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Problems and pitfalls of transition from paediatric to adult renal care
Insights
Transitioning young patients with chronic illness to adult care requires individualized plans. Effective communication and assessment of self-management skills are crucial for successful care transfer.
Area of Science:
- Pediatric Nephrology
- Chronic Illness Management
Background:
- The transition of pediatric patients with chronic illnesses to adult care is a critical but often overlooked process.
- Individualized care plans are essential, considering developmental and growth impairments.
Discussion:
- Effective communication among the young patient, family, and adult nephrologist is vital to alleviate anxieties.
- Addressing non-compliance in adolescents requires a holistic approach, integrating psychological, social, and medical factors.
Key Insights:
- Assessing self-management skills in young patients is paramount before transfer to adult services.
- Establishing long-term social support plans is a necessary precursor to successful transition.
Outlook:
- Transition processes should be optimized to ensure a positive experience for patients.
- Developing and evaluating standardized transition models is needed for chronic care subspecialties.
Abstract:
Transition is a generic issue for subspecialties dealing with chronic illness and has received little attention to date. Transfer to adult care occurs at the end of a transition process that must be individualised for each patient and takes into account all aspects of growth and development, which may be variably impaired. Good communication with the young person, family and adult nephrologist is essential so that the anxieties of all are properly addressed. Non-compliance with treatment, particularly prevalent in adolescents, requires attention to psychological and social issues as well as medical factors. The young person must have sufficient self-management skills (which should be assessed) and there should be plans for long-term social support before transfer. Transition should be a positive process and models need to be evaluated.
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