The aim of the study was to understand how the family home secretary reasons and thinks and how they express themselves in their actions towards the family home?s biological children. The method used is qualitative semi-structured interviews, involving six family home secretaries from four different municipalities. The results were analyzed with the help of two theories ? the theory of grassroots bureaucracy and the sociology of childhood theory.

When a family member is being cared for in palliative care relatives often need support to be able to support their family member. The purpose of the literature review was to illuminate the nursing staff?s support from the relatives? perspective when a family member is being cared in a late palliative phase. The study is a literature review, there already existing research are surveyed. The findings were structured into two parts, tangible- and the intangible support.

The aim of the study was to understand how the family home secretary reasons and thinks and how they express themselves in their actions towards the family home?s biological children. The method used is qualitative semi-structured interviews, involving six family home secretaries from four different municipalities. The results were analyzed with the help of two theories ? the theory of grassroots bureaucracy and the sociology of childhood theory.

Bakgrund: I Sverige dör cirka 95 000 människor varje år och runt 80 % av dessa är i behov av palliativ vård. Palliativ vård är en vårdfilosofi som bygger på att ge stödjande och lindrande vård när botande vård inte längre är genomförbar. Vid den tidpunkt när patienten drabbats av en obotlig sjukdom sker en brytpunkt, vilket innebär att läkaren identifierar patientens aktuella tillstånd. När brytpunkten är identifierad erbjuds ett brytpunktsamtal. I samtalet planeras det för den kommande palliativa vården.

When a family member is being cared for in palliative care relatives often need support to be able to support their family member. The purpose of the literature review was to illuminate the nursing staff?s support from the relatives? perspective when a family member is being cared in a late palliative phase. The study is a literature review, there already existing research are surveyed. The findings were structured into two parts, tangible- and the intangible support.

This study discloses home-care organizations in one municipality in Sweden and five units work with implementing the social services legislated value base for elderly people. The aim of this study is to gain an understanding of personnel and managers perception of the value base and its implementation in the practical work with the elderly. A qualitative method has been used to analyze the questions raised by the aim of this study. The empirical data was retrieved by semi-structured interviews with managers and their personnel in homecare service The empirical data was analyzed on the basis of the neo-institutional theory, Michael Lipsky?s theory concerning street-level bureaucrats and previous research regarding implementation of social policy and the practical home-care work.

Bakgrund: Ett växande antal svårt cancersjuka människor föredrar att vårdas i hemmet. Närstående är en självklar del av modern palliativ vård, och det är en central uppgift för den palliativa vården att stödja även dem. Syfte: Syftet med litteraturstudien var att belysa närståendes behov av stöd vid vård i hemmet av vuxna cancersjuka i livets slutskede. Metod: Som underlag för denna litteraturstudie har 14 vetenskapliga artiklar använts inom tidsperioden 2001-2011. Resultat: Resultatet visade att närstående hade behov av stöd i den vårdande rollen av cancersjuk i hemmet som redovisas i 3 kategorier och 6 subkategorier.

The purpose of our qualitative study is to investigate how the caretakers, in the elderly care,interpret and manage the issue of alcohol problems in elderly people. We have beenperforming semi-structured interviews on 9 people, on different levels in the elderly care.There were 3 elderly care managers, 1 nurse, 1 assistance administrator and 4 auxiliarynurses, who all, at some level, work with alcohol problems in elderly people. Thoseinterviews were performed singularly, with one exception: we interviewed an elderly caremanager and her 2 auxiliary nurses at the same time. To analyse our empirics, we have usedthe theories of Power and Ageism. Our study shows that the auxiliary nurses, who are theones who must deal with these problems, have great difficulties to perform their work becausethey have no qualified knowledge about alcohol problems.

