IDEAS home Printed from https://ideas.repec.org/a/wly/jocnur/v26y2017i11-12p1650-1656.html
   My bibliography  Save this article

Preferences and concerns for care needs in advanced Parkinson's disease: a qualitative study of couples

Author

Listed:
  • Barbara Habermann
  • Ju Young Shin

Abstract

Aims and objectives To explore how couples with Parkinson's disease discuss their needs, concerns and preferences at the advanced stages of illness. Background The majority of care for people with Parkinson's disease is provided at home by family members. Parkinson's disease is characterised by a slow progressive decline with care needs often exceeding a decade. Design A descriptive qualitative study with 14 couples. Methods Data were collected on two occasions over a one‐month period using semi‐structured interviews, with both individual and couple interviews. Data were analysed thematically by the research team. Results All participants discussed the strong desire to remain in their homes for as long as possible. For the people with Parkinson's disease, placement to long‐term facilities was not an option to be considered. For spouses, there was an acknowledgement there may come a time when they could no longer continue to provide care. Concerns regarding falls, choking, voice production, financial strain and need for prognostic information from providers were influences on what they believed the future would hold and the decisions they would need to make. Conclusions The need for improved communication between providers and Parkinson's disease couples is evident. Interventions to support the couple in their discussions and decision‐making regarding remaining in the home or not, and options to support advanced care needs are required. Relevance to clinical practice Nurses can help support decision‐making by providing tangible information regarding the advanced stages of Parkinson's disease including adequate prognostic information.

Suggested Citation

  • Barbara Habermann & Ju Young Shin, 2017. "Preferences and concerns for care needs in advanced Parkinson's disease: a qualitative study of couples," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(11-12), pages 1650-1656, June.
  • Handle: RePEc:wly:jocnur:v:26:y:2017:i:11-12:p:1650-1656
    DOI: 10.1111/jocn.13565
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/jocn.13565
    Download Restriction: no

    File URL: https://libkey.io/10.1111/jocn.13565?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:jocnur:v:26:y:2017:i:11-12:p:1650-1656. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1111/(ISSN)1365-2702 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.