Bakgrund: Smärta är ett flerdimensionellt fenomen och ett vanligt problem inom äldrevården. Smärtbehandling finns att tillgå, trots detta är smärta underbehandlat hos äldre patienter.Syftet: Syftet med studien är att belysa hur sjuksköterskor bedömer fysisk smärta i omvårdnad av äldre patienter.Metod: Litteraturöversikt med kvalitativ ansats har använts. Datamaterialet bestod av fem kvantitativa och fyra kvalitativa vetenskapliga artiklar.Resultat: Det framkom tre huvudkategorier: smärtbedömningsprocesser, smärtbedömningsmetoder och smärtbedömningsredskap. Ur huvudkategorierna urskildes sex underkategorier: smärtidentifiering, smärtbedömningssvårigheter, kommunikation med patienterna för att bedöma smärta, smärtobservation, smärtbedömningsinstrument och dokumentation.Slutsatser: För att göra en smärtbedömning behövs en god relation till patienten, närstående och övrig personal där kommunikation har central roll. Sjuksköterskan måste tro på patientens egen skattning och smärtupplevelse..

This thesis has been performed at the system development company Verendus System AB, together with the home care company Basic Care Unit (BCU).The thesis has consisted of developing a web based informationsystem for BCU in which they can administrate their business. At the time of writing this thesis, BCU was using a windows-application to administrate their activities, which was both costly aswell as resulting in an unnecessary burden. The aim the thesis has thus been to create a platform-independent information system that simplifies and streamlines BCUs work by being user-friendly aswell as imposing some simplifying features.The students has been developing the system by the help of a work method they themselves developed. The method consisted of working in several iterations that each had several milestones. The method resulted in the students knowing easily when each iteration was finished or not.The thesis resulted in a working platform independent prototype.

Att Sverige idag är ett mångkulturellt samhälle återspeglas i dagens sjukvård. Sjuksköterskor möter idag patienter med invandrarbakgrund och kan därmed uppleva svårigheter att förstå dessa patienters behov på grund av språkhinder och/eller kulturella skillnader. Syftet med studien var att beskriva sjuksköterskans upplevelser i mötet med patienter med invandrarbakgrund. Vi använde oss av en litteraturstudie där 11 kvalitativa vetenskapliga artiklar granskats och analyserats enligt Evans (2003) modell. Analysen resulterade i följande fem teman; Språkbarriär ? ett hinder för god omvårdnad, Tolkens för - och nackdelar, Anhöriga - på gott och ont, Att uppleva bristfällig kulturkompetens, Upplevelsen av både positiva och negativa fördomar och förutfattade meningar.

Aim: The aim of this study was to investigate how VAS (Visual Analogue Scale) is used in the prehospital environment, and describe how patients 40 years and older with acute chest pain describe their pain with help of VAS. Further, to investigate how the literature describes other instruments to evaluate pain. Method: This was a descriptive study and used both literature and empiric material as foundation. The selection consist of the paramedics medical record from one emergency department, 100 men and 100 women with chest pain witch had been transported with ambulance to one hospital in middle of Sweden. A literature review was done in order to see what previous research recommends for pain rating scales.Results: The study showed that 71 (35 %) of 200 individuals pain were rated with VAS according to the guidelines for the ambulance department.

The aim of this study was to describe nurses? knowledge of pain. The method used was a systematic literature study. Information was gathered from the databases Blackwell Synergy, Academic Search Elite and Medline, and the keywords used in the search were: pain, knowledge, nurses and nurses.The result was divided into three subgroups; Insignificant documentation and evaluation. More education is necessary.

Bakgrund: Cirka 30 000 personer drabbas varje år av stroke. Efterföljderna beror på skadans utbredning i hjärnan. Den mest påtagliga konsekvensen är negativ påverkan på motoriska funktioner som till exempel förlamning. En annan vanligt förekommande konsekvens är afasi och dysartri. Syfte: Syftet var att belysa de känslor som uppkommer i samband med att en person drabbas av och vårdas efter en stroke.

Background: Obesity is one of the fastest growing medical conditions both for children and adults. Children with overweight/obesity risk to be exposed to social discrimination and stigmatization from peers. Stigmatization is when the society labels an individual that deviates from what is considered normal behaviour. Purpose: The aim of this literature review was to describe potential stigmatization of children with overweight/obesity. Method: The study was carried out as a general literature review study.

