Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-26T05:05:53.246Z Has data issue: false hasContentIssue false

I’m Losing the ‘Me’: Partners’ Experiences of Engagement with Parkinson's Health Professionals

Published online by Cambridge University Press:  22 September 2015

Meredith Bolland
Affiliation:
School of Psychology, University of Western Australia, WA, Australia
Andrew Guilfoyle
Affiliation:
Centre for Psychological Research, Edith Cowan University, WA, Australia
Romola S. Bucks*
Affiliation:
School of Psychology, University of Western Australia, WA, Australia
*
*Address for correspondence: Professor Romola Bucks, School of Psychology, The University of Western Australia (M304), 35 Stirling Highway, Crawley WA 6009, Australia. E-mail: [email protected]. Phone: +61 8 6488 3232, Fax: +61 8 6488 1006.
Get access

Abstract

Background: Partners of people with Parkinson's disease (PD) have first-hand knowledge relevant to the management of the person with Parkinson's (PwP). If captured, this knowledge may improve effective care for the PwP. However, there is a lack of research focusing primarily on partners’ experiences of engagement with health professionals working in PD (HPPs).

Methods: Interpretative Phenomenological Analysis (IPA) was used to investigate the meaning of partners’ experiences of engagement with HPPs. Semi-structured interviews with 15 partners of PwP provided primary data. Each interview was digitally recorded, transcribed verbatim and analysed for emerging themes.

Results: Three themes emerged: (i) partners’ lack of entitlement for their own needs to be met; (ii) submersion of self in the partnership and (iii) health professionals as agents of support. Additionally, sub-themes were identified, such as barriers to feeling entitled, setting up a premise for entitlement, and lost identity. Together, these themes highlight the current lack of focus on the partners of PwP. A process model was developed to describe partners’ cyclic progression through the various stages of their experience, and in the process, identifying initiatives for intervention.

Conclusion: Given a lack of focus on the needs of partners of PwP, these preliminary insights could inform the delivery of improved services that support partners. This will ultimately benefit the PwP.

