Despite today's modern therapy, the advancement of chronic heart failure (CHF) has not been curbed (Dying from failure: lessons palliative care, BMJ, 317, 1998, 961-962, Editorial). Consequently, suffering in patients with end-stage CHF is still present. The knowledge on frequency symptoms these scarce.The aim this study was to achieve a deeper understanding and describe during last 6 months life by examining documentation medical records.The adopted descriptive, retrospective design using...

There is a need to develop nonpharmacological treatments and methods which can serve as alternatives or complements medications in dementia care. Previous research indicates that animal-assisted intervention (AAI) be beneficial. The purpose of the present pilot project was evaluate effects AAI on quality life (QoL) people with four Swedish nursing homes. A pretest/posttest design used. Twenty (12 women, 8 men; aged 58 88) were included. Nine completed comprised 10 training sessions certified...

To evaluate the effect of a dog-assisted intervention on behavioural and psychological symptoms residents with dementia during six-month period.The study was conducted in eight nursing homes Sweden. A total 33 dementia, 20 group 13 control group, were recruited. The Cohen-Mansfield Agitation Inventory (CMAI) Multi-Dimensional Dementia Assessment Scale (MDDAS) used to assess effects participants' symptoms. comprised ten sessions, lasting between 45 60 minutes, once or twice week. Descriptive...

Emergency Department (ED) Length of stay (LOS) has been associated with poor patient outcomes, which led to the implementation time targets designed keep EDLOS below a specific limit. The cut-offs defining long varies across settings and seem be arbitrarily chosen. This study aimed clarify meaning EDLOS. A concept analysis using Walker Avant approach was conducted. It included literature search aiming identify all uses concept, resulting in set attributes way measuring empirically. Long...

Abstract Aim The aim of this study is to examine whether a conceptual model including the associations between continuity care, perceived control and self‐care could explain variations in health‐related quality life hospital readmissions people with chronic cardiac conditions after discharge. Design Correlational design based on cross‐sectional data from multicentre survey study. Methods People hospitalized due angina, atrial fibrillation, heart failure or myocardial infarction were included...

Background Sick leave and ill health due to stress are significant concerns today negatively affect the individual, organisations, community. High demands, multitasking, inexplicit boundaries between different occupations contribute an explanation. However, research shows that more qualitative studies needed better understand this issue how promote in working population. Objective The study aims explore participants’ experiences of maintaining or regaining occupational their everyday life,...

Objective Many adolescent males report negative experiences of consultations with general practitioners (GPs), which contrasts the importance patient-centredness that GPs themselves emphasise. A better understanding this discrepancy might facilitate improvements. The aim was to explore and describe males' encounters in Swedish primary healthcare centres using a lifeworld perspective.

In this article the authors describe a study focusing on middle-aged persons living with chronic heart failure (CHF), group which few studies have been conducted. They used lifeworld perspective to focus persons' lived experiences of phenomenon, that is, moderate-severe CHF as person. interviewed 7 (4 men, 3 women; aged 38 65 years) and analyzed data obtained using phenomenological approach. The phenomenon's essence is described life situation characterized by failing body, constantly under...

Earlier research has shown that physicians and nurses are motivated to provide good palliative care, but several factors prevail prevent the best care for dying patients. To it is vital relationship between one based on trust, respect sound communication. However, in settings such as a coronary unit, disagreement sometimes occurs different professional groups regarding of patients.The aim this study was describe understand physicians' nurses' perceptions their working with another unit...

Background: Recently, interest in nonpharmaceutical interventions dementia care has increased. Animal-assisted therapy been shown to be one promising intervention but more knowledge is needed. The present article reports on a pilot study involving an 84-year-old woman with vascular who was systematically trained dog team for 8 weeks. Methods: A quasi-experimental longitudinal interventional design pre-post measures used. Data were collected 3 occasions. Descriptive statistics used data...

AbstractTo obtain a high precision and good standardization of measurements maximal isometric muscle strength in man some older methods have been further developed. A special adjustable test chair was constructed new type mechanoelectric force transducer (PRESSDUCTOR®, ASEA), modified mounted on different types stands. The muscular great number groups tested 25 young healthy male volunteers. values obtained were compared to normal earlier published. method has our hands proved be reliable...

