According to the 1 991 Annual Report of the Department of Health and Social Services of former Bophuthatswana, there were 364 reported malignant conditions found in women with cancer of the breast and cervix being the most prevalent. What causes great concern is t.he fact that patients present for the first time at health facilities during advanced stages of these diseases thus making the prognosis poor. Black patients in this study were found to present with cancer of the breast at an earlier age than their white counterparts. In addition to the above named problems, no facility exists for the treatment of cancer in the area of study and patients have to be referred to other areas. It was on the strength of the above observations that the researcher embarked upon this study to establish the effects of the diagnosis cancer and mastectomy on the victims. The aims of the study therefore were: to explore and describe the psycho-social effects of the diagnosis and treatment on Black women; develop guidelines for oncology nurses and doctors to assist with the adaptation of these patients to the diagnosis and treatment; and provide information that could lead to better training of oncology personnel as well as develop a proper support system to facilitate adjustment of the mastectomised patient to the disease and its treatment. Data were collected using the qualitative and quantitative approaches with individual in-depth interviews forming the main strategy. The findings revealed that the diagnosis cancer of the breast was equated with death among all respondents. The mastectomy added more stress for the patient, which was further compounded by chemo- and radiotherapy. The latter was described as causing more pain than the tumour itself. Problems experienced by the patients were reported to include: financial difficulties; general weakness; fear of recurrence and metastasis; concern for dependent children and fear of unemployment. All respondents in this study expressed the need for the formation of a voluntary care group, which could assist them with adaptation to the disease and its treatment. / Advanced Nursing Sciences / D. Lit. et Phil. (Advanced Nursing Sciences)

According to the 1 991 Annual Report of the Department of Health and Social Services of former Bophuthatswana, there were 364 reported malignant conditions found in women with cancer of the breast and cervix being the most prevalent. What causes great concern is t.he fact that patients present for the first time at health facilities during advanced stages of these diseases thus making the prognosis poor. Black patients in this study were found to present with cancer of the breast at an earlier age than their white counterparts. In addition to the above named problems, no facility exists for the treatment of cancer in the area of study and patients have to be referred to other areas. It was on the strength of the above observations that the researcher embarked upon this study to establish the effects of the diagnosis cancer and mastectomy on the victims. The aims of the study therefore were: to explore and describe the psycho-social effects of the diagnosis and treatment on Black women; develop guidelines for oncology nurses and doctors to assist with the adaptation of these patients to the diagnosis and treatment; and provide information that could lead to better training of oncology personnel as well as develop a proper support system to facilitate adjustment of the mastectomised patient to the disease and its treatment. Data were collected using the qualitative and quantitative approaches with individual in-depth interviews forming the main strategy. The findings revealed that the diagnosis cancer of the breast was equated with death among all respondents. The mastectomy added more stress for the patient, which was further compounded by chemo- and radiotherapy. The latter was described as causing more pain than the tumour itself. Problems experienced by the patients were reported to include: financial difficulties; general weakness; fear of recurrence and metastasis; concern for dependent children and fear of unemployment. All respondents in this study expressed the need for the formation of a voluntary care group, which could assist them with adaptation to the disease and its treatment. / Advanced Nursing Sciences / D. Lit. et Phil. (Advanced Nursing Sciences)

Bestämmelserna om flyttningsförbud återfinns i 24 och 27 §§ lag (1990:52) med särskilda bestämmelser om vård av unga (LVU). Enligt 24 § LVU får förvaltningsrätten meddela ett flyttningsförbud om det finns en påtaglig risk för att barnets hälsa eller utveckling skadas vid en flyttning från familjehemmet. Om det är sannolikt att ett flyttningsförbud behövs och rättens beslut inte kan avvakta med hänsyn till risken för barnets hälsa eller utveckling får socialnämnden besluta om ett tillfälligt flyttningsförbud, se 27 § LVU. I 28 § LVU stadgas att ett beslut om tillfälligt flyttningsförbud ska underställas förvaltningsrätten. Utifrån teoribildningen om stigbundenhet kan en problematik med beslut om flyttningsförbud urskiljas. Stigbundenhet innebär att tidigare beslut bildar en utgångspunkt för senare beslut. Huvudsyftet med uppsatsen är dels att utreda i hur många beslut om flyttningsförbud socialnämnden har fått ett tillfälligt flyttningsförbud fastställt innan förvaltningsrätten meddelar ett flyttningsförbud, dels att studera antalet mål kammarrätten kommer till samma beslut som förvaltningsrätten i en process om flyttningsförbud. Om förvaltningsrätten och kammarrätten i många mål kommer till samma beslut undersöker uppsatsen om det vid beslut om flyttningsförbud finns en risk för stigbundenhet. Finns det en risk för stigbundenhet granskar uppsatsen ifall domstolen