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1973 Uppsatser om Older patients - Sida 32 av 132

Träning med mål och coachning för patienter med knäartros

Aim: To investigate if physical exercise in combination with coaching will reduce pain and improve knee function in patients with mild to moderate osteoarthritis in the knee compared to physical exercise alone.Method: The study consisted of 42 patients who were randomized to either an intervention group or a control group. Both groups followed a standardized training program at home, but the intervention group received additional support with regard to the aim of their training, as well as extra coaching during the training period of ten weeks. A Visual Analog Scale (VAS) was used to evaluate the patients? pain. A 10 metre walking test, the Index of Muscle Function (IMF) and the Knee injury and Osteoarthritis Outcome Score (KOOS) were also used to evaluate knee function.

Interventioner som reducerar oro inför och under anestesi hos vuxna patienter

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.

Möjligheter och hinder inom palliativ vård i hemmet : upplevelser ur ett sjuksköterskeperspektiv

Background: The need for palliative care at home hasincreased in recent years as more people wish to die in their own homes. Toperform good palliative care by addressing patients' needs and desires of lifecare requires a better understanding of how nurses experience palliative careat home. Aim: The aim of the study was todescribe nurses experiences of caring for patients in palliative care in homecare. Method: The method was asystematic literature review and the article search resulted in elevenqualitative articles. An inductive qualitative approach was used where nursesdifferent experiences was identified. Results: Our results are reportedunder two themes:Opportunities and Barriers. Palliative carein home care experiencedby nurses in variousways in which personalgrowth, experience, guidance,trustful communication, cooperation and self-knowledgewas opportunies thatemerged. Barriers experienced by nurseswas ineffective communication,lack of time and abuseof power in palliative care at home.

Kognitiv beteendeterapi vid morbid svartsjuka: med psykoedukativt tillägg baserat på evolutionspsykologisk teori

Morbid jealousy is a relatively common problem that often results in relational conflicts, frequently involving violence. Eventually many relationships break down as a consequence of these conflicts. Despite of this morbid jealousy is considered to be under-researched. As regards the treatment of morbid jealousy there is however some evidence that cognitive behaviour therapy is a worthwhile treatment, and there is also a growing body of evidence that jealousy, normal as well as morbid, is an evolutionary adaptation. This study integrates an evolutionary psychological approach with cognitive behaviour therapy in the treatment of morbid jealousy.

Anhörigas upplevelser i samband med vård av en äldre person i hemmet : En litteraturöversikt

SAMMANFATTNING Syftet: Syftet med denna systematiska litteraturstudie var att studera hur anhöriga till äldre personer upplevde sin situation i i samband med att de vårdade sina äldre hemma, hur de hanterade sin situation, samt vilka strategier de använde sig av för att hantera sin roll som anhörigvårdare. Metod: Databaserna Cinahl och Medline användes i sökningarna efter relevanta artiklar. Sökord som användes var relative and older people and home care, home health care and family caregiver elderly people, family caregivers and care givers of aging people, elderly people and family care givers of aging people, family care givers of older people, family caregivers and frail elderly, family caregiver and older people and home care, home care older people and family caregivers older people, family caregivers older people. Efter genomläsning bedömdes 16 artiklar vara användbara i resultatet. Dessa kom från vetenskapliga tidskrifter och artiklarna innehöll både kvalitativa studier som kvantitativa studier.

Smärtskattning med validerade smärtskattningsinstrument - en interventionsstudie

AbstractPain among patients in their final stage of life is a commonly occurring problem. Results fromthe Swedish Register of Palliative Care (SRPC) indicate that validated instruments forassessing pain are rarely used. Nurses' insufficient knowledge of pain and pain treatmentmethods may be a cause of maltreatment of patients who suffer from pain.The goal of this study was to determine whether training within the area of pain, painassessment and pain assessment instruments increases the use of validated pain assessmentinstruments utilized by nurses working in care homes for patients in the final stage of life inthe city of Uppsala.Method: A quantitative and quasi-experimental design was selected to perform the study.The intervention study that was used consisted of one training session where onequestionnaire was given before and one after the time of training. Register data were collectedfrom the SRPC given the question of pain assessment before and after the intervention.Results: The study showed that nurses more often used pain assessment instruments after thetraining session. The results also showed that nurses to a greater extent than before alternatedbetween the two validated pain assessment instruments that were introduced at the trainingsession.Conclusion: The results showed that when nurses at care homes are given training in the areaof pain and pain assessment they absorb and use the newly acquired knowledge in theirclinical work..

Sex differences in feeding visit rates in Northern Wheatears Oenanthe oenanthe

AbstractThe Northern Wheatear (Oenanthe oenanthe) is a small insectivorous passerine bird living in open landscapes. Both parents feed the brood of approximately five chicks, but little is known about how each sex allocates their feeding effort. In this study I investigate feeding nest visit differences between male and female Northern Wheatears relative to the age of the chicks, the number of chicks and the quality of the territory for 17 pairs from 2008-2010. Data were collected using automated data loggers to record nest visitation rates during chick feeding, and the sex was determined from nest video cameras. I also examine if the parents? rate of feeding visits changes over the nestling period.

