Transition from Paediatric to Adult Care: Psychological Principles

Bryon, Mandy; Madge, Susan

doi:10.1177/014107680109440s03

Cited by 37 publications

(35 citation statements)

References 7 publications

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“…They are entering the adult world outside the hospital and it is natural for them to resent a child-like environment for their healthcare. 17,18 Our model of transition is based on joint appointments with the paediatric and adult multidisciplinary teams, during which these young adults are encouraged to develop autonomy in their own care and decision making. This model is now commonly used in CF services and it allows the young person and parents to become familiar with the adult service.…”

Section: Discussionmentioning

confidence: 99%

Current characteristics, challenges and coping strategies of young people with cystic fibrosis as they transition to adulthood

et al. 2017

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This study provides detailed data on the current characteristics, perceptions and outcomes of 45 young people with cystic fi brosis (CF) as they transition into adulthood. Although many had severe disease, they generally coped well, found attendance at a transition clinic helpful and welcomed the increased independence of an adult healthcare environment. Levels of psychological distress were low with only 15.6% having anxiety and 6.7% depression. The main psychological coping strategy used was optimistic acceptance. Overall, most remained stable after transfer but 33% had some decline in lung function and 9% in nutritional status, requiring intensification of treatment. They had high levels of satisfaction with their relationships and life situations and 76% were in employment or education. These results are encouraging and as life expectancy improves, young adults with CF are coping well with transition into adulthood.

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Section: Discussionmentioning

confidence: 99%

Current characteristics, challenges and coping strategies of young people with cystic fibrosis as they transition to adulthood

et al. 2017

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“…193,194 Transition should be completed only after the young patient has accomplished the developmental tasks of adolescence and has demonstrated the ability to manage his or her health care independent of his or her family and pediatric provider.…”

Section: Timing Of Transfermentioning

confidence: 99%

Best Practices in Managing Transition to Adulthood for Adolescents With Congenital Heart Disease: The Transition Process and Medical and Psychosocial Issues

Sable¹,

Foster²,

Uzark³

et al. 2011

Circulation

388

280

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“…9 The comforting and reassuring overprotective atmosphere in pediatric care can lead to lower self-esteem and hinder the adolescent's transition to independence. 12 Adolescence is a period during which establishing health-related behaviors is vital because those behaviors will follow the person through life. 8 Adolescent development includes finding one's identity and independence, developing a sexual identity, as well as establishing a peer group, all of which can influence the creation of health-related behaviors.…”

Section: Clinical Challenges Of Adolescent and Adult Patientsmentioning

confidence: 99%

“…5 The process of transition for these patients can be traumatic, as they are leaving the familiar medical home they have built. 8 Taking responsibility for their care may be overwhelming for patients and may impede the transition process, 12 especially when their health care team has not prepared them appropriately.…”

Section: Need For Transition Programsmentioning

confidence: 99%

Challenges Caring for Adults With Congenital Heart Disease in Pediatric Settings: How Nurses Can Aid in the Transition

Anton

2016

Critical Care Nurse

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As surgery for complex congenital heart disease is becoming more advanced, an increasing number of patients are surviving into adulthood, yet many of these adult patients remain in the pediatric hospital system. Caring for adult patients is often a challenge for pediatric nurses, because the nurses have less experience and comfort with adult care, medications, comorbid conditions, and rehabilitation techniques. As these patients age, the increased risk of complications and comorbid conditions from their heart disease may complicate their care further. Although these patients are admitted on a pediatric unit, nurses can aid in promoting their independence and help prepare them to transition into the adult medical system. Nurses, the comprehensive medical teams, and patients’ families can all effectively influence the process of preparing these patients for transition to adult care.

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Transition from Paediatric to Adult Care: Psychological Principles

Cited by 37 publications

References 7 publications

Current characteristics, challenges and coping strategies of young people with cystic fibrosis as they transition to adulthood

Current characteristics, challenges and coping strategies of young people with cystic fibrosis as they transition to adulthood

Best Practices in Managing Transition to Adulthood for Adolescents With Congenital Heart Disease: The Transition Process and Medical and Psychosocial Issues

Challenges Caring for Adults With Congenital Heart Disease in Pediatric Settings: How Nurses Can Aid in the Transition

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