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Older people's experience of utilisation and administration of medicines in a health- and social care context.
Sophiahemmet University and Aging Research Center (ARC), Karolinska Institutet and Stockholm University.
Sophiahemmet University and Division of Nursing, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet.
The Swedish Red Cross University College, Department of Public Health and Medicine. Aging Research Center (ARC), Karolinska Institutet and Stockholm University .ORCID iD: 0000-0001-5800-6454
Sophiahemmet University and Department of Neurobiology, Care Sciences and Society, Karolinska Institutet.
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2015 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 29, no 4, 760-768 p.Article 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, 760-768 p.
Keyword [en]
institutionalization, dementia, chronic diseases, elderly, population-based study
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-1969DOI: 10.1111/scs.12207PubMedID: 25648845OAI: oai:DiVA.org:rkh-1969DiVA: diva2:872316
Available from: 2015-11-18 Created: 2015-11-18 Last updated: 2016-04-19Bibliographically approved

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