The purpose of my essay is to highlight the various dilemmas that can occur in the preschool during the moments of guided reflection but also the opportunities it can provide. I am using my own practical experience from situations where care for the children can be questioned and needs to be considered in comparison to the further development of the preschool teachers and with them the entire organization. In my research, I have chosen to highlight the importance of guided reflection, the importance of reliable and secure relationships for children and how these can be eradicated, and finally the importance of ethics for the preschool-teacher?s actions in a given situation.Key questions in my text are; What role does the reflection have in the work at the preschool? How are children affected while this is happening? How important is close and secure relationships for young children and how can they be affected? How can one find a balance between care and learning?By writing my essay I reflect on myself and my own actions. This leads me to a greater selfawareness and greater understanding of my own feelings and my role in the dilemmas I face in my profession.The conclusion of my work is that the preschool organization is not given and it can be constructed in many different ways.

Background: Animals have been shown to have a positive effect on people. The nursing science approach says that a person can experience well-being despite illness. The positive attributes of animals can be used in health care to help ill people experience well-being. An animal-assisted intervention can be a form of activity or therapy involving pets (AAA / AAT) or horses (EAT).Aim: The purpose of this study was to elucidate how animals in health care promote well-being for people with long-term illness.Methods: Literature review based on fourteen original scientific articles, with both qualitative and quantitative approach.Results: The compilation of the results led to four main categories with two subcategories respectively. These were: Physical aspects with subcategories Physical well-being and Bodily functions; Psychic aspects with subcategories Psychic well-being and Reduced psychiatric symptoms; Existential aspects with subcategories Quality of Life and Safety; Social Aspects with subcategories Social behavior and Relationships.Discussions: Review and discussion of the selected method.

The purpose of this essay was to investigate the care personnel's experience, and thoughts concerning the elderlies use of sedatives and sleeping tablets. The purpose was also to make a comparison between different forms of living, in an attempt to find out if the form of living in itself was a factor that affected the use of sedatives and sleeping-tablets.In order to investigate this, the main questions of this essay became:- To what extent do the patients use sedatives and sleeping tablets?- What is the care personnel's experience of, and thoughts about the patients' use of sedatives and sleeping tablets?To obtain answers to my questions I interviewed care personnel working at different types of homes for elderly people and working with elderly people still living at home.I came to the conclusion that where you live may also have an influence on the use of sedatives and sleeping tablets. This could be seen when a group of elderly people lived together, and some of them were suffering from dementia. Then it could happen that the elderly with dementia where given sedatives and sleeping tablets, not just in order to calm them, but also to give the others a better environment to live in..

Background: Miscarriage is a common phenomenon in our society. It is reported that approximately 17 % of all pregnant women in Sweden go through a miscarriage every year. For many women miscarriage is a tumultuous life event that often has a deep emotional impact. Miscarriage is a subject that often is prohibited to talk about in our western society. Consequently this means that nurses have an important role in the emotional support for these women.

The aim of this study was to get knowledge of the communicationprocess between the branch head and the co-worker in communal geriatric care. To narrow it down we focused on how the branch head experience the communicationprocess in conflictsituations between co-workers and what she or he usually do to resolve the conflict. We made qualitative interviews with ten of the branch heads in communal geriatric care, in four communes. The questions we had in mind throughout the study was based on four keywords (communication, leadership, conflict and conflict management) of which we created a narrative story from every interviewing person to get hold of the experience and knowledge behind their interviews. In our analysis as theoretical perspectives we used system theory, communication theory, attribution theory and the philosophy of Dialogue by Martin Buber.

 AbstractBackground: Among elderly people with dementia pain is a common problem. In older persons, particularly those suffering from dementia and cognitive impairment pain is often underdiagnosed and undertreated causing unnecessary pain, suffering and affect quality of life negatively. Dementia complicates the identification of pain when the natural ability to communicate decreases when a person is suffering from dementia. It is important that health professionals working with older persons with dementia are aware of the person?s pain expression.Aim: To clarify how older persons with dementia communicate pain expression.Method: To study this area a literature review was used.

