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  • 1.
    Hammarström, Stefan
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Maina, Pontus
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Hur polyfarmaci kan påverka den äldre människans livskvalité: -en litteraturstudie2010Independent thesis Basic level (degree of Bachelor), 20 credits / 30 HE creditsStudent thesis
  • 2.
    Högsnes, Linda
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences.
    Dokumentation vid vård av patienter med demenssjukdom i palliativt skede på särskilda boenden: -En retrospektiv journalstudie2009Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Abstract         

    Background: End of life is difficult to establish in patients with dementia and many patients die due to complications related to the disease. To document that care are palliative in this group of patients is not common among nurses and physicians. This may depend on that the palliative course is extended and not similar to the palliative course common among patients with cancer. Aim: To describe how the registered staff in nursing homes document the care of persons with dementia in a late palliative phase. Method: A retrospective record study with a deductive approach. Nursing (n = 50) and medical records (n = 50) for departed patients were reviewed using a review guide based on the Liverpool Care Pathway (LCP). Data were analyzed with a manifest content analysis.  The occurrence of documentation in the records was also counted. Results: Three categories were formulated from the analysis: Initial assessment, Coherent assessment and Follow-up. According to medical records the nurses and physicians knew that patients with dementia were dying, but the position on palliative care was not always decided. Nurses and physicians knew that patients with dementia were dying but they did not take a stand that the patient needed palliative care.  Mainly physical symptoms were documented and to a lesser degree psychological, social or existential/spirituality needs. Discussion: It was difficult to form a true picture of patients’ situation from out the documentation. Partly because all caring actions were not documented and the review guide was limited as all parts provided to give a holistic care was not represented. That relative had been provided information that the patient was palliative was accurately documented. Conclusion: The holistic care that patients with dementia need in a palliative phase is not elucidated in the documentation in nursing homes in spite of nurses and physicians knowledge of that the patient are dying.

  • 3.
    Høgsnes, Linda
    et al.
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Melin-Johansson, Christina
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Norbergh, Karl-Gustaf
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
    Danielson, Ella
    Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences. Salhlgrenska Academy, Institute of Health and Care Sciences, University of Gothenburg, Gothanburg, Sweden .
    The existential life situations of spouses of persons with dementia before and after relocating to a nursing home2014In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 18, no 2, p. 152-160Article in journal (Refereed)
    Abstract [en]

    Objectives: The aim was to describe the existential life situations of spouses who care for persons with dementia, before and after relocation to nursing homes.Method: This was a qualitative study among 11 spouses of persons with dementia, recruited via purposeful sampling. Data were collected through interviews and analysed with interpretive content analysis.Results: Before the relocation to nursing homes, the spouses' existential life situations were characterized by feelings of shame and guilt, being isolated in the home. Spouses were also exposed to psychological threats, physical violence, and had feelings of placing one's own needs last. After the relocation, spouses described feelings of guilt and freedom, living with grief and thoughts of death, feelings of loneliness in the spousal relationship, and striving for acceptance despite a lack of completion.Conclusion: The existential life situation of spouses of persons with dementia is about being in limit situations which changes when the ill person relocates to a nursing home. This is important knowledge for health care staff to bear in mind at nursing homes when encountering spouses.

  • 4.
    Mattisson, Lina
    Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Mid Sweden University.
    Möjligheter till kommunikation i omvårdnaden hos personer med demens2009Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesis
    Abstract [sv]

    Att drabbas av demens är idag den vanligaste sjukdomen bland äldre och innebär en fortskridande och permanent nedbrytning av hjärnans funktioner. Demens är en sjukdom som innefattar många kognitiva brister där minnesnedsättning är den allra vanligaste. En konsekvens av demens är även att det påverkar personens förmåga till kommunikation vilket gör det extra viktigt att som sjuksköterska anpassa sig till individens nivå. Syftet med denna litteraturstudie var att belysa kommunikationsmöjligheter vid omvårdnaden av personer med demens. I studien ingick tolv artiklar och den metod som användes var systematisk litteraturstudie. Resultatet presenterades utifrån två huvudkategorier; stöd och samspel samt fyra underkategorier; stimulering genom terapi, sjuksköterskans stöd, att finna balans och mötas på lika villkor. I studien låg fokus på att hitta strategier för att skapa en bra kommunikation. Flera olika strategier för kommunikation togs upp och resultatet visar på många bra lösningar samt en vilja att utvecklas hos vårdpersonalen.

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