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205 Uppsatser om Psychiatric - Sida 5 av 14
Sjuksköterskors erfarenheter av att uppmärksamma, bedöma och hantera somatiska symtom och problem i det psykiatriska omvårdnadsarbetet
Background:Patients with mental disabilities are more prone to somatic illnesses than the general public. Unhealthier lifestyles and side effects of medication might be causes of conditions that lead to diabetes, cardiovascular diseases and premature death. According to the Social Board patients with mental disabilities receive poorer treatment than patients with only somatic diagnosis.Aim:The aim of the study was to describe nurses' experiences to identify, assess and manage somatic symptoms and problems within the Psychiatric care.Method:The study is based on interviews with 12 nurses working in Psychiatric outpatient and inpatient care. A qualitative content analysis was chosen.Result:The nurses performed nursing through talking, blood sampling and measuring for example blood pressure. They followed up side effects of medication.
Minimizing acts of violence through telephone-linked care: an
automated telephone system for outpatients in forensic
psychiatric care
Achievements within the fields of computer- and telecommunication technology have led to a revolution when it comes to managing information. These achievements have made it possible to offer new services in healthcare, especially in telemedicine. New technology has become a complement to traditional care, thus partly compensating for insufficient time and resources. Telephone Linked Care (TLC) is a telecommunication technology that enables automated dialog counselling and monitoring of patients in their homes. During the last two decades numerous randomized controlled studies with TLC have demonstrated improvement among outpatients with chronic and health behaviour disorders.
Om detta är en psykiskt funktionshindrad. : - Diskurs, makt och subjekt i psykiatrireformen 1995
This study aims to investigate the political reformation of the Psychiatric care in Sweden, that took place 1995. The main purpose is to illuminate the transformation of subjectivity for mentally ill people after the reform 1995. The group of people which are present in the study are those who former were subjects of care in Psychiatric hospitals, but with regarding to the reform have moved out from the institutions and instead become clients for community care. This new group of mentally ill people became, in connection with the reform, subjects for a new concept psykiskt funktionshinder. This new label and concept, that were attached to the present group, is the main concept for the investigation in the present study. The method, that was used in the study, develops a textual based analysis of the official documents, that were produced in connection with the political decision to reform the care of mentally ill people. With a theoretical conceptuality taken from Michel Foucault, with concepts such as discourse, power, and subjectivity, are the documents analysed in order to illuminate how the new subjectivity, under the concept of psykiskt funktionshinder arise.
Att ställa frågan om våld i nära relation vid inskrivningssamtalet på en psykiatrisk avdelning : - ett kvalitetssäkringsarbete
Background: Intimate relationship violence is physical, psychological or sexual violence that a person is exposed to in a relationship. There is a strong correlation between intimate relationship violence and mental health problems. A Psychiatric ward at a hospital in Sweden, is working with a new routine. According to this routine every new patient should be asked about intmate relationship violence as a part of the admission interview.Objective: The objective of this study was to study how the healthcare personnel is working with the routine, and also to study response rate, interventions and how the work has developed over time.Method: A quantitative study with a retrospective and descriptive studydesign. One hundred and two medical records were reviewed.
Transkulturell omvårdnad-erfarenheter hos specialistutbildadesjuksköterskor inom psykiatrisk vård. : En kvalitativ intervjustudie
Syftet: Syftet med studien var att belysa specialistutbildade sjuksköterskors erfarenheter av transkulturell omvårdnad inom psykiatrisk vård. Metod: Studien genomfördes med en kvalitativ metod med enskilda semistrukturerade intervjuer. Specialistutbildade sjuksköterskor som arbetat inom psykiatrisk vård minst ett år fick berätta om sina erfarenheter av transkulturell omvårdnad. Resultat: I resultatet framkom det att specialistutbildade sjuksköterskor inompsykiatrisk vård upplever språket som ett hinder för omvårdnaden eftersom språket är så centralt inom psykiatrisk vård då samtal utgör en stor del under vårdtiden. Det visar också att religiösa och kulturella seder kan ha betydelse i möten med patienter från olika kulturer.