Pheromones are chemical substances representing very specific signal messages within a species. Although a lot remains unknown about their precise effects, it is known that pheromones influence the behaviour of the receiver. Since the mid 1990s, when it was first possible to synthesise analogues of two fractions of feline facial pheromone, F3 (Feliway®) and F4 (Felifriend®), these have been used in so called pheromonotherapy to treat behavioural problems in cats. The initial use of pheromones for specific behavioural problems has been extended to cover the wide field of stress related issues. This studycontains a questionnaire where veterinary nurses and surgeons at 50 Swedish veterinary hospitals and clinics were asked about their use of synthetic analogues to feline facial pheromones in the care and treatment of cats.

Aim: The aim of the current study was to investigate nurses? experiences of caring for palliative patients in palliative home care, and to examine the coping strategies they use.Method: The study was empirical descriptive with qualitative approach. The data was collected by nine semi-structured interviews and analyzed by using manifest content analysis.Result: By analysing data three categories: Positive experiences of palliative home care, Stressful experiences of palliative home care and Problem-focused coping strategies, and 15 subcategories, were distinguished.Conclusion: Experiences of palliative home care were both of positive and challenging characters. Stressful situations were managed by problem-focused coping strategies. Nurses are in need of the work situation at home to become more ergonomic and designed to protect the nurse?s physical wellbeing.

The purpose of this study is to describe and analyze how health care providers, working at care facilities providing maintenance treatment programs for opiate dependence, perceive and manage the legal framework governing the treatment. The study is limited to a few particular rules within this framework which over the recent decade have been the subject matter of debate regarding i.a. their alleged lack of relation to scientific research and their frequently disastrous implications for program participants. The empirical material consists of interviews with five respondents working at four different care facilities and has been analyzed by using Lipskys theory on street-level bureaucrats as policymaking agents. The results of the study show that the rules are looked upon and dealt with in a liberal fashion and that the primary loyalty of the maintenance treatment staff is clearly directed towards promoting the well-being of their patients and helping them reach their treatment goals rather than strictly following the rules..

Preventive measurements as well as clinical caries diagnostics are vital to retain a good dental health in the population. In order for optimal caries diagnostics radiographs are used. There is a great intra- and intervariation regarding cariesprogression. A large number of tools for cariesprevention at home or in the clinic are today used. The aim of this journal study was to compare the progression of carieslesions in the approximal area, diagnosed on radiographs, and preventive measures used to reduce cariesprogression between two examine dates on two dental clinics.

Semantic feature analysis (SFA) is a treatment technique used foraphasic word finding difficulties after stroke. The method has earlier beenevaluated with positive outcome regarding words that have been trainedduring intervention while more varied results have been presented regardinguntrained words. The aim of this study was therefore to evaluate the effectsof the method on naming in untrained nouns and verbs, in both confrontationnaming and in discourse. The present study is the first to evaluate SFA withSwedish-speaking persons. A single-subject design was used.

Ätstörningar är komplexa sjukdomar som kräver att behandlarna sätter sig in i individerna och vårdar dem individuellt utifrån varje patients egna förutsättningar. Då ätstörningspatienter ofta kännetecknas av att vara ambivalenta till behandling, behövs en god relation mellan behandlare och patienter. Syftet med studien var att få en ökad förståelse för hur behandlare inom ätstörningsvården för barn och ungdomar bemöter och tolkar sina patienter. Fokus har hela tiden legat på behandlarens åsikt om behandling och hur behandlaren själv upplever att denne behandlar patienterna. En kvalitativ enkätstudie har använts för att samla in information och svaren har analyserats ur ett hermeneutiskt perspektiv.

Cancer was the second most common cause of death in Sweden in 2011. As the number of beds in hospitals decreases, numerous severely ill patients receive care at home. This results in family members performing important parts of the caring process. The aim of this study was to describe the caregivers' support needs from healthcare professionals when caring for an adult relative with cancer. A literature review was performed, in which results from empirical studies were reviewed and summarized.

Sjuksköterskan bör ha kunskap om begreppet livskvalitet för att kunna bemöta patienter som genomgått en levertransplantation, då den upplevda livskvalitén är betydelsefull för patienterna. Syftet var att beskriva livskvalitet hos patienter som genomgått en levertransplantation. Studien är genomförd som en litteraturstudie där 12 vetenskapliga artiklar har granskats. Resultatet visar att den upplevda livskvalitén hos levertransplanterade patienter är relativt god men det finns delar av livskvalitén som påverkas negativt efter levertransplantationen. Livskvalitén påverkas av fysiska, psykiska och sociala aspekter.