The purpose of this essay was to investigate the view of what kind of role the personal assistant has in disabled people´s life and sexlife and how conceptions of a "normal" life and "to live like others" can be identified related to this. My research questions was: What does the expression "to live like others" mean to the organisations? What is the view in the organisations of the personal assistant´s role in the client´s life? What is the view in the organisations of the personal assistant´s role in the client´s sexlife? What is the view in the organisations of disabled people´s rights to get assisted help with sex? I chose to do semistructured interviews with different organisations related to disability and assistance and I analysed the interviews with theoretical aspects of social constructivism, the principle of normalization and the theory of SRV (Social Role Valorization), autonomy, individualism and models of action. My main conclusion were that the views of disabled people´s sexuality and the personal assistant´s role in disabled people´s sexlife were widely separate. However, almost all of the organisations were pointing out the autonomy of the individual and the importance of setting the limits.

The number of elderly in Sweden is increasing due to improved living conditions and better medical care. It is important that society adapts to the increase and begins to work preventively to reduce the costs of the increase. An important aspect is the elderly accommodation, the cost of health care in specific accommodation is almost twice as high as those for ordinary housing. Therefore, it is important that we availability adapt dwelling to allow older people to live in ordinary housing for as long as they wish, instead of moving to assisted living before they need it. If we can fulfil the elder?s needs with home care instead, society can save a lot of money.In this report, three different forms of housing has undergone accessibility increases and been inventoried and analysed.

The aim: was to describe and compare a group of experts and critical care nurses' agreement in detecting delirium in intubated, ventilator treated patients with sedation / analgesia, before and after an in house training intervention with the instrument Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).Method: A quasi-experimental study, one group pretest - posttest design. A convenience sample of 17 critical care nurses in a general intensive care unit included. To detect delirium the instrument CAM-ICU was used, 21 paired tests before and 22 after an educational intervention.Main Results: The results showed that after an in house training intervention sensitivity and kappa coefficient improved of the characteristic 1 "acute onset and fluctuating course," an improvement that was significant. In other features, and overall values were signs of numerical improvement and deterioration in sensitivity, specificity and kappa coefficient but no significant change.Conclusion: Implementing a new instrument for detecting delirium in clinical practice requires education and follow-up. A small sample of critical care nurses with varying ability to use the new instrument and the fact that patients' status may change rapidly making it difficult to draw any conclusions from this study.

Trough the contact with the HR (Human Resources) department of home care management in Halmstad municipality, emerged from the management a wish for a documentation for what should be included in leadership at middle management level in the future. People in middle management positions have a large impact on the operation staff and are also in charge of the individual corporate performance and its success. As we have previously been active in the management of multiple role configurations, including middle-management positions, we have some prior understanding of the complexity of this position. The study was conducted with the aim to investigate different aspects of what leadership for middle managers in home care management in Halmstad municipality may mean to them. With the help of different theories and models various aspects were analyzed due to the impact of leadership.Due to the studies purpose and questions, two focus groups was conducted and interviews with respondents from both the lower and superior positions in home care management in Halmstad municipality was done.

Introduction: The interaction between different care facilities and professions is important in the care of older patients. Patients do not always get enough time to recover and often have a continued need for care. A discharge process of good structure in which the patient and relatives are participating and the continued need of care is assured is of importance in care of older patients.Objective: The overall purpose of this study is to compare the discharge process for patients over 75 years old admitted to a emergency medicine ward respective a emergency medicine ward with geriatric focus at a medicine clinic, to compare discharge process between these wards and evaluate the patients situation at home after discharge.Methods: A survey of medical records with a protocol and a telephone survey have been performed. Data was analyzed with descriptive and analytic statistic. Patients at the medical wards MAVA and care unit number 21/34, which are 75 years or older and are discharged to their own home, within the municipality of Göteborgs stad, in Sweden, are included in this study.Results: The discharge process differed between medicine wards with emergency medicine and geriatric focus.

Our purposes with this essay was from the perspective of young people that has completed a stay at HVB-home, their parents and the social welfare secretaries get an apprehension on their way of looking at the purpose of placement in a HVB-home agrees with the comprehensive view of the placement. We also wish to get a picture of what is of important to change in this matter. How do they experience the reasons for the placement, goals and purpose? What positive and negative experience do they have from their placement? What is relevant to change when you look at the different parties' ways of looking at change/progress in this matter? In what different ways do the parties look upon collaboration and how does that effect the treatment? Our qualitative study is built upon interviews with the persons mentioned, upon educational visits to HVB-homes and upon interviews of staff at HVB-homes. The staffs opinion has also been compared with the other perspectives.

