Gyllfeldt, A & Hallenheim, K. Stickrädda patienter ? En fenomenologisk studie av några patienters upplevelser av stickfobi. Examensarbete i omvårdnad 15 poäng. Malmö högskola: Hälsa och Samhälle, Utbildningsområde omvårdnad, 2009. Blodprovstagning och injektioner är en stor del av sjuksköterskans arbete.

Propofol is an intravenously administered, hypnotic and short- acting pharmaceutical. One common sideeffect (>1:10) and therefore a disadvantage with propofol is the local pain that arise when the initial injection is given. Why the pain arise is not clearly understood. A majority of different pharmacological treatments, different doses and combinations, alternative administrations methods and physical interventions have been tried to reduce the pain when injection of propofol is given. One important task for the nurse is to relieve pain for patients.

Stickrädsla förekommer bland personer i alla åldrar och kan i vissa fall leda till att den som är stickrädd undviker att uppsöka sjukvård, något som kan påverka personens hälsa. Eftersom blodprovstagningar, injektioner och infusioner utförs varje dag inom sjukvården finns risken att sjuksköterskan förr eller senare träffar på en vuxen person som är stickrädd. Syftet med litteraturstudien var att beskriva vilka omvårdnadsåtgärder som kan lindra obehag hos vuxna personer med stickrädsla. Resultatet från vetenskapliga publikationer pekar på att olika lindrande omvårdnadsåtgärder finns att tillgå. Studier visar att bemötandet från vårdpersonalen och psykoterapeutiska metoder kan ha betydelse för personer som är rädda för att bli stuckna.

Constipation is a common problem for people with dementia and it may result in discomfort, suffering and lower quality of life. Nurses in municipal nursing homes have difficult to observe and prevent these problems because they do not participate in the daily caring work. The aim of this study was to illustrate the nurse assistants? reflections about the care they gave people with dementia and constipation. Main questions vas how they became aware of such problems and what they did when someone had problem with constipation.

Constipation is a common problem for people with dementia and it may result in discomfort, suffering and lower quality of life. Nurses in municipal nursing homes have difficult to observe and prevent these problems because they do not participate in the daily caring work. The aim of this study was to illustrate the nurse assistants? reflections about the care they gave people with dementia and constipation. Main questions vas how they became aware of such problems and what they did when someone had problem with constipation.

The purpose of the study was based on scientific literature to describe the quality of life of persons who have undergone a total hip replacement. The method was a descriptive literature review. The results showed that pain was the most obvious change after surgery. Mild pain before surgery was strongly associated with mild pain after surgery. But despite less pain were experienced early, it took 1 year to achieve the full benefits of improved physical function.

Relationships between defence mechanisms and body movements were investigated in regard to three hypothesis; I. that a difference in frequency of body movements correlates to different signs of defence mechanisms, II. that themes of body movements can be identified in regard to signs of defence mechanisms, III. that no significant differences will be found between the different groups of gender. The aim of the study was to seek a relation between quasicommunicative body movements and defence mechanisms.

During cold winter days it is likely that people in buildings with older windows or high glass facades experience thermal discomfort due to cold air down draughts. Earlier work has been aimed at finding analytical methods to predict the speed of the airflow in a room and in practice heating appliances are often placed beneath the windows to reduce the draught along the floor. In a study from 2012 Mohammad Parchami developed a method for estimating the required heating power to counteract the downdraught with such heating appliances. In this study, Computational Fluid Dynamics (CFD) was used to evaluate the usefulness of Parchami?s method and also to examine the potential of adapting the depth of the inward window sill as a means of decreasing the down draught.

?Studies have shown that patients receiving mechanical ventilation in an intensive care unit (ICU), who are entirely dependent on the nursing staff, often experience frustration due to a temporary loss of the voice source. Limited communication is an important factor contributing to patient discomfort. Nursing staff also report communication as frustrating and difficult.The aim of the present study is to introduce a neck-type electrolarynx as a communication aid in an ICU, to study the nursing staff experiences of communication with tracheotomized patients receiving mechanical ventilation, and to examine the patient´s experiences regarding communicative abilities. Communication between a ventilator treated, tracheotomized patient and members of the nursing staff was recorded and analyzed according to principles of Conversation Analysis (CA).The results show that several members of the nursing staff experience difficulties communicating with tracheotomized patients receiving mechanical ventilation.

