Shivering är ett fenomen som uppstår hos patienterna postoperativt. Det innebär att patienten har okontrollerbara muskelskälvningar som gör att patienten darrar, skälver eller huttrar i mer än 15 sekunder. Shivering påverkar kroppen negativt, men är också obehagligt och ett onödigt lidande för patienten. I takt med den tekniska utvecklingen utarbetas nya operationstekniker och idag utförs flera operationer med laparoskopisk teknik. Pilotstudiens syfte var att undersöka före-komsten av postoperativ shivering hos patienter som opererats med laparoskopisk teknik.

Background:Alzheimer's disease is a disease that primarily affects the elderly but also younger people. Alzheimer's disease is a type of dementia which means that you get changes in the cerebral cortex and cells gradually die. The disease causes memory loss and things that were obvious before will be difficult for the sufferer. Alzheimer's disease also affects next of kin to a large degree; they will have to take a great responsibility. The next of kin are entitled to support from healthcare.Aim:The aim was to highlight next of kin' experiences of healthcare to their family members with Alzheimer's disease.Method: The study was based on narratives, which in this case means analysis of autobiographies.

Background: Domestic violence is a globally widespread problem. One in three women will at some point during their lifetime suffer from domestic violence. These women, who come from all groups of society, often seek contact with health care and therefore the nurse plays a vital role in caring for these women.Aim: The aim of this study was to describe nurses? experiences of caring for women subjected to domestic violence.Method: Literature review based on twelve original articles.Result: The result is presented in four main themes: Lack of knowledge and education, The nurse?s approach and attitude in the encounter with women who suffered domestic violence, The nurse?s emotional challenges in the encounter with women who suffered domestic violence and The nurse?s experience of identification of domestic violence victims.Discussion: Education is important on several levels for the nurse's work with domestic violence victims. Education is required in order to efficiently identify the women, manage emotional impact and to respond to women in a professional manner..

AbstractThe aim of the studie was to investigate if the Pediatric Early Warning Score system, PEWS, is an useful instrument on a children's inpatient ward, regarding the detecting of deterioration in children's vital signs. For this, a quantitative descriptive design with qualitative elements was used. Method: Study specific questionnaires were distributed to 86 persons (helpnurses, nurses and doctors). Of these, 36 answered and sent back the surveys. Results: Of 36 responses 25 felt experienced a faster detection of deterioration of vital signs in the child.

Lichens are adapted to bright and sparse forests on oligotrophic ground. Due to a slow growth rate and high light demand lichens will suffer from competition in eutrophic environments. Therefore, lichens have disappeared from managed forests where the forest industry has increased the productivity. A reduced abundance of lichens will affect both biodiversity of the forest and the reindeer winter graze lands. It is important to understand how and for how long fertilization affects the abundance and diversity of lichens in order to protect lichen rich ecosystems. We have registered the biomass and number of lichen species in eight plots (four nitrogen rich and four nitrogen deficient) and compared fertilized Sami settlements with their oligotrophic surroundings in the nature reserves of Tjeggelvas.

This report is presenting an approach that can be used to measure water surfaces in difficult conditions caused by dense vegetation and lack of nearby known points. The objective was to make a contribution to necessary measures for adaptation against floods in Grums Municipality along the stream Karlbergsån, which may occur when persistent rain raises the level of the stream. Along the river there are low-lying areas prone to flooding. According to Grums Municipality, the stream may widen where the water level differences are large, to create a better flow path and to counteract flooding. Grums Municipality was also interested in survey stormwater discharges which may affect the water level in the stream.

Syftet med denna litteraturstudie är att belysa omvårdnaden för familjer till barn med hjärtfel ur ett familjeperspektiv. Vården av hjärtsjuka barn och ungdomar kräver en kunskap om dessa sjukdomar inte enbart hos sjukvårdspersonal inom den högspecialiserade barnkardiologin utan inom ett flertal andra specialiteter. Studien omfattar sjuksköterskans omvårdnad av familjer, förberedelser för hemgång, samarbetet mellan olika yrkeskategorier, familjens reaktioner vid denna krissituation och de bearbetningsmodeller som finns till förfogande för att underlätta bearbetningsprocessen. Vidare forskning inom detta område är nödvändig. The purpose of this study is to illuminate the care of families to children with heartdisease from a familyperspective.

