Inom prehospital omvårdnad ställs krav på att sjuksköterskan som är patientens första länk i vårdkedjan vet vad som ska göras i respektive situation samt känner till vilka hjälpmedel som kan användas i mötet med personer som har nedsatt förmåga till verbal kommunikation. Studiens syfte var att beskriva hur ambulanssjuksköterskan inom prehospital vård kan bedöma och lindra smärta hos personer med demens. Metoden var en systematisk litteraturstudie som gjordes i Cinahl, Medline, ELIN och Science direct samt genom manuell litteratursökning. Resultatet visade att smärtlindring av dementa är starkt eftersatt men som vårdare (ambulanssjuksköterska) ska man alltid utgå från att dementa känner samma smärta som icke dementa trots att smärtuttrycket kan se annorlunda ut hos dessa patienter. Till hjälp för att försöka skatta smärtan hos dementa patienter finns ett stort antal smärtskattningsverktyg med varierande användbarhet.

Purpose: Our aim is to get an insight on how home care workers experience, handle and looks upon their work. We also want to form an opinion of how home care workers experience the relationship to the clients they meet.Questions: How does home care workers experience their daily work with their clients? Home care workers daily meet many different sorts of clients with different needs, how do they handle this? What kind of support does home care workers get in their work?Method: A qualitative design with semistructured interviews.Conclusion: The most central conclusion from all of our interviews were: that home care service workers has a very stressful and demanding occupation, that the work has a low status, that the personnel has a big responsibility for the wellbeing of other people and that they often find their work satisfying and fun. To have someone to talk to and exchange ideas with was also mentioned by the informants as a vital part of feeling support in their work. From the Antonovskys theory, a sense of coherence, and Goffmans views of the society, we also find that the larger part of our informants feel a high sense of coherence and that when they have to adjust to their different caretakers they play different roles..

Ett av de vanligaste symtomen, oavsett diagnos, som vårdare inom prehosptial akutsjukvård möter är patienter med olika smärttillstånd/symtom. När vårdare närmar sig patienter med smärta är det viktigt att vara medveten om att alla individer upplever, tolererar och hanterar smärta på sitt eget sätt samt att ha redskap för att möta och omhänderta dessa patienter. Det finns idag ingen studie som visar på patienters egna upplevelser av att bli vårdad inom prehospital akutsjukvård med smärta. Det är därför av särskilt intresse att få ta del av patienters erfarenheter och upplevelser i samband med att de vårdats i ambulans med smärttillstånd. Syftet med studien var att beskriva patienters upplevelse av omhändertagandet inom ambulanssjukvården i samband med akut smärta.Metoden i studien har varit kvalitativ intervju.

AbstractThe aim: The aim of the study was to describe what women are most satisfied with in maternity care and if women´s childbirth experiences can be described by means of the QPP-I, who contains 32 statements related to maternity care. Design: The study is part of a national cross-sectional study which lasted for two weeks in Sweden in 2007. This paper analyzes one of the two questions with open answers, which reads: "What was the best with maternity care??. Results: The results showed that out of a total of 735 responses 717 could be placed in the existing instrument QPP-I.

Bakgrund/syfte: Många patienter, varav unga vuxna(18-25 år) utgör en stor grupp, använder akutmottagningar [AM] av obefogade skäl. Problemet med icke-akuta patienter på AM har varit ett diskussionsämne sedan 80-talet i västvärlden. De långa väntetiderna och ökade patienttrycket på AM är associerat till en försämrad upplevelse av vården ur ett patientperspektiv. Primärvården har en nyckelroll i att styra flödet av patienter som söker vård. Föreliggande studie syftar till att undersöka hur unga vuxna (18-25 år) söker vård relaterat till kön, ålder, symptom och lämplig vårdnivå, AM kontra Närakuten [NA].Metod: En deskriptiv konsekutiv enkätinsamling genomfördes på akutmottagningen på Akademiska sjukhuset och på närakuten (Cityakuten) i Uppsala.Resultat: Kvinnor sökte mer vård i undersökningsgruppen och den vanligaste orsaken till besök på AM var buksymptom och på NA var det allmänna influensasymptom.

Abstract. Aim: The aim of this study is to determine certain health, demographic and socioeconomic factors that affect the costs for specialized health care between the municipalities within the Västra Götaland region. Method: The method is explorative and analytical. The costs for specialized health care was divided into three different subgroups; independent somatic specialized health care, specialized health care provided by private practices or outside the region and psychiatric specialized health care. The data was age-standardized.

Uppsatsen behandlar vårdföretaget Carema Cares två bloggar som skapades i och med krisen som uppstod kring företaget år 2011. Detta görs genom en granskning av argumentationen Carema Care för på bloggarna utifrån kriskommunikationsstrategier och retoriska strategier..