Abstract Aim To describe patient complaints and to examine possible associations between healthcare providers’ statements reports of satisfaction/dissatisfaction. Design A retrospective descriptive design was used filed complaints. Methods Complaints from one Patient Advisory Committee in Sweden 2011 examined using three different protocols/reading guides ( n = 618). Associations contents responses providers satisfaction/dissatisfaction the complainants were analysed. Results Less than...

Clinical pathways can enhance care quality, promote patient safety and optimize resource utilization. However, they are infrequently utilized in intensive care. This study aimed to explain the implementation process of a clinical pathway based on bottom-up approach an context. The setting was 11-bed general unit Sweden. An action research project conducted implement for patients mechanical ventilation. managed by local interprofessional core group externally facilitated two researchers....

Background: People with dementia often have a poor quality of life. Therefore, methods that can improve their life situation must be identified. One promising method is dog-assisted intervention.Aim: This study aimed to investigate the effects intervention on in nursing home residents dementia.Materials and methods: A one-group, pretest post-test design was used. Quality measured using QUALID 59 prior after intervention. Non-parametric tests were used analyze data, effect sizes...

Aims and objective The aim of this study was to describe interpret the essential meaning lived experiences being in a critical illness‐recovery process after life‐threatening condition. Background condition takes several years does not only include patients' during intensive care. Previous research has mainly focused on what critically ill patients recall. However, from phenomenological point view, are more than memories alone. To plan perform relevant health care social support for who have...

It is known that complications occur frequently in connection with extensive intramedullary operative procedures. The destruction of the medullary circulation followed by a partial cortical necrosis, which certainly will diminish if pressure during operation reduced. There are also general cardio-pulmonary dysfunction possibly caused pulmonary fat embolism. same types complication likely to total hip replacement surgery, especially femoral phase operation. In this study it was found very...

This study aimed to describe and explain teamwork factors that influence team processes in everyday practice an intensive care unit (ICU) from a staff perspective. The setting was Swedish ICU. Data were collected 38 ICU focus groups with registered nurses, assistant anaesthetists, one individual interview physiotherapist. Constant comparative analysis according grounded theory conducted, identify the relations between emerged categories, paradigm model applied. core category emerge data...

Despite a considerable amount of research into heart failure there remains divergence between the care available and patient's needs. The predominant biomedical perspective is more focused on disease rather than patient. In order to deliver formal appropriate needs middle-aged patients with moderate-severe HF it imperative gain individual patient.The aim current study was explore understand phenomenon: Formal as experienced from living HF.The performed using lifeworld perspective. Data...

Heart failure is an important problem in Swedish primary healthcare as the UK. In spite of that little known about how people with heart experience support from healthcare. This paper investigates Semi structured interviews were conducted five men and women, born 1922-1951. The analyzed qualitative content analysis accordance Graneheim Lundman (2004) . participants experienced they had not received information their diagnosis or cause condition. They been informed failure. Instead believed...

Perceived stress can affect people's lifestyle behaviours and self-rated health. A balanced, healthy alleviate experiences of stress. For clinicians to use evidence-based theory-based knowledge in health dialogues with people non-communicable diseases, order develop more effective behavioural counselling, is needed. Hence, this study aimed examine the mediating role sedentary behaviour, daily physical activity, exercise, dietary habits on association between perceived or without one four...

Abstract Background Sick leave due to stress-related ill-health is increasing and often caused by occupational imbalance. These types of issues tend affect both the ability work cope with everyday life, as well overall experience health, negatively. There still little knowledge on how prepare people workplaces for return-to-work process after participation in a rehabilitation program stress ill-health. Therefore, this study aimed describe what needed achieve balanced life that includes paid...

Twenty out-patients with depressive illness were studied regard to thyroid hormone concentrations, basal and TRH-stimulated TSH, prolactin levels before during treatment nortriptyline. Concentrations of plasma nortriptyline 10-hydroxy-nortriptyline analysed while on 75 mg 150 mg/day. No correlations between clinical outcome side effects the one hand drug concentrations other demonstrated. Provided age factor was considered, stimulated did not differentiate healthy controls patients...