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Table 5 Implications for practice and further study

From: “Sometimes I feel like a pharmacist”: identity and medication use among adolescents with juvenile arthritis

• Provision of permissive environments in which to explore medication use with young people in the context of their everyday lives.  
• Effective medicine management strategies which explore young people’s support needs across a range of social contexts  
• Provision of opportunities for young people to make care plans that acknowledge their desires for self- and socially- referenced normality and which include reference to their goals and aspirations.  
• Enhance young people’s understanding of how self-care activities can facilitate participation in their valued activities and how symptoms and side-effects that threaten identity could be minimised or managed.  
• Enhance young people’s understanding of how symptoms and side-effects that threaten identity could be minimised or managed.  
• Skills training for young people which will enable them to negotiate the social situations that they are likely to encounter eg opportunities to develop and practice positive disclosure skills