Objective: The objective was to examine the incidence of constipation, and the preventive measures taken in relation with postoperative pain treatment with opioids at two orthopaedic surgery wards.Methods: The participants were patients that had undergone surgery in the back, hip or thigh. They were selected through systematic selection and a total of 46 electronic health records were examined. The factors investigated and tested for correlation with constipation were the usage of laxatives, daily fluid-intake and early mobilisation.Results: Totally, 26.1 % of the patients became constipated, and laxatives were prescribed to 65.2 % of the patients. Doctors prescribed 53.3 % of the laxatives, nurses 33.3 % and for the remaining 13.3 % it was uncertain who had written the prescription. Usage of laxatives seemed to cause constipation (p=0,025), whereas there was no correlation between constipation and early mobilization.

BackgroundThe lifeworld describes the experience of being a humanbeing, how we experience life and how we live our lifes. When a disease, such as depression occurs, the whole lifeworld can be filled with suffering. Depression is an affective disease, which means it involves the emotions. The patient gets dejected and the emotional devotion abates. Broken sleep, anxiety, pain, concentrations difficulties, fatigue and reduced appetite is some of the symptoms.

Background: Various follow-up studies show that there are deficiencies in the care of patients affected by stroke. In order to provide good care according to the National Board of health and welfare and national guidelines for stroke care systematic quality audits need to be carried out.Purpose: To investigate if the local guidelines for stroke care in Örebro County are followed and to explore how people with stroke experience care and rehabilitation in hospital, primary care and community.Method: Primary health care records were reviewed using quality indicators in the local stroke guidelines. Samples of patients were obtained from the County´s three hospitals. Differences between men and women, younger and older, were analysed with chi-squared test. Eleven people were interviewed about their experiences of care, rehabilitation, support and participation.

The purpose of this paper was to examine how clients on the unit for adults at Södemalms district administration (Stockholm, Sweden) with severe mental illness and substance abuse differs from other clients with substance abuse at the baseline and at follow-up one year later. We have used a quantitative method and analyzed material from ASI-interviews performed at the adult drug abuse unit at Södermalm during the time period 2002-2010. At the baseline the clients with substance abuse and co-occurring severe mental illness have more problems than other clients, primarily in the area of mental health. They spend more time alone and are more likely to engage in illegal activities. Interviewers assess their situation as more serious and that they need more help in all of ASI's areas of life than other clients.

This thesis has been done at the Unversity of Örebro for Örebro University Hospital (USÖ). In our work we have developed a product for hearing tests to determine hearing thresholds of small children. Our product contains software and a control surface for controlling two separate screens. One of the demands was that our software could handle big file libraries. Reliability and simplicity were essential for the user.In our work we have utilized programming of both microcontrollers and Windows software.

Enligt forskning har riktig natur och bilder av natur en avstressande effekt på människor i sjukhusmiljö. Stenpartier byggs ofta för att simulera naturliga förhållanden och kan upplevas som en tredimensionell landskapsmålning som förändras med årstidens växlingar.Syftet med denna studie är att komma fram till en gestaltningsskiss med hjälp av sten och stenpartiväxter. Gestaltningen tänkta plats är utanför Gävle sjukhus. Fokus har lagts på stenpartiets uppbyggnad, växternas krav och anpassningen till sjukhusmiljön.För att ta reda på ett stenpartis uppbyggnad och stenpartiväxters krav på växtmiljö har både en litteraturstudie och platsbesök med intervjuer gjorts. Litteraturen är sökt via LIBRIS.

BackgroundThe lifeworld describes the experience of being a humanbeing, how we experience life and how we live our lifes. When a disease, such as depression occurs, the whole lifeworld can be filled with suffering. Depression is an affective disease, which means it involves the emotions. The patient gets dejected and the emotional devotion abates. Broken sleep, anxiety, pain, concentrations difficulties, fatigue and reduced appetite is some of the symptoms.

           AbstractAims: To explore whether and in that case how nurses question women in the psychiatric care about violence in close relationships and how nurses respond to women who have been exposed to domestic violence.Method: A qualitative descriptive interview study with twelve nurses from four psychiatric wards was carried out in Uppsala. Informants were chosen from a convenient selection. The interviews with semi-structured interview questions were recorded on tape, transcribed and analyzed with content analysis.Results: There is no routine to ask all female patients if they are victims of violence. It happens only in cases where the suspicion arises or is confirmed. It is individually whether and how the nurse asks the woman if she is subjected to violence in a close relationship, depending on patient and nurse.

