The annual cost of home care services of transport in Falun/Borlänge, is now at 31 million kronor. It is clear from previous research that it is possible to reduce these costs through a restructuring of the existing home-help service. The restructuring aims to have a higher proportion of older people, who are in need of care, to live in special accommodation, in order to reduce transport costs. Therefore there is a need for systems that allow home-help service to plan their operations in such a way that transport is working as efficiently as possible. Through better planning, there are profits to be done.

Background:Existential and spiritual thoughts are a big part of pallative care. The terms existential and spiritual can be understood in many different ways. It may mean thoughts about faith or thoughts concerning life and death. The nurse in palliative care need to have good communication skills, be responsible and be present and supportive in meeting with the patient.Aim:To describe the nurse's experiences of meeting patients' existential and spiritual thoughts in palliative care.Methods:A literature review based on 10 scientific studies have been done. The studies have been downloaded from the following scientific databases; Academic Search preimer, CINAHL Plus with   Full Text, and PubMed.

AbstractBackground: Becoming a parent to a child in need of Neonatal Intensive Care can be a traumatic experience. During a time when the parents may need support, guidance and a sense of control ? the family might need to relocate to a hospital away from home if the child needs highly specialized medical care at a Neonatal Intensive Care Unit. Aim: The aim of this study is to investigate the parents? experience of having to change neonatal care unit.

AbstractBackground: Becoming a parent to a child in need of Neonatal Intensive Care can be a traumatic experience. During a time when the parents may need support, guidance and a sense of control ? the family might need to relocate to a hospital away from home if the child needs highly specialized medical care at a Neonatal Intensive Care Unit. Aim: The aim of this study is to investigate the parents? experience of having to change neonatal care unit.

The purpose of this paper is to create an understanding of the negotiation process behind the decision of who will stay at home with a sick child and to develop the knowledge of the mechanisms considered to affect the negotiation process, in particular, the mechanisms likely to contribute to an uneven use of care leave. In the study six interviews were conducted with three sets of parents. These interviews were then analysed with Janet Finch?s (1989) definition of negotiation of family responsibilities. The study finds that the negotiation on care leave is a result of the negotiation of the shared view of reality.

This is a study of the importance of culture for persons who are in their terminal stage of life. The purpose of my study is to find out if culture, particularly literature, can be a comfort for persons who are about to die. The study is based on interviews with people who are working in the palliative team at Norra Älvsborgs Länssjukhus (NÄL) in Trollhättan. It is also based on study of literature. It is literature about hospital library, culture in hospital treatment, palliative care, bibliotherapy and ?own stories? from dying persons.

One third of all Swedish people will suffer in cancer. Pain is a common symptom in cancer patients. The pain is subjective and includes several dimensions. The dimensions of pain are the physical, psychological, social and spiritual. This is a literature review and the aim with this study was to identify the pain experience in patients with cancer receiving palliative care.

För många närstående förändras livet radikalt när  en anhörig diagnostiseras med hjärtsvikt. Att leva med hjärtsvikt är som att "knacka på dödens dörr och aldrig veta vad som är att vänta av morgondagen". Att stanna hemma och vårda en en anhörig under palliativ fas innebär stora påfrestningar i närståendes liv. Syfte: Att belysa närståendes upplevelser när anhörig med hjärtsvikt vårdas palliativt i hemmet. Metod: Studien utfördes som en allmän litteraturstudie.

The aim of our study is to explore which norms that exists in the home care service, who is sending those norms, how are they maintained and how do they affect the interactions between staff and manager? We want to deep en our knowledge about home care service as an organization and increase our understanding for the psychosocial work environment and also the importance of leadership. We mean to read the organizational culture that exists which allows us to deal with the values that influence the behavior in the organization.The study is based on a qualitative method. The data consists of two focus group interviews, one with managers from the home care service - organization and one with staff from the same organization. T he interview with the managers consisted of five participants and the corresponding figure for the second interview with the staff was eight participants.The theoretical viewpoints have been communication - theory, organizational theory and Foucault´s th eory of power.Our result indicate that norms are something that unconsciously controls us and that we have learned that there are consequences when you step out of what is normative for the group.

Background:There are approximately 45 000 people in the ages over 65 years dies outside the health facilities of the hospitals in Sweden in every year. Previous research has shown lacking knowledge in taking care of the next of kin during and after a sudden death. However, conducted research has emphasized that ambulance nurses often are the next of kin?s first contact with the health care system during sudden death at home. Research has also shown that the mourning of the next of kin is affected by the ambulance nurses? way of announcing the next of kin when someone close dies.

The overall purpose with this study was to examine the influence elderly people have over their granted home help. Specifically, the aim was to examine in what extent the image of the elderly as a unique individual emerges in the plans where the home help is described [?genomförandeplaner?]. A plan which is personally designed is used as an indicator of personal influence. A text analysis inspired by Michel Foucault?s discourse concept, was carried out and the study adopts the concepts standardization and categorization as well as the theory of ?Sense of coherence?.

The objective of this study was to explore the mechanisms controlling elderly people's choice of staying in there own home.The main questions were: What makes some people move to retirement homes while some people stay in their own home? What is the emotional relation to housing for people in general and elderly people in particular? How does the assessment of aid and application of the law affect elderly people's possibility to choose their way of living? What mechanisms during the twentieth century have controlled the society's way of looking on elderly people's housing? What future scenarios can we expect concerning elderly people's housing?Our method consisted of a literature study combined with qualitative interviews.The authors found a complex picture concerning elderly people's relationship to their housing and the will, wishes and possibilities to move to a retirement home or stay in their own home. One factor that affects elderly people's will to move is a deteriorated health. Another is the increased need of a safe living and access to personnel at all time. Also the assessment of aid and application of the law affect elderly people's possibility to stay at home or to move to a retirement home.

Bakgrund: Inom den palliativa vården har möjligheten att få vårdas i hemmet ökat genom åren. Idag vet man att närstående utför betydande insatser inom vården och omsorgen och att deras insatser bedöms vara tidsmässigt mycket större än från den offentliga vården. Att vara närstående till någon som är sjuk är en upplevelse som är unik för varje enskild individ. Upplevelsen av isolering, att behöva ignorera sina egna känslor och kämpa för sin egen överlevnad kan uppstå hos de närstående som vårdar en sjuk i hemmet.Syfte: Att belysa närståendes upplevelser av palliativ hemsjukvård.Metod: En litteraturöversikt har gjorts baserad på elva vetenskapliga artiklar som granskats och analyserats. De databaser som använts vid artikelsökningen är Cinahl plus with Full Text, PubMed samt Medline with full text med sökorden Family, Palliative home care, Experiences och Sweden.

The purpose of the study was from the perspective of young people that has completed a stay at HVB-home. The respondents are between 15-21 years both boys and girls. The basic questions were: How do the respondents look upon this HVB-homes service process? How do the respondents look upon this HVB-homes service contents? How do the respondents look upon this HVB-homes service regarding available information and how the staff is available? What positive and negative experience do they have from their stay at the HVB-home? We also wish to get a picture of what is important to change to improve the quality on this HVB-home. To receive answers to those questions we formed a questionnaire.

The purpose of the study was from the perspective of young people that has completed a stay at HVB-home. The respondents are between 15-21 years both boys and girls. The basic questions were: How do the respondents look upon this HVB-homes service process? How do the respondents look upon this HVB-homes service contents? How do the respondents look upon this HVB-homes service regarding available information and how the staff is available? What positive and negative experience do they have from their stay at the HVB-home? We also wish to get a picture of what is important to change to improve the quality on this HVB-home. To receive answers to those questions we formed a questionnaire.