Growing old should be the golden years of your life, being able to do whatever you want to do. Instead these years are often combined with both physical and psychological illness. Neither the body or mind are what they once were. It has been shown through empirical studies that many elderly people don?t have any social support at all.

The aim of this literature review was to elucidate how suicidal and self-harming patients should be treated and cared for, mainly in the acute phase in somatic care. Searches were conducted in databases with relevant keywords. Qualitative and quantitative articles were included, would not be more than 20 years, be written in Swedish or English, and match the aim of the study. Results showed that nurses and patients felt that the treatment would be respectful, non-judgmental and characterized by active listening and clear communication. Poor care was described as disrespect and lack of understanding.

The aim of this literature review was primarily to describe how the nurse can involve the parents in the care for their premature baby, and secondly to describe the aim, design, method, population and quality of the reviewed studies. Searches have been made in different databases in order to find articles where the search words ?neonatal care?, ?neonatalvård?, ?premature infants? and ?nurse? were included. The literature review was based on 12 scientific articles. The results of the study were divided into six categories; The nursing staff?s relation to the parents, Support group, ?Home-early program?, Decision-making, A work in progress and A safe and efficient method.

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..

SAMMANFATTNINGBakgrund: Risken för att drabbas av ett intensivvårds-delirium under vårdtiden är av varierande storlek. Om patienten drabbas av ett delirium kan det leda till allvarliga konsekvenser. Konsekvenserna innefattar en ökad mortalitet, längre vårdtid, ett ökat lidande och även att kostnaderna blir högre. De bedömningsinstrument som finns används i varierande grad på olika intensivvårds-avdelningar världen över. Det mest valida och användbara är Confusion Assesment Method, CAM-ICU; ett mätverktyg utarbetat för att användas inom intensivvården där det kan användas på patienter som fortfarande är intuberade och således inte har en möjlighet att uttrycka sig verbalt.Syfte: Belysa den aktuella forskningen gällande omvårdnad av patienter som drabbats av intensivvårds-delirium.Metod: Studien är en litteraturöversikt med mixad metod och konvergent design.Resultat: Studien visar att omvårdnadsåtgärder gällande behandling av intensivvårdsdelirium används men det finns inga riktlinjer för hur patienterna ska behandlas.

The purpose of this study was to survey the occurrence of and obstacles to team training inneonatal life support in Swedish hospitals and, accordingly, to compare university hospitalswith other hospitals. The study included all the managers in 37 pediatric wards whoparticipated in telephone interviews with the aid of a questionnaire. The results showed that81 % of the Swedish hospitals that have a paediatric ward train the staff in neonatal lifesupport. All of the university hospitals and 74 % of the other hospitals are running training insome form. The methods of training varied and so did the occurrence of training.

In healthy dogs, heart rate fluctuates during the day. Heart rate variability (HRV) reflects the autonomic nervous system´s regulation of the cardiovascular unit. Heart rate variability shows the balance between the sympathetic and parasympathetic nervous system, also called sympathovagal balance. Heart rate variability can be measured by time domain - and frequency domain analysis. In a time domain analysis you study the beat-to-beat-interval (RR-interval) in an electrocardiogram (ECG), while a frequency domain analysis can be used to determine the size of the variability.

The number of elderly continues to increase in Sweden which puts pressure on the elderly care. Aproposed solution is to increase the use of information and communication technologies (ICT) inhome care to both streamline care and enable older people to manage on their own to a greaterextent. So far Västerås is the only municipality that has made a decision on an ICT solution, whichthey have chosen to call ?eHemtjänst? (eHomecare). The purpose of this paper was to investigatethe specific prerequisites and requirements for Gothenburg city regarding the potentialimplementation of eHemtjänst.

Patienter som vårdas på en intensivvårdsavdelning (IVA) är allvarligt sjuka och behöver specialiserad vård. En del av den vården är ofta ventilatorbehandlingen som kan uppfattas som en mycket mentalt påfrestande upplevelse. Syftet med denna litteraturbaserade studie var att beskriva patienters upplevelser av att vårdas i ventilator på en intensivvårdsavdelning. Datamaterialet har utgjorts av kvalitativa studier med ett patientperspektiv, vilka har analyserats kvalitativt. I resultatet framkom två huvudteman; Verkliga upplevelser och Overkliga upplevelser.

Aim: To describe nurses' experiences providing end of life care to patients. Method Descriptive literature study, 15 articles were included. The search was made in PubMed, CINAHL and by manual search. The articles were reviewed, analyzed and summarized. Results: For newly graduated nurses? experience in end of life care proved to be something new, developing, difficult to manage and frightening, but expected in the profession.

Bakgrund: Varje år drabbas 30 000 personer av stroke i Sverige. En stroke kan orsaka bestående skada på hjärnvävnaden. Sjukdomen är en vanlig orsak till funktionsnedsättning och står för flest vårddagar på svenska sjukhus. Rehabilitering syftar till att återställa förlorad funktion och ska bygga på respekt och värdighet för individen. Syfte: Syftet var att belysa hur personer som har drabbats av stroke erfar sin livssituation.Metod: En kvalitativ litteraturstudie baserad på fem självbiografier genomfördes. Dataanalysen gjordes utifrån kvalitativ innehållsanalys enligt Graneheim och Lundman (2004).Resultat: Tre kategorier framkom: upplevelse av en förändrad kropp, möta världen med nya förutsättningar och omgivningens betydelse för att känna välbefinnande.

- To be trapped in a roller-coaster That ?s how some of the patients are describing the situa- tion of living with heart failure. To be stuck in their home not knowing if they will have to seek care today and not knowing if they will have the energy to attend that birth- day party later this week.Each year 2-3% of the Swedish population are diagnosed with heart failure, which results in 30,000 new individu- als with the disorder. Cardiovascular disease is rapidly in- creasing in the world and before 2030, people with heart failure will increased by 100%. Our improved living condi- tions and better health have allowed us to grow older and made us more dependent on other types of care, care at home.Today the patients are only looking for changes in weight and if they have excessive water in their body.

Numerous dogs are stressed during a stay at a veterinary clinic. Stress has an impact physically as well as mentally, and may influence animal care. There are different ways to prevent and handle animal stress. Dog Appeasing Pheromones (DAP) is sometimes used to reduce stress. The aim of this study was to investigate the potential need for stressreducers, explore the use of DAP and evaluate pheromonatherapy for dogs as a potential stressreducer within veterinary health care.

The aim of thie literature review was to study the advantages and disadventages of the intranasal medication, treating children with acute pain in  prehsopital settings and in emergency care. Searches were performed in databases PubMed and Cinahl. The intranasal method of administrating drugs could be a acceptable compliment to todays's traditional metods. Unnecessary pain is avoided as there is no need for skin penetration. Further studies are necessary in order to integrate this metod both in prehospital settings and in emeregncy care..

Today's climate and environmental issues have now been up for discussion for quite long. Various environmental measures have been taken, but it is not always certain that those measures actually are for the better because of the complexity of our environment. Therefore, studies of whole life cycles are very important even if they are time and resource intensive.Real estate accounts for 15% of global carbon emissions, but also affects our environment in many other aspects. In Sweden this number is even higher. About 30 % of its carbon dioxide emissions originates from building sector and changes are therefore of great importance.