Type
Articles
Copyright
Copyright © Australasian Society for the Study of Brain Impairment 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Aarsland, D., Bronnick, K., Larsen, J.P., Tysnes, O.B., & Alves, G. (2009). Cognitive impairment in incident, untreated Parkinson disease: the Norwegian ParkWest study. Neurology, 72 (13), 11211126.CrossRefGoogle ScholarPubMed
Adelman, R., Tmanova, L., Delgado, D., Dion, S., & Lachs, M. (2014). Caregiver burden: a clinical review. Journal of the American Medical Association, 311 (10), 10521059. doi:10.1001/jama.2014.304.CrossRefGoogle ScholarPubMed
Aragon, A., Ramaswamy, B., Campbell, F., Jones, C., Tugwell, C., Taggart, C., . . . Gay, S. (2007). The professional's guide to Parkinson's disease. London, UK: Parkinson's Disease Society.Google Scholar
Audulv, A., Packer, T., & Versnel, J. (2014). Identifying gaps in knowledge: a map of the qualitative literature concerning life with a neurological condition. Chronic Illness, 10 (3), 192243. doi: 10.1177/1742395313516133.CrossRefGoogle ScholarPubMed
Bartolo, M., De Luca, D., Serrao, M., Sinforiani, E., Zucchella, C., & Sandrini, G. (2010). Caregiver burden and needs in community neurorehabilitation. Journal of Rehabilitation Medicine, 42 (9), 818822. doi: 10.2340/16501977.0612.CrossRefGoogle ScholarPubMed
Beaton, A., Essue, B., Hull, C., & Gillespie, J. (2011). ‘Travelling alongside’ patients’, carers’ and health care professionals’ experiences of the Calvary Health Care Bethlehem model of specialist palliative care, (pp.169). Sydney, NSW: The University of Sydney.Google Scholar
Birgersson, A., & Edberg, A. (2004). Being in the light or in the shade: persons with Parkinson's disease and their partners’ experience of support. International Journal of Nursing Studies, 41 (6), 621630. doi: 10.1016/j.ijnurstu.2004.01.007.CrossRefGoogle ScholarPubMed
Blum, K., & Sherman, D. (2010). Understanding the experience of caregivers: a focus on transitions. Seminars in Oncology Nursing, 26 (4), 243258. doi:10.1016/j.soncn.2010.08.005.CrossRefGoogle ScholarPubMed
Bruce, D., Paley, G., Underwood, P., David Roberts, D., & Steed, D. (2002). Communication problems between dementia carers and general practitioners: effect on access to community support services. Medical Journal of Australia, 177 (4), 186188.CrossRefGoogle ScholarPubMed
Carpentier, N., & Grenier, A. (2012). Successful linkage between formal and informal care systems: the mobilization of outside help by partners of persons with Alzheimer's disease. Qualitative Health Research, 22 (10), 13301344.CrossRefGoogle Scholar
Carter, J.H., Lyons, K.S., Stewart, B.J., Archbold, P.G., & Scobee, R. (2010). Does age make a difference in caregiver strain? Comparison of young versus older caregivers in early-stage Parkinson's disease. Movement Disorders, 25 (6), 724730. doi: 10.1002/mds.22888.CrossRefGoogle ScholarPubMed
Chang, E. (2012). Parkinson's and Alzheimer's diseases: Similar but very different. Retrieved from http://www.alznyc.org/nyc/newsletter/fall2012/06.asp#.VM4mby72QZM.Google Scholar
Colaizzi, P. (1978). Psychological research as the phenomenologist views it. In Valle, R. & King, M. (Eds.), Existential phenomenological alternatives for psychology (pp. 59). New York, NY: Oxford University Press.Google Scholar
Creswell, J. (2007). Qualitative inquiry and research design: Choosing among five approaches (2nd ed.). London, UK: Sage.Google Scholar
Dauer, W., & Przedborski, S. (2003). Parkinson's disease mechanisms and models. Neuron, 39 (6), 889909.CrossRefGoogle ScholarPubMed
Davey, C., Wiles, R., Ashburn, A., & Murphy, C. (2004). Falling in Parkinson's disease: the impact on informal caregivers. Disability and Rehabilitation, 26 (23), 13601366. doi: 10.1080/09638280400000195.CrossRefGoogle ScholarPubMed
Fossey, E., Harvey, C., McDermott, F., & Davidson, L. (2002). Understanding and evaluating qualitative research. Australian and New Zealand Journal of Psychiatry, 36 (6), 717732.CrossRefGoogle ScholarPubMed
Gomez-Gallego, M., Gomez-Amor, J., & Gomez-Garcia, J. (2012). Determinants of quality of life in Alzheimer's disease: perspective of patients, informal partners, and professional partners. International Psychogeriatrics, 24 (11), 18051815.CrossRefGoogle Scholar
Hely, M.A., Reid, W.G., Adena, M.A., Halliday, G.M., & Morris, J.G.. (2008). The Sydney multicenter study of Parkinson's disease: the inevitability of dementia at 20 years. Movement Disorders, 23 (6), 837844.CrossRefGoogle Scholar
Jenkinson, C., Dummett, S., Kelly, L., Peters, M., Dawson, J., Morley, D., . . . Fitzpatrick, R. (2012). The development and validation of a quality of life measure for the carers of people with Parkinson's disease (the PDQ-Carer). Parkinsonism & Related Disorders, 18 (5), 483487. doi: 10.1016/j.parkreldis. 2012.01.007.CrossRefGoogle ScholarPubMed
