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Perspectives on Care for Late-Stage Parkinson's Disease

Rosqvist, Kristina LU ; Kylberg, Marianne LU ; Löfqvist, Charlotte LU ; Schrag, Anette ; Odin, Per LU orcid and Iwarsson, Susanne LU (2021) In Parkinson's Disease 2021.
Abstract

In the late stage of Parkinson's disease (PD), there is an increasing disease burden not only for the patients but also for their informal caregivers and the health and social services systems. The aim of this study was to explore experiences of late-stage PD patients' and their informal caregivers' satisfaction with care and support, in order to better understand how they perceive the treatment and care they receive. This qualitative substudy was part of the longitudinal European multicentre Care of Late Stage Parkinsonism (CLaSP) project. Individual semistructured interviews were conducted with patients (n = 11) and informal caregivers (n = 9) in Sweden. Data were analysed through the content analysis technique. The final analyses... (More)

In the late stage of Parkinson's disease (PD), there is an increasing disease burden not only for the patients but also for their informal caregivers and the health and social services systems. The aim of this study was to explore experiences of late-stage PD patients' and their informal caregivers' satisfaction with care and support, in order to better understand how they perceive the treatment and care they receive. This qualitative substudy was part of the longitudinal European multicentre Care of Late Stage Parkinsonism (CLaSP) project. Individual semistructured interviews were conducted with patients (n = 11) and informal caregivers (n = 9) in Sweden. Data were analysed through the content analysis technique. The final analyses generated one main category: "We are trying to get by both with and without the formal care"and five subcategories: "Availability of health care is important for managing symptoms and everyday life"; "Dependence on others and scheduled days form everyday life"; "There is a wish to get adequate help when it is needed"; "Mixed feelings on future housing and respite care"; and "Family responsibility and loyalty for a functioning everyday life". Having regular contact with PD-specialised health care was perceived as important. Greater access to physiotherapy was wished for. Maintaining autonomy was perceived as important by patients, in both home health care and a future residential care setting. Responsibility and loyalty between spouses and support from children enabled everyday life to carry on at home, indicating a vulnerability for those without an informal caregiver. The results suggest that regular access to PD-specialised health care is important and that a specialised and multidisciplinary approach to the management of PD symptomatology is likely necessary. Non-PD-specialised staff in home health care and residential care facilities should regularly be given opportunities to obtain PD-specific education and information.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Parkinson's Disease
volume
2021
article number
9475026
publisher
Hindawi Limited
external identifiers
  • scopus:85103651227
  • pmid:33815742
ISSN
2042-0080
DOI
10.1155/2021/9475026
project
Home and health in people ageing with Parkinson's disease
Home, Health and Disability along the Process of Ageing
language
English
LU publication?
yes
id
380f64c6-2a87-41e4-8dad-53bea456cd91
date added to LUP
2021-04-13 14:18:29
date last changed
2024-06-15 09:49:22
@article{380f64c6-2a87-41e4-8dad-53bea456cd91,
  abstract     = {{<p>In the late stage of Parkinson's disease (PD), there is an increasing disease burden not only for the patients but also for their informal caregivers and the health and social services systems. The aim of this study was to explore experiences of late-stage PD patients' and their informal caregivers' satisfaction with care and support, in order to better understand how they perceive the treatment and care they receive. This qualitative substudy was part of the longitudinal European multicentre Care of Late Stage Parkinsonism (CLaSP) project. Individual semistructured interviews were conducted with patients (n = 11) and informal caregivers (n = 9) in Sweden. Data were analysed through the content analysis technique. The final analyses generated one main category: "We are trying to get by both with and without the formal care"and five subcategories: "Availability of health care is important for managing symptoms and everyday life"; "Dependence on others and scheduled days form everyday life"; "There is a wish to get adequate help when it is needed"; "Mixed feelings on future housing and respite care"; and "Family responsibility and loyalty for a functioning everyday life". Having regular contact with PD-specialised health care was perceived as important. Greater access to physiotherapy was wished for. Maintaining autonomy was perceived as important by patients, in both home health care and a future residential care setting. Responsibility and loyalty between spouses and support from children enabled everyday life to carry on at home, indicating a vulnerability for those without an informal caregiver. The results suggest that regular access to PD-specialised health care is important and that a specialised and multidisciplinary approach to the management of PD symptomatology is likely necessary. Non-PD-specialised staff in home health care and residential care facilities should regularly be given opportunities to obtain PD-specific education and information. </p>}},
  author       = {{Rosqvist, Kristina and Kylberg, Marianne and Löfqvist, Charlotte and Schrag, Anette and Odin, Per and Iwarsson, Susanne}},
  issn         = {{2042-0080}},
  language     = {{eng}},
  publisher    = {{Hindawi Limited}},
  series       = {{Parkinson's Disease}},
  title        = {{Perspectives on Care for Late-Stage Parkinson's Disease}},
  url          = {{http://dx.doi.org/10.1155/2021/9475026}},
  doi          = {{10.1155/2021/9475026}},
  volume       = {{2021}},
  year         = {{2021}},
}