Background: Type 1-diabetes (T1D) is a chronic autoimmune disease that causes insulin deficiency. The disease often debuts during childhood or adolescence and requires lifelong treatment. This means that adolescents and young adults take on a great deal of responsibility at an early age, which affects their daily lives and well-being. Inadequate self-care can lead to both acute and long-term complications.

Aim: The aim of the study was to describe the experiences of adolescent and young adults with selfcare of type 1 diabetes.

Method: The study is a qualitative literature review. Data collection was carried out in the CINAHL and PubMed databases, and ten articles were included in the results through Braun and Clarke`s six-step thematic analysis.

Results: Three main themes were generated: Steps towards independence in self-care. Challenges that hinder self-care. Support that enables self-care and wellbeing. Each theme contained two associated subthemes.  

Conclusion: Self-care in adolescents and young adults is a gradual process in which the pursuit of independence needs to be balanced with access to support. Further research should focus on support measures that can strengthen self-care and well-being in adolescents and young adults with T1D. 

Background: Dementia is a major public health concern in Sweden and is associated with cognitive, physical, psychological, and social impairments. At the end of life, increased functional decline places high demands on nursing care in residential settings.  

Aim: To describe nurses’ experiences of caring for persons with dementia at the end of life in residential care.  

Method: A general literature review with a qualitative approach was conducted. Systematic searches were performed in PubMed and CINAHL. Ten qualitative studies were included, quality assessed using the SBU checklist, and analysed using thematic analysis.

Results: Two main themes emerged: challenges in palliative care and supportive situations in care. Challenges involved difficulties in symptom management, next of kin as both a resource and a barrier, and organizational constraints including workload and moral distress. Supportive factors included knowledge and education, teamwork, and continuity of care.

Conclusion: Education, organizational support, and multiprofessional collaboration are essential to enable person-centred and dignified palliative care for persons with dementia at the end of life.

Keywords: Dementia, End of life, Nursing care, Nurses’ experiences, Palliative care