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1991 Uppsatser om Older patients - Sida 54 av 133

Operationssjuksk?terskans erfarenheter av att kommunicera med operationsteamet

Bakgrund: M?nskliga faktorer utg?r i m?nga fall grunden f?r misstag som sker inom h?griskorganisationer. Operationsavdelningen ?r en h?griskmilj? och d?r arbetar det interprofessionella operationsteamet. Operationssjuksk?terskan ?r en av professionerna i teamet och genom att anv?nda olika kommunikationsstrategier samt bidraga till en psykologisk trygghet inom teamet kan kvaliteten p? kommunikationen inom operationsteamet ?ka.

Inverkan av ensilagets partikelstorlek på beteende och beteendestörningar hos mjölkraskvigor :

Modern milk production have come a long way when it comes to accommodating the nutritional and physiological needs of the animals, but unfortunately the behavioural and psychological needs of cows and heifers are often left unfulfilled. A long time for eating is beneficial for the digestion and also gives the cattle something to do and decreases the risks for developing abnormal behaviours. An important factor that influences eating- and ruminating time is the particle size of the roughage. The aim of the study was to find out if particle size influences the behaviour of dairy heifers, in particular with regard to eating behaviour and abnormal behaviours. The study was conducted at Uddetorp farm high school in Skara. Forty-two heifers of the breeds SR and SF were housed in 8 slatted floor pens.

Omvårdnadsepikriser: Från sluten somatisk vård till hemsjukvård

Distriktssköterskan är ofta den sista länken i vårdkedjan från den somatiska vården och hemsjukvården. En fungerande överrapportering från den slutna somatiska vården till hemsjukvården är av yttersta vikt för patientens trygghet och säkerhet och det är därför viktigt att innehållet i omvårdnadsepikrisernas uppfattas som relevant för den fortsatta vården. En omvårdnadsepikris skall innehålla en slutanteckning över de omvårdnadsåtgärder som genomförts på sjukhuset och en kort beskrivning över patientens aktuella omvårdnadsbehov. Syftet med studien var att beskriva distriktssköterskors uppfattning om omvårdnadsepikrisernas relevans och användbarhet i den fortsatta vården i hemmet av palliativa patienter samt att jämföra dessa med det faktiska innehållet i omvårdnadsepikriser skrivna av sjuksköterskor inom den slutna somatiska vården.Studien har genomförts med en innehållsanalys av 16 omvårdnadsepikriser insamlade från en kirurgiavdelning på ett större sjukhus i Göteborgsregionen samt semistrukturerade intervjuer med fem distriktssköterskor i Göteborgsregionen. Avslutningsvis jämfördes resultatet från de två datakällorna för att bedöma överensstämmelsen mellan dessa.

Porslinskonsumtion sett ur ett generationsperspektiv: Köpbeteende - Generationskohorter - Porslinsindustrin

During the latest 50 years, the Swedish porcelain tableware industry has gone from being rather successful to experience significant problems. Our empirical study attributes these problems to underlying changes in consumer buying behaviour, whereas current generation theory supports our findings. The younger generation has significantly different preferences compared to older generations, with less focus on quality and more focus on variability, and there is reason to believe that these findings also are applicable to other consumer purchases. The successful porcelain companies of tomorrow will be the ones that continuously can adapt to these and further changes in consumer buying behaviour..

Vårdberoende, behov av omvårdnad och insatser för äldre med regelbunden vård och omsorg ? del av SNAC-Blekinge, Vårdsystemdelen

Background: The relationship between advanced age, presence of illness and impaired functioning is well known. A large proportion of the elderly population has an extensive need of care and service and therefore need help from municipal care. Aging is a transition in life and also affects the person's identity and self image, making the person particularly vulnerable and challenging everyday safety. It is therefore of importance to gain knowledge about which factors at individual and organizational level that support a person-centered nursing care for the elderly so that caring responsibilities and staffing of nursing personnel may be scheduled based on need. Aim: This study aimed at describing dependency and care needs of elderly persons living in ordinary housing, sheltered housing and nursing homes.

Effekter av gödsling i äldre tallbestånd på renbetesväxter i fält- och bottenskikt :

Reindeer husbandry and Forestry are both area related industries and will in big extent use the same lands. Conflicts often arise because of that the industries have different interests. Many of the activities done by the forestry influences the reindeer husbandry in an undesirable way, simultaneously as the reindeer husbandry activities can have negative consequences for the forestry. One such forestry activity is fertilization. It was during the 1960´s forest fertilization began to be practiced and the reason was that the increase in growth that the fertilization gave could be able to cover for the future shortage in wood many feared. During the 1970´s when the fertilizing activities were most intensive about 200 000 ha was fertilized annually.

Operationssjuksk?terskans icke tekniska f?rdigheter vid akut traumaoperation ? ur operationssjuksk?terskors och traumakirurgers perspektiv

Bakgrund: Traumatiska multipla skador kan utg?ra allvarliga konsekvenser d?r operation ?r det enda alternativet f?r patientens ?verlevnad. Operationen kan kr?va komplexa kirurgiska ?tg?rder d?r kirurgen samarbetar t?tt tillsammans med operationssjuksk?terskan. Tidigare studier visar p? att operationssjuksk?terskans icke tekniska f?rdigheter har stor betydelse f?r patients?kerheten d?r bristande f?rdigheter kan p?verka den negativt.

Trombocyträkning hos katt : en ny metod

Platelet aggregation is a major and common problem in blood samples from cats. This greatly affects the accuracy of counting of the platelets. Because of the difficulties in counting feline platelets, results for patients and reliable reference values for cat platelets are currently so inaccurate as to be almost useless in diagnosis of thrombocytopenia. In this study we used an effective method to prevent platelet aggregation. Blood was collected in CTAD test tubes and prostaglandin E1 was added to the blood sample.

