Bakgrund: Diabetes är en kronisk sjukdom som kan drabba alla människor. Sjukdomen kan orsaka lidande och patienternas livsvärld kan förändras då komplikationer uppstår om egenvården inte utförs korrekt. Syfte: Beskriva patienters upplevelser av att leva med diabetes mellitus typ 2. Metod: Uppsatsen är en litteraturöversikt och baserades på elva orginalartiklar av kvalitativ och kvantitativ ansats. Resultat: Ur analysen framkom fem områden: Lära känna sjukdomen genom kunskap och information, påverkad livsvärld, förändring i levnadsvanor och livsstil efter sjukdomsdebut, mentala påfrestningar och att hitta motivation till förändring. Slutsats: Upplevelserna av att av diabetes typ två var unik och individuell. Därför är det viktigt att sjuksköterskan möter varje patient med öppenhet för deras livsvärld och anpassar sig efter deras behov eftersom målet är att patienterna själva ska känna meningsfullhet i vardagen. / Background: Diabetes is a disease that can affect all people. The disease can cause suffering and the patients' lifeworld can be changed as complications arise if self-care is not performed correctly. Aim: To describe patients' experiences of living with type 2 diabetes mellitus. Method: The thesis is a literature review and was based on 11 original articles of qualitative and quantitative approach. Results: Five areas were identified from the analysis: Get to know the disease through knowledge and information, influenced lifeworld, change in habits and lifestyle after the onset of disease, mental stress and finding motivation for change. Conclusion: The experiences of type 2 diabetes were unique and individual. Therefore, it is important that the nurse meets every patient with openness to their lifeworld and adapts to their needs because the goal is that the patients themselves should feel meaningfulness in everyday life.

<p>Studien utforskade de närståendes livsvärld när partnern drabbats av Alzheimers sjukdom. Deras livsvärld och existentiella villkor var i fokus. Studien utgick från ett existentiellt fenomenologiskt tolkande perspektiv. Den teoretiska grunden bestod av ett tänkande kring de närståendes livsvärld utifrån fyra existentialer: det levda rummet, den levda tiden, den levda kroppen och den levda relationen. Datainsamling skedde utifrån Max van Manens utforskande intervjuer med tio närstående, fem kvinnor och fem män i yrkesverksam ålder 40 till 64 år, de levde alla tillsammans med en partner som fått sin diagnos för ett år sedan eller längre. Data analyserades genom att lyssna igenom de digitala inspelningarna flera gånger, transkribering av desamma och genomläsning av de utskrivna texterna, nya genomlyssningar och genomläsningar. Analysen utvecklades genom en hermeneutisk, fenomenologisk reflektion beskriven av van Manen. Studiens resultat kategoriserades och dessa analyserades sedan i fyra delar utifrån de fyra existentialerna. Resultatet visade att upplevelsen av den levda tiden blev annorlunda mot tidigare då framtiden fick stå tillbaka för nuet, som var det som de närstående måste förhålla sig till för att vardagen skulle fungera. Det levda rummets aspekter förändrades utifrån skyddsaspekten och nya roller inom familjen. Den levda kroppen krävde egen återhämtning och längtade efter närhet. Den levda relationen förändrades, när upplevelsen av närhet och behovet av distans ändrades. De existentiella villkoren förändrades radikalt och nya strategier gav en ny livsstil i en förändrad och sammanflätad livsvärld.</p> / <p>The study explored the lifeworld of being a partner to a person with Alzheimer’s disease. Lived experience and existential conditions were focused. The study has an existential phenomenological hermeneutic perspective. The theoretical underpinnings consist of thinking of lifeworld by means of four life existentials: lived space, lived body, lived time and lived relations. Data collection was done by Max van Manens reflective dialog interview with ten respondents, five women and five men at age between 40 and 64, living with a partner who had had their diagnosis the last year or longer. Data analyses took place listening and re-listening the recorded interviews, transcribing, reading and re-reading the texts. The analysis evolved through hermeneutic, phenomenological reflection described by van Manen. The result of the study was categorized and the analysis was done in four parts following the four life existentials. The result showed that lived time is different than before since the future has to stand back in favour of here and now in order to be able to cope with everyday life. The lived space changed to secure the partner and everyday roles changed in the family. The lived body needed to rest and longed for closeness. The lived relation changed when the need of closeness and distance changed. The existential conditions changed radically and a new way of living was found in new strategies in a changed and interlaced lifeworld.</p>

