From: Disentangling the concept of “the complex older patient” in general practice: a qualitative study
1a. And when I make arrangements, well, I can write it down in the file for the home-carers, but then I encounter the problem of how to inform the physical therapist or the people of the day care centre, that kind of stuff |
1b. Yes, there are different shifts and 15 different people are involved with one lady. So then they must have a team meeting and they all must understand how to approach such a person. And that’s just…well, I can see it’s not working |
2a. Maybe she is becoming demented…she is suspicious… Well, may she? Yes, maybe an 88-year old woman is allowed to go through a slight character change…But well…It does go too far when she won’t accept visitors. But maybe I am seeing things too negatively |
2b. Somebody who does not want anything has that right, so then you are trapped…While simultaneously you feel pressure from the family, pointing out that he is not doing well. |
3. One and a half years ago, she went to see the cardiologist because of some valve problems, but no cause was found. Very frustrating […] You would think we have a cure. So I prescribe something, but she complains again. |
4. My weekly attendance prevents escalation. […]. Yes, actually, I am over there too often […]. Well, really, there should be nursing professionals with more experience with Parkinson patients. That would reduce my presence to only once a month [instead of once a week]. |
5a. I thought you should stay mobile, especially when you have Parkinson’s disease you should practice that. But that was just a thought I had and I have no idea if it is actually true |
5b. Can we make it possible for them to stay living in their own home (with M. Parkinson)? I don’t think the neurologist knows. I fear that a geriatrician also doesn’t know. |