Erfarenheter bland omvårdnadspersonal av att bemöta personer med missbruks- eller beroendeproblem på en akutmottagning : En intervjustudie
The number of persons with problems of abuse or addiction seeking care has increased during the last years in Sweden. Recent international studies show stigmatizing attitudes among nursing staff, which affect the treatment and care negatively. The purpose of this study was to describe experiences among nursing staff of treating persons with problems of abuse or addiction at an emergency department. The participants were six nurses and one assistant nurse who worked at an emergency department. The interviews were analyzed through qualitative content analysis.
Furunäset och mentalsjukvården : en studie i en institutions kontroll över patienters livsvillkor
The Swedish mental hospitals existed for about one hundred years, the period around 1880-1980. The research is intended to be from a local setting perspective to study the local approach used to meet requirements from Furunäsets mental hospital principals 1960 - 1972, the effect this had on the care and treatment of mentally ill patients and how Swedish society's changing approach to mental health influenced the process. The results of the research showed that Furunäset searched for ways to meet the principals' requirements which often went against the patients? personal best. Furunäsets mental hospital strove to fulfill its institutional goals in them selves rather than giving patients the care and treatment they needed.
Psykiatrisjuksköterskans arbetsuppgifter och kompetensområde inom den slutna vården. : - Intervjustudie inom den slutna psykiatriska akutsjukvården.
Syftet med studien var att undersöka psykiatrisjuksköterskans självrapporterade utförda arbetsuppgifter och självupplevda kompetens. Studien bygger på individuellt genomförda intervjuer med 19 psykiatrisjuksköterskor verksamma inom den psykiatriska slutenvården. Författarna har använd ett proportionellt stratifierat urval. Resultatet presenteras i fem kategorier; psykiatrisjuksköterskans kompetensområde, specifika arbetsuppgifter i kompetensområdet, arbetsuppgifter utanför kompetensområdet, arbetsuppgifter som psykiatrisjuksköterskan saknar samt rollkonflikter med tillhörande subkategorier. I psykiatrisjuksköterskans kompetensområde ingår arbetsuppgifter som arbetsledare och omvårdnadsansvarig att planera fördela arbetet på avdelningen, vårdplanera, dokumentera samt läkemedelsadministration.
Att v?rda under hot och v?ld - sjuksk?terskors upplevelser inom psykiatrisk v?rd : En litteratur?versikt
Bakgrund Hot och v?ld ?r vanligt f?rekommande inom psykiatrisk v?rd, vilket p?verkar sjuksk?terskors psykiska h?lsa, trygghet och omv?rdnadskvalitet. Enligt Arbetsmilj?lagen (1977:1160) ?r v?rdgivaren skyldig att f?rebygga risker i arbetsmilj?n och skapa en s?ker arbetsplats fri fr?n oh?lsa och olycksh?ndelser. Trots detta framkommer det att m?nga sjuksk?terskor upplever bristande st?d och otydliga rutiner, vilket g?r att hot och v?ld ofta ses som en naturlig del av arbetet.
Att söka en medaktör i lidandets drama : Om patienter med dubbeldiagnos och derasupplevelse av bemötande inom den psykiatriska vården
Bakgrund: Patienter som återfinns inom den psykiatriska vårdkontexten och som lider av samtidig psykisk ohälsa och substansbrukssyndrom, eller dubbeldiagnos, riskerar att mötas av stigmatiserande förhållningssätt på grund av okunskap och förutfattade meningar. Syfte: Syftet med denna studie var att, genom att intervjua patienter med dubbeldiagnos, belysa deras upplevelser av vårdares bemötande inom den psykiatriska vården. Metod: För att få en djupare förståelse av fenomenet bemötande användes en fenomenologisk-hermeneutisk metod efter inspiration av Lindseth och Norberg (2004). Tre forskningspersoner intervjuades om sina upplevelser av bemötande inom psykiatrisk vård. Resultat: I resultatet framträdde fyra teman; att vara i underläge; att bli medveten om sitt sammanhang; att bli väl mottagen och att bli sedd som en person.
