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Exploring Factors that Influence Informal Caregiving in Medication Management for Home Hospice Patients

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Title: Exploring Factors that Influence Informal Caregiving in Medication Management for Home Hospice Patients
Author(s): Lau, Denys T.; Berman, Rebecca; Halpern, Leslie; Pickard, A. S.; Schrauf, Robert; Witt, Whitney
Subject(s): caregivers hospice patients
Abstract: Objective: To explore factors that influence how informal caregivers manage medications as part of caring for hospice patients. Methods: Semistructured, open-ended interviews were conducted with 23 informal caregivers and 22 hospice providers from 4 hospice programs in the Chicago metropolitan areas. Qualitative analysis was conducted consistent with the grounded theory approach. Results: In general, informal caregivers and hospice providers identified similar key factors that facilitated or impeded caregivers’ process in managing medications. Caregivers’ life experience and self-confidence were considered assets that facilitated medication management. Limitations impeding the process included caregivers’ negative emotional states, cognitive and physical impairments, low literacy, other competing responsibilities, as well as patients’ negative emotional states and complex medication needs. Furthermore, the social context of medication management emerged as a salient theme: caregivers’ good interpersonal relations with patients facilitated medication management, whereas poor communication/relations among caregivers within a support network impeded the process. While both study groups discussed the positive attributes of good caregiver– patient relations and support from multiple caregivers, hospice providers were cautious about the potential adverse influence of close relations with patients on caregivers’ decision making about medications and discussed poor communication/relations among informal and privately hired caregivers that often resulted from family conflicts and/or a lack of long-standing leadership. Conclusion: Our findings suggest additional intervention points, beyond knowledge and skill building, that could be addressed to support caregivers in executing medication responsibilities at home for hospice patients.
Issue Date: 2010-09
Publisher: Mary Ann Liebert
Citation Info: Lau, D. T., Berman, R., Halpern, L., Pickard, A. S., Schrauf, R., & Witt, W. 2010. Exploring Factors that Influence Informal Caregiving in Medication Management for Home Hospice Patients. Journal of Palliative Medicine, 13(9): 1085-1090. DOI: 10.1089/jpm.2010.0082
Type: Article
Description: This is a copy of an article published in the Journal Of Palliative Medicine © 2010 [copyright Mary Ann Liebert, Inc.]; Journal Of Palliative Medicine is available online at: DOI: 10.1089/jpm.2010.0082
ISSN: 1096-6218
Sponsor: Funding for this study came from a K-01 career development award from the National Institute on Aging (P.I.: Denys T. Lau; K01AG027295).
Date Available in INDIGO: 2011-05-27

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