Background   The patient's rights to self-determine their own health care is described in Swedish legislation and guidelines. However, due to infancy, unconsciousness, severe brain damage or certain diseases, some patients might be unable to make such decisions. Ethically difficult situations do occur, not infrequently associated with culture. Since the patient is vulnerable, there is a risk that the patient in the treatment and care can not be bothered to maintain right to autonomy and that the nurse violates patient integrity.Aim                 The aim of this study was to illustrate the nurse's dilemma when the patient refuses vital caring efforts.Method           A literature review of eight scientific articles with a qualitative approach was performed.Results           The results revealed the following domains to describe the nurse's dilemma when the patient refuses vital care interventions: patients? reasons for treatment refusal, the nurse's understanding of the patient's refusal of care and contradictory legislationConclusion     More knowledge and discussion of the patient's decision-making competence is needed for both the nursing profession and those who make decisions on legislation..

We have chosen to focus on the meaning of long-term income support dependency regarding health, goal setting and motivation for the recipient of economical aid. We have chosen to use semi structurized interviews to achieve our goal of reaching the clients experience of long-term income support dependency. The study consists of interviews of six clients whose answers have been analyzed through appliance of Kielhofner´s Model of human occupation, Scheff´s Shame in self and society.   Our results show regarding, 1) the factor health that long-term income support dependency may elevate the risk of illness and less experienced options of possibilities to act. 2) regarding the factor goal setting, that goals may be inefficiently used during social work with long-term income support dependent clients and may result in a disorganized relationship between client and social worker in the sense of making the parties pull in opposite direction. 3) regarding the factor motivation, that long-term income support dependency and the living with the emotion of shame elevates the risk of maintaining a negative image of oneself that limits the willpower to assimilate new knowledge and/or skills.

Most studies on parenthood and learning difficulties focus on mother and child, and very little is know about fathers with learning difficulties. Moreover, people with learning difficulties are rarely asked to tell their own narratives. The aim of the current study is to identify the role of the father in families where one or both of the parents have learning difficulties. Laws and regulations concerning the rights of people with learning difficulties in Sweden are accounted for and the he social support system for all parents in Sweden are described .The empirical study is a qualitative phenomenological interview study, inspired by narrative traditions, and describes how fathers with learning difficulties experience these support systems. The main data are two life stories of fathers with learning difficulties and one observation in a family.The findings suggest that although Sweden has a highly regarded disability policy and social support system, and even though fathers with learning difficulties are assured equal rights as members of the society and as parents by the Act of Human Rights, they are not treated equal but still faces structural inequalities.

In connection with the admittance of the EC-directive (99/31/EC) in Swedish politic, through the constitution of waste depositing (2001:512) at year 2001, the rules about management the landfills and leachates tightened. At the landfill Vissberga in the municipality of Hallsberg, a leachate treatment plant was constructed just a year thereafter. This treatment plant consisted of an aerated pond with a following land treatment and a willow cultivation to replace the land treatment during the summer. In this case the parameters, which were estimated as the most important to reduce, were iron and nitrogen. The iron would react with the oxygen-rich water in the aerated pond and precipitate to ferric-hydroxide and than settle in a calm zone of the pond.

There are many kinds of joint operations and combinations of combined arms. This thesis puts its focus on Close Air Support, CAS. Throughout history there have been several cases of success, regarding these kinds of operations, but also failure. Much can be taught from organizational behaviour studies, applied on these military organisations in their cooperation with each other. The purpose of this thesis is to analyze the cooperation between the Swedish army and air force to determine the functionality of their process.

The aim of this study was to explore transsexuals? identity formation and experiences related to cross-sex hormone treatment, as well as to become absorbed in the narrative approach. To be able to participate in transsexuals? identity formation, life stories were well suited as a theoretical approach. Life stories can be seen as socially situated actions according to Mishler, where individuals? identity formation can be seen as both identity performances and identity claims.

Background: Overweight and obesity has become an increasing health issue around the world, which leads to an increase of cardiovascular diseases. The reason for this is a lack of physical activity in combination with an overconsumption of unhealthy food. In the primary healthcare is the ordination of physical activity on prescription offered as a treatment, which is an important health preventive action. When clients get physical activity on prescription they are given the opportunity to receive health counseling as a way to motivate a change in an unhealthy way of living.Objectives: This study aim to examine the experience of the health counseling of individuals with overweight related problems, in combination with the prescription of physical activity.Method: Qualitative interviews were chosen as method. Nine individuals participated in the study, seven females and two males, who had been to health counseling at Friskvården in Värmland.