Mötet med närstående till patienter som avlidit är ett stressfyllt möte, både för närstående och sjuksköterskan. Tidigare forskning visade att närstående önskade få tydlig information och söker trygghet hos varandra. Närstående upplevde sjuksköterskan som en stor källa för trygghet och stöd i sorgprocessen. Den professionalitet och säkerhet hon förmedlar var av stor vikt för närståendes upplevelse av hela vårdtiden. Syftet med studien var att beskriva erfarna intensivvårdssjuksköterskors reflektioner från möten med närstående till patienter som avlidit.

This report is about Swedish statistics on work related accidents and work related diseases onboard Swedish ships. The authors analyzed collected statistics from two authorities and an insurance organization in an attempt to compare the data. In order to understand the need for statistics and why the authority publishes them; minor literature study was conducted. The results of the literature study are in the background chapter. The requirements for the different cases to be registered in the statistics have been investigated, in unity with the issue in question.

Benzodiazepines are drugs used to treat insomnia and anxiety. This group of drugs should be prescribed with the duty of care to the elderly because of it´s negative effects. Life expectancy is increasing because of the progress of drug development. Aging brings physical and psychological changes leading to changes in pharmacokinetic and pharmacodynamic features. Drug treatment is becoming increasingly widespread and contributes to the increasing number of interactions and complications for the elderly.

As the ability to computerize processes and tasks increase, the proliferation of complex systems in our society continues. How these systems are deployed in the organizations where they are meant to be utilized has been shown to have a large impact on how well they function.In January of 2011 the Enköping hospital initiated the deployment of an IT-support for drug management, a module in the general health care system Cambio COSMIC. Other health care providers in the county, and in the rest of Sweden, have had mixed feelings toward the module. Some have outright refused the module, claiming that it is detrimental to patient safety. One of the arguments for deploying the module in Enköping, however, was that it was needed to improve patient safety.The Enköping hospital is considered to be a well organized institution with good leadership and earlier good experiences regarding IT-systems.

Att arbeta som sjuksköterska inom intensivvård kan vara mycket stressande. Intensivvårdssjuksköterskor möter ständigt kritiskt sjuka och skadade patienter. Tempot och intensiteten i patientvården och arbetsuppgifterna kan ibland vara överväldigande. Att hantera detta kan ibland vara svårt. Syftet med studien var att beskriva intensivvårdssjuksköterskors upplevelser och hantering av känslomässigt svåra situationer.

Bakgrund: Alkoholkonsumtion ligger i topp tio av faktorer som kan orsaka olika former av funktionsnedsättning och på tredje plats av påverkbara dödsorsaker. Tidigare forskning visar att sjuksköterskor var negativt inställda till att vårda personer med ett missbruk/beroende och att patienterna som upplevt ett dåligt bemötande löper en större risk att inte fullfölja sin medicinska behandling. Forskningen visade också att det finns vårdpersonal som är positivt inställd till personer med ett missbruk/beroende. Syfte: Att undersöka hur personer med ett alkoholmissbruk/beroende upplevt att de blivit bemötta när det sökt vård inom somatiken. Metod: En empirisk kvalitativ intervjustudie baserad på nio intervjuer. Resultat: Det framkom tre huvudkategorier och sju underkategorier. Alla informanter hade upplevt bra bemötande men det fanns även de som hade upplevt ett dåligt bemötande när de sökt vård. Faktorer som påverkade bemötandet var journalanteckningar från beroendecentrum, hur ens eget beteende var, sjuksköterskans personliga inställning till personer med ett missbruk/beroende, om vården söktes under påverkan eller i nyktert tillstånd..

Background:Alzheimer's disease is a disease that primarily affects the elderly but also younger people. Alzheimer's disease is a type of dementia which means that you get changes in the cerebral cortex and cells gradually die. The disease causes memory loss and things that were obvious before will be difficult for the sufferer. Alzheimer's disease also affects next of kin to a large degree; they will have to take a great responsibility. The next of kin are entitled to support from healthcare.Aim:The aim was to highlight next of kin' experiences of healthcare to their family members with Alzheimer's disease.Method: The study was based on narratives, which in this case means analysis of autobiographies.

There are many theories why animals play but none have jet been proven. During observation on Canids, play seems to be important when they learn to control the intensity of the bite and to facilitate the social structure within a group. When dogs play they perform behaviours that otherwise are used during hunting, reproduction and aggression that in another context would be for example hostile. The dog is one of the species that we humans have domesticated and they have been exposed to an intense and concentrated breeding so they can function in different areas, for example herding and hunting. This breeding has resulted in that the pure bred dogs can be very different between the breeds.