Jicha, G. (2011). Medical management of frontotemporal dementias: the importance of the partner in symptom assessment and guidance of treatment strategies. Journal of Molecular Neuroscience, 45 (3), 713723. doi: 10.1007/s12031-011-9558-7.CrossRefGoogle Scholar
Kitto, S., Chesters, J., & Grbich, C. (2008). Quality in qualitative research: criteria for authors and assessors in the submission and assessment of qualitative research articles for the Medical Journal of Australia. Medical Journal of Australia, 188 (4), 243246.CrossRefGoogle Scholar
Liamputtong, P., & Ezzy, D. (2007). Qualitative research methods. Melbourne, VIC: Oxford University Press.Google Scholar
Lim, J., & Zebrack, B. (2004). Caring for family members with chronic physical illness: a critical review of caregiver literature. Health and Quality of Life Outcomes, 2, 50. doi:10.1186/1477-7525-2-50.CrossRefGoogle ScholarPubMed
Lloyd, M. (2000). Where has all the care management gone? The challenge of Parkinson's disease to the health and social care interface. British Journal of Social Work, 30 (6), 737754. doi: 10.1093/bjsw/30.6.737.CrossRefGoogle Scholar
May, C., Montori, V., & Mair, F. (2009). We need minimally disruptive medicine. British Medical Journal, 339 (7719), 485487. doi: 10.1177/1742395312463411.CrossRefGoogle ScholarPubMed
McLaughlin, D., Hasson, F., Kernohan, W., Waldron, M., McLaughlin, M., Cochrane, B., . . . Chambers, H. (2011). Living and coping with Parkinson's disease: perceptions of informal carers. Palliative Medicine, 25 (2), 177182. doi: 10.1177/0269216310385604.CrossRefGoogle ScholarPubMed
Moustakas, C. (1994). Phenomenological research methods. London, UK: Sage.CrossRefGoogle Scholar
Naismith, S., Pereira, M., Shine, J., & Lewis, S. (2011). How well do partners detect mild cognitive change in Parkinson's disease? Movement Disorders, 26 (1), 161164. doi: 10.1002/mds.23331.CrossRefGoogle Scholar
Roche, V. (2009). The hidden patient: addressing the caregiver. American Journal of Medical Science, 337 (3), 199204.CrossRefGoogle ScholarPubMed
Sanders, C. (2003). Application of Colaizzi's method: interpretation of an auditable decision trail by a novice researcher. Contemporary Nurse: A Journal for the Australian Nursing Profession, 14 (3), 292302.CrossRefGoogle ScholarPubMed
Sav, A., McMillan, S., Kelly, F., Kendall, E., Whitty, J., King, M., . . . Wheeler, A. (2013). Treatment burden among people with chronic illness: what are consumer health organizations saying? Chronic Illness, 9 (3), 220232.CrossRefGoogle ScholarPubMed
Secker, D., & Brown, R. (2005). Cognitive behavioural therapy (CBT) for carers of patients with Parkinson's disease: a preliminary randomised controlled trial. Journal of Neurology Neurosurgery and Psychiatry, 76 (4), 491497. doi:10.1136/jnnp.2004.042291.CrossRefGoogle ScholarPubMed
Smith, J., & Osborn, M. (2007). Qualitative psychology: A practical guide to research methods. London, UK: Sage.Google Scholar
Sorrell, J. (2007). Caring for the caregivers. Journal of Psychosocial Nursing and Mental Health Services, 45 (11), 1720.Google ScholarPubMed
Storch, A., Schneider, C.B., Wolz, M., Stürwald, Y., Nebe, A., Odin, P., . . . Ebersbach, G. (2013). Nonmotor fluctuations in Parkinson disease: severity and correlation with motor complications. Neurology, 80 (9), 800809.CrossRefGoogle ScholarPubMed
Sturkenboom, I., Graff, M., Borm, G., Veenhuizen, Y., Bloem, B., Munneke, M., . . . Nijhuis-van der Sanden, M. (2012). The impact of occupational therapy in Parkinson's disease: a randomized controlled feasibility study. Clinical Rehabilitation, 27 (2), 99112.CrossRefGoogle ScholarPubMed
Tate, R., & Douglas, J. (2011). Use of reporting guidelines in scientific writing: prisma, CONSORT, Strobe, Stard and other resources [online]. Brain Impairment, 12 (1), 121.CrossRefGoogle Scholar
Uebelacker, L., Epstein-Lubow, G., Lewis, T., Broughton, M., & Friedman, J. (2014). A Survey of Parkinson's disease patients: most bothersome symptoms and coping preferences. Journal of Parkinson's Disease, 4 (4), 717723. doi: 10.3233/JPD-140446.CrossRefGoogle ScholarPubMed
Widerfors, G., & Birgersson, A. (2000). Persons with Parkinson's disease and their relatives’ experience of handling their situation. Nordic Journal of Nursing Research and Clinical Studies, 20 (2), 48.CrossRefGoogle Scholar
Wilkinson, A., & Lynn, J. (2005). Caregiving for advanced chronic illness patients. Techniques in Regional Anesthesia and Pain Management, 9 (3), 122132. doi: 10.1053/j.trap.2005.06.004.CrossRefGoogle Scholar
Willis, A.W., Sterling, C., & Racette, B.A. (2010). Conjugal Parkinsonism and Parkinson disease: a case series with environmental risk factor analysis. Parkinsonism & Related Disorders, 16 (3), 163166. doi: 10.1016/j.parkreldis. 2009.09.002.CrossRefGoogle ScholarPubMed
Supplementary material: File

Bolland supplementary material

Appendix A

Download Bolland supplementary material(File)
File 32.3 KB
Supplementary material: File

Bolland supplementary material

Appendix B

Download Bolland supplementary material(File)
File 31.2 KB