ABSTRACTIntroduction: An increasing number of patients undergo surgery under local anesthesia and are thereforeawake during the procedure. Nursing care that is provided to these patients can differ from those thatreceive general anesthesia. Previous research has focused on patients? general experiences of being awakeintraoperative. But there is no research that focuses on patients perceptions of security.

SAMMANFATTNING Detta examensarbete syftar till att kvalitetssäkra omvårdnaden av hästar med medicinsk kolik på djursjukhusens stationärvårdsavdelning. Genom att bidra med ett förslag till standardvårdplan för hästar med medicinsk kolik vill vi optimera hästens vård och omvårdnad under sjukhusvistelsen. Syftet med att arbeta med standardvårdplaner (SVP) är att skapa högkvalitativ omvårdnad, underlätta dokumentationsarbetet och i förlängningen kunna få mer tid till att se och vårda den enskilde patienten. Kolik är en åkomma med många olika samverkande faktorer, både miljöbetingade och eventuellt ärftliga Kolik i matsmältningskanalen delas ofta in i medicinsk- och kirurgisk kolik och i detta arbete läggs vikten på medicinsk kolik. Huvuddelen (~90 %) av all kolik kräver ingen kirurgi och tillhör därmed gruppen medicinsk kolik. Kolikavsnittet i arbetet är tänkt som en kunskapsöversikt över sjukdomstillståndet och ska användas som ett styrdokument för att trygga en kvalitativ basnivå på omvårdnaden. I standardvårdplanen har ett antal riskområden identifierats och därefter har riskdiagnoser, mål och åtgärder för att uppnå huvudmålet - en kolikfri patient, utarbetats. Därpå utvecklades kryssprotokoll för parametrar vid observation av kolikhäst och för smärtbedömning vid medicinsk kolik. Nyckelord: dokumentation, medicinsk kolik, omvårdnad, standardvårdplan SUMMARY This diploma work aims to assure the quality care of horses with medical colic on the veterinary hospital's stationary ward.

The aim of the literature review was to investigate how relatives to a person suffering from dementia, in institution, experienced the nursing hom staff and the relation to them. The study was based on eight scientific articles. The result gave thirteen themes, that showed that relatives experienced the nursing home staff having a hard work under pressure. They were nice but without knowledge. The relatives experienced that the nursing home staff didn´t see or hear them and gave no confidence.

Forensic psychiatric care is a complex business. Patients who are cared for in forensic psychiatry are usually in need of care for a long time. The forensic care is a major intrusion into a person's life and the nurses and caregivers are the people who spend the most time with patients. They have a difficult mission providing a good and personalized care while patients are deprived of their liberty. Previous research demonstrates that patients experience forensic care as uncertain, insecure and punitive but that there are also glimpses of "good care".

The aim of the study was to study how a today journal system is applied in homecare. The aim was also to examine if a portable journal system could make any effectiveness on the nurse's work and secure the quality of care. The study is a part of a project called Grensebroen which connects public health care, economic industry and university to a network beyond the borders. The primary goal of this cooperation was to develop technological means of assistance which could simplify nursing on daily basis. An empirical study on homecare was made in a district were long distance travels were common for the nurses in duty.

60 million years ago the horse was the size of a small dog, and walked on four toes. Today it can weigh up to 500-1000 kg and has evolved to walking on only one phalanx. The anatomy of the horses? legs and hooves allow them to run at high speeds, and at the same time enables them to bear the extremely high concussions applied to the foot at high speeds or jumps. Every horse owner has his or her own opinion on how to manage their horses? hooves, and whether the horse should be shod or unshod. The knowledge, commitment and attention of the owner determine the quality of the hoof care, but also the time between the arising of symptoms of abnormalities of the hoof until care is sought with a farrier or veterinarian. New laws will be applied at the beginning of 2015 which bring on changes in authorization for farriers.

The purpose of this study is to increase understanding of how nursing home staff at dementia care facilities interpret, treat and manages sexual behavior of patients. Four group interviews were made with a total of thirteen participants from three different dementia care facilities. The collected material was processed and thematized in pursuance of the research questions of the study. The results were analysed using three concepts from queer theory; heteronormativity, the heterosexual matrix and power, as well as an article about how nursing home staff constructs actions of patients. The results showed that staff member?s assessments about the patient?s sexual behaviours depended on their posture towards the norm of what is considered to be acceptable.

