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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Post-transplant adjustment--the later years.

Emily M Fredericks1, Nataliya Zelikovsky, Isabelle Aujoulat

  • 1Department of Pediatrics, University of Michigan, C.S. Mott Children's Hospital, Ann Arbor, MI, USA.

Pediatric Transplantation
|September 16, 2014
PubMed
Summary

Pediatric transplant recipients often experience challenges in quality of life and psychosocial functioning long after transplant. Further research is needed to understand these long-term impacts on children and families.

Keywords:
adherenceadolescentshealth-related quality of lifepsychological adjustment

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Area of Science:

  • Pediatric Solid Organ Transplantation
  • Psychosocial Health
  • Quality of Life Research

Background:

  • Improved survival in pediatric solid organ transplantation necessitates focus on long-term health-related quality of life (HRQOL) and psychosocial functioning.
  • Understanding the day-to-day impact of living with a transplant beyond the initial adjustment period is crucial for patient well-being.

Purpose of the Study:

  • To review the psychosocial functioning of pediatric transplant recipients in the later years (more than three years post-transplant).
  • To examine the long-term effects on HRQOL, cognitive function, family dynamics, adherence, and self-management transition.

Main Methods:

  • Literature review focusing on studies published after the initial post-transplant adjustment period.
  • Analysis of key outcomes including HRQOL, neuropsychological performance, family impact, and adherence.

Main Results:

  • Pediatric transplant recipients generally show impairments in HRQOL, neuropsychological outcomes, and family functioning compared to non-recipients.
  • The extent of impairment varies based on disease severity, age, organ type, and study design.

Conclusions:

  • Long-term psychosocial functioning and HRQOL remain significant concerns for pediatric solid organ transplant survivors.
  • Limitations in current research, including small sample sizes and varied methodologies, highlight the need for standardized assessments and longitudinal studies.