Medication decision-making and management: A client-centered model

Chewning, Betty; Sleath, Betsy

doi:10.1016/0277-9536(95)00156-5

Cited by 149 publications

(112 citation statements)

References 64 publications

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“…Patients also tried to monitor HCV-related symptoms but were frustrated by the poor prognostic value of common blood tests, such as liver function tests. A body of literature focuses on the natural desire of patients to monitor symptoms for evidence of disease or treatment side effects (Chewning & Sleath, 1996;Leventhal, Leventhal, & Schaefer, 1991), and HIV/HCV co-infected patients are not unique in this regard. Currently, excellent laboratory parameters (HIV viral load, lymphocyte subsets, HIV genotype assays) can measure responses to treatment and progression of HIV disease.…”

Section: Discussionmentioning

confidence: 99%

The Symptom Experience of HIV/HCV-Coinfected Adults

Bova¹,

Jaffarian²,

Himlan³

et al. 2008

Journal of the Association of Nurses in AIDS Care

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Section: Discussionmentioning

confidence: 99%

The Symptom Experience of HIV/HCV-Coinfected Adults

Bova¹,

Jaffarian²,

Himlan³

et al. 2008

Journal of the Association of Nurses in AIDS Care

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“…An interest in autonomy, more available and accessible information, dissatisfaction with the formal healthcare setting, a shift from acute to chronic illness care and an increased number of older citizens motivated participation in self-care (Chewning and Sleath 1996;Edwardson and Dean 1999;Health Canada 1997;Lachman 1996;Levin 1976Levin , 1981Padula 1992;Saunders 1994). Punamaki and Ascham (1994) claimed that in many illnesses, recovery or management of chronic symptoms depended on client adoption of health practices.…”

Section: Inception Of Self-care As a Conceptmentioning

confidence: 99%

An Examination of the Self-Care Concept Uncovers a New Direction for Healthcare Reform

McCormack¹

2003

cjnl

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The concept of self-care is multidimensional, with many defining elements. This paper describes the origin of this comprehensive concept. It examines the response of the nursing discipline to citizen self-care initiatives and the subsequent effects this response has had on the development of nursing knowledge. The evolution of self-care as a core concept within Canadian health policy is presented; the potential readiness for citizens to accept self-care as an aspect of healthcare delivery is explored, identifying potential benefits and obstacles. The paper concludes with a proposed self-care approach to healthcare reform in Canada and the subsequent influence this approach may have on the discipline of nursing. The congruency between a self-care healthcare delivery system and the theoretical foundations and perspective of healthcare delivery held by the nursing discipline is discussed. The role nurses might assume in shaping a self-care healthcare delivery system is delineated.Self-care is not a new idea. Since the beginning of humankind, people have taken action to ensure personal safety and have developed strategies to address illness and other health challenges (Haug et al. 1989;Levin 1976;Padula 1992;Saunders 1994;Woods 1989). Primitive societies developed healing rituals that sometimes involved the consumption of special foods to promote the health of particular individuals or entire communities (Hill and Smith 1985). Women assisted one another in childbirth and shared the acquired knowledge with the next generation. Implementing self-care strategies to address day-to-day concerns about health is normal and usual (Bohart and Tallman 1996;DeFriese et al. 1989;Levin 1981; Punamaki and Ascham 1994 Individuals select self-care behaviours in order to maintain an acceptable level of health or well-being, to prevent illness or injury and to promote health. These selfcare behaviours contribute to one's ability to perform a variety of tasks, ranging from ensuring survival to attaining self-actualization. Families accept responsibilities for facilitating the self-care of their members and take on self-care activities for other members who, owing to maturation, illness or other life events, are unable to complete the necessary task themselves. Community leaders support resources that enable individuals and families to carry out self-care tasks important to them. Clients at the individual, family and community levels have different self-care needs and expectations.Different beliefs (Keller et al. 1989) and individual characteristics or conditioning factors (Chang 1980;Connelly 1993;Edwardson and Dean 1999;Horsburgh 1999;McCaleb 1995) influence the self-care behaviours selected or processes used to achieve a particular level of health. As well, the type or level of client (individual, family or community) influences choice of self-care activities.Multiple descriptors of self-care result in varied definitions within and across disciplines (DeFriese et al. 1989;Health Canada 1997;Punamaki and Aschan 1994;Rew 1990)...

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“…As well as these changing regulations, self-care information is more available (Westerlund et al, 2001). Concerns over healthcare have resulted in greater consumer engagement and knowledge (Chewning & Sleath, 1996;Gould et al, 1997;Prayle & Brazier, 1998). However, the inherent risk of medication together with the role of information in reducing risk perceptions exists alongside consumer empowerment (Bissell et al, 2001).…”

Section: Introductionmentioning

confidence: 99%

Painkiller purchasing in the UK

Paddison¹,

Olsen²

2008

International Journal of Pharmaceutical and Healthcare Marketing

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Purpose: The aim of this paper is to explore, through exploratory qualitative research, how perceptions of involvement and risk, for female consumers, influences their information search and product evaluation decision-making for Over-the-Counter (OTC) painkillers. Methodology:In-depth interviews were conducted amongst twenty-five female OTC painkiller purchasers from one pharmacy. Females are more engaged with and have a greater likelihood to use OTC medication. Despite the benefits of applying qualitative approaches when researching self-medication, there are few self-care qualitative studies.Findings: Despite the greater availability and awareness of OTC medicines, the purchasing process is still underpinned by inherent risk. Alongside base levels of involvement, painkillers had situational importance with there being unease as to the risk involved. Consumers felt uncertainty as to the worth of their knowledge and this was compounded by a lack of informational clarity. Finally, the risk of side-effects and the relative importance of subjective beliefs often took precedence during evaluation. Research limitations/implications:Information needs to be made more accessible, whilst there is scope to capitalise upon family history as interpersonal sources were deemed to be empathetic. As the study was conducted once in a 'local' setting, the time span and level of interactivity could be extended by studying consumers 'lived experiences'. Triangulated research amongst related parties, such as pharmacists, could build on this exploratory study.Originality/value: OTC medicine sales have grown with self-medicating consumers purchasing painkillers the most frequently. Previous research has stemmed from medical sociology, pharmacy practice and public policy, and there is a lack of contemporary (UK) consumer behaviour research on OTC painkiller purchasing.

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Medication decision-making and management: A client-centered model

Cited by 149 publications

References 64 publications

The Symptom Experience of HIV/HCV-Coinfected Adults

The Symptom Experience of HIV/HCV-Coinfected Adults

An Examination of the Self-Care Concept Uncovers a New Direction for Healthcare Reform

Painkiller purchasing in the UK

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