Imogene Coca was a pioneer of comedy for women on stage and television. Her career in performance spanned the twentieth century. In the 1950s she was known as America’s funnyfaced little imp and “Imogene Coca” was a household name. Today that name is getting lost amidst a sea of male clowns and her funny faces are nearly forgotten. Imogene’s contributions to theatre, television, and comedy are too important to forget. This thesis includes a biography of her work in vaudeville, Broadway, television, and film, and an original musical inspired by that body of work. Coca’s comedy is timeless and the next generation deserves an opportunity to know her.

Bakgrund: Sjuksköterskor ska i möjligaste mån främja patientens delaktighet och egna vilja, även när patienten ej kan uttrycka den själv. Få områden inom sjukvården använder patientbrev för att tydliggöra patientens förväntningar och önskningar. Tidigare studier har visat att förlossningsbrev både har positiva och negativa effekter på patienters känsla av omvårdnaden. Syfte: Syftet var att beskriva kvinnors upplevelser av hur förlossningsbrevet påverkade deras omvårdnad vid förlossningen relaterat till Kings omvårdnadsbegrepp i det mellanmänskliga mötet. Metod: En kvalitativ innehållsanalys av bloggar. Studien analyserade 25 stycken bloggar där kvinnor skrivit om sin upplevelse av förlossningsbrev. Resultat: Kvinnor som skrev förlossningsbrev upplevde en ökad trygghet, en känsla av kontroll, att de kände sig prioriterade, att det var en bra förberedelse inför vårdtillfället samt att det förbättrade kommunikationen och informationsbytet mellan sjuksköterska och patient samt att det ökade deras autonomi. Kvinnornas upplevde missnöje då förlossningsbrevet inte följdes. Några kvinnor upplevde en rädsla att förlossningsbrevet skulle begränsa dem. Slutsats: Det är mestadels positiva upplevelser av förlossningsbrevet. Användandet bör dock ske med vetskap om att ett brev som inte respekteras eller efterlevs ökar risken för missnöje med omvårdnaden. Klinisk betydelse: Studien tyder på att ett patientbrev kan öka patienters delaktighet, trygghet, autonomi och förbättra den personcentrerade vården. / Background: Nurses should increase patient participation, even when patients’ ability to communicate is reduced. Parts of the healthcare system use patient plans to clarify patients’ expectations and wishes. Previous studies show that patient plans both bring positive and negative features to the feeling of care. Aim: The aim was to describe women’s experiences of how the birth plan affected their care related to King’s concepts of the interpersonal system. Method: A qualitative concept analysis where 25 blogs were analyzed. Result: Women who wrote a birth plan felt an increased sense of safety, control and being prioritized. Women experienced that the birth plan was a good way to prepare and that it enhanced the communication. Some women felt unsatisfied with their care when the birth plan was not followed and some were afraid that it would limit their care. Conclusion: The outcome are almost exclusively positive. But the usage of patient plans should be done with the knowledge that a plan which is not followed might cause dissatisfaction. Clinical importance: This study indicates that a patient plan could increase patients’ feelings of participation, safety, autonomy and enhance the patient centered care.

My thesis deals with the possibility of applying King?s model to client care at an orthopaedic department. King?s model is focused on interaction between a nurse and a patient. Achievement of harmony in interaction between a nurse and a patient/client creates better conditions for attainment of the care goals and thus saturation of his/her needs. In combination with Gordon?s model better satisfaction of needs and thus improvement of the care at the orthopaedic department would be achieved.

The aim of the presented thesis is to map the influence of heart arrhythmia on patients´ lives and the possibility of using the conceptual model by Imogen King into the nursing care at the patient with arrhythmia. The set goals were accomplished on the basis of the empirical research which was processed by both quantitative and qualitative research methods. The first part of the research was performed by the quantitative method of collecting data from the survey. The aim of this survey was to map the quality of life of patients with the heart arrhythmia. The second part of the research was performed by the qualitative method of collecting data from the interview with the patient. Total of 127 of valid questionnaires were evaluated for the quantitative part of the research and 20 interviews with the patients with heart arrhythmia were performed for the qualitative part of the research. Based on the qualitative research was found out that the most significant symptom of arrhythmia is fast or irregular heartbeat, usually causing faintness, anxiety and uneasiness. The patients with arrhythmia are mostly limited during physical activities. There have not been found out any statistically significant differences between the persistence of arrhythmia and the health condition and the quality of life of the patient. That means that the persistence of arrhythmia in the researched group of patients does not influence the health condition and the life quality of the patients who took part in the survey ASTA. There was also monitored the relation between uneasiness (anxiety) and selected indicators (how the patients are able to work or study, concentrate or do physical activity). In this case were proven statistically significant differences. The qualitative research complemented the qualitative data. The quality of lives of the respondents was evaluated according to Imogen´s King conceptual framework and the responses of the respondents were ordered according to the framework system: personality system, interpersonal system and social system. As emerged from the responses of the respondents, the most negatively perceived symptom of arrhythmia is palpitation which causes anxiety, uneasiness and leads to sleeping disorders and lower physical activity. In contrast to the restrictions that have to be taken up in connection with the heart arrhythmia are only temporary and do not influence interpersonal and social relationships. The thesis brings a complex view of the problematics of the life quality of patients suffering from arrhythmia when this is not only a medical problem but it also influences patient´s mental and social well-being. The very important element which influences the successful cooperation of the arrhythmia patient and the doctor is the nurse who thanks to the emphatic attitude helps to build the faith in the good results of the medication - recovery and keeping the life quality. Using the conceptual framework in nursing, specifically during the treatment of arrhythmia patients helps to provide individualized nursing care and achieving improvement of the quality of the care provided and also the patient´s satisfaction.