Samband mellan arbetsgrad och kinesiofobi hos vuxna individer med långvarig smärta och förändring av dessa variabler efter fyra veckors smärtrehabilitering

ABSTRACTPurpose: The purpose of the study was threefold. Firstly, to investigate if a four week program in pain rehabilitation had any effect on how much individuals with persistent pain worked and their degree of kinesiophobia. Secondly, to study if there was a correlation between how much these individuals worked and their degree of kinesiophobia. Thirdly, to study if there was a correlation between the change in these variables.Method: 112 patients who had participated in a four week rehabilitation program took part in the study. The study had a retrospective design, which was based on a review on medical records and consisted of three minor parts.

Upprustningsmetoder för en bankropp : En jämförelse ur ett LCC-perspektiv

In recent years, the Swedish railway track system has been neglected in terms of capacity and maintenance. To adapt the existing system to current traffic load there is a great need for extensive improvement and maintenance. Shortcomings are especially occurring on older embankments running over soft subgrades. To select the most suitable method for reinforcement of the embankment, it is important to evaluate different solutions from a life cycle cost perspective. In long-term perspective, it is often shown that a method with low investment cost causes a higher maintenance cost and a shorter technical lifetime.

Upplevelser av stroke. En litteraturstudie om patienters och anhörigas upplevelser av följder, rehabilitering och hemgång.

Stroke is one of the most common disabiliting diseases. A greater knowledge of the personal experiences after a stroke could improve the rehabilitation and the relations during the rehabilitation. The purpose with this literature review was to describe how strokepatients and their relatives experienced the consequences, rehabilitation and discharge after a stroke. This study is based on nine scientific articles and the results points out that patients and their relatives experiences can be positively influenced by participation and information..

Vårdberoende, behov av omvårdnad och insatser för äldre med regelbunden vård och omsorg ? del av SNAC-Blekinge, Vårdsystemdelen

Background: The relationship between advanced age, presence of illness and impaired functioning is well known. A large proportion of the elderly population has an extensive need of care and service and therefore need help from municipal care. Aging is a transition in life and also affects the person's identity and self image, making the person particularly vulnerable and challenging everyday safety. It is therefore of importance to gain knowledge about which factors at individual and organizational level that support a person-centered nursing care for the elderly so that caring responsibilities and staffing of nursing personnel may be scheduled based on need. Aim: This study aimed at describing dependency and care needs of elderly persons living in ordinary housing, sheltered housing and nursing homes. Furthermore the study aimed at describing how the dependency was related to the staffing of non-licensed and licensed nursing staff in nursing homes. Method: A descriptive and analytical quantitative method was used in the study.

Att möta obotligt sjuka patienter som uttalar en önskan om att få avsluta sitt liv i förtid : Hur sjuksköterskor upplever och hanterar dessa situationer

Bakgrund: Sjuksköterskor möter ibland obotligt sjuka patienter som uttalar en önskan om att få avsluta sitt liv i förtid och detta är både ett komplext och kontroversiellt ämne som diskuteras flitigt runt om i världen. En uttalad önskan om att få avsluta sitt liv i förtid kan ha många olika betydelser och bör förstås utifrån varje unik patients egen sjukdomssituation, livshistoria och upplevelser.Syfte: Att undersöka hur sjuksköterskor upplever och hanterar mötet med terminalt sjuka patienter som uttalar en önskan om att få avsluta sitt liv i förtid.Metod: En litteraturöversikt har gjorts och baseras på åtta vetenskapliga artiklar publicerade mellan år 2001-2010. Analysen har skett genom en kategorisering av resultaten och Erikssons teori om lidande har utgjort den teoretiska utgångspunkten för diskussionen.Resultat: När patienter, på grund av vad de upplever som ett omänskligt lidande, uttalar en önskan om att få avsluta sitt liv i förtid kan sjuksköterskor uppleva maktlöshet, moralisk stress samt en önskan om kontroll. Sjuksköterskor hanterar detta genom god kommunikation och att dra personliga gränser. De uttrycker även ett behov av stöd och av att få samtala.Diskussion och slutsats: Många sjuksköterskor upplever en rädsla över att förlora kontrollen över situationen vilket kan leda till att de upplever osäkerhet och svårigheter när de vårdar terminalt sjuka patienter som önskar avsluta sitt liv i förtid.

Metodik för fastställande av bärförmåga på befintliga betongkonstruktioner

Many buildings are now nearing the end of their service life. This applies to both the older houses from the 40's and 50's to the million project houses that did not prove to be as sustainable in the long run. Often there is a desire to extend the service lifetime, but to do that you need to make detailed inspections. The Folkets hus in Gävle is one of those buildings that is in need of renovation and to fulfill the new requirements that must be met in today's buildings. It is desired to make the buildings rentable space more attractive and to extend the building with two more floors.

Energieffektivisering av Villor : Finns möjligheten till Passivhusstandard för befintliga bostäder

The climate change the earth today has to face is no longer a global problem when every individual has a responsibility to act. The residents in Sweden have no understanding how their energy consumption affects the environment, nor what measures can be taken to reduce the energy consumption.The use of the energy in new Buildings is considerably lower than in the older ones as conditions have improved and the requirements have been more stringent. As most of the buildings in the future have already been constructed it´s important to take every opportunity for energy efficiency and rebuilding of available buildings will become a significant act. Reconstruction of a building contributes generally to both a reduced individual and a reduced total energy use, while new constructions only keep a low individual energy use but a increase the total energy use. For this reason we present the opportunities for reconstruction, mainly to reach the standards for a passive house..

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