Bakgrund: Palliativ v?rd handlar om att lindra lidande och fr?mja livskvalitet hos patienter med obotlig sjukdom, samtidigt som n?rst?ende f?r st?d under hela sjukdomsf?rloppet. V?rden bygger p? ett personcentrerat f?rh?llningss?tt d?r patientens individuella behov, v?rderingar och ?nskem?l styr v?rdens inneh?ll. Sjuksk?terskor har en nyckelroll i att etablera f?rtroendefulla relationer, skapa trygghet, s?kerst?lla tydlig kommunikation och inkludera n?rst?ende som en integrerad del av v?rdprocessen.

Background: A patient undergoing surgery will meet many caregivers in different settings pre-, intra- and postoperative in the surgical pathway. Lack of communication is a common digression and the handoff is such an occasion. The purpose is to describe current knowledge about the patients´ right to safe care perioperative. The study is a systematic review (pilot). Result: The handoff was informal, unstructured and inconsistent.

Omvårdnaden av lidande och döende patienter och att stötta närstående är en av de svåraste uppgifter sjuksköterskan möter i sitt arbete. Det ter sig viktigt att som sjuksköterska inneha vetenskaplig kunskap och kännedom om hur cancerpatienter bör bli bemötta i ett palliativt skede samt hur på bästa möjliga sätt en relation kan byggas upp. Syftet med föreliggande litteraturstudie var att undersöka sjuksköterskors bemötande gentemot cancerpatienter i ett palliativt skede och relationen dem emellan, både ur sjuksköterskors- och patienters synsätt. Metod: Efter vetenskaplig granskning av artiklar valdes åtta ut för analys och utgjorde underlag till litteraturstudien. Resultat: Ur sjuksköterskornas perspektiv kunde följande kategorier utläsas: sjuksköterskors förståelse för hela patientens livssituation, behov och värderingar/kommunikation och samarbete/skapa livskvalitet och välbefinnande för patienter/sjuksköterskors attityd till palliativ vård och döende patienter.

Utredningshemmet in Hässleholm, Sweden, is a special residential home for acute management and investigative evaluation of juvenile delinquents.Utredningshemmet has, since 1991, used an investigative model, which is based on systems theory. The investigative work is done in close co-operation with social workers, youths and their parents.This study takes into account the youths, who have had a commissioned placement to carry out an investigation of their needs of care and treatment, 71 juvenile delinquent cases. They are divided into three one year intervals: 17 cases in 1993, 28 cases in 1998 and 26 cases in 2003.The purpose of this evaluation is to illustrate changes in the social workers, parents and youth's level of satisfaction during the development of the special residential home's investigative model.Approximately one to three months after discharges social workers, youths and their parents completed a level of satisfaction questionnaire. The results demonstrate no significant difference in the level of satisfaction between different time periods. There are, however, differences in satisfaction levels between social workers, who have the highest level of satisfaction, parents, who have the next highest level and finally the youths level of satisfaction..

Elective joint surgery increases for every year and the operations are associated with postoperative pain. Postoperative pain is a well known phenomenon and pain physiology and analgesics are well known by caregivers, but the significance of the interaction between patient and caregiver is not illuminated. There are still patients experiencing unnecessary postoperative pain. Among patients in elective surgery, 25% runs a risk for underestimated pain. The aim of the study was to describe patient?s experiences of nursing interaction in the context of postoperative pain during hospitalisation after going through knee- or hiparthropasty.

The aim of this study was to understand how care staff in residential care perceive and work with elderly mental health and how these perceptions and work is related to aging. We have gathered our empirical material through eight qualitative interviews and vignettes with care staff in residential care. The study was conducted in a municipality with 10 000 to 20 000 inhabitants in southern Sweden. The material was analyzed with use of ageism as a theoretical frame of reference. The results showed that the care staff had different perceptions of mental illness in general and regarding the elderly.

There are more and more elderly people and different diseases will affect them. How will the public care be able to face this need of care for the elderly? There are a lot that shows that there will be an increasing demand on the achievements of the relatives. How can this development be answered to? Shall the achievements be concentrated on giving support to the relatives, or will there be a concentration on nursing staff? The purpose of the study was to enlighten who elderly people will be nursed by if a disease affects them.

A home for elderly is planed to be built at Zakrisdal, Karlstad, Sweden. The heat source for the building was at the time not determined. In order by the local government of Karlstad this report is meant to examine if the need of heat could be provided only by solar heat combined with a seasonal heat storage. The problem to solve is, if the need of heat from the home for elderly is provided from only solar heat, whitch dimensions of the solar collectors and the storage is needed?.

