The process of medication management for older adults with dementia

摘要: kaasalainen s, dolovich l, papaioannou a, holbrook lau e, ploeg j, levine m, cosby j & emily a (2011) Journal of Nursing and Healthcare Chronic Illness 3, 407–418 The process medication management for older adults with dementia Aim.  The purpose this study was to explore the personal experiences related community-dwelling diagnosed dementia, their informal caregivers, as well healthcare professionals who assist them. Background.  Older have dementia face many challenges in managing medications while living community. Medication regimens used treat variety conditions are usually overseen coordinated by such community nurses, physicians pharmacists, but often, more supports needed. However, little research has been conducted barriers facilitators adherence unique population. Methods.  Using grounded theory approach, 57 interviews were completed (10 10 6 physicians, 20 caregivers 11 patients) southern Ontario, Canada, 2007. Findings.  findings indicate that processes differ according level dementia. A number corresponding identified. early stage is characterised patients’ desire maintain independence, denial issues or disease, refusal take owing feeling angry. In late-stage often refuse delusional suspicious thinking, which results assuming responsibility medications. Conclusions.  them faced declining cognitive function memory trying manage at home. strategies appear be helpful should considered. Relevance clinical practice.  struggle helping safely therapeutically, resources draw from. Future work needed design, implement evaluate supportive networks interventions goal better