Background: Fall injuries are a costly problem for society, with costs ranging up to 14 billion a year. In addition to economic loss accidental falls also creates human value losses and reduced quality of life for its victims. In order to prevent the occurrence of injury related to accidental falls healthcare providers utilize various scientifically developed risk assessment tools, one of them being Downton Fall Risk Index. Method: Empirical, quantitative cross-sectional study. Objective: The purpose of the extended essay was to describe the categories in Downton Fall Risk Index that have a bearing on patients' risk of falling while in hospital and in municipal care, and to illustrate how nurses can use the fall risk assessment tool.

This essay focuses on a träffpunkts-activity within LSS's disability care, which started a year ago. The study has an evaluating perspective.The purpose of this essay is to describe the activity, study its intentions and to describe how far it has come reaching its intentions/goals. The questions we have focused on are: What were Träffpunkten's goals and how far has it evolved during the past year. Further more we have examined what kind of social interaction developing between guests and LSS-activity users and how much the activity's intentions show in it today.We used a qualitative method in this essay. To get answers to our questions, we have interviewed persons involved in Träffpunkten and others at Vård och Omsorgsförvaltningen.

This thesis, in the field of healthcare logistics, has been carried out at Hjärt- och Medicincentrum (HMC) at the University Hospital in Linköping during the fall and spring of 2012/2013. The thesis is done by two students at Linköping University at master?s level within the framework of Industrial Engineering and Management.As Sweden's county councils should not make a profit or loss, it is important that the councils are aware of how much care processes cost. Kardiologiska kliniken at HMC in Östergötland?s county council is one of the clinics that are profitable.

The term euthanasia is derived from the Greek terms eu meaning good and thanatos meaning death, "good death". The penetrating captive bolt is an effective method of euthanasia, when use of drugs is inappropriate. The horse becomes immediately unconscious and falls to the ground. First after the blood is emptied from the body the horse is dead. The use of injectable euthanasia agents is a rapid and reliable method of performing euthanasia. The aim is to stop the flow of oxygenated blood to vital organs and tissues. The muscle relaxants may be used either in combination wih or following an anaesthetic dose of barbiturate, their use use as a sole agent is totally inhumane.

The main aim of this master thesis was to examine the visual ergonomics and the systematic work environment management concerning lighting issues for nurses within domiciliary care. Further aims were to examine a few existing lighting solutions, to come up with ideas for future possible lighting solutions, and to evaluate if the legal regulations for lighting is satisfying and if the regulations are obeyed in domiciliary nursing.The methods used were a questionnaire completed by 55 nurses, field studies of used lightings in cooperation with a student in industrial esign, test of ten existing lighting solutions in a laboratory environment, and a field test of five existing lighting solutions tested by nine nurses in the home of the patient.The result indicates that 40 % of the asked nurses were dissatisfied with the working light in the patient?s homes. All respondents reported poor working light close to the patient, 50 % reported that this problem occurred daily. One third reported that they had to work in uncomfortable working postures due to insufficient working light, and 15 % reported risk of making mistakes due to the same reason.

Distriktssköterskan är ofta den sista länken i vårdkedjan från den somatiska vården och hemsjukvården. En fungerande överrapportering från den slutna somatiska vården till hemsjukvården är av yttersta vikt för patientens trygghet och säkerhet och det är därför viktigt att innehållet i omvårdnadsepikrisernas uppfattas som relevant för den fortsatta vården. En omvårdnadsepikris skall innehålla en slutanteckning över de omvårdnadsåtgärder som genomförts på sjukhuset och en kort beskrivning över patientens aktuella omvårdnadsbehov. Syftet med studien var att beskriva distriktssköterskors uppfattning om omvårdnadsepikrisernas relevans och användbarhet i den fortsatta vården i hemmet av palliativa patienter samt att jämföra dessa med det faktiska innehållet i omvårdnadsepikriser skrivna av sjuksköterskor inom den slutna somatiska vården.Studien har genomförts med en innehållsanalys av 16 omvårdnadsepikriser insamlade från en kirurgiavdelning på ett större sjukhus i Göteborgsregionen samt semistrukturerade intervjuer med fem distriktssköterskor i Göteborgsregionen. Avslutningsvis jämfördes resultatet från de två datakällorna för att bedöma överensstämmelsen mellan dessa.

Syfte: Att beskriva sjuksköterskors upplevelser av att vårda patienter i livets slutskede enligt en vårdplan utformad som en journal med riktlinjer för vård i livets slutskede, den så kallade Liverpool Care Pathway (LCP). Metod: Studien är utförd som en litteraturöversikt. Artiklarna söktes via databaserna CINAHL, PubMed, MedLine, SAGE Journals och Scopus. Tolv artiklar valdes ut för kvalitétsgranskning enligt en förutbestämd granskningsmall. Elva artiklar godkändes och utgjorde grunden för resultatet.