The purpose of the study is to find out how some teachers in Kenya reason about children in need of special support. To undertake the study the following question are used:How do some teachers in Kenya reason about children in need of special support?The study has been made with qualitative interviews in Kenya. A total of four teachers at primary school level have been interviewed. The decision to do qualitative interviews is made by the opportunity to get as comprehensive answers as possible from the respondents' reason about children in need of special support.Three different kinds of special education perspectives have been used in this study.

The aim of this essay was to examine what kind of help and support social services departement can offer gamblers and their relatives. We also want to examine what the relatives to the gamblers think about the help and support they have got from the social services departement. Central questions we asked were: What kind of help and support can social services department offer the gamblers and there relatives? What kind of help is there to get for children respectively adult relatives? Do the relatives consider that the social worker have enough knowledge about the problem? Do the social workers consider that they have enough knowledge about the problem? This is a qualitative study of three women relatives to the gamblers, three social workers and one specialist in this problem. We have delimited the study to one big city in Sweden.

Chemotherapy is one of the most important methods of treatment available today for the treatment of neoplastic diseases and gives many patients an increased quality of life and a prolonged survival time (McKnight, 2003). The object of this study was to find out more about owners? views on and experiences of chemotherapy of dogs when it comes to for example quality of life, side effects and if they would make the same decision and treats their dog again in the future. A questionnaire was in the spring of 2009 sent out to the owners of 100 dogs that had been treated with chemotherapy for neoplastic diseases at Universitetsdjursjukhuset, Sveriges Lantbruksuniversitet (SLU) in Uppsala between 2002 and 2008. The response rate was 67 %.

First during early 1960s fathers got access to the labor room in Sweden. Theirparticipation are a relative new trend and it`s not thoroughly described in theliterature. Midwives? responsibility is to give a good and medical safe care, and tocreate a positive childbirth experience for the woman and her partner. No previousstudies have paid attention to midwives' experiences of fathers' presence duringchildbirth.

The purpose of this study was to broaden knowledge about how native language support works in three pre-schools departments in a multicultural area. The questions were how native support works in the current pre-schools departments, which language development methods and forms used by educators to work with native language support, and if they experience any difficulties. I used interviews as a research method, with three child-care and one preschool teacher.The results showed that all departments on both of the pre-schools have native language support with a permanent bilingual staff, outside the ordinary activity. The mother tongue is also spoken in the everyday activities in two of the departments. The third department is only spoken native language with their children if they do not understand what they say in Swedish, or if they are sad.The concrete material is lifted up as a good and important tool in all three language groups, because verbal language is not always enough for all children to understand.

The aim of the study was to examine experiences and attitudes to dental hygienist treatment in a group of patients by using the assessment tools Corah Dental Anxiety Scale (DAS) and Dental Hygienist Beliefs Survey (DHBS) at the dental hygienist clinic, the university of Kristianstad. Another aim of the study was to test the reliability of the assessment tools. Methods: Fifteen respondents answered the two questionnaires at two different occasions before dental hygienist treatment. The results showed that nine respondents reported that they are absolutely calm when their dental hygienist is going to remove tartar, while six are a little bit worried or tensed. The categories ethics, communication, trust and control in DHBS had a positive agreement (mean value 1.1 and 1.2).

Background: Documents and legislation inform us that parts of the public health service of Sweden, at a political level, aim to support people?s sexual health. Statistics show there has been an increase among young woman, seeking help for sexual pain during intercourse. The diagnosis that the media has come to observe lately is vulvar vestibulitis. In general there is a lack of knowledge about the existence of this state of pain and its causes, which impacts woman to get appropriate help and support in time.

The purpose of this thesis is, from a self directed learning perspective, to investigate the support of public libraries and genealogy associations of genealogists' own research, i.e. their search for ancestors as well as their possibilities to broaden their history outlook. Accordingly, five public librarians and five genealogy representatives in the west of Sweden have been interviewed regarding the support that can be offered to genealogists. The investigated support to genealogists in their own research is about working environment, literature and material, activities and the cooperation between public libraries and genealogy associations. In this thesis conclusions are merely drawn from a self-directed learning perspective, a perspective where also different forms of support are being recommended by scientists.