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Perspectives on Care for Late-Stage Parkinson's Disease

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 c...

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Autores principales: Rosqvist, Kristina, Kylberg, Marianne, Löfqvist, Charlotte, Schrag, Anette, Odin, Per, Iwarsson, Susanne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7987470/
https://www.ncbi.nlm.nih.gov/pubmed/33815742
http://dx.doi.org/10.1155/2021/9475026
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author Rosqvist, Kristina
Kylberg, Marianne
Löfqvist, Charlotte
Schrag, Anette
Odin, Per
Iwarsson, Susanne
author_facet Rosqvist, Kristina
Kylberg, Marianne
Löfqvist, Charlotte
Schrag, Anette
Odin, Per
Iwarsson, Susanne
author_sort Rosqvist, Kristina
collection PubMed
description 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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spelling pubmed-79874702021-04-02 Perspectives on Care for Late-Stage Parkinson's Disease Rosqvist, Kristina Kylberg, Marianne Löfqvist, Charlotte Schrag, Anette Odin, Per Iwarsson, Susanne Parkinsons Dis Research Article 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. Hindawi 2021-03-15 /pmc/articles/PMC7987470/ /pubmed/33815742 http://dx.doi.org/10.1155/2021/9475026 Text en Copyright © 2021 Kristina Rosqvist et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Rosqvist, Kristina
Kylberg, Marianne
Löfqvist, Charlotte
Schrag, Anette
Odin, Per
Iwarsson, Susanne
Perspectives on Care for Late-Stage Parkinson's Disease
title Perspectives on Care for Late-Stage Parkinson's Disease
title_full Perspectives on Care for Late-Stage Parkinson's Disease
title_fullStr Perspectives on Care for Late-Stage Parkinson's Disease
title_full_unstemmed Perspectives on Care for Late-Stage Parkinson's Disease
title_short Perspectives on Care for Late-Stage Parkinson's Disease
title_sort perspectives on care for late-stage parkinson's disease
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7987470/
https://www.ncbi.nlm.nih.gov/pubmed/33815742
http://dx.doi.org/10.1155/2021/9475026
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