There are several different kinds of bacteria that has developed resistance against the antibiotic agents used in todays medicine. Most of them has evolved from the human health care but several of them has gone over to also cause problems in the animal health care. They often occur as nosocomial infections and the greatest risk of exposure to them is during health care. Since infections with a resistant bacterium can be difficult to treat, it is desirable to prevent this spread, especially since an animal treated in a hospital often is more susceptible to infection, due to their primary condition. In Sweden the current resistance situation is good and is yearly monitored by the Swedish Veterinary Antimicrobial Resistance Monitoring (SVARM) programme.

Syftet med studien var att belysa faktorer som påverkar omvårdnaden av patienter med ett intravenöst drogmissbruk (IDU). Bakgrund: Sjuksköterskor har ofta bristande kunskap om droger och om hur man ska hantera den kliniska omvårdnaden av patienter som missbrukar droger. Bristande kunskap om drogmissbruk bland vårdpersonalen skapar rädsla vilket i sin tur kan leda till att IDU får ett sämre mottagande. Det förekommer även fördomar om denna patientgruppen bland personalen. Metod: studien genomfördes som en allmän litteraturstudie baserad på åtta vetenskapliga artiklar inom tidsintervallet 2003-2009, sökta i databaserna PubMed, PsyhInfo, ELIN@lund samt Cinahl.

Syfte:Att belysa vad som tas upp i vårdprogram angående vårdmöte och stöd till cancerpatienter.Bakgrund:På grund av det ökade antalet människor som får diagnosen cancer, är sjuksköterskor i behov av mer kunskap om vårdmöte och stöd till cancerpatienter.Metod:Att analysera data genom en kvalitativ litteraturstudie som behandlar omvårdnads - och psykosociala aspekter i vårdprogram.Resultat:Delaktighet genom information, stöd genom kommunikation, att uppmärksamma psykisk ohälsa samt att bemöta existentiella frågor har visat sig vara viktiga delar och utgör resultatets fyra temaområden.Slutsats:Vårdprogram har visat sig innehålla en ojämn fördelning av information angående vårdande möten och stöd till cancerpatienter. Sammantaget ger dock det material som presenteras i studiens resultat, en relativt mångfacetterad bild av hur vårdmöte och stöd kan ges under olika faser i cancerpatienters sjukdomsförlopp.Klinisk implikation:Denna studie kan vara en bra källa till information för sjuksköterskor om vård och stöd i der dagliga mötet med cancerpatienter. Genom att erbjuda användbara råd och strategier kan denna studie skapa en ökad känsla av självförtroende inför svåra situationer som sjuksköterskan kan möta..

Background: One of the main concerns related to medical therapy is non-compliance to drugs. More than half of all patients do not comply with prescribed medication. Non-compliance to drug therapy leads to unnecessary suffering for the patient and there are no easy solutions to the problem. In order to create understanding for the individual patient it is important that medical staffs are enlightened on the existing problems concerning this matter. Purpose: To describe factors that effect compliance to drug prescription.

Violence and aggression is a common problem for staff in different care units. Caregivers often feel frustrated and unsatisfied in their work with these patients. Even caregivers with long experience finds it valuable to get education in management of violent patients. The aim of this literature study was to illuminate staffs experience in meeting with aggresive and violent patients. The method that was used was a literature research, where earlier research findings were read, analysed and put together.

Bakgrund: Självskadebeteende startar ofta i tidiga tonåren men orsaken grundar sig i traumatiska upplevelser i barndomen. Beteendet är en medveten handling som utförs för att dämpa den psykiska smärtan och resulterar i en vävnadsskada. Patienterna anser sig ofta bli stigmatiserade och behandlade som objekt när de istället behöver känna stöd och förståelse från personalen i omvårdnaden. Syfte: Att belysa patienter med självskadebeteende, deras upplevelser av sitt beteende och av omvårdnadspersonalens förhållningssätt vid mötet i omvårdnaden. Metod: En litteraturstudie baserad på 11 vetenskapliga artiklar.

