilation, and to examine the patient´s experiences regarding communicative abilities. Communication between a ventilator treated, tracheotomized patient and members of the nursing staff was recorded and analyzed according to principles of Conversation Analysis (CA).The results show that several members of the nursing staff experience difficulties communicating with tracheotomized patients receiving mechanical ventilation.

Elderly patients experiences of palliative care ? a rewireThe purpose of this paper was to study elderly patient?s experience of palliative care with present knowledge as starting point. The questions were; what criteria do the elderly, dying person think is most important to fulfill in palliative care? and how satisfied is the elderly, dying person with the palliative care that are giving to him/her? The information were collected by a data based search trough science magazines and technical literature. Four relevant studies were found; Costello (2001), Heyland (2005), Wilson (1999) and Formiga (2004).

Elderly patients experiences of palliative care ? a rewireThe purpose of this paper was to study elderly patient?s experience of palliative care with present knowledge as starting point. The questions were; what criteria do the elderly, dying person think is most important to fulfill in palliative care? and how satisfied is the elderly, dying person with the palliative care that are giving to him/her? The information were collected by a data based search trough science magazines and technical literature. Four relevant studies were found; Costello (2001), Heyland (2005), Wilson (1999) and Formiga (2004).

Background: Prediabetes is caused by relative insulin deficiency and insulin resistance in the body tissue which leads to abnormal blood glucose levels. Prediabetes can over time lead to type 2 diabetes mellitus. To prevent the onset of type 2 diabetes and its complications, it is important to identify early elevated blood glucose levels and thereby prediabetes.Objective: To describe nurses' knowledge and experience regarding the management of patients with prediabetes.Methods: Qualitative descriptive design with individual interviews. Three nurses, three community health nurses and three diabetes nurses were interviewed.Results: The result can be understood from the nurses' experiences of encountering patients with prediabetes. An overarching theme in the analysis was that the nurses are working or aspiring to work preventively.

 Conclusion:Medical treatment may have a role in platelet count after transfusion. Since the TACSI platelets passed the quality requirements, and the vast majority of patients platelet count increased after TACSI platelet transfusion, the TACSI platelets will replace the old method to produce platelets at the Uppsala University hospital.  Methods: A new approach that pools 8 buffy coats (TACSI platelets) that were separated into 2 units instead of 4-6 buffy coats pooled to 1 unit was investigated in this study. After the platelets were extracted from the buffy coats their quality was controlled and subsequently the platelet product was evaluated in 96 patients. Results: The results showed that 80 % of the platelet units passed the European quality requirements. Further, the platelet count was increased in most patients that received TACSI platelets. Conclusion: Medical treatment may have a role in platelet count after transfusion.

Forensic psychiatric care is a complex business. Patients who are cared for in forensic psychiatry are usually in need of care for a long time. The forensic care is a major intrusion into a person's life and the nurses and caregivers are the people who spend the most time with patients. They have a difficult mission providing a good and personalized care while patients are deprived of their liberty. Previous research demonstrates that patients experience forensic care as uncertain, insecure and punitive but that there are also glimpses of "good care".

Syftet med denna litteraturstudie är att undersöka patienternas psykosociala omvårdnads behov vid cancersjukdom. Metoden är en litteraturstudie, där tio vetenskapliga artiklar ligger till grund. Den teoretiska referensramen är Antonovskys syn på hälsa. Resultatet av denna studie visar på att cancerpatienter behöver Emotionellt stöd, Stärka känslan av hopp och Bibehålla sin livskvalitet. Genom dessa tre teman har det visat sig att patientens KASAM kan stärkas..

This essay deals with a picture-stone that was found in a pre Christian grave during the archaeological excavations of the Viking Age harbour and trading place at Fröjel parish, Gotland, in 1999. The stone is at least 100 years older then the male grave in which it was found. The picture-stone can be dated to  late 8th century or early 9th century, and the grave is probably from the late 10th century. One of the main questions in this essay is why the people of that time re-used an older picture-stone in a younger burial. I believe that the stone was reused as a grave-gift.

