| Exploring factors that influence informal caregiving in medication management for home hospice patients. | |
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MedLine Citation:
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PMID: 20836633 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To explore factors that influence how informal caregivers manage medications as part of caring for hospice patients. METHODS: Semistructured, open-ended interviews were conducted with 23 informal caregivers and 22 hospice providers from 4 hospice programs in the Chicago metropolitan areas. Qualitative analysis was conducted consistent with the grounded theory approach. RESULTS: In general, informal caregivers and hospice providers identified similar key factors that facilitated or impeded caregivers' process in managing medications. Caregivers' life experience and self-confidence were considered assets that facilitated medication management. Limitations impeding the process included caregivers' negative emotional states, cognitive and physical impairments, low literacy, other competing responsibilities, as well as patients' negative emotional states and complex medication needs. Furthermore, the social context of medication management emerged as a salient theme: caregivers' good interpersonal relations with patients facilitated medication management, whereas poor communication/relations among caregivers within a support network impeded the process. While both study groups discussed the positive attributes of good caregiver-patient relations and support from multiple caregivers, hospice providers were cautious about the potential adverse influence of close relations with patients on caregivers' decision making about medications and discussed poor communication/relations among informal and privately hired caregivers that often resulted from family conflicts and/or a lack of long-standing leadership. CONCLUSION: Our findings suggest additional intervention points, beyond knowledge and skill building, that could be addressed to support caregivers in executing medication responsibilities at home for hospice patients. |
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Authors:
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Denys T Lau; Rebecca Berman; Leslie Halpern; A Simon Pickard; Robert Schrauf; Whitney Witt |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Journal of palliative medicine Volume: 13 ISSN: 1557-7740 ISO Abbreviation: J Palliat Med Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-09-14 Completed Date: 2011-02-03 Revised Date: 2012-03-08 |
Medline Journal Info:
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Nlm Unique ID: 9808462 Medline TA: J Palliat Med Country: United States |
Other Details:
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Languages: eng Pagination: 1085-90 Citation Subset: IM |
Affiliation:
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Buehler Center on Aging, Health & Society, Northwestern University, Chicago, Illinois 60611, USA. DenysTLau@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Caregivers / psychology* Chicago Decision Making* Drug Therapy / nursing* Female Home Nursing / psychology* Hospice Care / psychology* Humans Interviews as Topic Male Middle Aged Qualitative Research |
| Grant Support | |
ID/Acronym/Agency:
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K01 AG027295-06/AG/NIA NIH HHS; K01AG027295/AG/NIA NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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