Bakgrund: Att leva som diagnostiserad med ett psykiatriskt tillstånd kan innebära flertalet utmaningar. Personer med psykiatriska tillstånd kan dagligen uppleva sig utsatta för fördomar, bevisligen inte enbart i sin vardag i samhället utan även inom vårdkontexten. Somatisk samsjuklighet är ett reellt problem som drabbar en stor del av de personer som diagnostiserats med psykiatriska tillstånd. Vårdpersonal beskrev upplevelser av rädsla och osäkerhet i möten med personer med psykiatriska tillstånd och de belyste bristande kunskaper kring hur de bör bemöta personer med psykiatriska tillstånd. Syfte: Syftet med studien var att belysa de erfarenheter personer med psykiatriska tillstånd beskrivit i kontakt med somatisk vård. Metod: Studien som utförts var en litteraturöversikt enligt Friberg. Genom sökningar med hjälp av databaser såsom Cinahl Complete och PubMed har författarna funnit studier som i litteraturöversikten analyserats och tematiserats. Resultat: Litteraturöversiktens resultat identifierade ett huvudtema: Psykiatriska patienters erfarenheter av somatisk vård och två underteman: Vårdpersonalens bemötande och Bemötandets betydelse för patienters upplevelser av delaktighet. Diskussion: Litteraturöversiktens resultat diskuterades i förhållande till utvalda budord från tidvattenmodellen. Resonemang fördes kring vikten av bemötande och delaktighet. / Background: Living with a psychiatric diagnosis may entail numerous challenges for the individual. People diagnosed with mental illness can daily experience a vulnerability to prejudice, not only in their everyday life in society but also within the healthcare context. Comorbidity is a substantial problem among a considerable part of the population with psychiatric diagnosis. Healthcare staff has described experiences of fear and uncertainty when dealing with people with psychiatric diagnosis, they enlightened a lack of knowledge when it comes to properly responding to the needs of people with a psychiatric diagnosis. Aim: The aim of this study was to investigate the experiences people with mental illness describe in contact with somatic healthcare. Method: The authors carried out a literature review. Through searches in databases such as Cinahl Complete and PubMed they have found articles that were analyzed and divided into themes. Result: The result of the literature review identified one main theme: Psychiatric patients’ experiences of somatic care and two subthemes: Healthcare staffs’ treatment and the treatments effect on patient participation. Discussion: The results found in the literature review were discussed in relation to chosen commitments from the tidal model. Reasoning arguments concerning treatment and ways to promote patient participation were held and discussed.

Bakgrund: Kroniska bensår definieras som sår som sitter på underbenen och/eller fötterna och läker väldigt långsamt. I Sverige lider ca 50 000 personer av bensår och det är främst äldre som drabbas. Vanligaste orsaken till bensår är cirkulatoriska rubbningar som arteriell rubbning och venös insufficiens. Syfte: Syftet med denna uppsats var att beskriva patienters upplevelser av att leva med bensår. Metod: Sökning och sammanställning av tidigare forskning. Resultat: Patienterna upplevde bland annat svårigheter med att utöva fysisk aktivitet och ville ha mer stöd från sjukvårdspersonal. Patienterna upplevde att lukt och vätska från såren försvårade umgänge med andra och orsakade skamkänsla och oro. Smärta var ett stort problem och en ständig påminnelse om bensåren. Relationen till sjuksköterskan och upplevelsen av omvårdnaden kändes ibland otillräcklig och patienten önskade större förståelse. Diskussion: I mötet med en patient som lider av en kronisk sjukdom är det viktigt att sjuksköterskan förstår hur patienten hanterar sin diagnos. Mer information och stöd från sjuksköterskan kan göra skillnad i patienternas copingstrategier. Slutsats: Resultatet visar tydligt att patienter med venösa bensår upplever stort lidande och att det som patienterna upplever vara jobbigast med bensåren är smärtan och de förändringar som de måste genomgå på grund av sjukdomen. Effektivisering av vården kan minska risken för nedstämdhet, öka chanserna för bättre följsamhet samt öka livskvaliteten. / Background: Chronic leg ulcers are defined as ulcers located on the lower legs and/or the feet and heal very slowly. In Sweden approximately 50 000 people suffer from leg ulcers and it is mainly elderly people who suffers. Most common cause of ulcers is circulatory disorders like arterial and venous insufficiency disorder. Aim: The aim of this study was to describe patients’ experiences of living with a leg ulcer. Method: Search and compilation of previous research. Results: Patients experienced particular difficulties in physical activity and wanted more support from health professionals. Patients experienced that the smell and exudate from the wounds complicated relations with others and caused a feeling of shame and anxiety. Pain was a major problem and a constant reminder of the leg ulcers. The relationship with the nurses and their knowledge felt sometimes inadequate and the patient desired a greater understanding. Discussion: In the meeting with a patient suffering from a chronic illness, it is important that nurses understand how patients manage their diagnosis. More information and support from the nurse can make a difference in how patients cope with their illness. Conclusion: The results clearly show that patients with venous leg ulcers experience great suffering and that what patients perceive to be hardest with having leg ulcers is the pain and the changes they must undergo because of the disease. Efficiency care can reduce the risk of depression, increase the chances of better compliance and increase quality of life.

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Yes / There is limited information regarding the views of patients, as healthcare consumers, on visual field testing, and no information regarding their preferences for future test developments. This study aimed to increase knowledge of patients' subjective experience of visual field assessment and to explore their opinions and priorities regarding current active areas of research and development. Online questionnaire with purposive sampling design. Adults who regularly perform visual field tests in Australia who report having glaucoma or being at risk of glaucoma. An anonymous survey, implemented using the Qualtrics webtool, with both closed and open ended questions designed to explore opinions regarding visual field testing, visit attendance for perimetry, as well as priorities for developments. The survey assessed three domains: 1) opinions regarding visual field test duration and visit frequency; 2) subjective experience; and 3) perspectives on future developments for perimetry. 152 complete survey responses were obtained. The median (IQR) age of participants was 66 (60-72) years. Most participants (70%) had experience of performing more than 11 visual field tests. Participants recalled that they completed visual field tests in median of 6 minutes (IQR: 5-8 minutes) and were willing to accept additional time (median: 5, IQR: 3-6 minutes) to obtain more information. Participants were prepared to increase both the number of visual field tests per eye and the frequency of visual field tests (median: 3, IQR: 2-4 visits per year), in order to gain more information about their visual status. Regarding future developments, the most preferred option was "similar test times but an increase in the level of information about my visual field", which ranked significantly higher than all other options including "shorter test times that maintain the currently available level of information about my visual field." Our study confirms, in a different population and healthcare system, previous research reporting patient perspectives on visual field assessment. We further reveal that healthcare consumers show a strong preference for accurate information about their vision and report being prepared to undergo longer visual field tests or more visual field tests to achieve that outcome.