http://hdl.handle.net/10143/11958 null Fri, 24 May 2013 13:42:47 GMT 2013-05-24T13:42:47Z http://hdl.handle.net/10143/144129 Title: Experiences of existential problems and psychiatric nurses' ways of addressing them Authors: Bjelland, Stine Dyste; Severinsson, Elisabeth Abstract: Research on patients’ experiences of existential problems in psychiatric care is scarce. The aim of this study was to create a synthesis of published research about how psychiatric nurses address patients’ existential problems. Fourteen papers met the criteria for this review. Four were empirical papers focusing on patients in psychiatric care, eight had a theoretical approach, while two were on the subject of psychiatric nursing care. The findings revealed that the patients’ existential problems were related to lack of self-confidence, self-reflection, social relationships and inability to make choices. In addition, they found it difficult to take an interest in other people and felt alienated from themselves and others. Self-reflection is important for strengthening the identity of patients suffering from existential problems. Psychiatric nurses can promote a stronger identity in their patients by raising questions with a focus on self-reflection, by being present, inviting the patients into a dialogue and using different theories and models to achieve mental health. In conclusion, psychiatric nursing needs to focus to a greater extent on existential problems in order to support patients to discuss and deal with such concerns. Sat, 01 Jan 2011 00:00:00 GMT http://hdl.handle.net/10143/144129 2011-01-01T00:00:00Z http://hdl.handle.net/10143/143320 Title: High mortality explained by mildly elevated blood pressure in Scandinavian adolescent conscripts: a plea for early drug treatment? Authors: Kjeldsen, Sverre E; Oparil, Suzanne; Narkiewicz, Krzysztof; Hedner, Thomas Mon, 01 Aug 2011 00:00:00 GMT http://hdl.handle.net/10143/143320 2011-08-01T00:00:00Z http://hdl.handle.net/10143/143319 Title: Surgical treatment of endometrial cancer and atypical hyperplasia: a trend shift from laparotomy to laparoscopy. Authors: Qvigstad, Erik; Lieng, Marit Abstract: Background. Laparoscopic hysterectomy has proved to be a safe alternative to open surgery in women with benign indications. Few studies compare laparotomy and laparoscopy in gynecologic oncology, and the objective of this study was to analyze the feasibility and development of laparoscopic surgery in endometrial cancer patients. Material and Methods. Records from all women having a hysterectomy due to premalignant or malignant endometrial changes during the years 2002-2009 were examined retrospectively. Results. A total of 521 hysterectomies were performed during the study period. Laparoscopy was performed in about 20% of the cases in the first two years, increasing to 83% in the last year of the period. Moreover, the laparoscopic technique was increasingly applied in older women, more obese women and in women with high-risk preoperative diagnosis, without increasing the complication rate. Conclusions. As for benign indications, laparoscopic hysterectomy in endometrial cancer patients should be preferred whenever possible. Sat, 01 Jan 2011 00:00:00 GMT http://hdl.handle.net/10143/143319 2011-01-01T00:00:00Z http://hdl.handle.net/10143/143339 Title: Advanced Clinical Medicine Requires Advanced Clinical Ethics. Authors: Hansen, Thor Willy Ruud Abstract: Many advances have occurred in clinical medicine in the last decades. Solid organ transplants, corrective surgery for congenital malformations, improved cytostatic regimes for children with cancer, and respiratory care for premature infants are but a few examples of the changing face of medical practice. Such changes have added years to life. But along the way many patients have paid a price, both in terms of loss of life and of added suffering. Even today, some survivors are faced with a life of impairment and suffering. Follow-up studies of extremely low-birth-weight infants show that the smallest infants have a high rate of severe sequelae. Some argue that such suffering should be sufficient reason to make us desist from further attempts to advance the frontiers of therapy. This paper seeks to reflect on the character of advanced medicine and on how we relate to patients and their kin in our quest for further improvements in therapy. The price for continued advances will inevitably be paid by some patients who will not profit from them. Therefore, patients who are asked to participate in such a quest must receive honest and transparent information, including a discussion about where and how they would draw the limits. Clinical competency is a core concept in advanced medicine, but a caring comportment also demands that our relationship to the patient be characterized by honesty, integrity, and decency. In dialogue with parents, finding the right balance between parental exercise of autonomy and safe-guarding the best interest of the child remains a challenge. Tue, 26 Jul 2011 00:00:00 GMT http://hdl.handle.net/10143/143339 2011-07-26T00:00:00Z