People with severe mental illness and co-occurring substance abuse are an especially vulnerable group in society as health care for those is shared between municipality and county council. There is an associated health need of this target group so the interaction of the social services and the psychiatric care is of great importance. However, there are shortcomings in this interaction with results in that people with dual diagnosis do not always receive adequate care. Diverse knowledge and explanatory models may create problems for the interaction as they include different ways to define, understand, explain and deal with a problem. The purpose of this study was to examine how the interaction between the social service addiction treatment and the psychiatric care is, concerning people with dual diagnosis, focusing on how their respective knowledge and explanatory models affect the interaction.

Background:Due to a more open climate in society for homosexual people several lesbian couples have given birth to children in their relations. Research has shown no differences between children in lesbian families and children in heterosexual families considering mental and social health. International research has also shown that lesbian parents often have bad experiences from meetings with healthcare providers.Theaim of this study was to describe lesbian child families/familyplannings and the lesbian parents experiences and expectations of the healthcare.Themethod for the study was qualitative interview with 9 lesbian parents. The data was analysed by the queer theory heteronormative concept.Theresults of the research was that lesbian families considered themselves as a nuclear family and at the same time distanced themselves from the nuclear family concept. The findings showed that lesbian couples are involved in a very long process when they try to become parents.

Introduction: About 160 children with Down syndrome are born each year in Sweden. They will spend their first time in life at the neonatal departments around the country. Previous research has shown that parents in these situations have experienced an unsatisfying behaviour from the caregivers and that they are not getting the care they desire. However the research that reflects the nurses? role in these situations is sparsely studied.

The aim of this literature review was to elucidate how suicidal and self-harming patients should be treated and cared for, mainly in the acute phase in somatic care. Searches were conducted in databases with relevant keywords. Qualitative and quantitative articles were included, would not be more than 20 years, be written in Swedish or English, and match the aim of the study. Results showed that nurses and patients felt that the treatment would be respectful, non-judgmental and characterized by active listening and clear communication. Poor care was described as disrespect and lack of understanding.

Alla människor kan drabbas av en akut sjukdom eller skada. Hur de drabbade hanterar händelsen är mycket varierande. Känslor som rädsla, oro och smärta kan öka risken för mer eller mindre långdragna psykiska reaktioner. Om det akuta vårdteamet har kunskap om den intima kopplingen mellan människans kropp och psyke kan de ge ett korrekt stöd och bemötande redan i ett tidigt skede och därmed kanske minska patientens psykiska lidande. Trots att traumavården gör stora tekniska framsteg finns endast liten kunskap om hur det är att vara traumapatient.

Bakgrund: Allt fler personer kommer till Sverige från länder där kulturen skiljer sig från den svenska. Många av dessa personer har genomgått svåra trauman och det är en utmaning för den svenska vården att möta och hjälpa dessa personer. Flyktingar och sjuksköterskor har oftast olika förväntningar på möten i vården. Syftet med studien var att belysa upplevelser av möten mellan flyktingar och sjuksköterskor i den svenska vården. Metod: Innehållsanalys baserad på åtta artiklar med kvalitativ ansats.

The purpose of this study was to examine the extent to which incontinence aids, used in local authority/municipal nursing homes, were adapted to the resident?s urine-leakage volume and to find out how nurses perceived the current situation concerning individual testing of incontinence aids in municipal nursing homes. The study method was a quantitative empirical study and was carried out in two phases. The first phase was a weighing test, carried out in three nursing homes, whereby the incontinence aids used by 25 residents during a 48 hour period were weighed. The second phase was the completion of a questionnaire by the municipal nurses working in the same local authority.

?BAKGRUND: Antalet multisjuka äldre personer ökar och ett omfattande vårdbehov kan skönjas. Vårdens organisation och hur den fylls med innehåll påverkar relationen till patienten. Ledarskapsstilen påverkar upplevd arbetstillfredsställelse och den kultur som vårdpersonalen skapar tillsammans avgör livskvalitet och vårdandets kvalitet för patienten. SYFTE: Syftet med studien är att utifrån semistrukturerad observation beskriva arbetsinnehållet och ledarskap för en första linjens chef inom kommunal äldreomsorg.

