Transition of the Adolescent Transplant Patient to Adult Care
نویسنده
چکیده
Pediatric liver transplant recipients are surviving into adulthood at increasing rates, so attention is being focused on long-term outcomes, including the transition from pediatric transplant care to adult-centered transplant care. The transition process can be a challenging phase for patients, families, and providers. However, a routine assessment of transition readiness may lead to the early identification and remediation of potential barriers related to medical stability, regimen adherence, psychosocial functioning, insurance coverage, transportation, and the availability of an adult provider. Transition planning should be an integral component of the care of a pediatric transplant recipient.
منابع مشابه
Transition of pediatric liver transplant recipients to adult care: patient and parent perspectives.
The need to prepare pediatric transplant recipients for the transfer to adult-centered transplant care has received increased attention. This study aimed to determine adolescent and young adult LTR and parent perceptions and attitudes about the transition process. LTR and their parents completed a survey assessing level of prior thought and interest in learning about transferring care, knowledg...
متن کاملProviders' assessment of transition readiness among adolescent and young adult kidney transplant recipients.
The Readiness for Transition Questionnaire- provider version (RTQ-Provider) was developed to evaluate adolescent patients' transition readiness and healthcare behaviors from the perspective of the healthcare provider. The RTQ-Provider is a parallel version of the RTQ-Teen and RTQ-Parent completed by patients and parents. This study seeks to evaluate the psychometric properties of the RTQ-Provid...
متن کاملBrief report: Deficits in health care management skills among adolescent and young adult liver transplant recipients transitioning to adult care settings.
OBJECTIVE The purpose of the present study was to describe and compare mastery of health care management in adolescent (aged 14-17 years) and young adult recipients of a liver transplant (age ≥ 18 years) expected to transfer from pediatric to adult care settings. METHODS Fifty-two liver transplant recipients completed the Developmentally Based Skills Checklist, which asks how often patients i...
متن کاملAASLD/ILTS SYLLABUS Nonadherence and the Transition to Adulthood
Key Points 1. Rates of nonadherence among pediatric transplant recipients are as high as 50% to 65%, and this places adolescent transplant recipients at increased risk. 2. Adherence to immunosuppressant medications is a critical factor in the transition process as poor medication adherence is associated with an increased risk of poor long-term health outcomes. 3. Before transferring to adult-ce...
متن کاملThe TRANSNephro-study examining a new transition model for post-kidney transplant adolescents and an analysis of the present health care: study protocol for a randomized controlled trial
BACKGROUND The transition from pediatric to nephrology care is not yet a standardized procedure. The result is an increased risk of deteriorating transplant function, with the potential for premature transplant failure. METHODS/DESIGN In phase I of this study, we shall evaluate the current patient transition situation in all existing German pediatric and nephrology departments (n = 17), inclu...
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تاریخ انتشار 2013