Peritonitis is a potentially life-threatening disease in horses. With no published work from Sweden, the objective of the study was to describe the occurrence and demographics of horses with peritonitis and to evaluate the outcome of treatment in terms of short-term survival during a ten-year period in a large clinic in Sweden. Data were examined in a retrospective manner in 69 horses diagnosed with and treated for peritonitis at Universitetsdjursjukhuset (UDS) in Uppsala between 2002-2012. Demographic data examined included age, breed, gender, history, duration of illness before arriving at UDS, reason for seeking veterinary care, initial clinical findings (general state of health, heart rate, respiratory rate, mucous membrane appearance, rectal temperature, abdominal sounds, rectal examination, nasogastric tube results), abdominocentesis results (abdominal fluid analysis including visual inspection, leukocytes and protein, cytology, bacterial culture and sensitivity pattern), complete blood count (CBC), Serum amyloid-A (SAA) upon presentation and a follow up, plasma fibrinogen, plasma protein and albumin, treatments, length of hospitalisation and outcome. All medical records with the diagnosis of peritonitis were extracted from the medical records system Trofast. All records with any other diagnosis code referring to trauma such as rectal tear or ruptured uterus, recent abdominal surgery, external trauma or rupture in the gastrointestinal tract were excluded. To be included in the study, the peritoneal fluid should contain more than 20.000 cells/?L, have a peritoneal protein value of >30 g/L; or have a significantly changed peritoneal fluid sample (orange with increased turbidity or worse) in cases where no data on cells or protein were available. The horses were divided into two groups; one where the peritonitis was deemed to have an idiopathic aetiology (primary peritonitis) and the other group where the peritonitis had a possible aetiology such as intestinal parasites, impaction etc.

Elderly couples have a right to live together. On June 1st 2006 the Swedish government extended couples? rights, granting special consideration to elderly partners to enable them to receive care in the same home. But what happens if only one of them is eligible for care? This paper has studied how elderly couples were affected in situations where one partner was unable to continue living at home, and what measures could be taken to improve their situation.

The study is based on a new approach on how Swedish healthcare is supposed to be controlled and organized. There is a renowned administration problem within Swedish healthcare, which seems to be an obstacle to exploit the resources to the fullest. The latest venture within the healthcare system is patient involvement, where the patients become co-producers of their own care, which aims to both improve and make healthcare more efficient. A few wards in Sweden have implemented this new approach whereupon the study intends to discuss the effectiveness and efficiency in some of these.The study is restricted to three wards, whereof two of these are inpatient wards and the other one is an outpatient ward, within the medical clinic in Jönköping County Council, which has implemented the patient involvement approach in their daily work. The methodology for this study is qualitative in its nature where a time study of personnel time allocation and supplementary interviews with managing nurses on the wards have been conducted.

The environmental work in Sweden has developed a lot over the past fifty years. Today, most companies have some kind of environmental work. Environmental activities are regulated by the Environmental Code, which applies in parallel with other laws. This report is an environmental review for Bräcke Diakoni. The report aims to find out how much environmental impact Bräcke Diakoni has.

This study is qualitative and aims to describe and analyze how senior citizens with alcohol- related problems are recognized by social workers within local care for the elderly. The empirical material consists of eleven semi-structured interviews which was completed with the help of social workers within local elderly care. The findings of the study shows that the processing of the senior citizens alcohol related problem can be explained as an identified ?awareness process.? Further, the findings of the study shows that awareness is often made by others than the social workers themselves. The study has also showed that known versus unknown information about present alcohol-related problems, tends to be crucial for when and how awareness is made in the ?awareness process?. .

The number of elderly people has been steadily rising in Sweden for a long time and as a proportion of the population, the increase has been even greater. The population structure in the country means that in the not too distant future, there will be a sharp rise in demand for care and elderly accommodation.A tighter credit market as a consequence of new rules and regulations with a stricter capital and liquidity requirements combined with market turbulence, has made financing property developement more difficult and more expensive which has resulted in many companies using alternative sources of finance.DEmand for safe investments with low risk is high as the market is volatile and banks, pension funds, fund management and life insurance companies are looking for investments outside the stock market that can deliver a safe return in the longer term. There has also been a debate about whether institutional investors as the AP pension funds really should own properties directly.As properties for care and elderly accommodation are definable assets with predictable payment flows, long leases and often a local authority as tenant that would not risk cancelling payments, these would be highly appropriate for securitisation, i.e. to issue bonds or other tradable securities based on the cash flows from the assets.In other words, the securitisation of rent flows would offer the opportunity to create an attractive investment product of the type being demanded, well suited to institutional investor requirements, while at the same time, it can provide an attractive financing opportunity to meet the need for more care and elderly accommodation..

Several studies show that the clinical reality in psychiatric care does not correspond to the demand of consumer participation from a variety of policy documents that has been produced recently. Studies also show that there is a lot to do in improving, patients with sever mental illness, becoming more involved in their own care. The nurse has a central role in this work. The Norwegian nursing theorist Jan-Ka?re Hummelvolls holistic, existentialistic model for psychiatric nursing were used as theoretical ground.The aim of this study was to examine how nurses in psychiatric outpatient units, caring for patients with psychotic disorders, experiences consumer participation.Qualitative phenomenological method was used.

Oxygen consumption and carbon dioxide production are usual measurements within the sports and training physiology. The same measurements are also common when it comes to establish the amount of energy that is used during work and to establish the intensity of work. The volume of oxygen that is consumed contra the volume of carbon dioxide that is produced can be used to calculate the metabolic rate within the human body. This calculation shows the percent relationship between carbohydrates and fat in the metabolism. The first accurate method to measure the breathing gases for use in metabolic calculation was established in the early twenty century when the Douglas bag method was introduced.