Bakgrund: Alzheimers sjukdom är en neurodegenerativ sjukdom som drabbar individen med sakta smygande symtom och påverkar det kognitiva, framförallt minnet. Diagnosen gör att personen ofta inte kan klara av vardagen, vilket innebär ett stort ansvar för närstående. Sjuksköterskans uppgift är att ge stöd till både anhöriga och närstående. Syfte: Att beskriva närståendes upplevelser av att vårda en anhörig med Alzheimers sjukdom. Metod: Metoden var en kvalitativ litteraturöversikt som är baserad på nio vetenskapliga artiklar som är hämtade från PubMed och Cinahl Complete. Resultat: Analysen resulterades i fyra huvudfynd: Närstående erfarenheter av att ta hand om den sjuke, vilket visade att en del saknade erfarenheter och att det var en stor påfrestning att ta hand om den sjuke. Svårigheter att kunna balansera sin vardag, vilket visade att närstående hade svårt att balansera mellan det sociala livet och livet i hemmet. Bristande kunskap, vilket visade stor brist på kunskap att ta hand om den anhörige. Brist på egen tid och återhämtning, vilket visade att närstående inte fick tid för återhämtning vilket gav negativa effekter på närståendes hälsa. Sammanfattning: Närstående som vårdar en person med Alzheimers sjukdom drabbas av både psykisk och fysisk belastning. Ett multiprofessionellt team som kan stödja och öka kunskapen hos närstående kan minska negativa upplevelser och ge trygghet i vårdandet. / Background: Alzheimer is a disease that affects cognitively. People with Alzheimer's have difficulties with communication, taking in information and their daily routines. This in turn, leads to the person needing support in their daily life. Aim: The aim was to describe loved one's experiences of caring for a relative with Alzheimer's disease. Method: This was a qualitative literature review based on nine scientific articles retrieved from the databases PubMed and Cinahl Complete. Results: The analysis resulted in four themes: Experiences of care-taking of the sick one showing that relatives do not have experiences which caused stress. Difficulties to balance their daily life, showing that relatives found it difficult to balance between their social life and the care for their loved one. Lack of knowledge resulting in difficulties in caring for their loved one. Lack of own time and recovery resulting in no time to recover, which in turn caused negative health effects. Others, on the other hand, described a sense of purpose in caring for the relative. Summary: Individuals who care for a relative with Alzheimer’s disease have strong feelings and need a lot of support from different professions and society. Knowledge, communication and trust can create a better quality of life for relatives caring for a loved one.

Bakgrund: Palliativ vård ska tillgodose behoven hos patienter med livshotande (icke botbara) sjukdomar på alla vårdnivåer i Sverige. Studier har visat att närstående till patienter i specialiserad palliativ hemsjukvård inte alltid har bemötts korrekt eller tagits på allvar vilket har resulterat i att de har slitit hårt ofta i skymundan. Att inte få rätt stöd har visat sig kunna leda till både fysiska, psykiska och psykosociala påfrestningar. Det har till exempel rapporterats om nedstämdhet, koncentrationssvårigheter och fatigue. Centralt i arbetet som sjuksköterska i specialiserad palliativ hemsjukvård är stöd till närstående då de ofta är en förutsättning för att patienten ska kunna vistas den sista tiden i livet i hemmet. Stödet bestod till stor del av samtal. Genom att bekräfta och ta närståendes oro och funderingar på allvar ökade deras välbefinnande. Syfte: Att beskriva sjuksköterskornas erfarenheter av att stödja närstående genom samtal inom specialiserad palliativ hemsjukvård. Metod: Designen var en empirisk studie med induktiv beskrivande ansats. Datainsamling skedde genom kvalitativa forskningsintervjuer. Resultat: Efter analysen framträdde svaret på de två frågeställningarna: Hur gjorde sjuksköteskorna för att etablera en god kontakt med närstående? Hur kunde sjuksköterskorna stötta närstående?   Det framkom fyra subkategorier till varje fråga. Resultatet visade att samtalet i specialiserad palliativ hemsjukvård var en stor del av det befintliga arbetet men att det inte alltid skedde under strukturerade och medvetna former. Erfarenheter av strukturerade närståendesamtal var uteslutande positiva. Diskussion: Resultatet diskuterades mot valda delar av Watson´s tio karitativa faktorer. Känslighet gentemot självet och andra, Mänsklig omsorgsrelation, Att ge uttryck för positiva och negativa känslor, Kreativ, problemlösande omsorgsprocess. / Background: Palliative care is intended to cater for the needs of patients with life threatening, non-curable, diseases at all levels of medical care in Sweden. Studies have shown that family and loved ones of patients receiving specialized palliative care in the home have not always been taken seriously or otherwise considered appropriately. This has led to them struggling under the pressure, often without acknowledgment. Not receiving the appropriate support has been shown to be a factor causing physical, psychological as well as psychosocial distresses. For example, depression, difficulties to concentrate and fatigue have been reported. Central to the work as a nurse in specialized palliative home care is to provide support to family and loved ones as it is often a necessity enabling the patient to be at home towards the end of life. The support in this case consisted largely of dialogue. By acknowledging and considering the thoughts and worries of the family, their wellbeing was increased. Aim: Describing the experiences of nurses supporting family and loved ones through dialogue within specialized palliative home care. Method: The study was by design inductive and data were collected via qualitative research interviews. Results: Following the analysis, the answer to the two questions emerged: How did nurses do to establish a good relationship with family and loved ones? How could nurses support family and loved ones? There were four subcategories for each question. The result showed that the conversation in specialized palliative home care was a major part of the existing work, but it did not always happen in structured and conscious forms. The experience of structured conversations with relatives was exclusively positive. Discussion: The result was discussed against selected parts of Watson's ten carative factors. Sensitivity to self and others, Human care relationship, To express positive and negative feelings, Creative, problem-solving care process.

The death of a loved one is currently a very common topic, and it is important for a social worker to keep it in mind. This thesis is called "The Phenomena of Death in a Social Worker's Job". The theoretical part was made by using analysed relevant literature, chosen by snowballing sampling. This thesis is divided into three chapters. The first two chapters focus on the theory and definition of death, anticipation and sudden death, suicide, mourning and options to help the survivors. The third chapter contains the practical part, with research data, including charts and graphical interpretation. The goal of this empiric research is to use semi-structured online surveys to answer the main research question: "How do students of the second year of postgraduate study of major SACH at HTF UK feel about their readiness to handle death of their clients and confrontation with survivors during their work?" I was trying to find out whether students at our faculty are considering this topic and how they feel about it. The research shows that students do not feel prepared to encounter these topics during their work. The most important part of the thesis I consider a subchapter, which contains interviews with social workers who have already encountered deaths and survivors during their work. I am using these...