<p>This thesis is an exploration into the socialization of researchers as it takes place in various research practices. Using a lifeworld-perspective, a qualitative interview-study with doctoral students from different academic milieus is conducted. The organizational context of the study is the academic department as it is experienced, apprehended and constructed by the doctoral student.</p><p>The “societal” context is described and discussed in a brief analytical exposé of Swedish science policy in the last decade of the twentieth century. Questioning the political reliance on a systems-perspective, and the shortcomings of system theory for the understanding of research practices in different academic milieus, a lifeworld-theoretical turn is suggested.</p><p>A lifeworld-perspective is formulated in a meta-theoretical discussion focusing on the concepts of <i>practice</i>, <i>time</i> and <i>language</i>. Jürgen Habermas’ critique of phenomenological lifeworld-perspectives is the point of departure and theoretical inputs are derived from the sociology of knowledge, the sociology of scientific knowledge and phenomenological sociology. The solution is found in an integrative model of socialization as continual synchronization of subjective systems of coordinates and socio-cultural networks. Mediating between subjective consciousness and inter-subjective knowledge is language, and this is manifested in concrete practices observed in “real-time”.</p><p>The empirical study reveals some influences of the system on the lifeworld. “Inside” the lifeworld, however, the interviewees mostly use their departments as frames of reference in their descriptions and discussions. A more elaborate exploration of the life-world results in an understanding of socialization in terms of <i>positioning</i>. This concept denotes the ways in which the interviewees describe themselves, their socio-cultural surroundings and themselves in relation to these milieus. At any given moment, positioning can be understood as a “co-construction” of subjective position and socio-cultural milieu. Positioning is thereby the empirical correlate to synchronization, and socialization can be “read off” from the ways in which doctoral students position themselves “here and now”. Problematic, though, is that “doctoral student”, and especially “female doctoral student”, are found to be vague and vulnerable categories with no clear meanings for the socialised nor for the socio-cultural environment. In a more speculative manner, these difficulties of positioning are put in relation to “scientist” as a vague category. If “scientist” cannot be defined, how then can we know what “scientists in the making” are?</p><p>This thesis offers an insight into the plural “realities” of doctoral students in different academic milieus. It offers a lifeworld-perspective on socialization and is thereby relevant for discussions of post-graduate education among scholars as well as among policy makers.</p>

