Older people's experience of utilisation and administration of medicines in a health- and social care context

Craftman, ÅsaSophiahemmet Högskola,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),Sophiahemmet University, Sweden,Sophiahemmet University and Aging Research Center (ARC), Karolinska Institutet and Stockholm University,Sophiahemmet Univ, Sweden (author)

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.

Westerbotn, MargaretaKarolinska Institutet,Sophiahemmet Högskola,Sophiahemmet University and Division of Nursing, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet,Sophiahemmet Univ, Sweden(Swepub:shh)margaretawe (author)
von Strauss, EvaKarolinska Institutet,Röda Korsets Högskola,Stockholms universitet,Centrum för forskning om äldre och åldrande (ARC), (tills m KI),The Swedish Red Cross University College, Sweden,Avdelningen Medicin och Folkhälsa,Aging Research Center (ARC), Karolinska Institutet and Stockholm University,Stockholm Univ, Sweden(Swepub:rkh)vone (author)
Hillerås, PernillaSophiahemmet Högskola,Sophiahemmet University and Department of Neurobiology, Care Sciences and Society, Karolinska Institutet,Sophiahemmet Univ, Sweden(Swepub:rkh)perh (author)
Marmstal Hammar, LenaMälardalens högskola,Hälsa och välfärd(Swepub:du)lma (author)
Stockholms universitetCentrum för forskning om äldre och åldrande (ARC), (tills m KI) (creator_code:org_t)

In:Scandinavian Journal of Caring Sciences: Wiley29:4, s. 760-7680283-93181471-6712

By the author/editor: Craftman, Åsa; Westerbotn, Marg ...; von Strauss, Eva; Hillerås, Pernil ...; Marmstal Hammar, ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

By the university: Stockholm University; Sophiahemmet University College; Red Cross University College; Mälardalen University; Karolinska Institutet; Högskolan Dalarna

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