How individuals with physical impairments manage their self-reported eczema

Abstract

Eczema is a common chronic skin condition that requires substantial physical, emotional and financial investments for effective management. Physical impairments can pose significant barriers to the management of eczema, leading to multiple psychological and physical consequences. However, little is known regarding the impact of such impairments on an individual’s’ ability to manage eczema. The research study that is the subject of this thesis aimed to explore the experiences of individuals with physical impairments in managing their eczema. It used a qualitative approach to explore these experiences. Data was collected from semi-structured interviews conducted with five adults who had a range of impairments that related to both their eczema as well as additional complex medical conditions. Transcripts of the interviews were analysed using a narrative approach, drawing upon the socio-ecological model of health to explore the barriers evident in eczema management. The participants’ experiences highlighted these barriers, which were present in all levels of the socio-ecological model, ranging from physical limitations associated with specific impairments to mental health concerns, challenges in accessing care due to concurrent health issues, and difficulties in adhering to eczema management routines. Thematic analysis of the data revealed four shared themes that emerged from these physically impaired individuals who were attempting to manage their eczema: (a) inadequacies in current healthcare systems; (b) the significant influence of mental health on eczema management; (c) financial considerations and their consequences; and (d) impacts on interpersonal relationships. The findings underscore the complexities individuals face in managing eczema, particularly when compounded by additional physical impairments such as arthritis, lower back pain or hearing impairments. Mental health complications resulting from eczema emerged as a significant finding from the study, which exacerbated the participants’ challenges. Managing eczema is formidable due to its fluctuating nature and the lack of recognition of eczema as a disability within the disability pension system. The study’s results hold potential to provide insight into eczema management for individuals with physical impairments. Understanding the barriers that these individuals face and addressing them with appropriate resource allocation could enhance the overall healthcare system and improve eczema management outcomes.

Date of Award	2024
Original language	English
Awarding Institution	Western Sydney University
Supervisor	Nicole Peel (Supervisor) & Beth Mayland (Supervisor)