Symposium 6: Young people, artificial nutrition and transitional care. Transition in young people on home parenteral

Susan Protheroe1

  • 1Department of Gastroenterology and Nutrition, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, UK. sue.protheroe@bhc.nhs.uk

Insights

Transitioning young people on home parenteral nutrition (HPN) to adult care presents significant challenges. Effective planning is crucial to ensure continuity of care and positive health, educational, and social outcomes.

Area of Science:

  • Pediatric Healthcare
  • Transition Medicine
  • Adult Nutrition Support

Background:

  • Medical advancements allow children with complex conditions to survive into adulthood.
  • Transferring young patients on home parenteral nutrition (HPN) to adult services is a major healthcare challenge.
  • Transition involves psychosocial, educational, and vocational aspects beyond clinical care.

Purpose of the Study:

  • To highlight the complexities and challenges in transitioning young people on HPN to adult care.
  • To emphasize the importance of a multidimensional approach to transition planning.
  • To underscore the need for developmentally appropriate care in the adult sector.

Main Methods:

  • This abstract is based on a review of current healthcare practices and challenges.
  • It synthesizes information regarding the transition process for young people on HPN.
  • It references Department of Health initiatives aimed at improving healthcare transfer.

Main Results:

  • Poorly planned transitions risk non-adherence, morbidity, mortality, and adverse social/educational outcomes.
  • The transition process extends into the adult sector, requiring specialized, age-appropriate care.
  • Initiatives are underway to prevent healthcare gaps during pediatric to adult service transfer.

Conclusions:

  • Seamless transition requires coordinated efforts between pediatric and adult services.
  • Addressing psychosocial and vocational needs is as critical as clinical management.
  • Proactive planning and support are essential for successful HPN patient transition into adulthood.

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