This essay is about dogs that visit is used, whitin care of elderly. The dogs found caretakers once a week and one hour at a time. The focus has been placed on the dogs that go to the municipality's special accommodation and the research was done in a medium-sized municipality in Sweden. The focus of the narrowing of the work was done to the work situation for care staff to assess the impact of the visits the dogs presence. It was distributed questionnaires answered by care staff in which it concluded their visit to the dog's presence felt and how it impacted the situation. There has been much previous research done on how dogs affect the elderly in care. This has been done to see if the care staff perceive the same thing, and in turn experience any possible help of visiting dogs. What emerged in this study is that most are in favor of visits dog and they're older. The majority of respondents agreed that their work situation has become neither better nor worse then visit the dogs started to meet caretakers. This may be due to visit the dog is not enough time on site at each visit. Even the fact that care staff are not practicing with the caretakers memory to get them to remain in the state of mind that research shows that the older gets in. These can have an impact on how care staff perceive a possible means in visits of the dog.

Bakgrund: Att bli äldre kan innebära flytt till särskilt boende. Faktorer som kan bidra till trivsel är bland annat social kontakt samt den fysiska miljön. Syfte: Syftet med studien var att undersöka om äldre i särskilda boenden med ett eget kök/pentry i större utsträckning har social kontakt och högre skattad trivsel än de utan eget kök/pentry. Design: Tvärsnittsstudie med kvantitativ ansats. Metod: Data från 4469 enkäter insamlade mellan november 2013 och september 2014 analyserades i SPSS. Resultat: Samband mellan kök och social kontakt gick inte påvisa men däremot fann vi en statistisk signifikant skillnad i skattad trivsel hos de med eget kök/pentry och social kontakt i jämförelse med dem utan. Konklusion: Inget samband återfanns mellan eget kök och social kontakt, däremot ser trivsel hos äldre ut att påverkas om man har eget kök eller inte. Ytterligare studier efterfrågas, speciellt om kökets innebörd för den äldre. Nyckelord: Kök, pentry, social kontakt, trivsel, äldre, särskilt boende / Background: Getting older could lead to moving to a special housing. Factors that can contribute to thriving are social contact and physical environment among others. Aim: The aim of this study was to explore if elderly within special housings who had access to their own kitchen were inclined to have more social contact and a higher level of thriving than those without. Design: Cross-sectional study with a quantitative approach. Method: Data from 4469 surveys were collected between November 2013 and September 2014 and then analysed with SPSS Results: Connection between having an own kitchen and social contact was not found in this study. However, we did find a link between thriving and having a kitchen as well as having social contact. Conclusion: No association was found between having an own kitchen and social contact, however, thriving does seem to be affected if you have a kitchen or not. Further studies is needed that investigate the kitchens role more close. Keywords: Kitchen, kitchenette, social contact, thriving, elderly, special housing

