Bakgrund: Ginseng klassas som ett traditionellt växtbaserat läkemedel som säljs inom egenvården på apotek samt hälsokostbutiker. Det påstås att ginseng har en uppiggande effekt och anses vara effektivt mot trötthet. Trötthet finns i olika former och grader samt beror på olika faktorer. Fatigue är också en typ av trötthet men beror på en bakomliggande sjukdom och anses vara mer utmattande än trötthet. Ordet används också för att skilja det från så kallad normal trötthet. Syfte: Syftet med detta arbete är att genom systematiska sammanställningar och meta-analyser analysera om det finns bevis som stödjer påståendet om att ginseng ska vara effektivt mot trötthet och fatigue.Mål: Hitta systematiska sammanställningar samt meta-analyser genom identifiering av relevant litteratur genom en databassökning, bedöma kvaliteten genom PRISMA och sammanställa resultat för att besvara syftets frågeställning.Metoder: Litteratursökning genom relevanta databaser samt värdera de med hjälp utav PRISMA. Slutligen ska litteraturen sammanställas. Resultat: 4 systematiska sammanställningar samt 1 meta-analys ingick i analysen. De bedömdes vara av medel till hög kvalitet enligt PRISMA. Resultaten variera beroende på vilken typ av ginseng som deltagarna fick. Majoriteten av resultaten från de enskilda studierna tyder på att amerikansk och asiatisk ginseng är effektivt mot fatigue. Röd ginseng är däremot inte lika effektiv. Nio utav de sammanlagda nitton studierna gjordes på friska individer och endast två utav studierna rapporterade att ginseng hade en signifikant förbättring på trötthet.Slutsats: Amerikansk ginseng, följt av asiatisk ginseng, visade sig vara bra mot fatigue. Däremot hade röd ginseng ingen effekt på fatigue i samma grad som amerikansk och asiatisk. Dock är det svårt att påstå hur det fungerar mot just trötthet, då trötthet har många grader och beror på olika faktorer samt att det inte finns tillräckligt med belägg av bra kvalitet som kan styrka påståendet om att det skulle fungera mot trötthet, som inte är orsakad av någon bakomliggande sjukdom som fatigue. / Background: Ginseng is classified as a traditional herbal medicine sold in the self-care section at pharmacies and health food stores. It is claimed that ginseng has a revitalizing effect and is considered effective against tiredness. Tiredness exists in various forms and degrees and depends on various factors. Fatigue is also a type of tiredness but depends on an underlying disease and is more exhausting than tiredness. The word is also used to distinguish it from so-called normal tiredness.Purpose: The aim of this work is to find systematic reviews and meta-analyzes to see if there is evidence supporting the claim that ginseng is effective against tiredness and fatigue.Objective: Find systematic reviews and meta analyzes by identifying relevant literature through a database search, assessing the value of the studies through PRISMA and compiling results to answer the purpose of this work. Method: Literature search through relevant databases and assess the studies based on PRISMA’s checklist. Finally the studies should be compiled.Results: 4 systematic reviews and 1 meta-analysis were obtained. They were to be of average to high quality according to the PRISMA checklist. The results vary depending on the type of ginseng that was given to the participants. Most of the studies indicate that American and Asian ginseng are effective against fatigue. However, the studies indicate that red ginseng is not effective. Conclusion: In conclusion ginseng is effective in people with fatigue, depending on the type of ginseng it is. American ginseng, followed by Asian ginseng, proved to be good against fatigue that’s caused by an underlying illness. However, red ginseng had no effect on fatigue to the same extent as American and Asian. Also, it is difficult to claim how it works against people who are only feeling tired, as normal tiredness has many degrees and depends on various factors and that there is not enough evidence of good quality that can substantiate the claim that it would work against tiredness that’s not caused by an underlying illness.

The diploma thesis deals with problems of depression in older people. Mainly the work is focused on identifying and analyzing the role of nurses in screening for depression in older people in primary care, acute care, long-term care and home care. This thesis was focused on theoretical direction and was used the method of design and demonstration. In this thesis was set one main goals with five research questions. The main goal was to identify and analyze the role of nurses in screening for depression in the elderly. RQ 1: What is the role of the nurse in screening for depression in the elderly? RQ 2: What is the role of the nurse in the primary care in screening for depression in the elderly? RQ 3: What is the role of the nurse in screening for depression in hospitalized patients in acute care? RQ 4: What is the role of the nurse in screening for depression in seniors in long-term and home care? RQ 5: What rating scales and methods are used in screening for depression in the elderly? The thesis introduce the concept of depression. The following are specified the causes of and the important factors that affect depression in the elderly. It also deals the differences in the clinical symptomatology of depression in old age. It explains possibilities and various barriers in the diagnosis of depression. Another chapter introduces complete geriatric examination, diagnostic classification systems, possible screening methods and scales for detection of depression in the elderly population. It also deals methods of pharmacological and non-pharmacological treatment and its possible complications associated with older age. By reason of increased suicide rate caused by depressive disorder the issue of suicidal behavior in the elderly is introduced. The next chapter deals with the nursing process, which is used by nurses in practice. It consists of the evaluation of the patient's health condition, making nursing diagnosis, creating nursing plan and subsequent implementation and evaluation. The nursing process is also needy for providing quality care. The nursing process in the stage of nursing diagnosis, introduces possible nursing diagnosis for a patient suffering from depression, which are based on the latest classification. Finally is described the role of nurses in screening for depression in the elderly in different health facilities and their contribution to the timely evaluation of depression in the elderly. This chapter introduces the role of nurses, nursing screening and collaboration with a physician. The role of nurses in screening for depression in different medical facilities is based on the first phase of the nursing process of assessment. On the basis of objective and subjective information, the nurse will assess the overall health and mental condition of the patient. Primarily, it was investigated what is the role of the nurse in screening for depression. On the basis of content analysis and synthesis it was necessary to used and processed domestic and foreign literature. A number of relevant sources are the results of various studies and Meta-analyzes, mostly from abroad, but also from the Czech Republic. The thesis can serve as a basis for nurses. The result of this thesis is to create e-learning material available for students in the Faculty of Health and Social Sciences of South Bohemia in Ceske Budejovice in the tutorial called Moodle.