<p><p>Bakgrund: Bröstcancer är den vanligaste cancerformen bland kvinnor i Sverige. Varje år drabbas cirka 7000 kvinnor. Det är därför viktigt att sjuksköterskan har kunskap om dessa kvinnors upplevelser. Syfte: Syftet var att beskriva kvinnors upplevelser av att drabbas av bröstcancer, från diagnos till behandling. Metod: En allmän litteraturstudie med induktiv innehållsanalys genomfördes. Resultat: Kvinnorna chockades av diagnosbeskedet och reagerade starkt känslomässigt. Bröstoperation och cellgiftsbehandling gav kvinnorna en känsla av att förlora sin kvinnlighet. Kvinnorna fick en ny syn på livet med nya prioriteringar. Stöd från närstående och sjukvårdspersonal var betydelsefullt och brist på detta upplevdes som en extra börda. Diskussion: Varje individ ser världen utifrån sitt eget perspektiv, så kallad livsvärld. Livsvärlden påverkade kvinnornas upplevelser av sjukdomen. Bristande stöd från personal kan bero på oförmåga att möta kvinnorna i deras livsvärld. Upplevelsen av förlusten av kvinnlighet kan bero på kvinnornas egna uppfattningar om kvinnlighet. Slutsats: Omvårdnaden bör fokusera på kvinnornas sjukdomsupplevelse. Detta kan uppnås genom att sjuksköterskan försöker möta kvinnorna i deras livsvärld. Sjuksköterskan bör också hjälpa kvinnorna att återigen uppnå en känsla av kvinnlighet.</p></p> / <p><p>Background: Breast cancer is the most common cancer among women in Sweden. Every year approximately 7000 women receive the diagnosis. Therefore it is im-portant that the nurse has knowledge of these women's experiences. Purpose: The purpose was to describe women's experiences of being diagnosed with breast cancer, from diagnosis to treatment. Method: A general literature review with inductive analysis was conducted. Results: Women were shocked by the diagnosis and reacted emotionally. Breast surgery and chemotherapy gave the women a sense of losing their femininity. They had new perspectives on life with new priorities. Support from relatives and professionals played an important role, lack of support became an extra burden. Discussion: Every individual sees the world from their own perspective, so-called lifeworld. The lifeworld affected the women's experiences of the disease. Lack of support from professionals may be due to the inability to meet the women in their lifeworlds. The feeling of lost femininity may depend on the women´s own perceptions of femininity. Conclusion: The nursing should focus on the women's experiences of illness. This might be achieved by nurses meeting the women in their lifeworlds. Nurses should also try to assist the women to re-establish a sense of femininity.</p></p>

<p>This study describes and analyses understanding ‘illness’ among clients and</p><p>leaders of the spiritual tradition Candomblé in Rio de Janeiro. The study</p><p>focuses on the individuals’ narratives of illness and of healing rituals within</p><p>the cult. Particular attention is given to the consultation ritual called jogo de</p><p>búzios, which is one of the main practices of finding the reason for the illness</p><p>as well as its cure. The emphasis in this study is on the necessity to look at</p><p>medical pluralism, the socio-individual context of illness and narrativity as an</p><p>intersubjective practice. The conclusion is reached that illness within</p><p>Candomblé ideology can be understood as disequilibrium in a person’s</p><p>lifeworld.</p><p>The individual is approached from within the plurimedical context of</p><p>both biomedical and Candomblé healing tradition in Rio. Here it is argued that</p><p>the person creates meaning of the illness in relation to different aspects of his</p><p>lifeworld. The individual’s lifeworld includes the urban context of Rio de</p><p>Janeiro; therefore a brief discussion is developed about how this context</p><p>influences the individual meaning production of the illness. The Candomblé</p><p>house is described with its social structure and other elements that are</p><p>important for understanding how the cult might work for the clients as an</p><p>alternative and/or complementary medical treatment.</p><p>The study progressively introduces and analyses the lifestories of the</p><p>individuals that approach the Candomblé cult in order to seek treatment. It</p><p>also is concerned with stories of the Candomblé leaders and their view on the</p><p>phenomenology of the Body, the Self and the social milieu of the person.</p><p>Finally, the study emphasises the importance of studies that focus on the</p><p>individual’s interpretation of the relations between the Self and the Body, and</p><p>the individual’s understanding of medical knowledge and practice.</p>

<p>Dental involvement with oral cancer patients during their treatment and rehabilitation can be long and intense. How can dental personnel better understand their role in the treatment of these patients? How does treatment affect the patients and their spouses? In searching for answers, the theories of phenomenography, phenomenology and hermeneutics are used to describe and interpret the experiences of the hospital dental treatment teams, oral cancer patients, and their spouses. </p><p>Study I reveals that hospital dental treatment teams perceive the encounter with head and neck cancer patients in three qualitatively different ways; as an act of caring, as a serious and responsible task, and as an overwhelming emotional situation, indicating that they are not always able to lean on education and professional training in dealing with situations with strong emotional impact. Study II gives insight into the lifeworld of oral cancer patients, and how the patient becomes embodied in a mouth that is increasingly `uncanny´, as it slowly ceases to function normally. Study III shows that oral cancer puts a hold on the lifeworld of the patients’ spouses which can be described as `living in a state of suspension´. These findings suggest that the support needs of patients and spouses appear to be greatest at treatment end, when, upon returning home, they are faced with the accumulated impact of the patients’ sickness and treatment. Study IV gives insight into what it may mean to live with the consequences of oral cancer, revealing a silent physical, emotional and existential struggle to adjust to a changed way of living. </p><p>This thesis raises the question if todays’ organisation of oral cancer care can meet the varying emotional and existential needs of treatment teams, patients and spouses that were brought to light.</p>

