OUTLINE The study The sample The findings The session - - PowerPoint PPT Presentation

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OUTLINE The study The sample The findings The session - - PowerPoint PPT Presentation

OUTLINE The study The sample The findings The session Conflict of interest: I have no conflict of interest to declare. THE STUDY 2 year study (2013-2015) Funded by CIHR Conducted in the national capital


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SLIDE 1
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OUTLINE

  • The study
  • The sample
  • The findings
  • The session

Conflict of interest: I have no conflict of interest to declare.

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THE STUDY

  • 2 year study (2013-2015)
  • Funded by CIHR
  • Conducted in the national capital area
  • Qualitative study (grounded theory)
  • Lots of research on treatment adherence
  • Very little research on the experience of side effects
  • Goal : gain a better understanding of the experience of side effects
  • Interviews
  • Describe the experience with treatment
  • Describe the experience with side effects
  • Explain what it means to live with side effects
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THE SAMPLE

  • On average, participants were born between 1960 and 1969 (66%).
  • Most of the participants were male (74%).
  • The vast majority of participants had an annual income below $30,000 (86%).
  • 50% of the participants had a college or university degree.
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THE SAMPLE

  • Year of diagnosis and first treatment were distributed as such within the group
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THE SAMPLE

  • Total side effects experienced
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SLIDE 7

THE FINDINGS

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SLIDE 8

THE SIDE EFFECTS

  • Context
  • Historical context
  • Treatment context
  • Types
  • Immediate – Progressive
  • Transient – Permanent
  • Hidden – Visible
  • Minor – Severe
  • Nature
  • Unpredictable
  • Unstable
  • Highly individual
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THE EXPERIENCE

  • Becoming with
  • Becoming sick and healthy
  • Becoming another version of yourself
  • Becoming a new “normal”
  • Living with
  • Living with “powerful drugs in your system”
  • Living with uncertainties
  • Living with limitations
  • Dealing with
  • Dealing with the side effects
  • Dealing with the treatment
  • Dealing with the physician
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THE CONNECTIONS

  • People
  • Medical specialists
  • Specialized health care providers
  • Peers
  • Things
  • Drugs
  • Devices
  • Objects
  • Systems
  • Knowledge systems (dominant and alternative)
  • Health care system
  • Welfare system
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SLIDE 11

THE FINDINGS

marilou.gagnon@uottawa.ca Instagram: ml_gagnon

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SLIDE 12

THE SESSION

Goal: talk about side effects, medications errors, drug interactions and polypharmacy

  • Michelle Foisy (Northern Alberta HIV Program)
  • Addressing medication errors in HIV-positive patients
  • Alice Tseng (University Health Network)
  • Increase INR after switching from Atazanovir/Ritonavir to Darunavir/Cobicistat in a

patient on Warfarin: Boosters are not always equal

  • Jam Bravo (University Health Network)
  • Successful use of potent enzyme inducer enzalutamide in a treatment-experienced HIV-

positive male with prostate cancer

  • Denise Kreutzwiser (University of Toronto)
  • Drug therapy problems in complex HIV/AIDS patients: identification and management by

a pharmacist at a community HIV/AIDS hospital