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No description available.

Treatment of enterococcal endocarditis requires up to 6 weeks of intravenous (IV) antimicrobial therapy. When susceptible, an ampicillin-based regimen is preferred. Studies evaluating ampicillin stability utilizing high-pressure liquid chromatography have indicated enhanced stability (greater than 24 hours at room temperature), supporting outpatient administration. Thus, we report the successful treatment of a 30-year-old male with tricuspid valve enterococcal endocarditis in an outpatient setting using continuous infusion ampicillin via an ambulatory infusion pump. The patient received daily gentamicin at an outpatient infusion center with the ampicillin dose to be infused over the next 24 hours. Outpatient ambulatory infusion pumps allow for delivery of ampicillin via continuous infusion or pump-programmed pulse dosing. Preparation and administration in an outpatient infusion center may be a viable option to circumvent stability and delivery issues. Furthermore, 81% (34/42) of treatment days were completed outpatient, supporting that this approach may increase access to treatment and help reduce the economic burden to health care.

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Bakgrund: Psykisk ohälsa ökar i Sverige. Rapporter visar att patienter med psykisk ohälsa utsätts för stigmatiserande attityder och bristande vård. Att belysa omvårdnadspersonals erfarenheter kan leda till en djupare förståelse för vården av patienter med psykisk ohälsa. Syfte: Att belysa omvårdnadspersonals erfarenheter av att vårda patienter med psykisk ohälsa inom öppenvården i Sverige. Metod: Litteraturstudien baserades på åtta kvalitativa artiklar. Sökningar genomfördes i databaserna CINAHL och Pubmed. Analysen baserades på Graneheim och Lundmans (2004) artikel. Resultat: Analysen resulterade i tre huvudteman: "behovet av mer resurser”, “vikten av kompetens” och "en krävande professionell roll". Konklusion: Vården av patienter med psykisk ohälsa är komplex och det finns ett behov av mer resurser i form av tid, utbildning och interprofessionellt samarbete för att göra omvårdnadspersonal mer trygga och mötet mer givande. I dagsläget orsakar dessa möten omvårdnadspersonal stress och känslor av otillräcklighet. / Background: The frequency of mental illness is increasing in Sweden. Reports show that patients with mental illness are exposed to stigmatizing attitudes and lack of care in healthcare. Highlighting the experiences of nursing staff can lead to a deeper understanding of the care of patients with mental illness. Aim: To illuminate nursing staff’s experiences of caring for patients with mental illness in outpatient care in Sweden. Methods: Qualitative literature study based on eight articles. Searches were conducted in Cinahl and Pubmed. The analysis was conducted based on a model by Graneheim and Lundman (2004).   Results: The analysis resulted in three themes; “the need for more resources”, “the importance of competence” and “a demanding professional role”. Conclusion: Caring for patients with mental illness is a complex matter and there is a need for additional resources in the shape of time, education and interprofessional collaboration. This in order to make nursing staff more comfortable and the meetings more rewarding. At present these meetings cause stress and feelings of inadequacy in nursing staff.

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No description available.

When adults with neurological conditions can access occupational therapy (OT) services, they have better outcomes. Unfortunately, many people who are living in the community with these conditions do not participate in OT services. This can compound deficits, lead to re-hospitalization, and negatively impact independence and quality of life. The issues with access for this population, specifically adults aged 18-65, can largely be attributed to lack of awareness of the role and scope of OT, lack of availability of specialized services, and issues with affordability. Evolve Occupational Therapy (Evolve OT) is a program designed specifically for this group, adults with neurological conditions aged 18-65 who have difficulty accessing OT services. This innovative approach to service delivery provides an alternative access pathway, treatment, and payment models that are intentionally designed to increase participation in and utilization of OT services. With this program, it is expected that patients will report increased satisfaction with participation, increased quality of life, and outcomes will hopefully effect change amongst policymakers.