AimThe aim of this study is to through managers in eldercares deskriptions of the systematic qualityleadingsystem examine the implementation process of this system in the eldercare in the municipality of Halmstad.  BackgroundIn this paper the background explains elderly care and social work context, leadership in change and implementation processes. The theoretical frame illustrates Vedungs implementation theory and Webers model of bureaucracy MethodTo collect empirical data for this study, a qualitative research design was used in which eleven managers within Halmstads municipality home care management stood as respondents. ResultThe respondents highlighted a variety in the use of the systematic quality management system tool. The result describes that several obstacles were experienced in the use of the systematic quality system. ConclusionBased on the descriptions the respondents gives of the implementation process of the systematic quality management of Halmstad municipality home care management, the conclusion can be drawn that the implementation process has not resulted in the employees making use of systematic quality management in practice. The systematic quality management system that will ensure the quality of the care work is thus used to a limited extent..

The purpose of this study was to understand what the care recipients considering as care quality in their long-term eldercare. Our intention has been to contribute a bit to the development of the care work. Previous studies show that user surveys are carried out regularly but there is very few studies that are based on care recipients own opinions and experiences. The main questions in the study have been to examine what is considered as good elder care from a user perspective. Even to understand the characteristics of a good meeting with the care staff and also examine how the elder care in Nybro municipality can improve.

Overweight and obesity is currently a major health problem in our dogs all around the world and it is becoming more common each year. There are few studies on the proportion of overweight dogs in Sweden, but it was estimated to be 33% in 2005. Studies in other countries report that between 25-40% of all dogs are overweight. The aim of this study was to survey the animal care for an overweight dog. It was also important to develop a scientifically based advice.

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

This study aims to explore parents and treatment personnels experiences of the Marte meo methodat a family treatment home. Three retrospective interviews were made with parents whoexperienced Marte meo treatment, as well as four interviews with treatment personnel. The purposeof the Marte meo method is to develop the interaction between parent and child. Previous resultsfrom studies show that treatment with the Marte meo method could provide positive effects to theparent child relationship. The results in this study have been analyzed by using parts of attachmenttheory, the salutogenic perspective and the term intersubjectivity.

Sammanfattning/AbstractBakgrund:Många patienter väljer i dag att vårdas hemma under sin sista tid i livet istället för som tidigare på sjukhus eller ett boende. Den palliativa hemsjukvården blir därför alltmer utbredd vilket samtidigt innebär att allt större krav ställs på de närstående som då ofta intar en vårdande roll. Syfte:Syftet är att beskriva hur närstående upplever sin vårdande roll i den palliativa hemsjukvården.Metod:En litteraturstudie baserad på tio resultatartiklar som består av både kvalitativa och kvantitativa studier där vi kom fram till tre teman som handlade om den närståendes upplevelser av den vårdande rollen, närståendes vårdande roll och den sjuke och närståendes vårdande  roll och sjuksköterskan. Resultat:Många närstående fann både fördelar och nackdelar med den vårdande rollen och att den innebär en stor omställning. Många närstående kände sig mer eller mindre tvingade att ta över den vårdande rollen.Tillräcklig information och en god kommunikation ansågs av de närstående som en mycket viktig faktor. Diskussion:Att vårda en svårt sjuk anhörig är ofta en belastning. Detta kräver att vårdpersonalen är medvetna om de närståendes svåra situation och upplevelsen av denna. Det är även viktigt att uppmärksamma närståendes behov av information och att ha en bra kommunikation för att vi som sjuksköterskor ska kunna stödja de närstående i deras vårdande roll.Nyckelord:Anhörig vårdare, vårdande roll, palliativ vård, döende patienter, vård i livets slutKeywords:Family caregivers, caring role, palliative care, terminally ill, end of life care .

This report is about changes in an organization. Changes is something that every organization sooner or later is bound to do. In many cases the changes leads to problems and conflicts. I have chosen to study one change process in the home help service of the municipality of Bollnäs. The change process I have chosen to study is about changes in the day-to-day work for the employees at the home help service.