Vårdas på en intensivvårdsavdelning och vara allvarligt sjuk är för många en obehaglig upplevelse. Övervakning och behandling av vitala funktioner sker dygnet runt i en miljö som är främmande för patienten. Många patienter har på grund av läkemedel och behandling svårt att kommunicera, vilket kan leda till minnesförlust och hallucinationer. Sjuksköterskan kan som en del i omvårdnaden skriva en dagbok över vårdtiden. Syftet med litteraturstudien var att belysa patientens upplevelser av att läsa sin dagbok över vårdtiden på intensivvårdavdelningen och hur det kan påverka patientens återhämtning.

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Background:A trauma is a potential life threatening state which demands special resources and optimal care. Trauma doesn't just mean physical violence against the body, it can also put the patient in a psychological crisis. The trauma care in the emergency department is a short and intensive assessment between the patient and the emergency staff, where there is a risk that the patient may feel exposed and uncomfortable. For the nurse to be able to provide security and meet the patients' needs of well-being during the trauma care, the nurse has to try to understand the patients' needs and experiences. Aim: The aim of this study was to illuminate the patient's experiences during trauma care in the emergency department.

Intensivvårdssjuksköterskans arbete innebär möten med patienter såväl som närstående.Ångest och oro vid kritisk sjukdom är något som inte bara drabbar den enskilde patienten utanhändelserna kan vara lika svåra för den drabbade familjen/närstående. I takt med att demedicintekniska behandlingsmöjligheterna har utvecklats så har ävenintensivvårdssjuksköterskans omvårdnadsansvar ökat. Omvårdnaden bestäms av patientensoch närståendes behov och avspeglar en integration av kompetens, skicklighet och erfarenhetsom är nödvändig för att möta patientens och närståendes behov. Denna studies syfte var attbeskriva intensivvårdssjuksköterskans vilja och förmåga att möta närstående. Genom enlitteraturstudie har vetenskapliga artiklar granskats.

Bakgrund: I intensivvårdssjuksköterskans arbetsuppgifter ingår att räkna och registrera vätskebalans. Normal perspiratio är mellan 800-1100ml/dygn. Vätskeförlust via perspiratio är svårberäknad och hos den kritiskt sjuka patienten är de individuella skillnaderna ännu större och perspiratio kan bli större än normalt.Syfte: Att undersöka om perspiratio räknas in i vätskebalansen samt vilka faktorer som påverkar beräkningen.Metod: En empirisk, deskriptiv och analytisk studie med kvantitativ ansats. Datainsamlingen skedde genom frågeformulär utdelade till vårdenhetschefer på intensivvårdsavdelningar i Sverige.Resultat: Studien visar att på intensivvårdsavdelningarna var det vanligast att vätskeförlust via perspiratio räknas in i vätskebalansen. På dessa intensivvårdsavdelningar fanns skillnader i vilka faktorer som påverkade beräkningen.

Swedish Armed Forces are according to their development planning process taking actions to establish a new joint unit (SWEWOSE), with electronic warfare capability. SWEWOSÉ S main task will be designated to produce electronic warfare libraries for electronic warfare systems within the armed forces. The unit shall have capability to support with libraries in any state of conflict situation even if the supported unit with library needs conducting operations abroad.This essay examines the requirements that justify the establishment of a new unit in times when the armed forces conducting reorganizations and cutbacks in both economy and personnel.The possibilities to buy complete system solutions from an external supplier are examined. But also what kind of library support model that is to prefer according to the demands that the Swedish Armed Forces desired, in terms of capability in platform protection and battle space awareness.The results show that the demands that the Swedish Armed Forces has decided, best will be ful-filled and justified by a national electronic warfare unit, with library production as a main task..

This study is based on the public eldercare assistances administrators and unit managers perspective. The purpose of this study is to describe and understand how the assistance administrator and unit manager approach elderly needs, who can be harder to accommodate as well as alternative providers that also can meet the needs of the elderly. It is important to gain more knowledge about how assistance administrators and unit managers look at these aspects, what their attitude and approach is towards them. This is important to learn more about because the assistance administrators and unit managers have discretion in their work and the power to change and affect the elderlys situation in a significant way. They decide on actions and design implementation to meet the needs of the elderly and enable them a reasonable standard of living.The choice of method used in this study was qualitative through semi-structured interviews, conducted with assistance officers and unit managers.

ABSTRACTBackground: Endometriosis is a chronic disease where the tissue, that the uterus contains,also can be found outside the uterus.The objective of the study was to investigate young women?s experience of endometriosisand how they experience the care.Method: Fourteen young adults were asked to participate and eight of them did participate.They were all in the range of age 14-20 and they all had had contact with a unit forendometriosis in Sweden. Semai-structured interview was chosen as the data collectionmethod. An interview guide was used during the interviews. For the analysis aphenomenological method with focus upon experiences was used.Results: The result showed that the young adults? experiences in the daily living containedpain, alienation, tiredness and side effects.