The conception of exhaustion was first used in the end of 1960 and was then used in a psychological context directed towards the working life. Eventually was the conception devided into two main categories: mental and somatic symtoms. Today research of exhaustion is mainly aiming towards recovering and returning to working life.This work sets out to analyse the importance and effects of social networks such as family, friends and professional relations in helping people who suffer from exhaustion to recover. The study is based on interviews with eith people who have suffered from exhaustion but today are recovered. To my aid I have used tree different questions: What part have the social network of family and friends ment to the recovery? What part has the professional relationships with doctors, therapists and curators ment to the recovery? How have you changed your life in order to maintain balance?The interviews pointed out the importance of the social relationships as support, feedback and understanding that the process takes time.

Syftet med litteraturstudien var att undersöka hur buller påverkar sjukhusmiljön med hänseende på vårdpersonal och patienter. Studiens avsikt omfattar även en undersökning av vårdpersonalens och patienters eventuella olika uppfattningar angående buller. Effekterna av buller och dess omfattning inom vårdavdelningsmiljön har också undersökts. Resultatet av studien visar på att bullermiljön på sjukhus överskrider de riktlinjer för buller som WHO fastslagit. Vidare visar studien på indikationer på att brittiska sjuksköterskors kunskap angående fenomenet buller är bristfällig.

ABSTRACT Background: Aging and losing cognitive and physical functions is difficult. To also be affected by dementia means that you lose some part of your identity and the ability to take care of yourself. It is important to find alternative, non-pharmacological ways to increase health for the elderly and those who are affected by dementia. When dogs are used for therapeutic purposes in health care it is roughly divided into two different forms; AAA (Animal Assisted Activity) and AAT (Animal Assisted Therapy). AAI (Animal Assisted Intervention) is also used as a term, in which AAT is included.

Background: In Sweden it is a legal right for patients to have the possibility to participate in their own care. Several studies highlight the importance of a good relationship, good communication and good cooperation in order to increase a sense of security and thus the possibility of participation. One way to increase patients' ability to influence and participate can be to adapt person-centered care. This moves the focus from the patient's illness to the patient and his/her resources. Aim: The aim of this study is to describe patients' experiences of the possibility to actively participate in decisions regarding its care and treatment at surgical wards.

AbstractThe aim of this study was to describe the anesthesia nurses experiences of pediatric anesthesia in two surgical wards, a general surgery department and a day surgery surgical department at two hospitals in central Sweden. The study had a descriptive design with a qualitative approach, in which ten anesthetic nurses with more or less experience in children's anesthesia participated. Data were collected using semi-structured interview questions and were analyzed using qualitative content analysis. The results were reported based on a theme, three sub themes and nine categories. The theme When skills, tactfulness and interpersonal skills come to a head, with three sub themes Being prepared and ready, Interacts and open for participation   and Emotional tension.

The study concerns the history and development of hospitallibraries in Sweden in the beginning of the 1900 century.Focus is on the 1930 decade, the time of major expansionof the area. The study is based on study of literature, mainlyfrom articles but also from a few booklets from the time.The purpose of the study is to find out how the librarieswere described in the literature of the time and which goalsand tasks they had. It is also to make it possible to increaseunderstanding of the history of hospital libraries, using it asan inspirational source for development of today´s businessin a time of major change. The result of the study showsthat those goals and ideas are still valid and serve well as aninspirational basis for development of today´s hospitallibraries..

The new Library Act came in force in January 2014, external changes such as globalization and information technologies had changes the way libraries work and the new law aimed to reflect this. The aim of this study is to examine ideas surrounding the mission of the public library as it appears in the referral statements that three state agencies and three interest organizations gave to the ministry publications series Ds 2012:13. The questions this thesis examines are: what ideas can be discerned in the respond-ents' opinion regarding public library's mission? How is the con-sultation bodies? way of looking at public library's mission to-wards the government's approach? In this thesis the empirical ma-terial has been analyzed using a theoretical model called The four spaces ? a new model for the public library designed by Casper Hvenegaard Rasmussen, Henrik Jochumsen and Dorte Skot-Hansen. The model consists of four different goals and four differ-ent spaces and can be used as a basis for discussions about the public libraries role in society.