Det behandlende sygehus er ensbetydende med ‘Klinikkens fødsel’. I dag står vi over for klinikkens død. Tendensen går mod en flugt fra sygesengen. Ja, til en afskaffelse af sygesengen som sådan. Patienten er blevet til et accelereret patientforløb. Trods forebyggelse og sundhedsfremme bliver vi stadig syge, men vi må ikke være det.
Background: A growing number of men are diagnosed with prostate cancer and a growing number of these men are treated with surgery. A well-known complication following surgery is erectile dysfun ction. Purpose: The purpose of this study is to investigate how erectile dysfunction influences male identity including self-experience, bodyimage and relationships. Method: The study is a descriptive explorative qualitative study with a phenomenological/hermeneutic frame of understanding. Qualitati ve interviews are used as data collection. Results: Through the analysis of the interviews four themes appeared; lack of spontaneous intercourse, identity and masculinity, the opposite gender, redefinition of sexuality. Conclusion: The patients’ experiences influence their sexuality in respect to their physical sex life and body, their personal experience and their relations. fhis demonstrates that sexuality has many different expressions and that sexuality is closely connected to human identity. It is important to establish counselling for these patients in order to improve their quality of life.
Keywords: erectile dysfunction, male identity, masculinity, qualitative study, sexuality.
Background: The roles and responsibilities of nurses in rehabilitation seem to be unclear and less attended to, in spite of the fact that they are the largest professional group in rehabilitation. The purpose of this study was to describe nurses’ functions in rehabilitation as it is experienced by nurses who work in nursing homes with elderly residents as a major group. Phenomenological method was applied and data was collected by means of in depth interviews with six experienced nurses, representing different institutions. Four significant functions were identified: 1) the safeguarding function of maintaining a holistic perspective in the rehabilitation process, 2) the relational function, 3) the function of facilitating user involvement, and 4) the node function in the multidisciplinary team. Nursing in rehabilitation involves the act of balancing many areas of demand in order to safeguard that rehabilitation efforts are relevant, consecutive and applied in respect of the patient’s resources.
Background: The laparoscopic Roux-en-Y gastric bypass (LRYGB) is the most widely used obesity surgery worldwide and in Denmark as well. The mean hospital stay is 2-4 days. Purpose: As patients are demanding shorter hospital stays, the aim was to investigate whether it is safe and secure for patients to be discharged the first day after LRYGB. Method: One hundred patients were consecutively enrolled in the study from August 30, 2010 to March 30, 2011. Data collection included age, sex, BMI, duration of surgery, time of completing the surgery, length of stay, Postanaesthesia Discharge Scoring System, data from telephone interviews the day after discharge and readmission within 10 days. Results: Eighty-four patients were discharged the first postoperative day and 16 patients had a prolonged length of stay. Readmission within 10 days after surgery occurred in a total of 8 patients. Conclusion: A majority of patients undergoing LRYGB can be discharged safely the first postoperative day with a minimal risk of postoperative complications and readmission.
Background: Malnutrition is an underestimated problem for surgical patients, and the Danish Health and Medicines Authority prioritizes systematic screening of nutritional status. Purpose: The aim of this study is to examine how nursing staff experience working with screening of nutritional status and conducting diet plans to improve the practice of patients’ nutritional needs. Method: Two focus group interviews between nursing leaders and nursing staff were held. Results: The following six themes arose:
- Screening of nutritional status improves nursing practice, but it is not consistent.
- When diet registration does not work.
- Nutrition must be a procedure just like medication and giving the patient a bedpan.
- Interdisciplinary collaboration.
- Categorization of the patient.
- Audit is necessary.
Conclusion: Nursing staff experience difficulties and lack of consistency in carrying out screening of nutritional status and diet registration. It is a dilemma whether clinical practice should be based on research knowledge only, and exclude the clinical judgement as a consequence.
The article focuses on how nurses can provide care to the group of lesbian Muslims. The aim is to increase nurses’ knowledge and understanding of Muslim lesbian’s conditions and quality of life. Dr. Scott Siraj al Haqq Kugle, himself a devout Muslim, argues that it is possible to reconcile being gay with being a good Muslim.