Anorexia nervosa is a severe and multifaceted eating disorder generally found in the female population. Throughout anorectic starvation relationship related conflicts revolving round power and autonomy are bound to happen. For that reason the most crucial part of treatment should be to build a trusting relationship.The aim of this study was to describe relationship promoting strategies a nurse can use during care of anorexia nervosa patients. This literature study derives from a qualitative analysis of scientific articles. The findings indicate on five different strategies a nurse can use during care of anorexia nervosa patients.

AimThe aim of this study was to evaluate the effects of MotVikt´s obesity-treatment program on eight severely obese subjects, concerning Body Mass Index, Waist-Circumference and Weight after three and a half months and Sense of Coherence, Body Image and Self-experienced Health after three months. The question in focus was: Did MotVikt´s obesity-treatment program have any effects concerning the factors mentioned above?MetodInformation was collected with questionnaires that were filled out by the eight subjects, three men and five women, who participated in MotVikt´s last round of treatment. Data concerning waist-circumference, weight and BMI were provided by MotVikt. The questionnaires that were used to get information about Sense of Coherence, Body Image and Self-Experienced health were SOC-29, BSQ and IQOLA SF-36.ResultatThe average BMI in the group has decreased with 2,9 kg/m2, from 39,7 till 36,8.

BACKGROUND: One of the nurse?s areas of responsibility is to relieve suffering. Research has shown that nurses give an indication of an emotional load in the interaction with dying patients. This means that patients need of relieved suffering gets disregarded because of nurse?s fear of the unknown.

Palliative care is founded on a holistic attitude, with the goal to alleviate suffering when a cure is no longer possible. Palliative care affirms life and regards dying as a normal process, providing possibilities of a quality time for the patient and family. Studies show that an increasing number of people choose to live the final phase of their life in their own home. A requirement for end of life care is an effective team work, where the nurse is responsible for more advanced care, and the caregiver?s provides the immediate care.

Background: Cancer disease is one of the most common diseases in Sweden andradiotherapy is one of the regimens available for the treatment of cancer. Radiotherapycan be delivered as single treatment or be divided into several fractions that last forweeks. Radiotherapy can cause side effects that may occur during or at the end oftreatment. Information and communication is an integral part of all treatments and care.The oncology nurse should attempt to ease for the patients to communicate, participatein the care, receive information and enhance the ability to self-care.Aim: The aim of the study was to examine the patients? needs for communication andinformation with oncology nurse during their meeting through radiotherapy.Method: This pilot study was conducted on six patients with different cancer diagnosis.It was a qualitative study, were data was collected through individual interviews usingsemi-structured questions.

Every year about 30000 people have a stroke. It is caused by either a bleeding or a blood clot, and depending on where the damage is, the patient can get different types of difficulties following after the stroke. About 40 % of all stroke patients sufferfrom some kind of speech and/or communication difficulty, like aphasia or dysarthria. As hospital staff it´s important to know how to communicate with these people, to get a deeper understanding regards their needs.Aim:The aim of this study is to out of a patient's perspectivedescribeexperiences ofcommunication difficulties that can follow after a stroke.Method:A content analysis with a qualitative approach was used to analyse five autobiographies.Results:The result showed in what way stroke patients experienced their communication difficulties, and how they felt about the hospital staffs treatment related to their communication difficulties. During the analysis two major themes emerged: suffering and wellbeing.

As technology have continued to develop over the latest decades and become more advanced the pressure on the general citizens understanding of technology becomes a essential part to live in our society today. The transition have affected our society in great ways and have made a great impact on different groups, one of them being the elderly population in our society. The purpose of this study is to examine how the fast technological development in the latest decades have affected the elderly in our society. This from their perspective by gathering empirical data through semi-structured interviews with elderly people involved in the Agnes-project, a research project focused on improving the general quality of life for older people and increase their knowledge about technology. The study has shown that after the older peoples time involved in the Agnes-project their quality of life had improved in different areas. Areas such as increased cognitive activity, increased interest in new technology and an improvement in their communication with friends and family.