Syftet med studien är att beskriva hur enhetschefer på äldreboenden i en svensk kommun beskriver arbetet med äldres välbefinnande och hur de konkretiserar den samma.  Studien har genomförts med en kvalitativ forskningsmetod i form av semi- strukturerade intervjuer tillsammans med 8 enhetschefer. Intervjuerna har transkriberats och kodats genom innehållsanalys. Resultatet har analyserats utifrån tidigare forskning och olika teoretiska ramar till begreppet välbefinnande. Enhetscheferna som deltog i studien valde att beskriva arbetet med personalen som det främsta sättet att bidra till äldre välbefinnande. Detta görs delvis genom utbildning i socialtjänstlagens nya värdegrund, och delvis i det dagliga arbetet då enhetscheferna tillsammans med personalen arbetar för att stärka den äldres självbestämmande och delaktighet. Slutsatsen från analysen tyder på att självbestämmande är lättare att tillgodose till de äldre som klarar av detta fysiskt och psykiskt. De äldre som inte har dessa förmågor får inte samma möjlighet till välbefinnande, eftersom delaktighet och självbestämmande då behövs göras genom personalen. Avslutningsvis behövs det mer resurser i äldreomsorgen både personalmässigt och utbildningsmässigt för att stärka äldres välbefinnande. Om de personalmässiga resurserna utökas kan detta bidra till mer värdefull individuell tid för den äldre. / The purpose of this study is to explore how managers of elderly care accommodations describes well-being for the elderly and the implementation of this. We interviewed eight managers of elderly care accommodations from a community in Sweden. A qualitative research method was used in the form of semi-structured interviews. The interviews were then transcribed and coded by content analysis. The results were analyzed based on previous research and different theoretical models explaining the concept of well-being.                                                               The managers that took part in this study described that well-being was mostly implemented by the care staff. The staffs are given courses about the guideline values for the care of elderly in special housing. This in accordance to the Social act law 5.kap §4 . The managers of elderly care also work together with their care staff to find ways to strengthen the elderly´s participation and decision making of their care. Our conclusion from this study is that the elderly’s decision making is easier to provide for those who have the physical and mentally strengthen for it. Those who haven’t got those abilities don’t get the chance to feel well-being, and the decision making and participation is then removed from the elderly to the care staff. One way to improve elderly’s well-being could be by expanding the care staff resources so that more individual time can be devoted for the elderly.

<p>Activities that are fun, social, engaging and put something at stake are positive for your health no matter age or condition. What can you do if you suffer from dementia and are living at a Special Housing? According to research you should dance, visit the garden, get tactile massage discuss artworks etc. Still, despite all these proposals there are many voices from this domain, telling stories about living without live. Suffering from dementia may affect your ability to speak for your self and initiate activities. How can we know what they want and not what we think they need but they don’t seem to get or might not even want? Why don’t we ask them?We propose more focus on participation and design methods to guide the way.In this report, the author discusses the experience in conducting a Participatory Design research project intended to develop a technological and a related organizational intervention. The aim was to support people with dementia living in a Special Housing with fun and engaging activities. A short description of Participatory Design as an approach within research projects and a description of how it was used in this research study are given. We then discuss the experience in conducting the research, some of the users’ comments and responses, challenges, success stories and drawbacks when trying to design and test an activity in a readymade setting with fixed schema for several weeks ahead. The overall reflection being that Participatory Design has great potential for interventional projects and research focusing on leisure activities in everyday life for people with dementia.We proposes this being due to the two concepts – participation and design</p>

Activities that are fun, social, engaging and put something at stake are positive for your health no matter age or condition. What can you do if you suffer from dementia and are living at a Special Housing? According to research you should dance, visit the garden, get tactile massage discuss artworks etc. Still, despite all these proposals there are many voices from this domain, telling stories about living without live. Suffering from dementia may affect your ability to speak for your self and initiate activities. How can we know what they want and not what we think they need but they don’t seem to get or might not even want? Why don’t we ask them?We propose more focus on participation and design methods to guide the way.In this report, the author discusses the experience in conducting a Participatory Design research project intended to develop a technological and a related organizational intervention. The aim was to support people with dementia living in a Special Housing with fun and engaging activities. A short description of Participatory Design as an approach within research projects and a description of how it was used in this research study are given. We then discuss the experience in conducting the research, some of the users’ comments and responses, challenges, success stories and drawbacks when trying to design and test an activity in a readymade setting with fixed schema for several weeks ahead. The overall reflection being that Participatory Design has great potential for interventional projects and research focusing on leisure activities in everyday life for people with dementia.We proposes this being due to the two concepts – participation and design

