Background: Heart failure is a complex condition which means that the hearts capacity topump blood is reduced. The aim of this study was to investigate how patients with heartfailure considered their knowledge and the information they received about their disease andself-care.Method: Patients suffering from heart failure, hospitalized at section 30 E (n=13), andpatients visiting the nurse led heart failure clinic (n=4) at Akademiska sjukhuset in Uppsala,were requested to participate in the study. The patients answered questions about knowledgeand information concerning self-care and their disease. Data were analyzed using SPSS 15.0.Results: The patients valued their knowledge about the disease as lower than their knowledgeabout self-care. The study showed that all the patients found the information they hadreceived about their self-care better than the information they had received about theirdisease.

Ambulanssjuksköterskan ansvarar för en avancerad individanpassad omvårdnad i enoordnad prehospital miljö. Barn skall vårdas av personal som kan möta barnets fysiskaoch psykiska behov. Skadehändelser är den vanligaste orsaken till att barn vårdas påsjukhus eller avlider. I det pre operationella barnstadiet (2-7 år) är olycksfall denvanligaste orsaken till smärta. Forskning har dock påvisat brister i vården av barn medsmärta prehospitalt.

In this thesis an explorative study was undertaken with the aim to study how a number of private care providers, as well as politicians and officials from councils in and around the Stockholm and Uppsala counties, think about the future of the Swedish elderly care from a property perspective, i.e. homes for the elderly. The analysis shows that there is a demand for capacity in 6 out of 16 municipalities, and that the property is an important part of this capacity, and the fulfillment of it. This was mainly due to the cost of capital, but also because of several other factors such as lack of land, a wish to guide the design, ideology, and in many cases a wish to use the property as an instrument of domination to control private health care providers.Also, the property was show to be connected to economic competition, to freedom of choice, and to quality. The problems related to the property in the market for elderly care still remains to be solved.

Bakgrund: Immobilisering a?r en vedertagen omva?rdnadsa?tga?rd inom dagens prehospitala traumava?rd, detta trots att det inte finns na?gra randomiserade kontrollerade studier anga?ende a?tga?rden. Ma?nga studier har dock visat att riskerna med immobilisering a?r ma?nga varfo?r det a?r viktigt att underso?ka omva?rdnadshandlingen na?rmare.Syfte: Syftet med studien var att underso?ka fo?rekomsten av radiologiskt faststa?llda spinala skador hos patienter som immobiliserats prehospitalt efter trauman, samt pa? vilka indikationer denna immobilisering gjordes.Metod: En kvantitativ retrospektiv studie da?r 288 journaler granskades i ambulansens journalsystem MobiMed 3.0 och i sjukhusets journalsystem Cosmic. Da?refter analyserades resultaten i SPSS deskriptivt och grafiskt, med chi2-test samt med oberoende t-test.Resultat: Resultatet visade att av de 246 patienter som genomga?tt en radiologisk underso?kning fanns en konstaterad spinal skada hos 48 patienter, vilket motsvarade cirka 17 %.

Inom psykiatrisk verksamhet händer det att patienter tar sitt liv under pågående behandling eller i direkt anslutning till en behandlingsperiod. Enligt patientsäkerhetsförordningen måste dessa händelser rapporteras och utredas. Syftet med patientsäkerhetsförordningen är att den ska främja hög patientsäkerhet inom hälso- och sjukvård genom att minska antalet vårdskador, oavsett om bristerna beror på systemfel eller på att vårdpersonal begått misstag. Fokus är således på ett patientperspektiv, därför känns det angeläget att studera upplevelser som väcks hos olika grupper av vårdgivare när en patient begår suicid.Frågeställningar: Behandlares upplevelser när en patient gör suicid.Metod: En kvalitativ intervju på fenomenologisk grund genomfördes med fem vårdgivare i psykiatrisk verksamhet, två sjuksköterskor med steg 1 utbildning och tre skötare.Resultat: Upplevelser hos vårdgivare som är med om en patients suicid kännetecknas av chock, traumatisk stress och sorg. Det väcks också tankar som rör den egna professionen och i en del fall oro för följder av beslut som i efterhand kan bedömas vara felaktiga.Diskussion: När vårdgivare intervjuas om sina upplevelser efter en patients suicid, berättas om olika reaktioner som inte uppmärksammats nämnvärt.

Placing children in foster care is today considered the best alternative for children unable to stay in their biological environment. A nuclear family consisting of a father, a mother and a child is the most common family structure within foster care today. The purpose of this thesis is to gain insight on the family norms that control the foster care system. It's a qualitative study based on interviews with six professional social workers within the field of foster care. This method gave us empirical material, that was later analyzed from two main theories and one theoretical concept.

