Palliative Care and Parkinson's Disease: Caregiver Perspectives

Isabel Boersma, Jacqueline Jones, Christina Coughlan, Julie Carter, David Bekelman, Janis Miyasaki, Jean Kutner, Benzi Kluger

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

Background: Palliative care for Parkinson's disease (PD) is an emerging area of interest for clinicians, patients and families. Identifying the palliative care needs of caregivers is central to developing and implementing palliative services for families affected by PD. The objective of this paper was to elicit PD caregiver needs, salient concerns, and preferences for care using a palliative care framework. Materials and Methods: 11 PD caregivers and one non-overlapping focus group (n = 4) recruited from an academic medical center and community support groups participated in qualitative semi-structured interviews. Interviews and focus group discussion were digitally recorded, transcribed and entered into ATLAS.ti for coding and analysis. We used inductive qualitative data analysis techniques to interpret responses. Results: Caregivers desired access to emotional support and education regarding the course of PD, how to handle emergent situations (e.g. falls and psychosis) and medications. Participants discussed the immediate impact of motor and non-motor symptoms as well as concerns about the future, including: finances, living situation, and caretaking challenges in advanced disease. Caregivers commented on the impact of PD on their social life and communication issues between themselves and patient. All participants expressed interest and openness to multidisciplinary approaches for addressing these needs. Conclusions: Caregivers of PD patients have considerable needs that may be met through a palliative care approach. Caregivers were receptive to the idea of multidisciplinary care in order to meet these needs. Future research efforts are needed to develop and test the clinical and cost effectiveness of palliative services for PD caregivers.

Original languageEnglish (US)
Pages (from-to)930-938
Number of pages9
JournalJournal of Palliative Medicine
Volume20
Issue number9
DOIs
StatePublished - Sep 1 2017

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Keywords

  • care preferences
  • caregiver needs
  • Parkinson's disease
  • qualitative

ASJC Scopus subject areas

  • Nursing(all)
  • Anesthesiology and Pain Medicine

Cite this

Boersma, I., Jones, J., Coughlan, C., Carter, J., Bekelman, D., Miyasaki, J., Kutner, J., & Kluger, B. (2017). Palliative Care and Parkinson's Disease: Caregiver Perspectives. Journal of Palliative Medicine, 20(9), 930-938. https://doi.org/10.1089/jpm.2016.0325