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  • 601.
    Årestedt, Kristofer
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Alvariza, A.
    Ersta Sköndal University College.
    Håkansson, C.
    Ersta Sköndal University College.
    Öhlén, J.
    University of Gothenburg.
    Boman, K.
    Umeå University.
    Goliath, I.
    Karolinska Institutet.
    Fürst, C-J
    Lund University.
    Brännstrom, M.
    Umeå University.
    Symptom relief and palliative care during the last week of life among patients with heart failure2017In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, p. S58-S59, article id 155Article in journal (Other academic)
    Abstract [en]

    Background: Heart failure is a disease with high morbidity, mortality and physical and psychological burden. Patients with heart failure have symptoms as severe and distressing as those of cancer patients. Likewise, the knowledge about care oriented towards palliation provided close to death is sparse.

    Purpose: To describe symptom prevalence and key aspects of palliative care the last week of life for patients with heart failure, from the perspective of health care professionals.Methods: Data was taken from the Swedish Register of Palliative Care, 2011 and 2012 (n=3981). Inclusion criteria were; heart failure as underlying cause of death (ICD-10; I50.0, I50.1 & I50.9), expected death and 18 years or older. During this period, the register covered 58% of all deaths in Sweden. Variables were described using univariate statistics.

    Results: The sample consisted of 3981 patients (63% women) with a mean age of 88.1 (SD=7.1) years. The most common reported symptom was pain (62%), followed by rattles (51%), anxiety (39%), shortness of breath (29%), confusion (25%), and nausea (11%). Symptom relief was most prominent for pain and anxiety. Still, 25% and 38% respectively were partly or not relieved. Poorer relief was found for patients suffering shortness of breath, nausea and rattles. More than half of patients were partly or not reviled, 61%, 58% and 55% respectively. Poorest symptom relief was showed for patients with confusion, 85 % were partly or not reviled. Validated self-rating scales were seldom used to assess symptoms. Pain was more often assessed (12%) than other symptoms (8%). Two third of the patients (72%) and almost half of family members (39%) did not have an end of life discussions with a physician. One fifth (17%) died alone without family members or health care professionals present.

    Conclusions: Our findings indicate that the palliative care is inadequate for patients with heart failure during their last week of life. Symptom management needs to be improved, for example by structured use of validated symptom rating scales. End of life discussions needs to be improved, both for patients and family members.

  • 602.
    Årestedt, Kristofer
    et al.
    Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
    Sawatzky, R.
    Trinity Western Univ, Canada.
    Israelsson, Johan
    Kalmar County Hospital, Sweden.
    Herlitz, J.
    University of Borås, Sweden.
    Lilja, G.
    Lund University, Sweden.
    Cronberg, T.
    Lund University, Sweden.
    Bremer, Anders
    University of Borås, Sweden.
    Psychometric properties of the Hospital Anxiety and Depression scale in cardiac arrest survivors2017In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 16, p. S2-S3Article in journal (Other academic)
  • 603.
    Åsenlöf, Pernilla
    et al.
    Uppsala Universitet.
    Bergman, Patrick
    Linnaeus University, Faculty of Social Sciences, Department of Sport Science.
    Demmelmeier, Ingrid
    Karolinska Institutet.
    Nordgren, Birgitta
    Karolinska Institutet.
    Opava H, Christina
    Karolinska Institutet.
    Sedentary time among adults with rheumatoid arthritis. The PARA 2010 study2013In: Annals of the Rheumatic Diseases, ISSN 0003-4967, E-ISSN 1468-2060, Vol. 72, no Suppl 3, p. 766-Article in journal (Other academic)
  • 604.
    Öhman, Eleonor
    et al.
    University of Kalmar, School of Human Sciences.
    Anna-Lena, Lindstedt
    University of Kalmar, School of Human Sciences.
    Mannens och kvinnans copingstrategier vid infertilitet: En systematisk litteraturstudie2009Independent thesis Advanced level (professional degree), 10 credits / 15 HE creditsStudent thesis
  • 605.
    Öhrberg, Pi
    University of Kalmar, School of Pure and Applied Natural Sciences.
    Kan +1-metoden upptäcka förekomsten av dold hyperopi?2008Independent thesis Basic level (degree of Bachelor), 10 poäng / 15 hpStudent thesis
    Abstract [sv]

    Introduktion: Vid synkontrollen hos skolsköterskan upptäcks ofta de barn som har nedsatt synskärpa, som de närsynta. Men de barnen som är översynta slinker lätt genom detta kontrollnät i och med att de kan kompensera sitt synfel genom ackommodation.

    Syfte: Syftet med denna undersökning var att se hur mycket dold översynthet det finns hos barn i lågstadiet samt för att se om +1-metoden är lämplig för detta ändamål.

    Metod: +1-metoden går ut på att det ena ögat täcks för så att det inte kan se något alls medan det andra ögat får titta genom ett glas som mäter +1 dioptrier. Den förväntade synskärpeförändringen i förhållande till barnets fria synskärpa är en minskning på 5 rader, eller en visusförsämring på 0,5 med en tavla som är indelad i decimaler. Om förändringen är mindre är inte patienten rätt korrigerad och en dold översynthet kan vara den bakomliggande orsaken.

    Resultat: Totalt deltog 27 barn i studien i årskurs 2 och 3. Vid undersökningarna visade det sig att 25,9% av skolbarnen fick en försämrad synskärpa med 0,5 eller mer med +1-metoden, alltså de var inte översynta.

    Diskussion och slutsats: Denna studie visar att +1-metoden är ett bra sätt att upptäcka dold översynthet bland barn i skolan. Metoden borde inkluderas i skolsköterskornas synscreening för att kunna fånga upp de översynta barnen som ackommoderar hela dagarna.

    2008:O26

  • 606.
    Ölje, Elin
    Linnaeus University, Faculty of Health and Life Sciences, Department of Chemistry and Biomedical Sciences.
    Metodjämförelse mellan DiffMaster Octavia och CellaVision DM1200 avseende differentialräkning av leukocyter: en viktig analys inom vården2016Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesis
    Abstract [en]

    Leukocytes, white blood cells, are cells of the immune system. They are produced and derived from hematopoietic stem cells in the bone marrow. Leukocytes can be divided into neutrophils, lymphocytes, monocytes, eosinophils and basophils. To determine the numbers of leukocytes in blood the leukocyte particle concentration (B-LPK) can be analyzed by cell counters. When B-LPK is elevated or lowered a differential count of leukocytes (B-Diff) is performed to see in which cell systems the change exists. The manual analysis involves peripheral blood smears stained with a cytochemical color, May-Grünwald Giemsa. The smear examined in an automatic microscopically system that counts, photographs and pre-classify leukocytes by its appearance. DiffMaster Octavia and CellaVision DM1200 are two variants of such instruments from the same manufacturer (CellaVision AB, Lund, Sweden). The aim of the study was to do a comparison between these instruments by analyzing 60 samples consisting venous blood in EDTA-tubes. The samples were collected randomly from patients (32 men and 28 women) between 19-95 years old. The results from two-sided paired t-test showed no significant difference between the differential count of neutrophils, lymphocytes and monocytes. The correlation was 0,95, 0,91 and 0,68. However, there was a significant difference between the instruments differential count of eosinophils and basophils, the correlation was 0,91 and 0,20. When counting only 200 cells a profit of 2 % distinguish up to 1-5 %. Abnormalities in leukocytes which represents only a few percent in blood can therefore be very large. Method comparison showed that both instruments give the same results and are considered equivalent in analysis of manual B-Diff.

10111213 601 - 606 of 606
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