Bakgrund: Få donationer sker i Sverige idag, det kan därför vara svårt att erhålla och upprätthålla professionell kompetens. Forskning har visat på en uppfattning att potentiella donatorer ibland förbises på grund av organisationsmässiga brister i struktur och riktlinjer. Även bristande kunskap och ett behov av mer utbildning finns beskrivet i flertal studier.Syfte: Att undersöka hur intensivvårdssjuksköterskor uppfattar sin kunskap och beredskap gällande organdonationsprocessen.Metod: Studien var empirisk med kvalitativ ansats. En fokusgruppintervju genomfördes som datainsamling, urvalet bestod av intensivvårdssjuksköterskor som var verksamma på en allmän intensivvårdsavdelning. Innehållsanalys användes för att bearbeta materialet.Resultat: I resultatet framkom fyra huvudkategorier och nio subkategorier.

The female dog has a unique reproductive endocrinology, with high levels of progesterone throughout the 70-day long luteal phase. In this project, markers of glucose metabolism were studied and compared from the aspects of breed group and time in oestral cycle. The parameters studied were: glucose, insulin, progesterone, fructosamine and the newly introduced analysis of HbA1c. Hba1c was also further evaluated and discussed as a diagnostic tool in canine medicine.No differences in terms of glucose markers were found between a group of purebreed dogs of various breeds compared to a group of dogs with high risk of dioestrus diabetes, namely the Norwegian and Swedish elkhounds.No differences were found between the two sample occasions, anoestrus and dioestrus, concluding that there is no need for relating test results to the time of the oestrous cycle in middle-aged intact female dogs.There were statistically significant higher values of all glucose markers in diabetic dogs than in non-diabetic dogs. When it came to HbA1c, however, there was a larger overlap between the two groups, compared to fructosamine.

People with dementia often have difficulties expressing their needs. Untreated pain within this group can be manifested as depression, agitation or loss in appetite. It can be a challenging task for a nurse to estimate, treat and evaluate pain for people with dementia. With good knowledge and an empathic approach, nurses can often recognize and relieve pain amongst these people. Despite this, litterature often suggest that unrecognized and untreated pain is common within this group..

The female dog has a unique reproductive endocrinology, with high levels of progesterone throughout the 70-day long luteal phase. In this project, markers of glucose metabolism were studied and compared from the aspects of breed group and time in oestral cycle. The parameters studied were: glucose, insulin, progesterone, fructosamine and the newly introduced analysis of HbA1c. Hba1c was also further evaluated and discussed as a diagnostic tool in canine medicine.No differences in terms of glucose markers were found between a group of purebreed dogs of various breeds compared to a group of dogs with high risk of dioestrus diabetes, namely the Norwegian and Swedish elkhounds.No differences were found between the two sample occasions, anoestrus and dioestrus, concluding that there is no need for relating test results to the time of the oestrous cycle in middle-aged intact female dogs.There were statistically significant higher values of all glucose markers in diabetic dogs than in non-diabetic dogs. When it came to HbA1c, however, there was a larger overlap between the two groups, compared to fructosamine.

Hip dysplasia is a common, inherited malformation of the coxofemoral joint that eventually leads to osteoarthrosis. Several breeds of dogs are affected and the prevalence varies between different breeds. As part of the effort to reduce the prevalence of hip dysplasia and select dogs suitable for breeding, radiological screening is performed by at least 12 months of age. Before the radiological examination the dog has to be chemically restrained, sedated or anesthetized. The sedation protocol used differs between veterinary clinics. The impact of sedation method of the screening result for hip dysplasia has been studied.

The female dog has a unique reproductive endocrinology, with high levels of progesterone throughout the 70-day long luteal phase. In this project, markers of glucose metabolism were studied and compared from the aspects of breed group and time in oestral cycle. The parameters studied were: glucose, insulin, progesterone, fructosamine and the newly introduced analysis of HbA1c. Hba1c was also further evaluated and discussed as a diagnostic tool in canine medicine.No differences in terms of glucose markers were found between a group of purebreed dogs of various breeds compared to a group of dogs with high risk of dioestrus diabetes, namely the Norwegian and Swedish elkhounds.No differences were found between the two sample occasions, anoestrus and dioestrus, concluding that there is no need for relating test results to the time of the oestrous cycle in middle-aged intact female dogs.There were statistically significant higher values of all glucose markers in diabetic dogs than in non-diabetic dogs. When it came to HbA1c, however, there was a larger overlap between the two groups, compared to fructosamine.

Tourism and Hospitality Management.

Today there are various methods to use when euthanizing horses. Earlier the use of free or captive bullet was the most common method, but in recent decades this has changed and chemical euthanasia is now considered the most common method. The chemical euthanasia has in Sweden been dominated by the use of barbiturates. Somulose® entered the market in the beginning of the 90?s as an alternative to previous chemical euthanasia.