Blood sampling is one of the most important diagnostic tools in veterinary medicine, and this is also true for avian medicine. A properly collected and handled venous sample can be used for serology, biochemistry and electrolyte analysis, as well as for blood smears, packed cell volume and cell differentiation. Caring for sick birds is a challenge for all veterinary staff. Many birds are easily stressed individuals, and to a very ill bird a big increase in stress level can even be fatal. Avian patients who are presented in a veterinary clinic are often in a poor condition, and blood sampling is an invasive procedure that can cause stress to the patient.

AimThe aim of this study is to through managers in eldercares deskriptions of the systematic qualityleadingsystem examine the implementation process of this system in the eldercare in the municipality of Halmstad.  BackgroundIn this paper the background explains elderly care and social work context, leadership in change and implementation processes. The theoretical frame illustrates Vedungs implementation theory and Webers model of bureaucracy MethodTo collect empirical data for this study, a qualitative research design was used in which eleven managers within Halmstads municipality home care management stood as respondents. ResultThe respondents highlighted a variety in the use of the systematic quality management system tool. The result describes that several obstacles were experienced in the use of the systematic quality system. ConclusionBased on the descriptions the respondents gives of the implementation process of the systematic quality management of Halmstad municipality home care management, the conclusion can be drawn that the implementation process has not resulted in the employees making use of systematic quality management in practice. The systematic quality management system that will ensure the quality of the care work is thus used to a limited extent..

The number of elderly continues to increase in Sweden which puts pressure on the elderly care. Aproposed solution is to increase the use of information and communication technologies (ICT) inhome care to both streamline care and enable older people to manage on their own to a greaterextent. So far Västerås is the only municipality that has made a decision on an ICT solution, whichthey have chosen to call ?eHemtjänst? (eHomecare). The purpose of this paper was to investigatethe specific prerequisites and requirements for Gothenburg city regarding the potentialimplementation of eHemtjänst.

Introduction: Malnutrition leads to loss of health and coexists with disease and loss of function. A good nutritional status becomes more important the older you get to maintain a good health. Studies show that it is important to identify and prevent malnutrition in its early stages. Men and women recieve different medical treatment in a number of different medical diseases. There are few studies in nursing from av gender perspective.Aim: The aim of this study is to examine the prevalence of malnutrition in the elderly in Västra Götaland with focus on gender differences when it comes to prevalence and nursing interventionsMethod: A register study with av quantitative approach is conducted to answer the aim.

Aim: To describe nurses' experiences providing end of life care to patients. Method Descriptive literature study, 15 articles were included. The search was made in PubMed, CINAHL and by manual search. The articles were reviewed, analyzed and summarized. Results: For newly graduated nurses? experience in end of life care proved to be something new, developing, difficult to manage and frightening, but expected in the profession.

- To be trapped in a roller-coaster That ?s how some of the patients are describing the situa- tion of living with heart failure. To be stuck in their home not knowing if they will have to seek care today and not knowing if they will have the energy to attend that birth- day party later this week.Each year 2-3% of the Swedish population are diagnosed with heart failure, which results in 30,000 new individu- als with the disorder. Cardiovascular disease is rapidly in- creasing in the world and before 2030, people with heart failure will increased by 100%. Our improved living condi- tions and better health have allowed us to grow older and made us more dependent on other types of care, care at home.Today the patients are only looking for changes in weight and if they have excessive water in their body.

Numerous dogs are stressed during a stay at a veterinary clinic. Stress has an impact physically as well as mentally, and may influence animal care. There are different ways to prevent and handle animal stress. Dog Appeasing Pheromones (DAP) is sometimes used to reduce stress. The aim of this study was to investigate the potential need for stressreducers, explore the use of DAP and evaluate pheromonatherapy for dogs as a potential stressreducer within veterinary health care.