'They must help if the doctor gives them to you': a qualitative study of the older person's lived experience of medication-related problems

Age and Ageing
Nikesh ParekhKhalid Ali

Abstract

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. 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. 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 formul...Continue Reading

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Citations

Mar 4, 2020·Drug Safety : an International Journal of Medical Toxicology and Drug Experience·Fatema A AlqenaeRichard N Keers
Oct 17, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Justine TomlinsonBeth Fylan
Jun 2, 2021·Expert Opinion on Drug Safety·Elizabeth ManiasNarelle Borrott

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