Balancing risk versus benefit: The elderly patient's perspective on warfarin therapy

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dc.contributor.author Bajorek, BV
dc.contributor.author Ogle, SJ
dc.contributor.author Duguid, MJ
dc.contributor.author Shenfield, GM
dc.contributor.author Krass, I
dc.date.accessioned 2012-02-10T06:09:22Z
dc.date.issued 2009
dc.identifier.citation Pharmacy Practice, 2009, 7 (2), pp. 113 - 123
dc.identifier.other C1UNSUBMIT en_US
dc.identifier.uri http://hdl.handle.net/10453/17002
dc.description.abstract Warfarin theraphy is underused in the target at-risk elderly population. Clinicians perceive that older patients are reluctant to use this theraphy, however the perspective of patients or their carers has yet to be explored. Objective: To explore in-depth the perspectives of elderly patients and/ or their carers regarding the use of warfarin therapy. Method: A qualitative study, using semi-structured group interviews was undertaken. The audio-taped discussions were transcribed verbatim, then thematically analysed to identify emergent themes. Group discussions were conducted at a major Sydney teaching hospital, over a 2-month period. Individuals aged 65 years or older (and/or their carers) who were using long-term (6 months) warfarin therapy were recruited by voluntary response to study flyers. Results: 17 patients and carers (mean age 77.2 SD=7.5 years) participated in one of two focus groups. Five core themes emerged regarding warfarin therapy: inadequate knowledge and understanding about it, patients/carers variable experience of information provision, cycle of reactions to being on it, issues in its practical management, and the spectrum of experiences with it. Overall, participants were very accepting of the therapy, describing a high level of compliance, despite initial fears and anxieties, and a relative lack of knowledge. Patients felt somewhat abandoned in their management of warfarin due to the lack of ongoing support services in the community, and inadequate information provision. Conclusions: Elderly patients and their carers appear to be quite accepting of warfarin therapy, in contrast to the perceptions of health care professionals. More effort is needed, however, in terms of information provision, particularly in the form of community-based services, to assist patients in the long-term management of warfarin.
dc.language eng
dc.title Balancing risk versus benefit: The elderly patient's perspective on warfarin therapy
dc.type Journal Article
dc.parent Pharmacy Practice
dc.journal.volume 2
dc.journal.volume 7
dc.journal.number 2 en_US
dc.publocation Spain en_US
dc.identifier.startpage 113 en_US
dc.identifier.endpage 123 en_US
dc.cauo.name GSH.Pharmacy en_US
dc.conference Verified OK en_US
dc.for 1115 Pharmacology and Pharmaceutical Sciences
dc.personcode 112624
dc.percentage 100 en_US
dc.classification.name Pharmacology and Pharmaceutical Sciences en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
dc.description.keywords Aged; Attitude to health; Australia; Qualitative research; Warfarin en_US
dc.description.keywords Aged
dc.description.keywords Attitude to health
dc.description.keywords Australia
dc.description.keywords Qualitative research
dc.description.keywords Warfarin
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Graduate School of Health
pubs.organisational-group /University of Technology Sydney/Strength - Health Services and Practice Research
utslib.copyright.status Open Access
utslib.copyright.date 2015-04-15 12:23:47.074767+10
utslib.collection.history General (ID: 2)


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