AbstractBackgroundWorking in primary care with chronic leg ulcers is both time-consuming and difficult. There is a large category of patients with leg ulcers, that is expected to increase in a number of years, and many of them will probably come to a district nurse for help.AimThe aim of this study was to describe the district nurses' experiences of caring for patients with chronic leg ulcers in primary care.MethodThe approach was qualitative. The study was done with a phenomenological life-world approach. Seven district nurses working in primary care were interviewed. The phenomenological perspective focuses on the respondents? own life-world and has openness to the interviewee's own experiences.

Inom vården är empati en viktig grund för vårdarbetet. Forskning har visat att om man känner en ökad empati för en person i nöd så ökar tendensen att hjälpa denne. Frågesällningarna var ifall personal blir utmattade i högre grad vid hög empati och om distansering har att göra med hur länge man har arbetat inom sitt yrke. En kvantitativ studie med 109 mentalskötare och undersköterskor påvisade signifikanta skillnader inom yrkena på empati, utmattning och distans. Undersköterskor uppvisade en högre empati än mentalskötare.

PurposeThe purpose of this study has been to investigate the documentation process following the guiding principles of the Quality Norms for Fall Prevention concerning fall risk assessment, risk identification, fall preventive measures, information and the making of an individual care plan.MethodThis study is a quantitative, descriptive and retrospective journal review study. There were 100 journals examine the existing documentation concerning fall risk assessment of patients who received treatment in geriatric patient care. The sample was consecutively.ResultsThe results showed that fall risk assessment was documented in 79 of 100 examined journals. 56 (71 %) of the fall risk assessments were made within 24 hours. In 59 of 100 journals the patient, relatives or former caretakers was asked whether the patient had had a fall within the last year, and in 61 of 100 journals it was documented that the nursing staff had made an assessment that the patient was going to have a fall during his or her length of stay if no preventive measures were set in.The majority of fall risk factors and fall preventive measures were documented within the areas of walking and transfer. It was documented that the patient was informed of fall risk, fall risk factors and fall preventive measures in 15 of 100 journals.

The study aims to analyze conceptions of death and dying at a clinic for palliative care, using a constructivist perspective and a discourse analytical approach. The empirical material consists of interviews with staff members, documents and photographs of the environment, taking both space and materiality into account. I conclude that the studied practice is mainly characterized by a tension between a caring discourse and a medical discourse..

The main aim of this bachelor thesis is to describe through a quantitative study the extent of support received by foster families, their opinion of the support and any areas that might need improvement. The foster families receive foster care support through a private agency. We concentrated on the following areas of support; education, health, contact with the children?s biological relatives and behavioral difficulties. These four areas have, in previous research, shown to be problematic for foster children.

BackgroundHandover occurs as a daily task for health care professionals in all levels of care. Handover between ambulance crew and emergency department staff stands for the first exchange of information about a patient?s condition. Different factors may impact the handover communication and make it vulnerable.AimThe aim is to highlight factors of importance at handover between the ambulance and emergency room.MethodA literature review of thirteen studies with qualitative and quantitative research approach. The purpose of this literature review was to provide an overview of the area.ResultsExperiences for health care professionals is that communication is important for patient handover between ambulance and emergency department.

People with severe mental illness and co-occurring substance abuse are an especially vulnerable group in society as health care for those is shared between municipality and county council. There is an associated health need of this target group so the interaction of the social services and the psychiatric care is of great importance. However, there are shortcomings in this interaction with results in that people with dual diagnosis do not always receive adequate care. Diverse knowledge and explanatory models may create problems for the interaction as they include different ways to define, understand, explain and deal with a problem. The purpose of this study was to examine how the interaction between the social service addiction treatment and the psychiatric care is, concerning people with dual diagnosis, focusing on how their respective knowledge and explanatory models affect the interaction.

Introduction: About 160 children with Down syndrome are born each year in Sweden. They will spend their first time in life at the neonatal departments around the country. Previous research has shown that parents in these situations have experienced an unsatisfying behaviour from the caregivers and that they are not getting the care they desire. However the research that reflects the nurses? role in these situations is sparsely studied.

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.