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Transition from paediatric to adult service in epidermolysis bullosa
1Great Ormond St Children's Hospital, London.
Insights
Young adults with chronic health conditions require specialized transitional care. Great Ormond Street Hospital developed a program for severe epidermolysis bullosa patients moving to adult care, focusing on clinical nurse specialist collaboration and family support.
Area of Science:
- Pediatric Healthcare
- Adult Healthcare Transition
- Chronic Disease Management
Background:
- Increasing lifespan of children with chronic health needs leads to complex adult health requirements.
- Healthcare systems face challenges in managing the transfer of young adults from pediatric to adult care settings.
- Effective transitional care models are crucial for this growing patient population.
Purpose of the Study:
- To describe transitional care arrangements for children with severe epidermolysis bullosa at Great Ormond Street Hospital.
- To highlight the importance of interdisciplinary collaboration during patient transfer.
- To address the psychological impact of transitioning to adult care on young adults and their families.
Main Methods:
- Establishing close liaison between pediatric and adult clinical nurse specialists.
- Involving families in the transitional care planning process.
- Documenting the established transitional care model for severe epidermolysis bullosa patients.
Main Results:
- Successful implementation of a structured transitional care program at Great Ormond Street Hospital.
- Enhanced communication and collaboration between pediatric and adult care teams.
- Recognition of the family's role in supporting young adults through the transition.
Conclusions:
- Transitional care for young adults with severe epidermolysis bullosa requires a multidisciplinary approach.
- Ongoing collaboration between young adults, specialist teams, and families is essential for successful long-term care.
- The developed model provides a framework for future generations navigating healthcare transitions.
Abstract:
Children with chronic health needs are living longer than they have in the past (Department of Health, 2006) and are becoming adults with complex health needs. This has implications for the health service, which needs to address the arrangements for transfer of young adults from paediatric to adult centres. This article describes the transitional care arrangements established at Great Ormond Street Hospital to address the needs of children with severe epidermolysis bullosa as they move on to adult care. It emphasises the close liaison between paediatric and adult clinical nurse specialists, and recognizes the role of the wider family who also have long-standing links with staff in the paediatric environment and can find transfer to an adult unit traumatic. The article concludes by recognizing that the young adult and specialist teams need to work together to continue the transition process for future generations.
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