This thesis is an exploration into the socialization of researchers as it takes place in various research practices. Using a lifeworld-perspective, a qualitative interview-study with doctoral students from different academic milieus is conducted. The organizational context of the study is the academic department as it is experienced, apprehended and constructed by the doctoral student. The “societal” context is described and discussed in a brief analytical exposé of Swedish science policy in the last decade of the twentieth century. Questioning the political reliance on a systems-perspective, and the shortcomings of system theory for the understanding of research practices in different academic milieus, a lifeworld-theoretical turn is suggested. A lifeworld-perspective is formulated in a meta-theoretical discussion focusing on the concepts of practice, time and language. Jürgen Habermas’ critique of phenomenological lifeworld-perspectives is the point of departure and theoretical inputs are derived from the sociology of knowledge, the sociology of scientific knowledge and phenomenological sociology. The solution is found in an integrative model of socialization as continual synchronization of subjective systems of coordinates and socio-cultural networks. Mediating between subjective consciousness and inter-subjective knowledge is language, and this is manifested in concrete practices observed in “real-time”. The empirical study reveals some influences of the system on the lifeworld. “Inside” the lifeworld, however, the interviewees mostly use their departments as frames of reference in their descriptions and discussions. A more elaborate exploration of the life-world results in an understanding of socialization in terms of positioning. This concept denotes the ways in which the interviewees describe themselves, their socio-cultural surroundings and themselves in relation to these milieus. At any given moment, positioning can be understood as a “co-construction” of subjective position and socio-cultural milieu. Positioning is thereby the empirical correlate to synchronization, and socialization can be “read off” from the ways in which doctoral students position themselves “here and now”. Problematic, though, is that “doctoral student”, and especially “female doctoral student”, are found to be vague and vulnerable categories with no clear meanings for the socialised nor for the socio-cultural environment. In a more speculative manner, these difficulties of positioning are put in relation to “scientist” as a vague category. If “scientist” cannot be defined, how then can we know what “scientists in the making” are? This thesis offers an insight into the plural “realities” of doctoral students in different academic milieus. It offers a lifeworld-perspective on socialization and is thereby relevant for discussions of post-graduate education among scholars as well as among policy makers.

