Think about this: imagine navigating a busy city with a map that’s missing street names. It would be frustrating, right? Well, when it comes to hospitalizing patients with Parkinson’s disease (PD), their experience can feel just as disorienting and challenging. A recent qualitative study conducted focus groups with individuals living with PD and their family care partners to understand the unique needs and experiences of PD patients during hospitalization. The findings shed light on two significant categories: the impact of PD diagnosis on hospital experiences, and the specific needs of PD patients and their care partners while in the hospital. Participants stressed the importance of proper PD medication management, advocated for improved ambulation protocols, and called for a disability-informed hospital environment designed specifically for PD patients. These valuable insights emphasize the crucial role of patient perspectives in shaping patient-centered interventions to enhance hospital experiences and outcomes. To learn more about this groundbreaking research, click the link below!

BackgroundParkinson’s disease (PD) increases the risk of hospitalization and complications while in the hospital. Patient-centered care emphasizes active participation of patients in decision-making and has been found to improve satisfaction with care. Engaging in discussion and capturing hospitalization experience of a person with PD (PwP) and their family care partner (CP) is a critical step toward the development of quality improvement initiatives tailored to the unique hospitalization needs of PD population.ObjectivesThis qualitative study aimed to identify the challenges and opportunities for PD patient-centered care in hospital setting.MethodsFocus groups were held with PwPs and CPs to capture first-hand perspectives and generate consensus themes on PD care during hospitalization. A semi-structured guide for focus group discussions included questions about inpatient experiences and interactions with the health system and the clinical team. The data were analyzed using inductive thematic analysis.ResultsA total of 12 PwPs and 13 CPs participated in seven focus groups. Participants were 52% female and 28% non-white; 84% discussed unplanned hospitalizations. This paper focuses on two specific categories that emerged from the data analysis. The first category explored the impact of PD diagnosis on the hospital experience, specifically during planned and unplanned hospitalizations. The second category delves into the unique needs of PwPs and CPs during hospitalization, which included the importance of proper PD medication management, the need for improved hospital ambulation protocols, and the creation of disability informed hospital environment specific for PD.ConclusionPD diagnosis impacts the care experience, regardless of the reason for hospitalization. While provision of PD medications was a challenge during hospitalization, participants also desired flexibility in ambulation protocols and an environment that accommodated their disability. These findings highlight the importance of integrating the perspectives of PwPs and CPs when targeting patient-centered interventions to improve hospital experiences and outcomes.

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