FRÅN ÖPPENHET OCH NÄRVARO-TILL DISTANS OCH KONTROLL : Att medicineras och att administrera ur ett patient- och sjuksköterskeperspektiv
Title: From openness and presence to distance and control: to be medicated and to administrate from a patient and nurse perspective.Background: Within forensic Psychiatric care the patients are admitted against their will, under heavy security with long term treatments. Self-care seems, based on scientific studies, to be dependent on what the nurses involved can provide. Emphasis should focus on a humane and respectful approach when the patient is exposed to coercive measures.Aim: From a patient and nurse perspective describe experiences of beeing medicated with and to administrate antipsychotic drugs within the Psychiatric inpatient care.Method: Interviews with patients and nurses, which were analyzed using qualitative content analysis with an inductive approach.Results: Patients experience frustration over not beeing able to participate in or influence descisions made regarding their neuroleptic treatment. The neuroleptic treatment is described as a coercive measure and is characterized as an experience of losing control and independence. Nurses? experiences of administering antipsychotics were described as having to do what is needed for the long term benefit of patients? well-being.
Att vara ung och leva med diagnosen ADHD. En kvalitativ intervjustudie med fokus på sociala och existentiella aspekter
Today many children and youths are allocated to ?The Swedish Authority of Child and Youth Psychiatry (BUP) for the sake of being investigated by means of a neuroPsychiatric inquire and many of which are assigned the diagnosis ADHD. During recent years ?The Swedish National Board of Health and Welfare? has declared, in it?s annual account of the current Psychiatric state of Swedish Children and Youths, that the healthcare provided for those with neuroPsychiatric diagnoses ? such as Asperger syndrome and ADHD, has increased.ADHD is short for Attention deficit hyperactivity disorder, which implies neuroPsychiatric impediments i.e. hyper activity, inadvertence and an inability to control impulses.The aim of the Study is to describe and analyze how youth, in the age range of sixteen to eighteen years of age, diagnosed with ADHD define themselves, their daily life, their social state, their next to kin relationships and, finally, their concept of their future.The Study is qualitative.
Variationer i kostnader för specialiserad sjukvård - En analys av demografi, socioekonomi och hälsans inverkan på kostnaderna för specialistvård i Västra Götalandsregionen
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.
När psykiatrin vände sig åt samhället : Om psykiatridebatt, sektoriseringsplaner och Nackaprojektet 1968-81
This essay revolves around the reformation and sectorization of Swedish psychiatry starting in the 1970?s. Psychiatry was to change from being based in closed asylums to being an institution in the middle of society, finding social solutions to mental illness and working through a dynamic network of various care givers, such as welfare officers, nurses and psychiatrists. This new kind of psychiatry was first tested in Nacka, where Psychiatric reformers Johan Cullberg and Bengt Berggren were the heads of a six-year long pioneer project of sectorized Psychiatric care. My specific purpose is to analyze the new ideas of mental illness and of psychiatry?s role in society which were introduced in this project and how they were expressed in the official reports presenting it.The reformation was preceded by a public debate concerning psychiatry, which had intensified a few years around 1970.
Upplevelse av stöd från den psykiatriska vården till barn som har föräldrar med psykisk sjukdom : sett ur barns och vårdpersonals perspektiv
Barn påverkas av föräldrars psykiska sjukdom i form av oro, rädsla och skuld samt har en förhöjd risk att själva drabbas av psykisk sjukdom. En utmaning för den psykiatriska vården är det ökande antalet av vuxna med psykiatrisk sjukdom som även är föräldrar till minderåriga barn. Sjuksköterskor inom psykiatrin har en viktig roll när det gäller att uppmärksamma dessa barn samt se till att de får adekvat hjälp och stöd. Syftet med studien var att beskriva hur barn till föräldrar med psykisk sjukdom upplever det stöd de får ifrån den psykiatriska vården samt beskriva vårdpersonals upplevelser av stöd till dessa barn. Metoden som användes var kvalitativa forskningsintervjuer som genomfördes med sex barn som har föräldrar med psykisk sjukdom och fjorton vårdpersonal som arbetar inom den psykiatriska vården.