En amputation är avlägsnande av en kroppsdel och sker vid trauma eller tillfällen då det inte finns någon annan medicinsk eller kirurgisk lösning. Förutom trauma, som globalt är den vanligaste orsaken till amputation, är försämrad blodcirkulation en ofta förekommande orsak till LLA (Lower Limb Amputation). Livskvalitet bygger på en holistisk syn på människan och innefattar upplevelsen av ett givande och tillfredställande liv. Förlusten av en kroppsdel innebär en stor livsomställning med ett flertal faktorer som upplevs påverka livskvaliteten. Dessa faktorer är hantering av den nya livssituationen, benprotesen, depression och ångest, smärta, funktion och ADL, kroppsbild och sexualitet.Syftet var att beskriva faktorer som påverkar individers upplevelse av livskvalitet efter en benamputationFaktorer som påverkar den upplevda livskvaliteten hos personer efter en LLA är benprotesens påverkan på funktion och ADL, depression och ångest, smärta och fantomsmärta, kroppsbild och sexualitet.

Introduction: Today caring for newborn, sick babies or premature infants is in neonatal intensive care units (NICUs). There is an opportunity in NICUs for advanced critical care and skilled nursing care of the child, conducted by health professionals in an active partnership with parents. To encourage parental participation in the care of their children parents are offered accommodation in a family room in the NICU. Objective: The aim is to describe parents' experience to stay in a family room in the NICU when their child is cared for there. Method: This is a research plan for a qualitative study with an inductive, descriptive approach.

Aim: The aim of this study was to investigate relatives opinions of information, interaction, support, participation and care at a hospice unit. The aim was also to investigate whether there was a difference between women and men.Method: The study is a descriptive quantitative cross-sectional study. A questionnaire with closed and open-end questions was sent out to 66 relatives to patients who had died at the hospice unit. The closed questions were analyzed with SPSS. A content analyze was used for the open-end questions.Results: The most of the relatives were fully pleased with information, interaction, support and care.

According to the statistics, the number of older inmates in prison is increasing, and the care needs for this group are relatively unexplored. The purpose was to study prison officer?s perceptions of older inmates and their care needs. The study was based on a qualitative approach in which prison officers at one prison were interviewed. The interviews were analyzed based on earlier research and from a social constructionist perspective.

After World War II a rapid expansion of the Swedish health care took place. Theexpansion was realised chiefly as a development of the hospitals and was bothproduced and financed mainly within the public sector. The financing consisted to ahigh degree of government grants from the state to the county councils.During the period for this examination (1945-1955) the public responsibility for thehealth care was expanded. This was expressed in the publicly financed system forhealth insurance and the cut down in the charges that the patients had to pay for thehospital care. These changes led to some discussions on the national level but reformscould on the whole, with exception for the suggested reform of the open health care,be implemented.This case-study performed on the county council in Värmland shows that the degreeof consensus was enhanced on the regional level.

We choose to revise the need of dental care in horses. How important is the dental care for our horse´s use and for their health? The objective of this work was to see if there is a difference between Swedish veterinaries and educated horse dentists opinion concerning horse dental care. As horse owners, we have experienced that there is a conflict between the opinions of these two occupational groups. Some veterinarians say that there is a tendency to use to much treatments or instruments in horses mouths, while some horse dentists says that there is not enough treatments done in horses´ mouths.

Our population are ageing. As this happens more people will be in need of long term care facilities. We now know that some elderly people with certain background factors are more likely to be injured or sick. One of the four biggest background factors is fall propensity. Most of the reported falls come from long term care facilities, approximately 60 % of the care takers in long term care facilities fall one time or more each year.

Background: Contracting asexually transmitted disease is strongly associated with stigmaand shame. Stigma associated with these diseases has a significant impact on self-image andpropensityto seek care. Despitehigh incidencethere is a generallack of awareness about therisks and theeffectsthatthese diseases have on both mental and physical health. Health carepersonnel are experiencing difficulties to meet and care for these patients. Aim: The aim ofthis studyisto describe patients'experiences of health care after they were diagnosed with asexually transmitted disease.

Background: Pervious research indicates that communication between patient and nurse has shortcomings. For the nurse, difficulties in care giving may emerge when the nurse and patient cannot understand each other. Research also shows that patients? participation in their care become more difficult by lack of communication. The care giving of patients who speak a different language is seen as a challenge by the nurse.