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"Can I trust you with my medicines?" A grounded theory study of patients with Parkinson's disease perceptions of medicines management

Introduction: People with Parkinson's disease require individualised
medication regimens to achieve symptomatic control whilst managing
complications of the treatments and the underlying disease. Patients
should continue to receive their individualised regimen when they are
admitted to hospital but studies have highlighted that this may not
happen. There is a paucity of research about patients' perceptions of the
management of anti-parkinsonian medicines during a hospital admission
and the aim of this study was to explore the perceptions of Parkinson's
disease patients admitted to Leeds Teaching Hospitals about the
management of their anti-parkinsonian medications.Method: Grounded theory methodology was used to allow detailed
exploration of patients' perceptions and to generate theory about this
under-researched area. Face to face, semi-structured interviews were
conducted with 13 Parkinson's disease patients during their hospital
admission, fully transcribed and analysed using the constant comparative
approach.
Results: Categories contributing to the core category of 'patient anxiety'
were identified as 'maintaining usual medication routine', 'access to
anti-parkinsonian medications', 'accuracy and consistency', 'trust in
healthcare professionals' and 'staff knowledge about Parkinson's
disease'. Strategies used to manage the anxiety were related to the
categories 'utilising expertise' in Parkinson's disease and 'patient
involvement' in their care.
Discussion: The theory suggests that some patients have negative
perceptions about the management of their medicines during a hospital
admission. Areas for practice development are presented along with
areas for future research.
Conclusion: This study provides new insight into the perceptions of
patients with Parkinson's disease about the management of their
medicines during a hospital admission.

Identiferoai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/5649
Date January 2012
CreatorsDunsmure, Louise C.
ContributorsLucas, Beverley J., Acomb, C.
PublisherUniversity of Bradford, School of Pharmacy, University of Bradford
Source SetsBradford Scholars
LanguageEnglish
Detected LanguageEnglish
TypeThesis, doctoral, PhD
Rights<a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/"><img alt="Creative Commons License" style="border-width:0" src="http://i.creativecommons.org/l/by-nc-nd/3.0/88x31.png" /></a><br />The University of Bradford theses are licenced under a <a rel="license" href="http://creativecommons.org/licenses/by-nc-nd/3.0/">Creative Commons Licence</a>.

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