Bakgrund: En intensivvårdsavdelning [IVA] avsedd för barn kan saknas på ett mindre sjukhus, vilket gör att många barn vårdas på allmän IVA tillsammans med vuxna patienter. År 2012 vårdades 2709 barn i Sverige mellan 0-18 år, på en allmän IVA. Det finns stora skillnader mellan att vårda barn och vuxna, sjuksköterskor som arbetar på en allmän IVA kan sakna de kunskaper som krävs för att vårda barn.Syfte: Syftet med studien var att beskriva intensivvårdssjuksköterskors upplevelser av att vårda barn på en allmän IVA.Metod: Fyra fokusgruppdiskussioner med totalt 13 deltagare genomfördes. Data analyserades med kvalitativ innehållsanalys och resulterade i åtta kategorier och ett tema. Studien genomfördes på ett mindre sjukhus i mellersta Sverige.Resultat: De kategorier som framkom var; en känslomässig utmaning, behov av kontroll och behov av samarbete och stöd.

Sahlgrenska Academyat University of GothenburgDepartment of internal medicine and clinical nutritionAbstractTitle: Can exclusive enteral nutrition replace steroid treatment in pediatric Morbus Crohn?Author: Hanna Rymark Lehnér and Josephine PetterssonSupervisor: Mette AxelsenExaminer: Anna WinkvistProgramme: Dietician study programme, 180/240 ECTSType of paper: Examination paper, 15 hpDate: May 23, 2012Background: Morbus Crohn is a chronic inflammatory bowel disease which periodically causes great suffering for the patient. There is solid scientific evidence that treatment with steroids effectively induces and preserves remission. However, side effects are many and a great risk for stunted growth and skeletal development exists in children. A widespread view is that exclusive enteral nutrition is as effective as steroids in pediatric Crohn´s.

This report describes the design and construction of a prototype that automatically aims a microwave link towards a target. The link, that is located on a mobile aerial mast, is used by Saab Training Systems as a part of an infrastructure network. The report also discusses the development of a GUI that communicates with the control unit by Bluetooth.The control unit, called Pan/Tilt-controller, controls the position of the link by stepping motors. One motor controls the azimuth angle and the other one controls the elevation angle.By a GUI the operator enters the coordinates on its own position and the targets position. Hereafter a bearing is calculated and it will be sent up to the control unit.The control unit will sense its own direction by a magnetic sensor that works as an electronic compass.

With this study, we have chosen to continue our B-essay about dual-diagnosis. In the essay we have done some research on how this target group feels about the treatment from the dependent unit, psychiatry unit, social services unit and the housing environment. We wanted to know about the feelings because during the B-essay we found out that individuals whit the dual-diagnosis is skipped between different caregivers. We used a qualitative method with six interviews from two different housings in south of Sweden. The information we got we used in our result and analysis part, where we found out that the caretaker?s thought the treatment were fine and that it was the surroundings they found the most fault with..

This thesis analyses how a radiology department at the largest hospital in Sweden, Karolinska University Hospital, most profitably could expand its capacity for investigating cancer patients using magnetic resonance imaging (MRI). The queues today for patients waiting to be scanned are long, which delays the start of cancer treatments. Meanwhile the hospital has a budget deficit of half a billion SEK, which make any expansion hard. In this thesis we evaluate the alternatives of investing in new machinery; utilize the current machinery better by using them more days annually or through a shift work system. Finally we evaluate a combination of these.

The position of middle-management is a role where the manager is at risk of being caught between its management and its employees. Elderly care is an industry that has been discussed a lot, to a large extent on how businesses should be managed and by whom it should be conducted. Middle-management in the business of elderly care thereby possess a vulnerable position in a controversial industry. In this study the aim is to investigate the managers' roles and tasks in both the public sector and the private sector in elderly care. It also aims to examine whether there are differences between the roles and how they in such cases is manifested.

?Studies have shown that patients receiving mechanical ventilation in an intensive care unit (ICU), who are entirely dependent on the nursing staff, often experience frustration due to a temporary loss of the voice source. Limited communication is an important factor contributing to patient discomfort. Nursing staff also report communication as frustrating and difficult.The aim of the present study is to introduce a neck-type electrolarynx as a communication aid in an ICU, to study the nursing staff experiences of communication with tracheotomized patients receiving mechanical ventilation, and to examine the patient´s experiences regarding communicative abilities. Communication between a ventilator treated, tracheotomized patient and members of the nursing staff was recorded and analyzed according to principles of Conversation Analysis (CA).The results show that several members of the nursing staff experience difficulties communicating with tracheotomized patients receiving mechanical ventilation.