The birth of a child marks a new era for the parents. It is the beginning of something that will never end, because they will always be the child´s parents. This study investigates what happens when an infant is born whit Downs syndrome (Ds), and thus does not resemble the child the parents had expected. The purpose of this literature study was to describe the information and the support that the parents of a newborn child with Ds think that they need. The literature search was made in the database of Medline (via Pub Med), Academic Search Elite and manual search.

The aim of this study was to explore the role of death in the Swedish family. How do parents and families cope with the loss of a child/sibling? How do the remaining children in a family fare after loss of sibling? The study was caused out partially through a selective review of the literature on children loss in families and partially through interviews with families who had experienced death of a child. The results were analysed with help of Family system theory, Emotional theory and with an Esoteric perspective. The findings of the study were that although families do eventually cope with the situation the majority is struggling to adjust.

Bakgrund: Att vara med om en oväntad död kan för närstående innebära en livskris och för en sjuksköterska kan mötet som uppstår i samband med detta vara svårt att hantera. Syfte: Syftet var att belysa upplevelser i mötet mellan närstående och sjuksköterska i samband med att en person oväntat har avlidit. Metod: En litteraturstudie baserad på kvalitativa artiklar har genomförts. Resultat: Resultatet innefattar närståendes upplevelser och under den kategorin ingår subkategorierna lång väntan och önskan om information samt vänlighet och trygghet och under kategorin sjuksköterskans upplevelser ingår följande subkategorier osäkerhet, rädsla och oro; behov av att få vara hos de närstående; otillräcklighet och ovisshet samt tidsbrist. Diskussion: Utebliven information skapar oro och osäkerhet hos närstående, brist på tid ökar känsla av stress hos sjuksköterskor och osäkerhet hos sjuksköterskor i mötet påverkar närståendes trygghet och tillit..

Dilated cardiomyopathy (DCM) is the second most common heart disease in dogs. Since the disease is seen more frequently in certain breeds, among them Newfoundland dogs, a genetic factor is suspected. This study was partly undertaken to investigate whether there is a significant sex predilection regarding DCM. Moreover, the difference in mean age of death between male dogs and females with DCM was investigated, as well as males and females dying from DCM compared to dying from other reasons (i.e. without DCM).

Bakgrund: Generellt sett fokuserar palliativ vård främst på patientens behov. Mindre fokus läggs på de närståendes behov. Syfte: Att beskriva närståendes behov när vården av en närstående har övergått till att vara palliativ efter ett akut livshotande insjuknande. Metod: Litteraturöversikt av femton kvalitativa och en kvantitativ studie. I analysen framkom fyra teman, tio subteman samt ett övergripande tema.

The present BA thesis is an analysis and a close reading of the French author Gabrielle Wittkop's novel Le Nécrophile (1972). The analysis consists of two parts. The first part focuses on the story and can be described as an attempt to interpret the engine of the history. The second part of the analysis focuses on the narrative; how the story is told. Le Nécrophiles main motif is re-encoding the representation of death in art and literature, traditionally conceived as a beautiful female corpse.

Every six baby that is born gets colic. It means that the child cries for at least three hours three days a week. For the child?s parents this is one big strain and feelings like despair, helplessness and isolation are common. The nurse?s task is to support the parents through respectful and empathic actions in order to relieve sufferings and increase their feelings of confidence.

The aim of this study has been to investigate how the death of a close relative is described in pictures and texts through the eyes of a child character in three picture books. The analysis has also considered how the child character copes with the tragedy and how he or she finds support in the grief process. The books analysed here are Resan till Ugri-La-Brek (1987), Farväl, Rune (1986), and Jättebra Olga! (2010). Since these are works of fiction, this study does not assume that they are an accurate reflection of reality, but the way the child characters act and cope with their grief has been compared with the findings of empirical research on how children react in real situations.The material has been examined by means of a qualitative literary analysis comparing the books according to the research questions. The study finds that the child characters receive evasive explanations from people around them concerning what death means, for instance that the person is sleeping.

Aim: To examine how midwives describe good and safe postpartum care of mothers with infants in neonatal care, and which prerequisites and obstacles they see to giving good and safe care while minimizing time of separation. Method: Semi structured qualitative interviews with ten midwives at two maternity wards in Uppsala. The interviews were recorded, transcribed verbatim and processed by manifest analysis. Results: Three categories were identified, Good and safe care, Organization as an obstacle and The midwife role. Good and safe postpartum care of mothers with infants in neonatal care required knowledge, appropriate equipment, good guidelines, possibility to see the mother, contact between mother and infant and good collaboration between the maternity and neonatal wards.

