Införandet av en mobil intensivvårdsgrupp (MIG) har visat sig ha goda resultat utomlands med minskade andningsstopp och mortalitet inom pediatrisk vård. Vid Astrid Lindgrens Barnsjukhus i Solna, Sverige (ALB) finns långt framskridna planer på att starta en MIG-verksamhet. Syftet med denna studie var att beskriva pediatriska patienter som faller in under potentiella MIG-kriterier innan inläggning på barnintensivvårdsavdelningen/barnintermediäravdelningen (BIVA/BIMA) på ALB. Studien gjordes retrospektivt genom journalgranskning av inskrivna pediatriska patienter på BIVA/BIMA under 2009. Totalt inkluderades 148 pediatriska patienter i åldern 0-18 år i studien.

This study is essentially based on my own questions concerning contemporary playgrounds. Why are they so unimaginative? What do the children say about them? Is it possible to create playgrounds less constructed, and with more natural elements? This report starts with references to literature studies, personal references and my personal view, and ends with a suggestion for a physical solution for an actual day care centre. The aim is to learn more about how the natural environment affects children, the importance of playing, and try to use this knowledge in a design of a day care centre. My main theme can be summarized in the following question: Why is natural elements in playgrounds considered to be healthy for children? I wanted to create a playground with natural characteristics which I myself would have appreciated as a child.

The aim of this literature review was to describe how the literature presents parents? need for information and how parents perceive the information from care personnel when their child 0-18 years of age is diagnosed with diabetes. The literature search was performed in the databases PubMed and Cinahl. Thirteen articles that met the inclusion criteria were studied. The results showed that when a child is diagnosed with diabetes the whole family faces a new situation and the parents are in great need for adequate information from care personnel to be able to deal with the new life situation and participate in the care.

The beauty industry has experienced a turnover increase of 220 % the last 20 years (Jones, 2010). At the moment the market for men's skin care is seeing the fastest growth rate in the cosmetic industry and multinational companies such as Procter and Gamble and L'Oréal have identified a "multibillion-dollar potential" within the segment. BUT - fresh research from the category leading company L'Oréal, shows that only 48 % of the male consumers use a skin care product specially adapted for men. It further shows that as many as 28 % of these do not even know how that skin care product got into their bathroom cabinet. The purpose of this paper is to get a deeper insight into men's relationship with skin care products and grooming.

The proponents for conscience wants to get a clause that will allow the health professionals to due. scruples waive certain duties. Swedens decision makers has despite pressure from the Christian De-mocrats and the Sweden Democrats decided not to implement freedom of conscience in health care. The purpose of this paper is to investigate whether Sweden has the obligation to provide for freedom of conscience in health care. Furthermore, it must be examined, whose rights according to the law will go first, health professionals right to freedom of conscience or the patient right to equal treat-ment.

AbstractThis essay is an investigation where I try to gain an increased knowledge of the three assistants? (in the mentally disability profession) opinion about their education and their first years in their profession. I have also tried to answer the questions whether the course mentally disability/functional gives the students a good start in their profession, if there are any flaws or if something is missing in the course or if they can think of any improvements to make the course better.This investigation is performed as a qualitative interview study where three women were interviewed about their education and their first years as assistants? (in the mentally disability profession). All the interviewed women have been working in the care activity for two or three years since they graduated.

While conducting our practical training we experienced how the structure and the complexity of the municipal administration could, from a white-collar workers perspective, become a limitation and burden for efficient work. Deriving from this experience we found an interest in how politicians reasoned with regards to their relationship with supervisor in municipal old-age care. Kouzes och Micos (1979) ?Theory of organizational behavior in human service? became our point of departure. Their framework was therefore the foundation for our research and work throughout this paper.Our aim with this research was to examine how politicians viewed their relationship with supervisor in municipal old-age care.

The aim of the study was to examine collaboration and professional perspectives on the best interest of the child in regards to working with unaccompanied asylum seeking children. Firstly, our result show that counselling is available for the unaccompanied children from case workers, staff, school counsellors and emergency psychiatric care. All of the participants in this study describe the need for long-term counselling for unaccompanied children, however, providing the long-term counselling is not the primary purpose of the organisations in question. Therefore an additional service-provider working with counselling is a necessity. Secondly, the study explores the participants? professional perspectives on the best interest of the child.

