Background: Age-related macular degeneration (AMD) is the most frequent cause of vision loss in older people in the western world. One in twelve Danes over age 60 suffer from AMD, of which 15% have wet AMD. Wet AMD can be treated with anti-VEFG medication to prevent vision loss. Little is known about the quality of life of patients with wet AMD.
Aim: To understand how involving rehabilitation can support quality of life for patients with wet AMD.
Method: Six semi-structured interviews were conducted. The analysis was inspired by hermeneutic principles.
Findings: The findings are described in three themes »Need for help versus need not to be a nuisance«, »the importance of the network«, and »the balance between realistic insight and preserved hope«.
Conclusion: The patients need knowledge of the disease, and they rely on good relationships and a network providing practical, personal and psychological support. Furthermore, the ability to develop new strategies to deal with the limitations caused by the eye disease is crucial.
Shared decision-making related to nutritional counseling is important for patients in treatment for lung cancer who are at risk of developing malnutrition. This study explored how, and to what extent, shared decision-making is used for the nutritional support of patients with lung cancer and how it is, or is not, developed through conversations between nurses and patients. A multi-method study was used. Participant observations and ethnographic interviews were conducted while the patients were having their first chemotherapy and nutrition counseling. OPTION 5 was used to rate the degree of shared decision-making. The use of shared decision-making was limited, and the conversations were marked by nurses’ agendas rather than that of the patients.
Background: The coronavirus pandemic is not only a healthcare and economic crisis, it is also an ethical situation with a lot of questions and reflections.
The aim of this article is to discuss the ethical message written on the website and in the pamphlet from the National Board of Health concerning vaccination against Covid-19.
The chosen theories and framework for the analysis are Kant’s ethics, Bentham’s utilitarianism and Habermas’s discourse ethics.
Result: We found a tension between autonomy and paternalism. The National Board of Health states the free choice of vaccination, but a form of paternalism is hidden in the analyzed material.
Conclusion: The citizens’ yes or no to vaccination against Covid-19 is an ethical situation in which ethical theories can help us to see through the underlying counseling and messages from the Danish Authorities.
Psychiatric residential homes in Denmark offer Complementary Therapies (CT) such as massage and ear acupuncture as rehabilitative interventions. This article explores employees’ and leaders’ experiences with CT and investigates the relevance of CT in recovery processes.
The study is qualitative. Data consist of individual interviews and focus groups in four strategically selected psychiatric residential homes. A stepwise content analysis with open coding and condensed meaning creates four themes. The CARe Methodology serves as the theoretical framework for a deeper interpretative analysis.
It is a shared belief that CT acknowledge the residents’ physical and mental vulnerability. In rehabilitation, CT offers a holistic, collaborative approach and CT can be interpreted as both an internal, external and technological resource.
Nursing documentation traditionally takes place in the office. The increased documentation requirements in the healthcare system may thus mean that the nurses spend more time away from the patient. Therefore, the task of documentation is increasingly being moved to the bedside. This project is an improvement project in which the Improvement Model of Southern Denmark has been used as a framework. The aim was to investigate nurses’ and patients’ experiences of bedside documentation.
Data collection was completed by participant observations and semi-structured interviews. Data were interpreted from a post-phenomenological perspective.
In the analysis, two main themes were derived from the nurse perspective; ‘New workflows and habits’ and ‘Patient involvement and real-time documentation’. From the patient perspective, two main themes emerged; ‘Security and involvement’ and ‘A natural tool that streamlines workflows’. Situations where bedside documentation makes sense for both nurses and patients were identified e.g. when dispensing medication, receiving new patients, and planning the discharge.
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Annelise Norlyk, professor, Institut for Folkesundhed – Sygepleje, Aarhus Universitet
Aarhus Universitet v/ Bente Martinsen Woythal
Institut for Folkesundhed, Sektion for Sygepleje, Campus Emdrup
Tuborgvej 164, bygning B
2400 København NV