SAMMANFATTNINGBAKGRUND: I och med Ädelreformen flyttades vården av äldre till kommunen och sjuksköterskor började arbeta inom den kommunala äldreomsorgen. Arbetet saknar tydliga riktlinjer och rutiner. Det innebär ett stort ansvar för sina arbetsuppgifter samt patientansvar. Vid konsultarbete ansvarar sjuksköterskan för ett stort antal människor och förmåga att prioritera och snabbt göra bedömningar av arbetsuppgifter och sjukdomstillstånd krävs.SYFTE: Syftet med studien var att utifrån sjuksköterskors berättelser beskriva deras upplevelser av sitt arbete inom den kommunala äldreomsorgen.METOD: Det är en deskriptiv studie. Information samlades in genom semi-strukturerade fokusgruppsintervjuer.

Assessing and measuring post-operative pain in all animals is a challenge, but doing it in small mammals, for example guinea pigs, presents an even larger difficulty. Validated pain scales developed for use in dogs in clinical practice are currently available, but no such scale has been widely accepted for use in guinea pigs in the veterinary setting. In this experimental study, six guinea pigs that had undergone surgery and anaesthesia were observed for behavioural changes that could be associated with pain. The six guinea pigs were also given pain scores with the use of Colorado State University Feline Acute Pain Scale (CSU-APSF), a scale which uses both behaviour when not handled, body tension and response to palpation to evaluate pain intensity. The six guinea pigs showed a number of different behaviours, for example rigid posture, fixed stare and ?wet dog response? (the body is vigourosly shaken), that could be associated with pain.

Suicid/självmord är idag enligt världshälsoorganisationen WHO en av de 20 vanligaste dödsorsakerna och det är välkänt att risken för suicid ökar vid depression. Psykiatrisjuksköterskor möter dagligen patienter där de är skyldiga att bedöma hur stor risken är att patienten tar sitt liv. Det har hittills funnits lite forskning angående hur psykiatrisjuksköterskorna erfar det är att göra dessa bedömningar och syftet med studien var därför att beskriva psykiatrisjuksköterskors erfarenheter av suicidriskbedömning hos patienter med depressiv ohälsa. Studiens design var av kvalitativ art där intervjuer genomfördes med 10 psykiatrisjuksköterskor inom allmänpsykiatrisk öppenvård. Data analyserades med stöd av kvalitativ innehållsanalys och mynnade ut i ett resultat om fyra huvudkategorier med tillhörande subkategorier.

Dagens och framtidens avancerade vård flyttas alltmer ut i patientens hem. Utskrivning från den slutna vården sker i allt snabbare takt, större krav ställs på hemsjukvården. Överlämning och rapportering av patienten mellan olika funktioner och personal skall ske så att patientens omvårdnadsbehov tillgodoses på ett tillfredsställande sätt. Studiens syfte var att beskriva överlämnande och rapportering i patientens hem från distriktssköterska till ambulanspersonal. Postenkät, med slutna frågor av Likert typ och med möjlighet att motivera svaren, har använts i studien.

Introduction: Child maltreatment, perpetrated by a caregiver, is a major health problem. The child suffers not only at the instance the abuse or maltreatment occurs, the consequences may persist into adulthood. The specialist nurse in child health (CHN), who works at a child health care unit, comes across almost every child growing up in Sweden. The CHN has an opportunity to implement primary prevention with the family during the child's first years. Aim: The aim of this study is to describe the CHN experiences regarding primary prevention to avoid domestic child maltreatment.

Bakgrund Inom dialyssjukvården möts dialyssjuksköterskor och patienter regelbundet flera gånger varje vecka, kanske under flera år. Detta medför många möten där relationer uppstår.Syfte Att beskriva dialyssjuksköterskors upplevelser och erfarenheter av långvariga vårdrelationer med personer med kronisk njursjukdom som kräver hemodialysbehandling.Metod Tolv dialyssjuksköterskor i Mellansverige intervjuades. Kvalitativ innehållsanalys genomfördes.Resultat Tillfredsställelsen av långa vårdrelationer med dialyspatienter berikar dialyssjuksköterskan både professionellt och som person. Möten med patienter under lång tid ger många positiva känslor och det är roligt att få följa patienternas utveckling. Upplevelsen av Komplexiteten i långa vårdrelationer, att möta och nötas mot samma patienter över lång tid, ibland över flera år kunde upplevas utmanande att i professionen hantera dessa på ett bra sätt.

Mental health problems among young people - causes and actions Results from several studies indicate that the prevalence of mental illness among young people has increased recently. This paper has a qualitative approach where three counselors and a school nurse was interviewed. The purpose of this study is to try to get an idea of how these staff are working with young people suffering from mental illness at school. The aim is also to examine whether there is an opportunity for the staff to work proactively to promote mental health..