Health care costs in relation to GDP are escalating all over Europe and the Swedish health care industry is not an exception. Between 30 and 50 percent of resources used in health care are considered waste, in the sense that they don't contribute to increased health. This illustrates the big need for hospitals to become more efficient which is why many hospitals today are trying to move towards a process-oriented organization. This paper therefore aims to identify the elements necessary for this type of organizational change, the barriers encountered when moving from a functional to process oriented hospital as well as how to overcome them. The case study was conducted at Karolinska Universitetssjukhuset and shows the importance of not just transmitting a sense of urgency but also communicating that the upcoming change is long term.

The aim of the study was to see how men and women taken into custody care byLVM were described in the sentences through a gender perspective. The aim wasalso to lay more focus on young substance abusers and see in which extent youngsubstance abusers are judged to institutional care through custody care by LVM.Through a documentary study of 77 LVM sentences in Småland in Sweden, theintention of the study was to see whether women and men are judged and treatedequally or if gender makes a difference and in which way the judgement is different?The questions are in witch extent men and women are judged to institutional carethrough custody care by LVM and how the social indication LVM 4 § 3 b) are usedin the sentences when it is younger men and women that are substance abusers. Thestudy also covered a survey about how women and men are described in the sentencethrough a gender perspective and more focus is laid on younger substance abusersunder 30 years old. The methodological approaches that were used in the study areboth qualitative and quantitative with focus on the qualitative method.

There are several different kinds of bacteria that has developed resistance against the antibiotic agents used in todays medicine. Most of them has evolved from the human health care but several of them has gone over to also cause problems in the animal health care. They often occur as nosocomial infections and the greatest risk of exposure to them is during health care. Since infections with a resistant bacterium can be difficult to treat, it is desirable to prevent this spread, especially since an animal treated in a hospital often is more susceptible to infection, due to their primary condition. In Sweden the current resistance situation is good and is yearly monitored by the Swedish Veterinary Antimicrobial Resistance Monitoring (SVARM) programme.

I ambulanssjukvården krävs det många gånger att man tar snabba beslut om hur vårdandet skall utföras. Dessa beslut måste ofta fattas under kort tid och kan många gånger vara livsavgörande. Inom ambulanssjukvården används olika koncept som arbetsredskap vid händelser och olyckor. Ambulanssjukvården i en organisation i väst Sverige har fått utbildning i Prehospital sjukvårdsledning som används vid olyckor och andra större händelser. Syftet med studien var att beskriva ambulanssjuksköterskans upplevelse av att arbeta på olycksplats i ledande befattning.

Suicide and attempted suicide frequently occur in society today and represent a major public health problem. In inpatient psychiatric care the nurse have a central role when caring for suicidal patients. Few systematic studies exists that address the nurse?s practical work with these patients. The purpose of this study was therefore to describe the nursing care of suicidal patients as it was perceived by registered clinical expert nurses.

ABSTRACTBackground and aims: Nutrition is a part of the medical treatment, and also a part of the nursingcare. In spite of this, malnutrition is a common problem in the health care sector. Studies show thatnurses have too little knowledge about nutrition and malnutrition and that nutrition has low priorityin the daily work. The aim with this study was to find out the nurses self-reported knowledge aboutand their attitudes towards malnutrition, nutrition screening, prevention and treatment of patientswith malnutrition.Methods: A questionnaire was handed out to 65 nurses in two different care units and 36questionnaires were answered.Results: The respondents from the two care units self-reported their knowledge about nutrition andmalnutrition low. Most of the respondents stated to have a big need of education about nutritionscreening and more than half of the respondents stated that they have a need of education forprevention and treatment of malnutrition.

Introduction: Palliative care is based on an active total care where the patient's independence and participation are included. Few studies have been based on a concept of freedom in relation to this target group.Aim: The aim of this study was to describe the perception the nurse has about "freedom" - its significance and meaning from an existential perspective for patients with palliative care needs.Method: A qualitative content analysis based on a narrated and written down text from focus groups with adequate examples. The starting point in the focus groups was to focus on existential issues in relation to patients near death. Based on the concept of freedom, has the printouts been analyzed, categorized and codedFindings: Nature, identity, integrity and self-esteem are important aspects for our approach to freedom but freedom is also about existential questions where hope, reconciliation, freedom and forgiveness are included.Discussion: Discussion: We all have our own definitions and meanings of freedom. The largest and perhaps most important fullest freedom is our inner freedom - our own existential freedom.