Patienter på IVA är utsatta för obehagliga upplevelser, både genom sjukdom, behandling och vårdmiljö. Närstående beskriver känslor av overklighet och skräck. Patienter minns drömmar, mardrömmar och faktiska händelser lång tid efter intensivvårdsvistelsen. Dagbok används på många IVA-avdelningar för att ge patienten ett underlag att bearbeta händelser och eventuella minnesluckor från vårdtiden. Syftet med litteraturstudien är att belysa betydelsen av dagbok för IVA-patienter och deras närstående.

Malnutrition is a common problem for patients with cancer that leads to anxiety and frustration for the whole family. Patients with palliative cancer disease treated at home are entitled to an adequate nutrition treatment suited to individual needs. Aim: The aim of the literature review was to describe how cancer patients experience their nutriment situation before and after the introduction of parental nutrition and the experience of getting home parental nutrition. Methods: A literature study was carried out where qualitative and quantitative articles were examined. Findings: Five qualitative and five quantitative articles were examined.

Children are a group of patients that require special knowledge from the anesthesia staff, both general and specific. Theoretical knowledge and practical experience is necessary to adequately care for the child as it anatomically, physiologically and mentally may differ from adult patients.A growing problem in the pediatric population is overweight and obesity. From a stagnation in the early 2000s the prevalence of overweight and obesity among children in the world are again increasing.The purpose of this study was to examine peri-operative care of overweight and obese children.Systematic searches were done in PubMed, CINAHL and Scopus. After the quality audit according to SBU, twelve articles were included for analysis.Results suggest that overweight and obese children have a higher risk of respiratory peri-operative complications. The risk of hospital admission after outpatient surgery was also greater in this group as well as higher costs for health care.Overweight and obese children are complex subjects with more frequent peri-operative risk factors than normal-weight children.

The workplace is a good arena for healthy activities because of its ability to reach big target groups. A preventive health care program prevents ill-health and since 2001 Centralsjukhuset Kristianstad has a health care program, ?Främja hälsan?. Leadership is important in the health promotion work when to get the collaborators motivated and involved in the health care program. The aim of the cross-sectional study was to investigate the collaborators opinion about the managers? pedagogical role in the health promotion work at Centralsjukhuset Kristianstad.

Hjärtinfarkt är en av de vanligaste orsakerna till dödsfall i Sverige. Det är vanligt att de som drabbats har svårt att hantera sin förändrade livssituation eftersom sjukdomen påverkar vardagen fysiskt, psykiskt, socialt och ekonomiskt. Kvinnor har oftare svårare att anpassa sig till livet efter hjärtinfarkten än män. Syftet med studien var att beskriva hur kvinnor upplever det dagliga livet efter en hjärtinfarkt. Metoden för studien var en litteraturöversikt av 10 kvalitativa artiklar.

Bakgrund: Brytpunktssamtal är svåra samtal för alla deltagande. Bemötandet och hur beskedet ges kan bli avgörande för patient och närståendes upplevelse av livets slut. Syfte: Syftet var att beskriva sjuksköterskors erfarenheter av brytpunktssamtal i kommunal hemsjukvård. Metod: Data analyserades med kvalitativ innehållsanalys med induktiv ansats. Sju intervjuer genomfördes med sjuksköterskor.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

The purpose with our essay was to describe and understand the treatment of the homehelp staff towards the elderly addicted caretakers within the care system. Both in a practical aspect as well as in an attitudinal aspect. In order to get the answers to our overall purpose of our essay, we had as a starting point the following questions:* What help is given to the elderly addicted caretakers?* Are the elderly addicted caretakers a stigmatized caretaker group?* What approach does the home help staff conduct towards the elderly addicted caretakers?* Is there a preparedness among the home help staff when it comes to as to whether or not a care taker has an addiction issue or not?When analysing the material we used a qualitative analytical method in order to understand the care givers treatment towards the addicted caretakers. We combined the interviews with the so called vinjett technique; furthermore we used various sociological theories as well as earlier scientific discoveries.The result of the essay was that elderly addicted caretakers are an exposed group.

Violence and aggression is a common problem for staff in different care units. Caregivers often feel frustrated and unsatisfied in their work with these patients. Even caregivers with long experience finds it valuable to get education in management of violent patients. The aim of this literature study was to illuminate staffs experience in meeting with aggresive and violent patients. The method that was used was a literature research, where earlier research findings were read, analysed and put together.