Abstrakt Bakgrund. Aggressivt beteende är vanligt inom hälso- och sjukvården, med konsekvenser som försämrad arbetstillfredsställelse och burnout. Syftet med studien är att undersöka samband mellan egenskattad utsatthet för aggressivt samt våldsamt beteende och arbetstillfredsställelse, burnout samt sjukskrivning inom den psykiatriska öppenvården. Design. Tvärsnittsstudie med kvantitativ ansats. Metod. Analys av data, insamlat hösten 2014, från totalt 129 respondenter har utförts i SPSS. Resultatet visar att 20,6 % av respondenterna ofta är utsatt för aggressivt beteende samt att 7,3 % ofta är utsatt för våldsamt beteende. Inget samband sågs mellan att vara utsatt och dess inverkan på arbetstillfredsställelse samt burnout. Däremot ses en signifikant skillnad vad gäller utsatthet mellan de undersökta orterna. Slutsats. Den undersökta gruppen är sällan utsatt för våldsamt beteende, men däremot hög förekomst av aggressivt beteende. Trots utsattheten skattades arbetstillfredsställelsen högt. Nyckelord: Aggressivt beteende, våldsamt beteende, arbetstillfredsställelse, burnout, psykiatrisk öppenvård. / Abstract Background. Aggressive behavior is common in health care, with consequences such as impaired job satisfaction and burnout. The aim of the study is to investigate the relationship between self-rated exposure to aggressive and violent behavior, and job satisfaction, burnout and sick-leave in psychiatric outpatient care. Design. Cross-sectional study with a quantitative approach. Method. Analysis of data collected in autumn 2014 from a total of 129 respondents was performed in SPSS. The result shows that 20.6% of respondents are often exposed to aggressive behavior and 7.3% are often exposed to violent behavior. No association between being exposed and its impact on job satisfaction and burnout. In contrast the results show significance difference in terms of exposure between studied cities. Conclusion The examined groups are rarely exposed to violent behavior, however, there is a high incidence of aggressive behavior. The job satisfaction were estimated high despite the exposure. Keywords:Aggressive behavior, violent behavior, job satisfaction, burnout, psychiatric outpatient.

Bakgrund: Handledning kan ge sjuksköterskan möjlighet att reflektera, avreagera sig, bearbeta känslor och minska stress och känslor av otillräcklighet. Sjuksköterskor kan få ett ökat självförtroende av handledning och en ökad sammanhållning med varandra men att handledas i grupp kan vara en utmaning då det ställer krav på både öppenhet och engagemang. Syfte: Syftet med föreliggande studie var att beskriva sjuksköterskor upplevelse av grupphandledning inom öppen psykiatrisk beroendevård. Metod: Studien har en kvalitativ design med semistrukturerade intervjuer för datainsamling. Nio sjuksköterskor intervjuades och materialet analyserades med kvalitativ innehållsanalys. Resultat: Studiens resultat presenteras utifrån fyra huvudkategorier; att genom handledning reflektera över sitt omvårdnadsparadigm, att genom handledning skapa ett sjukskötersketeam, att genom handledning förstå vad som förväntas av sjuksköterskan och att genom handledning lära känna sig själv bättre. Huvudkategorierna har sammanlagt nio underkategorier. Diskussion: Studiens resultat diskuteras mot Antonovskys KASAM (begriplighet, hanterbarhet och meningsfullhet) samt annan litteratur och vetenskapliga artiklar. Studiens resultat visade att sjuksköterskorna med hjälp av handledning kan minska risk för utbrändhet och känsla av maktlöshet och frustration, öka tilliten till varandra i arbetsgruppen, öka autonomi och självförtroende och hjälpa sjuksköterskan hantera de känslor som uppstår i mötet med patienten / Background: Supervision can give the nurse the possibility to reflect, let of steam, process emotions and reduce stress and feelings of inadequacy. Nurses can get increased self-confidence and a better coherence with each other but to have group supervision can be a challenge because it demands openness and commitment. Aim: The aim of this study was to describe nurses experience of clinical group-supervision in psychiatric dependency care clinics. Method: The study has a qualitative design with semi-structured interviews for data collection. Nine nurses were interviewed and the material was analyzed with qualitative content analysis. Results: The results of the study is represented in four main categories; to reflect on the caring paradigm through supervision, to create a nursing team through supervision, to understand what is expected from the nurse through supervision and to get to know your self better through supervision. The main categories has all together nine appurtenant subcategorys. Discussions: The result of the study is discussed with Antonovskys KASAM (comprehensebility, manageability and meaningfulness) and other literature and scientific articles. The result of the study showed that the nurses could use the supervision to reduce the risk of burnout and feelings of incapacity and frustration, increase the trust to each other in the working group, increase autonomy and self-confidence and to handle the feelings that arises in the meeting with the patient.