Skönheten och Idealen : En studie i hur prinsessornas könsroller har förändrats över tid i Disneyfilmer

The purpose of this paper is to examine how the portrayal of the Disney princesses have changed over time, we looked at eleven movies with a total of twelve different princesses. We wanted to see if there were any stereotypical roles of women in Disney movies and we wanted to see when the most obvious change occured in the portrayal of the princesses. This paper has used the method of qualitative content analysis using a semiotic and narrative analysis with the help of the actant model. We have selected different characteristics and categories that we looked for in the movies. These features and categories include various stereotypical roles of characters and what chores the princesses perform in their homes.

Voluntary Euthanasia and Physician Assisted Suicide : A Critical Ethical Comparative Analysis

The two most controversial ends of life decisions are those in which physicians help patients take their lives and when the physician deliberately and directly intervenes to end the patients? life upon his request. These are often referred to as voluntary euthanasia and physician assisted suicide. Voluntary euthanasia and physician assisted suicide have continued to be controversial public issues. This controversy has agitated the minds of great thinkers including ethicians, physicians, psychologists, moralists, philosophers even the patient himself.

The mobile phone - a resource in schoolwork?

The aim of this thesis was to investigate how students, teachers and special teachers use, or may want to use, mobile phones as a resource in everyday schoolwork. An analysis of the result was made base on two main theories. One i Säljös theory about the sociocultural perspective, where artefacts play an important part in the devolopment of human society. The other is Laurillardss thougts of social learning and the use of technology in teaching. The methods used were inquiries and semi-structured interwiews with individuals and groups.

Sjuksköterskans roll i omvårdnaden av patienter med suicidala tankar

Nurses have an important role caring with the suicidal patient as they often are the first to encounter these individuals. In order to develop their skills, nurses need to understand the complexity of the problem around the thoughts of wanting to die. The purpose of the study was to compile and elucidate research that describes how nurses can provide care to suicidal patients. The method used was a literature review. The results were divided into seven themes that can guide the nurse in the work: to be there, give time and listen, to recognize and assess risk factors, working in a team, to be attentive to own attitudes, to give hope, to be able to process their feelings, increased knowledge of the causes of suicide.

Patienters upplevelser av och tandhygieniststudenters kunskaper om dålig andedräkt vid en högskoleutbildningsklinik i Kristianstad - en enkätstudie

The purpose of the study was to describe the patients? perception of and the dental hygienist students? knowledge regarding bad breath (halitosis) in a University educational clinic in Kristianstad. The study is based on a waitingroom survey (n=100), and a studentpoll (n=40).The result of the patientpoll showed that 58 % felt that they rather would not talk about bad breath, and that 44 % found it that embarrassing to talk about. However 81 % experienced that they were bothered by bad breath from other people. The majority 98 % felt that it was important to smell good from the mouth and 90 % would appreciate if someone could spoke to them that they had bad breath.

Hur effektiv och säker är rekombinant och renad plasma faktor VIII-behandling för hemofili A patienter?

Haemophilia is an inherited disease which causes increased bleeding due to defect clotting factors VIII and/or IX. There are two forms of haemophilia, A and B, which both are X-linked and due to mutations of the genes of factor VIII and factor IX respectively. This study focuses on Haemophilia A and thereby factor VIII.The drugs that are available on the Swedish market today for patients with haemophilia A include Factor VIII(FVIII), which has been purified from human plasma and recombinant factor VIII(rFVIII). The main goal of this study is to gain a better understanding of the effects of treatment of haemophilia A with either purified plasma factor VIII or recombinant factor VIII on reducing or preventing bleeding and on side effects.  The study was designed as a literature review and searches were carried out in PubMed at the Linnaeus University library.  The criteria for selection of articles were: patients with haemophilia, treatment with plasma derived and/or recombinant factor VIII as well as clinical studies.

Följ upp målarbetet hellre än målen

Background: The Swedish population is aging [1] and malnutrition is a common problem among elderly people [2]. A method called food registration is used to monitor the patients? nutritional intake, with the purpose of reducing the risk of patients deteriorating in nutritional status during hospitalisation. However, the current method is not satisfactory and many food registration lists are incomplete. [3-6] Thus, patients do not receive a qualitative nutritional care since the assessment of the patients? nutritional status is based on incomplete documentation.Purpose: The purpose of this master thesis is to increase the quality in the nutrition monitoring process in the geriatric units B72 and B74 at Karolinska University Hospital in Huddinge, Sweden.

Legitimerade sjuksköterskors förhållningssätt till psykisk ohälsa : Med själen i fokus

Patients with mental illness experience dissatisfaction with their care due to lack of understanding and ignorance from the nurses. The nurses? approach might influence these patients' experience of their care. The purpose of the literature review was to describe nurses' approach in care of patients with mental illness. The literature review is based on an inductive approach and the result is based on 14 scientific papers, of which eight used a qualitative design and sex used a quantitative design.

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