Sarnen is the capital of the canton of Obwalden situated on the shores of Lake Sarnen (Sarner See), Switzerland. It has a population of just over 10,000 and is surrounded by countryside and mountains. Sarnen is located 20 km south of Lucerne.
The official language of Sarnen is (the Swiss variety of Standard) German, but the main spoken language is the local variant of the Alemannic Swiss German dialect.
As of 2008, the religious membership of the municipality was; 7,403 or 74.7% are Roman Catholic, while 779 or 7.9% belonged to the Swiss Reformed Church. Of the rest of the population, there are 39 individuals (or about 0.39% of the population) who belong to the Christian Catholic faith. There are 1,687 individuals (or about 17.03% of the population) who belong to another church (not listed on the census) or no church
People with cognitive impairment and consecutive communication disturbance are, due to their illness, a very vulnerable group of patients. They are particularly at risk that their pain is not well assessed and therefore often not treated adequately. Insufficient pain management however impacts health status and decreases cognitive functioning and the patients' quality of life. The aim of the evidence-based practice development project was to establish a systematic pain management for cognitively impaired patients on a surgical ward of a regional hospital. Based on a literature review a quality standard and an algorithm including the pain assessment instrument BESD were developed and subsequently implemented. The project was evaluated by obtaining data from the patients charts and by interviewing the nurses. Ten patients were included in the project. First results showed that pain was individually assessed with the patients in each shift and that pain was treated both with and without medication. Nurses paid more attention to pain assessment and improved their practice of structured assessments in patients with severe cognitive impairment. We therefore recommend applying both the standard and the pain assessment instrument BESD with cognitively impaired patients.
The Seed Storage Committee was established after the 1980 ISTA Convention when the old Seed Moisture
and Storage Committee was divided into it Seed Storage and a Seed Moisture Committee. Being a ncIA committee, some time has been required to get the seven working
groups Mitch were approved, organised and functioning. Therefore, only a few group projects have been initiated to date. I lowever. members of'
he working groups, working independently, carried out or initiated a iiu iii her of valuable studies. Detailed reports from the working
groups on 'Effects of Storage on Genetic Integ rity ' and 'Effects of Storage Fungion Seed Longevity' are presented separately. Long-term studies
are underway on seeds of a variety of orthodox odox species with regards to the cIt ect s of provenance on seed longevity, physiology of ageing and
controlled atmosphere storage. Several projects on improved storage practices for seeds of recalcitrant
species have been initiated as have projects on presers a lion of viability in transit.