beslutar om flyttningsförbud trots att det inte är motiverat av principen om barnets bästa. Ett delsyfte med uppsatsen är att kartlägga vid vilka situationer och varför ett flyttningsförbud meddelas och ett tillfälligt flyttningsförbud fastställs. Ännu ett delsyfte med uppsatsen är att konstatera hur bestämmelsen om flyttningsförbud fungerar i praktiken och om förändringar av gällande rätt borde ske. En rättsdogmatisk metod används i uppsatsen för att utreda gällande rätt när det gäller regleringen om vård av barn och speciellt hur bestämmelserna om flyttningsförbud tillämpas. För att konstatera hur bestämmelsen om flyttningsförbud fungerar i praktiken och om förändringar av gällande rätt borde ske nyttjas en kritisk rättsdogmatisk metod. För att besvara uppsatsens huvudsyfte, delsyften och frågeställningar studeras domar där både förvaltningsrätten och kammarrätten prövat frågan om tillfälligt flyttningsförbud eller flyttningsförbud i sak. Utifrån resultatet av rättsfallsstudien är det befogat att konstatera att det finns en risk för stigbundenhet vid beslut om flyttningsförbud. Det finns en risk för stigbundenhet eftersom förvaltningsrätten och kammarrätten tog samma beslut i 85 % av målen och kammarrätten i en av fyra domar mer eller mindre endast hänvisade till förvaltningsrättens bedömning. I åtminstone majoriteten av domarna i rättsfallsstudien tog förvaltningsrätten och kammarrätten ett beslut som är i linje med barnets bästa. Rättsfallsstudien visar att ett flyttningsförbud i regel meddelas, när vårdnadshavaren uttryckt att den tänker eller vill hämta barnet från familjehemmet, efter en sammanvägning av diverse omständigheter. Det mest centrala vid bedömningen var barnets anknytning till familjehemmet och den risk för skada en separation skulle innebära för barnet. Det är genom rättsfallsstudien möjligt att se ett mönster för när ett flyttningsförbud anses behövligt. Bestämmelsen om flyttningsförbud verkar därmed fungera någorlunda. För att bestämmelsen om flyttningsförbud ska fungera mer tillfredställande borde dock en förändring av gällande rätt ske. / The regulations on prohibiting the relocation of a child in preventive care are found in sections 24 and 27 of the Care of Young Persons Act (1990: 52, LVU). According to section 24 LVU, the Administrative Court may issue a prohibition to relocate a child if there is a significant risk that the child's health or development could be damaged by the relocation from the family home. If it is plausible that a relocation ban is needed and the court's decision cannot wait, with regard to the risk for the child's health or development, the Social Welfare Committee may decide on a temporary relocation ban, see section 27 LVU. Section 28 LVU, stipulates that a decision on a temporary relocation ban shall be submitted to the Administrative Court. Based on a theory of path dependence a problem with decisions about a relocation ban can be distinguished, as the concept of path dependence entails that earlier decisions influence later decisions. The main purpose of the thesis is partly to investigate in how many cases the Social Welfare Committee has temporarily prohibited the relocation of a child before the Administrative Court announces a relocation ban, and partly to study the number of cases the Administrative Court of Appeal comes to the same decision as the Administrative Court in a relocation ban process. If the Administrative Court and the Administrative Court of Appeal come to the same decision in multiple cases the thesis will examine whether there is a risk of path dependence. If there is a risk of path dependence the thesis will further examine whether the court decides to prohibit the relocation of a child even though it is not justified by the principle of the best interests of the child. A subsidiary purpose of the thesis is to map out in which situations and why the court announce a relocation ban and establish a temporary relocation ban. Another subsidiary purpose of the thesis is to establish how the regulation of the relocation ban works in practice and if changes to applicable law should take place. A legal dogmatic method and a critical legal dogmatic method is used in the thesis. To answer the thesis' main purpose, subsidiary purposes and research questions, decisions from both the Administrative Court and the Administrative Court of Appeal about temporary relocation ban and relocation ban are examined.  Based on the results of the case study it is justified to state that there is a risk of path dependence when the court decides on a relocation ban. There is a risk of path dependence because the Administrative Court and the Administrative Court of Appeal made the same decision in 85 % of the cases. Another factor that signifies a risk of path dependence is that the Administrative Court of Appeal in one out of four verdicts more or less only referred to the Administrative Court's assessment. In at least the majority of the verdicts the Administrative Court and the Administrative Court of Appeal made a decision that is in line with the best interests of the child. The case study shows that the court usually announces a relocation ban, when the child’s guardian expresses that he or she intends or wants to move the child from the family home, depending on different circumstances. The most central circumstance was the child's connection to the family home and the risk of harm when separated. Through the case study it is possible to see a pattern for when a relocation ban is considered necessary. Thus, it can be concluded that the provision on the relocation bans seems to work reasonably well. However, to make the provision on the relocation ban function more satisfactorily a change in the applicable law should take place.