Research shows that supportive conversations with elderly who are living in nursing homes isrequested among care personnel, this to satisfy both older people's mental health and socialhealth. The care personnel try to offer the elderly supportive conversation to the extent theyare able to, but they are experiencing obstacles in terms of shortage of time, ignorance and aperceived ambiguity in their profession. The purpose of present study is to describe andanalyze the phenomenon of supportive conversation with elderly living in nursing homes,based on care personnel’s perspective. The study is based on qualitative interviews with thecare personnel working in special housing. The result is analyzed from a phenomenologicalperspective with the lifeworld theory and domain theory as basis. Further on, research is usedto describe and analyze the phenomenon. The results show that care personnel feel that thereis a need for supportive conversation for older people in special housing. However, they don’thave the opportunities to offer this because of shortage of time, lack of knowledge andambiguity about what is included in their work as care personnel. This contributes to theexperienced stress among care personnel and the feeling of inadequacy in their professionalcapacity, which results in a sense of not having the ability to give the elderly a good care. / Tidigare forskning visar att samtal för äldre på särskilda boenden är något som omsorgspersonal efterfrågar, för att tillgodose de äldres psykiska och sociala hälsa. Omsorgspersonalen försöker erbjuda de äldre samtal i den mån de kan, men de upplever hinder i form utav tidsbrist, okunskap och upplevd otydlighet beträffande dagens yrkesroll som omsorgspersonal. Syftet med föreliggande studie är att beskriva och analysera fenomenet samtalsstöd för äldre människor på särskilt boende, sett utifrån omsorgspersonalens perspektiv. Studien har genomförts med kvalitativa intervjuer med omsorgspersonal på särskilda boenden. Resultatet är analyserat ur ett fenomenologiskt perspektiv med utgångspunkt i livsvärldsteorin och domänteorin. Vidare används tidigare forskning för att beskriva och analysera fenomenet. Av resultatet framgår att omsorgspersonalen upplever att det finns behov av samtalsstöd för äldre på särskilt boende. De saknar dock möjligheten att erbjuda detta på grund av tidsbrist, brist på kunskap och oklarheter om vad som ingår i deras arbetsuppgifter som omsorgspersonal. Detta bidrar till att omsorgspersonalen upplever stress och känner sig otillräckliga i sin yrkesroll, vilket resulterar i en känsla av att inte ha möjligheten att ge den äldre en god omsorg.

Bakgrund: Brytpunktssamtal är ett samtal som sker mellan den ansvarige läkare, patienten och dess närstående med syfte att informera om vårdens inriktning samt ger möjlighet för den äldre personen att framföra sina önskemål i livet slutskedet. Sjuksköterskan har en viktig roll vid brytpunktsamtal genom att ge emotionellt stöd till den äldre och dennes närstående under samtalet, att följa upp efter samtalet samt planera personcentrerad vård utifrån den äldres och dess närståendes behov och önskemål.  Syfte: Syftet med studien var att beskriva sjuksköterskors erfarenheter före, under och efter brytpunktssamtal med äldre personer och dennes närstående i kommunalt särskilt boende. Metod: Studien har en deskriptiv design med kvalitativ ansats. Total åtta sjuksköterskor med fem till trettiotvå års erfarenheter inom den kommunala äldreomsorgen i tre kommuner i mellan Sverige deltog i intervju.  Insamlade data analyserades med hjälp av innehållsanalys Resultat: Tre kategorier framkom under analysen nämligen, att agera professionellt, att ge stöd till närstående, att skapa förutsättningar för- och motverka hinder för ett bra brytpunktssamtal.  Slutsats:  Sjuksköterskorna upplevde att förutom utöva sin yrkesroll i vården av patienten, samt att tillsammans med vårdpersonalen bedöma patientens tillstånd och ta ställning till om brytpunktssamtal behöver genomföras, tar de också ofta ansvarar för att genomföra brytpunktssamtal. Vidare beskrev sjuksköterskorna att de flesta äldre inte deltog i samtalet, vilket uppfattades som syftet med brytpunktssamtal och vikten av att kommunikationen inte uppfylldes. / Background: A breakpoint conversation is a conversation that takes place between the responsible doctor, the patient, and their relatives with the purpose of informing about the direction of care and giving the elderly person the opportunity to express their wishes in the final stages of life. The nurse has an important role in end-of-life conversations, to provide emotional support to the elderly and their relatives during the conversation, to follow up after the conversation and to plan person-centered care based on the elderly's and their relatives' needs and wishes.   Aim: The aim of this study was to describe nurses' experiences before, during and after breakpoint conversations with elderly people and their relatives in municipal nursing homes. Methods: The study has a descriptive design with a qualitative approach. A total of eight nurses with five to thirty-two years of experience in municipal elderly care in three municipalities in the middle of Sweden were interviewed. The collected data was analysed using content analysis methods.  Results: Three categories emerged during the analysis, namely: to act professionally, to provide support to relatives, to create conditions for and counteract obstacles for a good breakpoint conversation.  Conclusion: The nurses experienced that apart from exercising their professional role in the care of the patient, which means, together with the nursing staff, assessing the patient's condition and deciding whether break-point conversations need to be carried out, they are also often responsible for carrying out breakpoint calls. Furthermore, the nurses described that most elderly people did not participate in the conversation, which was perceived as the purpose of break point conversations and the importance of communication not being met.