Studien utforskade de närståendes livsvärld när partnern drabbats av Alzheimers sjukdom. Deras livsvärld och existentiella villkor var i fokus. Studien utgick från ett existentiellt fenomenologiskt tolkande perspektiv. Den teoretiska grunden bestod av ett tänkande kring de närståendes livsvärld utifrån fyra existentialer: det levda rummet, den levda tiden, den levda kroppen och den levda relationen. Datainsamling skedde utifrån Max van Manens utforskande intervjuer med tio närstående, fem kvinnor och fem män i yrkesverksam ålder 40 till 64 år, de levde alla tillsammans med en partner som fått sin diagnos för ett år sedan eller längre. Data analyserades genom att lyssna igenom de digitala inspelningarna flera gånger, transkribering av desamma och genomläsning av de utskrivna texterna, nya genomlyssningar och genomläsningar. Analysen utvecklades genom en hermeneutisk, fenomenologisk reflektion beskriven av van Manen. Studiens resultat kategoriserades och dessa analyserades sedan i fyra delar utifrån de fyra existentialerna. Resultatet visade att upplevelsen av den levda tiden blev annorlunda mot tidigare då framtiden fick stå tillbaka för nuet, som var det som de närstående måste förhålla sig till för att vardagen skulle fungera. Det levda rummets aspekter förändrades utifrån skyddsaspekten och nya roller inom familjen. Den levda kroppen krävde egen återhämtning och längtade efter närhet. Den levda relationen förändrades, när upplevelsen av närhet och behovet av distans ändrades. De existentiella villkoren förändrades radikalt och nya strategier gav en ny livsstil i en förändrad och sammanflätad livsvärld. / The study explored the lifeworld of being a partner to a person with Alzheimer’s disease. Lived experience and existential conditions were focused. The study has an existential phenomenological hermeneutic perspective. The theoretical underpinnings consist of thinking of lifeworld by means of four life existentials: lived space, lived body, lived time and lived relations. Data collection was done by Max van Manens reflective dialog interview with ten respondents, five women and five men at age between 40 and 64, living with a partner who had had their diagnosis the last year or longer. Data analyses took place listening and re-listening the recorded interviews, transcribing, reading and re-reading the texts. The analysis evolved through hermeneutic, phenomenological reflection described by van Manen. The result of the study was categorized and the analysis was done in four parts following the four life existentials. The result showed that lived time is different than before since the future has to stand back in favour of here and now in order to be able to cope with everyday life. The lived space changed to secure the partner and everyday roles changed in the family. The lived body needed to rest and longed for closeness. The lived relation changed when the need of closeness and distance changed. The existential conditions changed radically and a new way of living was found in new strategies in a changed and interlaced lifeworld.

No description available.

This thesis is focusing on the lived experience of dementia. Both living with a partner as well as living alone. There is no unequivocal picture of how it is to live with dementia and few studies have been carried out in homes of afflicted persons. A deeper understanding of how it is to live with dementia can be a good starting-point for caring and the organisation of care.    The aim of this thesis is to describe, clarify and explain the lived experience of dementia from a lifeworld theoretical point of view. Another aim is to illuminate how decision makers look upon persons with dementia, their life and their care. Interviews and observations have been used to collect data. Participating informants have been couples with one partner suffering from dementia, persons with dementia living alone, politicians, administrators and social workers. Data was analysed with a phenomenological and a hermeneutical approach.   To live as a couple where one part has dementia (study 1) implies to live in a heteronomous existence where both the person with dementia and the partner become strangers in a world that should be the most well-known and familiar. The couple’s existence is narrowed and controlled by the impact of the dementia disease and the existence  is characterised of hopelessness and homelessness.   To live alone with dementia (study 2) means to live with a broken identity when the person with dementia gradually loses the memory of himself and his life. It becomes a life where the world of the individual is reduced to a quiet background that does not demand attention. The person with dementia does not longer know how he or she should relate to the world. The existence is characterised by a strong sense of loneliness and only a vague knowledge of the situation. The person with dementia longs for other people and gets a sense of boredom in the existence.   The comprehensive interpretation (study 3) shows that life with dementia is characterised by a gradual loss of meaning in life due to a disturbed intentionality. With disturbed intentionality the person with dementia gets increasingly more difficulties in understanding the meaning of the use of everyday objects. The person with dementia fights this and tries to create meaningfulness in the existence – something which gets very difficult and strenuous in time, since even the easiest everyday chores have to be thought through to make sense and even to be accomplished. The effort can in time become overpowering for the person with dementia who then stops doing the chores and becomes passive.   Politicians, administrators and social workers (study 4) are well aware that dementia gives suffering to the afflicted and the partner. The care is not designed to meet their needs for home care, and the decision makers don’t know how to change this. The person with dementia becomes like an object when the social workers don’t includes them in a dialogue about their needs and care. The partner is left alone in solving difficult problems and in making difficult decisions.   The theory of intentionality can help the professionals in the care of persons with dementia. By helping the cared-for-person to ‘stretch the intentional threads’ the caregivers can give the person a possibility to be rooted in the world. A care that supports intentionality and identity and reaches all the way in to the homes of the person with dementia would improve their situation and increase their well-being. This is possible when engaging the person in every-day chores that promote meaning. This kind of care contributes to the possibility for the person with dementia to be rooted in language, time and space.