 Syfte: Att undersöka huruvida patienterna upplever det postoperativa förloppet avseende smärta i hals, heshet, smärta vid sväljning samt generellt obehag beroende på om endotrakealtub (ETT) eller i-gel supraglottic airway device (SAD) använts i samband med generell anestesi vid elektiv kirurgi.Metod: I denna kvantitativa tvärsnittsstudie samlades informationen in på formulär. Parametrarna skattades av patienterna med hjälp av visuell analog skala (VAS). 60 patienter tillfrågades konsekutivt till studien och 13 föll bort vilket resulterade i 47 patienter som fullföljde studien.Resultat: Gällande graden av smärta i hals, heshet, sväljsvårigheter och allmänt obehag postoperativt så skattade sammanlagt sju deltagare i grupperna med ETT och i-gel ett VAS värde över 3. Patienter som haft ETT upplevde signifikant mer heshet, och sväljsvårigheter än patienter som haft i-gel.Slutsats: Denna studie visar att patienter som får ETT eller i-gel skattar sina besvär avseende smärta i hals, heshet, sväljsvårigheter och allmänt obehag i en låg frekvens. Dessutom påvisas att majoriteten av de som skattar besvär gör detta i de lägre segmenten av VAS skalan..

Background: Examinations with the intent to assess neurological functions and level of conciousness are common in neurocritical care, but the effect on the patient is not entirely researched.Aim: The purpose of this study was to describe the patient?s situation at the neurological wake-up test concerning the environment, nursing interventions and the possibility given the patient to become awake, and if these conditions affect the outcome of the wake-up test.Methods: A quantitative observational study took place at a neurocritical care unit, where 20 patients were observed from interruption of sedation to the neurological assessment, which was performed by a neurosurgeon or a specialized critical care registered nurse. Nursing interventions, environmental factors and physiological parameters were documented.Result: Twelve intervention varieties to control patients? physiological parameters were used. CPP > 80 mmHg was found in 90 % of observations.

Basal cell carcinoma (BCC) is the most common non-melanoma skin cancer. It can be divided in different subtypes. The most common type is superficial and is most frequently occurring on the trunk and on the face. In severe cases it can be difficult to differentiate basal cell carcinoma from other skin tumors, therefore a skin biopsy is conclusive diagnostic method. In terms of treatment, curettage is a common non-surgical treatment of basal cell carcinoma.

Earlier studies have shown that musculoskeletal disorders among animal keepers are more frequent than in other occupations. Most of the farms have expanded and the farmers who used to work alone have suddenly become a work manager with several employers. There are only a few studies made on the work environment in dairy farms. Our study is based on a questionnaire and is a part of a project called large dairy herds. The study is based on data from the persons who milk most of the time. The questions they had to answer were about the work environment, musculoskeletal disorders and the psychosocial environment. The results of the survey are presented in diagrams and figures. It was common that the dairy producer themselves answered the questionnaire.

The main goal with this thesis report was to come up with ideas of how to make the use of energy more effective and thus save money for the company.First a survey was made to find out where and how the energy consumers were divided within the company. The results were then used in calculations to find out how much money that could be saved and how long it would take to get back the investments.There is a big potential in saving money by recovering heat from the UV-lamps with a heat exchanger. It would also even out the pressure in the factory which is a source to heat loss and a cause for discomfort amongst the employees. It?s possible to save 105 000 kr in a year and the money needed for the investments is 600 000 kr.By using the recovery air more effectively the company could save up to 250 000 kr a year in lowered heat purchases, but this would require the use of automatic dampers.If you reschedule the running times for the wood chipper and invest in some kind of load management, for example Sydkraft?s ?Energidirigent? you can save at least 42 000 kr.

Stressful routines for animal handling can reduce immune function and productivity of animals. If stakeholders are handling animals aversively, animals will show increased expressions of fear for humans and higher stress levels which lead to the compromise of animals? welfare. In Ethiopia, there are no legislations to protect animals from suffering or discomfort. The main objective of this study was therefore to analyse welfare of cattle on animal markets in Ethiopia and map out supply chains of animals to these markets.