Older people's experience of utilisation and administration of medicines in a health- and social care context. Show others and affiliations
2015 (English) In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 4, p. 760-768Article in journal (Refereed) Published
Abstract [en]
BACKGROUND: People living at home who lack ability to manage their medicine are entitled to assistance to improve adherence provided by a home care assistant employed by social care.
AIM: The aim was to describe how older people with chronic diseases, living at home, experience the use and assistance of administration of medicines in the context of social care.
DESIGN: A qualitative descriptive study.
METHODS: Ten participants (age 65+) living at home were interviewed in the participants' own homes. Latent content analysis was used.
FINDINGS: The assistance eases daily life with regard to practical matters and increases adherence to a medicine regimen. There were mixed feelings about being dependent on assistance; it interferes with self-sufficiency at a time of health transition. Participants were balancing empowerment and a dubious perception of the home care assistants' knowledge of medicine and safety. Physicians' and district nurses' professional knowledge was a safety guarantee for the medicine process.
CONCLUSIONS: Assistance eases daily life and medicine regimen adherence. Dependence on assistance may affect self-sufficiency. Perceived safety varied relating to home care assistants' knowledge of medicine.
RELEVANCE TO CLINICAL PRACTICE: A well-functioning medicine assistance is crucial to enable older people to remain at home. A person-centred approach to health- and social care delivery is efficient and improve outcome for the recipient of care.
Place, publisher, year, edition, pages 2015. Vol. 29, no 4, p. 760-768
Keywords [en]
institutionalization, dementia, chronic diseases, elderly, population-based study
National Category
Nursing
Identifiers URN: urn:nbn:se:rkh:diva-1969 DOI: 10.1111/scs.12207 PubMedID: 25648845 OAI: oai:DiVA.org:rkh-1969 DiVA, id: diva2:872316
2015-11-182015-11-182017-11-08 Bibliographically approved