Aim: The aim was to describe adult patients quality of life after cardiac arrest and resuscitation with CPR. Method: A literature overview based on eight scientific articles and one master thesis. Results: The result is presented in three categories, physical, psychological and social quality of life. Sleeping disorders, fatigue and low energy level affected the physical quality of life in a negative way. The psychological quality of life was often impaired the first time after the cardiac arrest, to be improved over time.

AbstractThe aim with the study was to describe and to compare nurse students' views about importantcaring behaviors in order to give good caring. An empirical comparative study wasimplemented on a college in the middle of Sweden. Nurse students in the beginning and at theend of their education sorted and prioritized 50 caring behaviors (CARE-Q). The result showedthat the students' description of important caring behaviors has many similarities. However, theresult also showed that there were significant differences between the student-groups where thestudents at the beginning of their education rated several caring behavior as significant moreimportant than the students in the end of their education.

In this thesis an explorative study was undertaken with the aim to study how a number of private care providers, as well as politicians and officials from councils in and around the Stockholm and Uppsala counties, think about the future of the Swedish elderly care from a property perspective, i.e. homes for the elderly. The analysis shows that there is a demand for capacity in 6 out of 16 municipalities, and that the property is an important part of this capacity, and the fulfillment of it. This was mainly due to the cost of capital, but also because of several other factors such as lack of land, a wish to guide the design, ideology, and in many cases a wish to use the property as an instrument of domination to control private health care providers.Also, the property was show to be connected to economic competition, to freedom of choice, and to quality. The problems related to the property in the market for elderly care still remains to be solved.

The role of the quality manager has evolved from being a quality controller to work with a more global business. Within many organizations in Sweden, however, the traditional role of the quality manager's remains and the tasks categorized as quality control still takes up most of the quality manager's time. The survey conducted as part of this master thesis shows that the quality manager in most businesses has multiple roles in addition to the role of quality manager, which can create a role conflict. One consequence of this is that each improvement is not given priority due to time constraints. Although the importance of a clear and committed leadership is the key for succeeding as the quality manager.

SAMMANFATTNINGSyftet med studien var att studera hur sjuksköterskan inom intensivvård använder NuDesc(The Nursing Delirium Screening Scale) och om de anser sig ha tillräcklig kunskap för attbedöma delirium med hjälp av NuDesc.Studien är en kvantitativ tvärsnittsstudie med datainsamling via en enkät som konstrueratsspeciellt för denna studie. Enkäten besvarades av 15 intensivvårdssjuksköterskor på ettuniversitetssjukhus i Mellansverige.Resultatet visade att bedöma delirium på en intensivvårdsavdelning uppfattas avrespondenterna som ganska svårt även om de tycker sig ha tillräckligt med kompetens attanvända bedömningsinstrument NuDesc. Den psykomotoriska förlångsamningen tillsammansmed hallucinationer/ illusioner uppfattas av sjuksköterskorna som svårast att bedöma..

?Studies have shown that patients receiving mechanical ventilation in an intensive care unit (ICU), who are entirely dependent on the nursing staff, often experience frustration due to a temporary loss of the voice source. Limited communication is an important factor contributing to patient discomfort. Nursing staff also report communication as frustrating and difficult.The aim of the present study is to introduce a neck-type electrolarynx as a communication aid in an ICU, to study the nursing staff experiences of communication with tracheotomized patients receiving mechanical ventilation, and to examine the patient´s experiences regarding communicative abilities. Communication between a ventilator treated, tracheotomized patient and members of the nursing staff was recorded and analyzed according to principles of Conversation Analysis (CA).The results show that several members of the nursing staff experience difficulties communicating with tracheotomized patients receiving mechanical ventilation.

Background: The patient meets nurses in the emergency department that provide both nursing and has medical skills. The care that the patients are receiving should be individually adjusted. The care is shaped by the individual meeting with the patient according to the nursing theorist Orlando. There are large variations between the number of patients in an emergency department and it sets high demands on the staff, both physically and mentally. When the emergency department is highly loaded there is a priority for medical care and psycho-social and aesthetic aspects will have to wait.

Magnetic resonance imaging (MRI) is a safe and painless diagnostic method. The patient may become concerned, suffer from anxiety and experience the examination as unpleasant. Detailed information and a good treatment can reduce anxiety and distress for the patient. The purpose of this study was to illuminate the patient?s experiences in connection to MRI, and to describe the patients needs for information and treatment.