Smärta är ett allmänmänskligt fenomen och något vårdpersonal med största sannolikhet kommer komma i kontakt med. Trots att smärta är vanligt förekommande är det inte sällan som smärtbehandlingen upplevs som otillfredsställande för patienten. Utöver analgetisk behandling samt alternativa behandlingsformer kan andra faktorer påverka välbefinnandet och därmed smärtupplevelsen. Då smärta till sin natur är en flerdimensionell och komplex upplevelse kan en flerdimensionell syn även på behandling av smärta vara ett fruktbart sätt att lindra upplevelsen. Syftet med studien var att undersöka och belysa vilken betydelse patientens psykiska välbefinnande har på upplevelsen av smärta samt hur sjuksköterskan kan lindra patientens upplevelse av smärta.

Background: Cancer-related pain is a major problem worldwide. Studies indicate that patients do not get an adequate pain relief. This creates a large suffering and results in major problems for the patient and their families. In order to minimize this kind of suffering caregivers need to understand how cancer-related pain is experienced by these patients, what it does to them and how it impacts their daily life.  Aim: The aim of this study was to describe patients´ experience of living with cancer-related pain.

Introduction: Breast pain, mastalgia, is a common problem for many women. The pain can cause so much concern that the woman seeks help in health care. The cause of concern is often that that the pain may be due to breast cancer. Women with mastalgia are referred for mammography to investigate the cause of the pain. Experience says that the mammography is mostly normal.Aim: The aim of the study was to get an overall picture of the results of the mammograms performed on Mammography SU / Sahlgrenska in 2011.

The purpose of this litterature review is to illustrate the nursing care to patient with chronic pain. As a theoretic frame for this study we choose Aron Antonowsky. The results of this study are based on 8 scientific articles. The findings are presented in main categories and ideas. The findings show that chronic pain is a multidimensional phenomenon that influences peoples quality of life in a physical, psychological as well as social way.

Introduction: Urinary retention is a common postoperative complication associated with bladder distension. Permanent damage to the bladder affects the patient?s quality of life and may lead to a lifelong inability to empty the bladder and needs of self-catheterization with the risk of urinary tract infection. Bladder distension was classified as the fourth largest health care related injury in Sweden in 2013. Bladder distension may occur before the operation starts and is more common among orthopedic patients.

The aim of this study was to investigate patients? experiences of pain during dental hygienist treatment and scaling. The study is based on a questionnaire and includes 129 patients, from four dental clinics in Skåne, Sweden. The questionnaire consisted of ten questions with a Visual Analogue Scale as a main question. Questions about age, gender and dental anxiety were also included.

Syftet med denna empiriska studie var att granska hur sjuksköterskan dokumente-rar smärta på en postoperativ avdelning och hur åtgärder i samband med smärt-lindring följs upp. Studien genomfördes på Universitetssjukhuset i Malmö genom granskning av journaler för 14 patienter som givit sitt samtycke att delta i studien. Analysen resulterade i tre kategorier: god/tillfredsställande, delvis tillfredsställan-de och bristfällig/obefintlig dokumentation. Resultatet av studien visade brister gällande dokumentation av smärta. Avsaknad av användning av visuell analog skala, smärtans karaktär och uppföljning av smärtlindring kunde noteras i ett fler-tal journaler.

ABSTRACT The purpose of this medical record research was to study 30 patients with chronic subdural hematoma on a neurosurgical clinic, mapping documented nutritional status, preoperative fasting and hydration and energy supply before surgery. In addition peroperative administration of fluid and vasoactive drugs, as well as postoperative complications and length of hospital stay were studied. The mean age of the patients was 71 years. Nutritional status was evaluated in 12 patients, out of these seven were judged to be at risk for under nutrition. Fifteen patients had surgery day 1 (total fasting time on average m 11 h), eleven had surgery day 2(29 h), three had surgery day 3 (35 h).

Background: Pressure ulcer is a complication that arises often due to a lowered general condition. Pressure ulcer arise because of long term compressive load application. That?s why it?s of utmost importance as a nurse to work in preventive ways, as the pressure ulcer lead to physical, psychological and social consequences for the patient. Purpose: The purpose was to describe the patients experiences of living with pressure ulcer.

Rheumatoid arthritis (RA) is an autoimmune disease, which affects mostly women. RA is also a chronic disease and the treatment is focused on moderating the immunological process. RA-patients experience daily pain which affect their prosperity. The aim of this literature study is to illuminate some factors that influence the well-being of patients with RA. The factors that have been studied are pain, nutrition and need of knowledge about nutrition.

ABSTRACT Introduction: One of the great difficulties that the nurse anesthetist encounter in their profession is to assess and estimate sleep depth versus signs of pain in the anesthetized patient. Based on a pre-operative appointment and the perioperative monitoring, an assessment of the patient is made. The experience that the nurse anesthetist has can make it easier to understand what subtile signs of the patient depends on. Purpose: With this in mind, the purpose of the pilot study was to try to find out if there are specific signs of pain during anesthesia and if the professional experience played a role. As a subsidiary aim the authors examined whether there were factors in the patient that the nurse anesthetist takes into account in the identification of pain during anesthesia.

In veterinary medicine, penicillin is the most used antibiotic in Sweden. Two dosage forms of penicillin are available in Sweden for use in horses, sodium benzylpenicillin (Na-pc) and procaine benzylpenicillin (proc-pc). Proc-pc is the most used dosage form and is used for intramuscular administration which allows horse owners to treat an animal at home under veterinary instruction. Na-pc is only approved for intravenous use in horses. Penicillin is normally well tolerated by horses but a serious, sometimes life-threatening, adverse reaction called penicillin shock may occur.

Background: Parents attitudes about illness and health reflects on their children. When the child has acute pain the parents often reacts with fear and confusion. The demands on the parenting role increase and therefore it´s important that the nurse show consideration for the parents experience and practise family nursing. Aim: The aim of this study was to illuminate parents experiences in connection with their child´s acute pain in a caregiving situation. Method: This literature study is based on ten scientific articles.

Abstract på svenska: Bakgrund: Vid en förlossning upplever kvinnan oftast svår eller extrem smärta. På senare år har efterfrågan på alternativ till traditionella smärtlindringsmetoder ökat och akupunktur har visat sig kunna ge både smärtlindring och avslappning. Syfte: Att belysa erfarenheter och upplevelser av akupunktur vid förlossningssmärta. Metod: En litteraturstudie genomfördes genom granskning och analys av åtta vetenskapliga artiklar. Resultat: Analysen resulterade i fyra kategorier: Erfarenheter av smärtlindring, erfarenheter av avslappning, minskat behov av traditionell smärtlindring och akupunkturens inverkan vid förlossningens samtliga skeden.

I bakgrunden beskrivs begreppen smärta och postoperativsmärta tillsammans med Travelbees vårdteori. Den postoperativa smärtupplevelsen är alltid unik och bör behandlas individuellt. Det förekommer stora variationer i smärtupplevelse, analgetika behov och behandlingseffekt hos patienter. Syftet är att belysa patienters upplevelser av postoperativ smärta. Metoden för uppsatsen är en litteraturstudie där kvalitativt vetenskapliga artiklar har använts.