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'They must help if the doctor gives them to you’: a qualitative study of the older person’s lived experience of medication-related problems
journal contribution
posted on 2023-06-09, 18:56 authored by Nikesh Parekh, Beatrice Gahagan, Lizzie Ward, Khalid Mustafa AliKhalid Mustafa AliObjective: medication-related problems (MRP) are common for older adults and can lead to harm. The older person’s perspective on MRP has been seldom reported in published literature. This study explored the lived experience of MRP in older adults with varying functional levels, focussing on the hospital discharge period. Design, setting, participants: this qualitative study was conducted in Brighton and Hove, UK. A purposive sample of 20 older people with experience of MRP, involving carers, took part in focus groups and semi-structured interviews. Data were thematically analysed using a ‘framework’ approach. Results: four major themes associated with MRP were identified; (1) experience of the healthcare system, (2) practicalities of using medicines, (3) management of medication problems and (4) participant beliefs. Participants encountered problems in communication with healthcare professionals such as passive listening and paternalistic consultations. A conflict was acknowledged between participants’ implicit trust in the healthcare system and their negative experience of MRP. Participants felt vulnerable around hospital discharge, describing reduced capacity to comprehend information, pressured discharge circumstances and lack of integrated care in the community. Drug formulations, packaging and information leaflets were felt to be poorly tailored to the needs of older people. Conclusions: the lived experience of older people with MRP in this study was multifaceted and complex. Participants felt communication was poor around hospital discharge, and insufficient support with medicines was offered in the community when problems arose. Harm due to MRP might be reduced if the contributory factors described by patients inform clinical and policy-level intervention.
History
Publication status
- Published
File Version
- Accepted version
Journal
Age and AgeingISSN
0002-0729Publisher
Oxford University PressExternal DOI
Issue
1Volume
48Page range
147-151Department affiliated with
- BSMS Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2019-09-09First Open Access (FOA) Date
2019-09-19First Compliant Deposit (FCD) Date
2019-09-19Usage metrics
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