Today adult patients' relatives are seen as a resource in psychiatric care but few researchers have examined the lived experience of relatives' participation in psychiatric care. The aim of this study was to illuminate how mental health staff and relatives of adult patients experienced the relatives' participation in psychiatric care on hospital ward.The study was guided by a phenomenological approach and a lifeworld perspective. Data were collected through in-deep interviews with ten adult patients' relatives and three group-interviews with ten mental health carers from two hospitals in Sweden.The essence of the lived experience of relatives' participation in psychiatric care in hospital ward is described in the constituents: invitation to participate in psychiatric care; meet the staffs' care; to participate in own or others terms; bring the common everyday world with you; feel burden; participation a trip in time and space. The findings of the study show that the relation between the staff and the relatives are important for the relatives' participation in psychiatric care. The relatives' participation can alter from no participation to a meaningsful participation, from suffering to well-being.This study can help medical staff to understand relatives and their participation in a new way..

Placed in an institution, what happens next? A study concerning how social workers handle the after-care of adolescents who earlier has been placed in an institution is written by Therese Wester and Sanna Sjölander Wirlöf. The purpose of the study is to understand and explain how social workers handle the after-care. This study is based on an organizational perspective since the after-care has been studied in relation to the structure of the organization and the laws and guidelines that the organization has to relate to. The method that has been used is semi-structured interviews with six social workers in different municipalities in Stockholm.

This essay is a time-geographic study of workinglife mobilities and investigates two days of work for five respondents. One from home and the other from the persons workingplace. Qualitative and quantitative methods has been applied to illustrate and analyze the two days along with time-geographic constraints. The findings are concluded into themes which represent the two local pockets of order: Home and Workplace. Themes of home are: Comfort station, Household, Curtained-off, Tele-contact and Environment.

Studies in Sweden have shown that the districtnurses had no time for health promotion. The Swedish government also indicate that there is a lack of health promotion and preventive care in Sweden. The purpose of this study was to describe into which extent the districtnurses in the middle and southwest area of Region Skåne worked with preventive care in their profession and into which extent they documented their achievement. The inquiry was answered by 45 districtnurses about background, present situation, preventive care, secondary prevention, tertiary prevention, health promotion and documentation. Results of this study shows that the districtnurses worked mostly with tertiary prevention.

Bakgrund: Det är viktigt att det finns kunskap om palliativ vård inom alla verksamheter då patienter i palliativ vård finns överallt inom vården. Finns inte kunskapen kan patientens behov lätt missas. Författarna till den här studien ville få en förståelse för vilka omvårdnadsbehov sjuksköterskor upplever att patienten har i det palliativa skedet.Syfte: Syftet var att undersöka vilka omvårdnadsbehov sjuksköterskor upplever att patienten har i det palliativa skedet och hur dessa behov kan tillgodoses.Metod: En kvalitativ intervjustudie genomfördes på ett sjukhus. Sju sjuksköterskor intervjuades och intervjumaterialet analyserades med manifest innehållsanalys.Resultat: Resultatet visade att sjuksköterskorna upplevde att patienten i palliativ vård har två övergripande omvårdnadsbehov. Dessa är psykosociala behov och omvårdnadsbehov.

Den palliativa vårdens mål är att uppnå en god och fridfull död. En god död har dock visat sig vara en individuell och varierande upplevelse varför patienten själv måste få möjlighet att uttala sig om sin förestående död. Forskning har framhållit att det finns olika uppfattningar om vad en god död innebär, utifrån patientens, närståendes och vårdpersonalens perspektiv. Syftet med litteraturstudien var därför att belysa kunskap om uppfattningar om en god död, för att kunna förbättra omvårdnaden i en palliativ kontext. Föreliggande litteraturstudie baseras på 15 vetenskapliga artiklar.

Background: Parents that loose a child in connection to labour are in great need of support.Health care provider treatment and support is of great importance to how the parents will experience something that is doomed from the beginning to be one of the most tragic events the parents will ever experience. For care givers to live up to this it is incredibly important that there are worked out guidelines to follow at these situations.Aim: To chart and describe Swedish maternity wards care program with reference to ?IUFD?.Method: All clinics in Sweden have been questioned regarding care program for handling of ?IUFD?. Care programs has been gathered, charted and described.Results: 87% (29 of 33) off the maternity wards has a plan for treatment and guidelines for ?IUFD?.