Forensic psyhiatric care protects the society by giving patients care to diminish risks of serious crimes. In their work the nurses use different care methods to help and support the patient in managing his or her life situation. To clarify how a group of nurses describe the nursing process in forensic psychiatric care. A qualitative study based on interviews. Six nurses were interviewed about their work in four different forensic psychiatric care units.

This is a qualitative study that explores the involvement of the relatives in the special housing based on the perspective of fourteen interviewees working in elderly care, at special housing.The purpose of this study is to analyze the nursing staff's view of the involvement of the relatives and the presence of care provision at special housing. The study is to find out what can constitute support or obstacles to the relatives.Three questions have been presented as the structural basis upon which the objective finds its conclusion. These questions try to explore and identify the forms of support that can help relatives in their involvement in elderly care. There are opportunities and obstacles for the involvement of the relatives in the care of the elderly as well as expectations of nursing staff on the role of the relatives in the care of the elderly which the following study focuses on.The research reflected in this study involves the care staff and their experiences and views on the relatives who have their older live permanently in residential care.In conclusion, the study identifies similar reasoning among respondents regarding to key aspects of the relatives at the special housing. They emphasizes that relatives are needed there and they are important resource for both the residents and the staff.The results indicate that there may be both opportunities and obstacles for the involvement of the relatives.

Bakgrund: Basala hygienrutiner ska enligt Socialstyrelsen tillämpas för att förebygga vårdrelaterade infektioner (VRI). VRI är ett hot mot patientsäkerheten och kan medföra ökat lidande för patienten och ökade kostnader för samhället.Syfte: Att undersöka följsamhet till basala hygienrutiner inom ambulanssjukvård i ett antal utvalda omvårdnadssituationer.Metod: En deskriptiv kvantitativ studie där data inhämtades genom strukturerad observation. Bekvämlighetsurval tillämpades och totalt 68 observationer gjordes på två ambulansstationer inom samma landsting.Huvudresultat: Följsamhet till basala hygienrutiner varierade, med högst följsamhet till rutinen om kort eller uppsatt hår (87%) samt till användning av handskar (87%). Lägst följsamhet observerades till rutinen om handdesinfektion före patientnära arbete eller användning av handskar (1%). Inte vid någon observation (0%) visades följsamhet till samtliga sju basala hygienrutiner som undersöktes.Slutsats: Att brister av varierande grad fanns i följsamhet till basala hygienrutiner.

Hasselapedagogy mission in society, as a collective activity, is to help young people in LVU-care. Young people who are in need of help have shown abnormal behavior and thus become analyzed and sentenced for custodial care. The analysis and the establishment of the young people go after the rules for how a healthy life should look like. This means that there is an understanding in society about how we should live in order to fit into society. There is knowledge of normal and abnormal behavior in linguistic structures.

Author: Nancy Haglund & Liselotte IvarssonTitle: Care of older people in the future, about generations experiences and conceptions          [Translated title].Assessor: Jan Petersson This study examine generations in three different age?attitudes towards elderly care in the future. Today there is an ongoing debate in Sweden concerning the care of older people. The main focus in the debate is that there is cut down on personnel and resources in the care of the elderly. We have focused on the Kalmar region, since our intention is not to compare with other regions.

Research shows that policing is mostly sedentary but physically and mentally demanding tasks occur and that policing includes factors like police inherent stress which may impair the health of police officers. Research has also found that physical exercise can play an important part for coping with these negative elements associated with policing. The overall purpose of this study is to contribute knowledge about the importance of physical exercise for policemen. The study is based on five semi-structured interviews with police officer?s working with emergency response.

Every year, approximately 700 000 individuals´ visit an emergency ward in Sweden as a result of injuries and to the emergency ward at Umea University hospital (NUS) about 12 000 injured arrive every year. This study is a retrospective cross-sectional study that surveys injuries caused by crashes among 153 pedestrians and 53 bicyclists, who have been injured in a geographically well defined area during the period January to June 2009. The aim of this study is to survey injuries among pedestrians and cyclists and to examine what preventive measures could reduce these injuries in the Umeå municipality. The results show that falls caused by slipper surface are common among both pedestrians (71 %; n = 109) and bicyclists (32 %; n = 17). Almost one third of the pedestrians (34 %; n = 43) were in the age of 65 or older.

Background: Studies showed differences in attitudes towards patients with mental illness in nurses who worked in somatic care compared to nurses who worked in psychiatric care. The nurses in somatic care stated more negative attitudes to mental illness in relation to the nurses in psychiatric care. Studies also showed that work experience affected attitudes towards mental illness. Nurses who often came in contact with people with mental illness had less negative attitudes and prejudices against mental illness. Aim: The aim was to examine the experiences from nurses in somatic care, caring for patients who also have a psychiatric diagnosis.