Patients with Alzheimer's Disease Who Live at Home: The Challenge of Medication Taking

20.00
Hdl Handle:
http://hdl.handle.net/10755/163422
Category:
Abstract
Type:
Presentation
Title:
Patients with Alzheimer's Disease Who Live at Home: The Challenge of Medication Taking
Author(s):
Erlen, Judith A.; Happ, Mary Beth; DeKosky, Steven; Lea, Dawn
Author Details:
Judith A. Erlen, PhD, RN, FAAN, Professor, University of Pittsburgh Health Promotion and Development, Pittsburgh, Pennsylvania, USA, email: jae001@pitt.edu; Mary Beth Happ, PhD, RN; Steven DeKosky, MD; Dawn Lea, RN
Abstract:
Purpose: This mixed methods study examined the challenges of medication taking among persons with Alzheimer's disease living at home with a family member. Background: Medication taking presents unique challenges for persons with Alzheimer's disease and their family caregivers due to changes in cognitive function and behavior, other co-morbidities, and increasing dependence on caregivers. Methods (Design, Participants, Setting, Data Collection, Analytic approach): The purposive sample included 16 patient-caregiver dyads. The 16 adults with Alzheimer's disease were 51-92 years; the family caregivers (4 daughters, 6 sons, 5 wives, and 5 husbands) were 35-84 years. Questionnaires were completed during the enrollment visit in the home. Researchers came to the home on two or more occasions to observe the in-home preparation and taking of medications. Interviews were conducted following the observations. Verbatim transcriptions were analyzed using event analysis. Results: The results show that control of medication taking represents a continuum of caregiver activities from limited responsibility for obtaining medicines to physically placing the pills in the patient's mouth. Behavioral and memory changes in the patient cue caregivers to change their role and the strategies that they use during medication taking.. These patient changes signal decreased trust by the caregiver of the patient's capabilities . Caregivers initiate new strategies after consulting with healthcare providers, friends, and/or family members, engaging in trial and error, or reviewing lay literature on the care of patients with cognitive decline. The various adjustments made by caregivers are not anticipated or planned and are rarely addressed in an anticipatory or educational way by clinicians. Conclusions and Implications: Specific behavioral cues exhibited by the patient may alert caregivers to the need for increased oversight of and participation in the medication taking regimen. Intervention studies are needed to give anticipatory guidance to family caregivers related to medication taking.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2006
Conference Name:
18th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Cherry Hill, New Jersey
Description:
�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jersey
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePatients with Alzheimer's Disease Who Live at Home: The Challenge of Medication Takingen_GB
dc.contributor.authorErlen, Judith A.en_US
dc.contributor.authorHapp, Mary Bethen_US
dc.contributor.authorDeKosky, Stevenen_US
dc.contributor.authorLea, Dawnen_US
dc.author.detailsJudith A. Erlen, PhD, RN, FAAN, Professor, University of Pittsburgh Health Promotion and Development, Pittsburgh, Pennsylvania, USA, email: jae001@pitt.edu; Mary Beth Happ, PhD, RN; Steven DeKosky, MD; Dawn Lea, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/163422-
dc.description.abstractPurpose: This mixed methods study examined the challenges of medication taking among persons with Alzheimer's disease living at home with a family member. Background: Medication taking presents unique challenges for persons with Alzheimer's disease and their family caregivers due to changes in cognitive function and behavior, other co-morbidities, and increasing dependence on caregivers. Methods (Design, Participants, Setting, Data Collection, Analytic approach): The purposive sample included 16 patient-caregiver dyads. The 16 adults with Alzheimer's disease were 51-92 years; the family caregivers (4 daughters, 6 sons, 5 wives, and 5 husbands) were 35-84 years. Questionnaires were completed during the enrollment visit in the home. Researchers came to the home on two or more occasions to observe the in-home preparation and taking of medications. Interviews were conducted following the observations. Verbatim transcriptions were analyzed using event analysis. Results: The results show that control of medication taking represents a continuum of caregiver activities from limited responsibility for obtaining medicines to physically placing the pills in the patient's mouth. Behavioral and memory changes in the patient cue caregivers to change their role and the strategies that they use during medication taking.. These patient changes signal decreased trust by the caregiver of the patient's capabilities . Caregivers initiate new strategies after consulting with healthcare providers, friends, and/or family members, engaging in trial and error, or reviewing lay literature on the care of patients with cognitive decline. The various adjustments made by caregivers are not anticipated or planned and are rarely addressed in an anticipatory or educational way by clinicians. Conclusions and Implications: Specific behavioral cues exhibited by the patient may alert caregivers to the need for increased oversight of and participation in the medication taking regimen. Intervention studies are needed to give anticipatory guidance to family caregivers related to medication taking.en_GB
dc.date.available2011-10-27T11:07:18Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:07:18Z-
dc.conference.date2006en_US
dc.conference.name18th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationCherry Hill, New Jerseyen_US
dc.description�New Momentum for Nursing Research: Multidisciplinary Alliances�, held on April 20th -22nd at the Hilton in Cherry Hill, New Jerseyen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.