Today, palliative care is performed in several different areas. When the curative treatment is no longer effective the objective of the palliative care is to promote the best possible quality of life for dying patients, through an active and overall treatment. In their work nurses see death and the dying. To highlight and to reach an understanding of the significance of their work, this literature study's objective is, using Carnevali´s thoughts about health as a theoretical framework, to describe different aspects of nurses' experiences of working with dying patients within palliative care. Furthermore the occurrence of stress and possible stress factors will be examined, as well as the nurses' access to support and to established coping strategies..

Background: Every year 56 million people die around the world and it is estimated that 60% of these people are in need of palliative care. It has been shown that patients in the palliative care experienced their situation as uncertain. When life no longer was certain, the patients tried to live their life day by day and make the best of it. Problem: When patients were diagnosed with an incurable disease the future became unsure, because their life would come to an end. Therefore patients with a palliative diagnosis could be in need of experiencing feelings of security.

In the early 1990?s more and more companies of the Swedish public sector were exposed to competition, and this started the debate on how such actions might affect the business and even society.The first chapter examines how the public sector and especially health care, is financed and managed. We also explore what it means to be exposed to competition and find that there are many different ways of exposing the public sector to competition. The study examines dental care as an example of a market with both publicly and privately owned companies. The purpose of this paper is to explore how publicly and privately owned health care companies view their relationship with their consumers.

The purpose of this study was to examine how young managers (26-32 years old) in municipal old-age care organizations, in Skåne and Blekinge, experience their professional roles as managers in relation to their age. One of the questions asked in this study was whether managers experienced that their age affected their managerial position, and in that case, how? In order to investigate this, a qualitative method was used, including interviews and observations. Seven interviews with young managers were conducted. My approach in the working process was influenced by Grounded theory as defined by Glaser and Strauss (1968).

The aim of the study was to describe what it's like to live with Multiple Sclerosis (MS) and experiences of social support and being received and met by health personnel. The method was a qualitative interview study of descriptive design and was analyzed using qualitative content analysis. Three women and two men (26-75 years) with MS from two municipalitiesin central Sweden participated in the study. The main results showed that the participants felt the disease limited everyday life. The majority described feelings of injustice being affectedby the illness, but they now have a new perspective on life.

The purpose of our research was to explore the social situation of unaccompanied children. We also aimed to reveal the relation between their social situation and their identity development. The overall purpose were to describe their social situation, the value of significant others, how different languages influence their identity development and finally how their origin affects their future dreams.In order to achieve the best result in our research a qualitative method was used. This was based on qualitative interviews and was disposed around a very loose set of questions in order to let the interviewees lead the way. The analysis of the result was conducted on the basis of a set of theories and concepts in order to understand the identity development.

The aim of this literature study has been to investigate the general nurse's knowledge of diabetes type 1 and its complications. The questions were: What does the general nurse need to know about diabetes type 1? What does the general nurse know about diabetes type 1? To answer these questions, a literature study has been done of 8 scientific articles. The theoretical reference study on which the study has been based is Gustafsson's SAUK Model for affirmative nursing care. The result shows that the nurse lacks knowledge in the nursing care of diabetes patients and this reflects the fact that little research has been done on diabetes mellitus type 1 in recent years.

Background: Depression is a very common disease and is caused both by the biological, physical, and psychosocial factors. At least 25 percent of women and 15 percent of all men are affected at some point in their lives. As a nurse, it is important to be aware of women's experience of depression to meet their needs for care.Aim: To illuminate women's experience of depression in order to better understand their needs for care.Method: Literature review in which ten scientific studies were analyzed and thematised. Eight qualitative studies and two studies of qualitative and quantitative method was retrieved from the database CINAHL Complete and PsycINFO. Keywords depression, women?s experience, experience of depression, female, nursing, major depression, women och social interaction were used.

The ever-changing modern health care environment places high demands on leadership skills. The purpose of this study was to describe the causes that effect leadership within the health care services carried out in a municipality. Data was collected by interviewing four health care managers, three registered nurses, eight enrolled nurses and one auxiliary nurse. A qualitative approach based on a content analysis method was conducted in the analysis of the interviews. Latent content deals with relationship aspects and interpretation of deeper underlying meaning of text.