Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/29992
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: A qualitative exploration of the experiences of community dwelling older adults with sensory impairment/s receiving polypharmacy on their pharmaceutical care journey
Author(s): Smith, Annetta
Macaden, Leah
Kroll, Thilo
Alhusein, Nour
Taylor, Andrea
Killick, Kirsty
Stoddart, Kathleen
Watson, Margaret
Keywords: older people
visual impairment
hearing impairment
pharmaceutical care
polypharmacy
qualitative
Issue Date: Nov-2019
Date Deposited: 16-Aug-2019
Citation: Smith A, Macaden L, Kroll T, Alhusein N, Taylor A, Killick K, Stoddart K & Watson M (2019) A qualitative exploration of the experiences of community dwelling older adults with sensory impairment/s receiving polypharmacy on their pharmaceutical care journey. Age and Ageing, 48 (6), pp. 895-902. https://doi.org/10.1093/ageing/afz092
Abstract: Background Most developed countries have increasing numbers of community dwelling older people with both multi-morbidity and sensory impairment that includes visual, hearing or dual impairment. Older people with sensory impairment are more likely to have chronic health conditions and to be in receipt of polypharmacy (>4 medicines). It is important to understand their experience of pharmaceutical care provision to facilitate a safe, appropriate and person centred approach. Aim this study explored the pharmaceutical care experiences and perspectives of older people with sensory impairment receiving polypharmacy. Design and setting exploratory qualitative study with semi-structured telephone or face-to-face interviews with community dwelling older adults with sensory impairment receiving polypharmacy in Scotland in 2016. Methods in total, 23 interviews were conducted with older people from seven of the 14 Scottish Health Board areas. Subjects over half the participants (n = 12) had dual sensory impairment, six had visual impairment and five had hearing impairment. Results three overarching themes were identified reflecting different stages of participants’ pharmaceutical care journey: ordering and collection of prescriptions; medicine storage; and administration. At each stage of their journey, participants identified barriers and facilitators associated with their pharmaceutical care. Conclusions this is the first comprehensive, in-depth exploration of the pharmaceutical care journey needs of older people with sensory impairment. As the number of community dwelling older people with sensory impairment and polypharmacy increases there is a requirement to identify challenges experienced by this population and offer solutions for safe and effective pharmaceutical care provision.
DOI Link: 10.1093/ageing/afz092
Rights: © The Author(s) 2019. Published by Oxford University Press on behalf of the British Geriatrics Society. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
Licence URL(s): http://creativecommons.org/licenses/by-nc/4.0/

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