Denna kvalitativa studie har ämnat belysa undersköterskors upplevelse av äldres delaktighet och möjlighet till påverkan vid upprättande av genomförandeplaner vid flytt till särskilt boende. I studien genomfördes semistrukturerade intervjuer med åtta undersköterskor som sedan analyserades med hjälp av kvalitativ innehållsanalys. Resultatet påvisade kommunikation och relationsskapande arbete som centrala utgångspunkter i delaktighet för den äldre. Vidare framkom hinder för delaktighet såsom tid samt bristande engagemang och förhållningssätt hos professionen. Slutligen konstaterades arbetssätt hos undersköterskorna, där delaktighet i genomförandeplaner för de äldre vägde tungt, vilket står i motsats till tidigare forskning. / This qualitative study has aimed to highlight the nurses experience of elderly people´s participation and the possibility of influencing the establishment of action plans when moving to special housing. In the study, semi-structed interviews were conducted with eight nurses. Data were then analyzed using qualitative content analysis. The result demonstrated that communication and relationship as central starting points in the participation of the elderly. Furthermore, barriers to participation were revealed, such as lack of time, lack of commitment and approach in the profession. Finally, it was found that the working of nurses, where participation in action plan of the elderly, were heavily weighted, which is contrary to previous research.

<p>Today older people’s health and life quality are current topics of conversation in society. The number of old people is increasing and their health is deteriorating, that is why there is a need of new ways of meeting their necessities. In this study we have tried to illustrate heads of districts reasoning concerning pets’ significance for old people in special housing. The purpose of the study is to investigate the management’s awareness and preparedness around and also management of pets in special housing in a county. We have also had a look at the practical work with pets in special housing. The material in the study comes from qualitative interviews. One geriatric care manager and six heads of districts with the responsibility of special housing for old people under municipal management have been interviewed. In our interpretation we have used Brülde’s theory (2003) of life quality called “a mixed theory of happy character”. Brülde combines elements from hedonism, the theory of fulfillment of wishes and from the objective pluralism to make his own theory. The result from the study shows that all heads of districts are positive to have pets in special housing and that all special housing has or has had pets in some form. The contact with pets gives many old people a better life quality with happiness, an increased well-being and decreases the sense of loneliness.</p>

Today older people’s health and life quality are current topics of conversation in society. The number of old people is increasing and their health is deteriorating, that is why there is a need of new ways of meeting their necessities. In this study we have tried to illustrate heads of districts reasoning concerning pets’ significance for old people in special housing. The purpose of the study is to investigate the management’s awareness and preparedness around and also management of pets in special housing in a county. We have also had a look at the practical work with pets in special housing. The material in the study comes from qualitative interviews. One geriatric care manager and six heads of districts with the responsibility of special housing for old people under municipal management have been interviewed. In our interpretation we have used Brülde’s theory (2003) of life quality called “a mixed theory of happy character”. Brülde combines elements from hedonism, the theory of fulfillment of wishes and from the objective pluralism to make his own theory. The result from the study shows that all heads of districts are positive to have pets in special housing and that all special housing has or has had pets in some form. The contact with pets gives many old people a better life quality with happiness, an increased well-being and decreases the sense of loneliness.