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Managing complex medication regimens: perspectives of consumers with osteoarthritis and healthcare professionals

Manias, Elizabeth, Claydon-Platt, Kate, McColl, Geoffrey J, Bucknall, Tracey and Brand, Caroline A. 2007, Managing complex medication regimens: perspectives of consumers with osteoarthritis and healthcare professionals, Annals of pharmacotherapy, vol. 41, no. 5, pp. 1-9.

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Title Managing complex medication regimens: perspectives of consumers with osteoarthritis and healthcare professionals
Author(s) Manias, ElizabethORCID iD for Manias, Elizabeth orcid.org/0000-0002-3747-0087
Claydon-Platt, Kate
McColl, Geoffrey J
Bucknall, Tracey
Brand, Caroline A.
Journal name Annals of pharmacotherapy
Volume number 41
Issue number 5
Start page 1
End page 9
Publisher Harvey Whitney Books Company
Place of publication Cincinnati, Oh.
Publication date 2007-05
ISSN 1060-0280
Keyword(s) consumer
drug information
osteoarthritis
pain
Summary BACKGROUND: Managing medications is complex, particularly for consumers with multiple coexisting conditions for whom benefits and adverse effects are unpredictable and health priorities may be variable.

OBJECTIVE: To investigate perceptions of and experiences with managing drug regimens from the perspectives of consumers with osteoarthritis and coexisting chronic conditions and of healthcare professionals from diverse backgrounds.

METHODS: Using an exploratory research design, focus groups were formed with 34 consumers and 19 healthcare professionals. Individual interviews were undertaken with 3 community medical practitioners.

RESULTS: Consumers' management of medications was explored in terms of 3 themes: administration of medications, provision of information, and the perceived role of healthcare professionals. In general, consumers lacked understanding regarding the reason that they were prescribed certain medications. Since all consumer participants had at least 2 chronic conditions, they were taking many drugs to relieve undesirable symptoms. Some consumers were unable to achieve improved pain relief and were reluctant to take analgesics prescribed on an as - needed basis. Healthcare professionals discussed the importance of using non-pharmacologic measures to improve symptoms; however, consumers stated that physicians encourage them to continue using medications, often for prolonged periods, even when these agents are not helpful.

CONCLUSIONS:
Consumers were dissatisfied about the complexity of their medication regimens and also lacked understanding as to how to take their drugs effectively. Dedicated time should be devoted during medical consultations to facilitate verbal exchange of information about medications. Pharmacists must communicate regularly with physicians about consumers' medication needs to help preempt any problems that may arise. Instructions need to be revised through collaboration between physicians and pharmacists so that "as needed" directions provide more explicit advice about when and how to use such drugs. Future research, using large, generalizable samples, should examine trends related to consumers' experiences of symptomatic relief from chronic conditions and their understandings about medications.


Notes Published Online, April 24, 2007
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Language eng
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2007, Harvey Whitney Books
Persistent URL http://hdl.handle.net/10536/DRO/DU:30007661

Document type: Journal Article
Collections: School of Nursing and Midwifery
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.