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Nursing Science Quarterly, Vol. 21, No. 3, 238-246 (2008)
DOI: 10.1177/0894318408319276

Keys to Successful Self-Management of Medications

Susan L. Swanlund, RN; PhD

Illinois Wesleyan University, Bloomington, Illinois

Kathryn A. Scherck, RN; DNSc

Illinois Wesleyan University, Bloomington, Illinois

Sharie A. Metcalfe, RN; PhD

Illinois Wesleyan University, Bloomington, Illinois

Sheila R. Jesek-Hale, RN; DNSc

Illinois Wesleyan University, Bloomington, Illinois

Medication use by community-dwelling elderly accounts for a significant portion of all U.S. drug use. Many elderly manage over three prescriptions a day. Recent evidence indicates that non-adherence to prescribed drug regimens can lead to symptoms that result in hospitalizations. The study's purpose was to explore self-management of medications as perceived by community-dwelling elderly. Guided by Orem's Self-Care Deficit Nursing Theory, 19 older adults were interviewed about their medication self-management practices. Inductive data analysis revealed three major themes: successful self-management of medications, living orderly, and aging well. Success in establishing individual management systems may be the result of developing and maintaining orderly lifestyles.

Key Words: elderly • medication • Orem • self-management


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