Slaughter of animals should consist of two steps in order to be considered humane. The first step of the slaughter process is stunning, with the purpose of inducing unconsciousness and insensibility in the animal. The second step is exsanguination, which causes bleeding and eventually death. What death really means in these situations has been discussed intensively, but still no agreed definition has been accepted. Nonetheless, it is conceded that animals are declared dead when consciousness is irreversibly lost, and absence of respiration and blood circulation are observed.

The purpose of this study is to see how adolescent students in high school formulate their thoughts of death and if a belief in transcendent existence affects their thoughts. The study was done on two separate schools, one municipal school and one private religious school, in minor cities in Sweden. The method used was qualitative inquiries and the amount of participants was four from each school, eight in total. The result of the study showed that six out of eight participants had a belief of a transcendent existence, three from the municipal school and three from the religious private school. The result also showed that the participants from the municipal school that had a belief in an transcendent existence also had a belief in a form of ?afterlife?, this was however not reflected on the students in the religious private school where result showed that one out of four had a belief in a form of ?afterlife? and three view death as the final stage of existence..

Background:  Heart failure is a multidimensional phenomenon with high mortality. Heart failure is treated with angiotensin converting enzyme (ACE) - inhibitors or angiotensin receptor blockers (ARBs) that counteract neurohormonal stimuli that occur in heart failure, as well as providing vessel dilatation, which reduces symptoms and the need for hospitalization and increases survival. Despite this, only about 50% of heart failure patients survive 6 years after diagnosis with drug therapy, and as heart failure is increasing globally, due to improved care and treatment and increasing life expectancy of the population, there is a great need for new drugs such as LCZ696 that acts by dual inhibition of the renin - angiotensin - aldosterone system and neprilysin inhibition.Objective: The aim of this literature study was to evaluate the efficacy of current treatment and possible future treatments on mortality and morbidity in heart failure patients.Results: The examined articles show that treatment with ACE inhibitors in patients with symptomatic heart failure reduces the risk of total mortality by 16% over 3.5 years, reduces all-cause mortality or hospitalization due to heart failure with NNT (number needed to treat) = 10.4 over 3.5 years and increases median survival by 9.2 months over 12.1 years in patients with asymptomatic heart failure. Treatments with high-dose ACE inhibitors reduce mortality and hospitalization because of cardiovascular causes and hospitalizations from any cause by NNT = 30 over 3 years. Beta-blockers reduce sudden death and total mortality and cardiac death or non - fatal myocardial infarction with NNT = 38 and NNT = 23, respectively, over 12 months.

Our surroundings are currently vulnerable. People can not know when or how to expect nor prepare for a disaster or an accident. The purpose of this essay was to perform a study of the organization and accessibility of psychological and social support in a crisis situation within the community of Lund.To be able to carry out this study we put up a couple of questions that we hoped would guide us, for example; how do the community prepare and set up the service for people in need of support in connection to a crisis situation? As a method we have used qualitative interviews and literature.The results of our study have shown a discrepancy between the ways the community organizes their service for people in a crisis situation caused either by a catastrophe or an untimely death. In case of an untimely death, ordinary resources are estimated to be sufficient while in case of a catastrophe, extraordinary resources are required.

Bakgrund: En av sjuksköterskans uppgifter är att visa de efterlevande hänsyn och omtanke när någon avlider. Vårdutbildningar är till stor del somatiskt inriktade och ute i den kliniska verksamheten ges mycket knapphändig information kring hur dödsbesked ska levereras. Ett bristfälligt bemötande från sjuksköterskans sida kan leda till att närståendes sorgearbete kompliceras. Syfte: Syftet var att undersöka närståendes situation i samband med ett plötsligt dödsfall samt beskriva relevanta omvårdnadsåtgärder i detta skede. Metod: En litteraturstudie som bygger på fem kvalitativa och fem kvantitativa vetenskapliga artiklar.

In this project the author made an attempt to, in a short film, visualizean experience of the organic materials that our bodies consist ofand what becomes of it when we die. The intention was to dissect thismatter, break it down to see it in a simpler form and to explore ourrelationship to it, being part of a constant exchange between organicmaterials and having so much power over the environment and otherliving animals. At the very start, the idea was to deal with the relationshipdifferent people have with their bodies. Later in the process, a decisionwas made that the product would be communicating the author?sown experiences of the body materials after studying it and trying torecreate fragments and feelings of them.