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Published on: May 18, 2019
Transitions in tracheostomy care: from childhood to adulthood
Louise Edwards1,2, Jackie McRae3,4
1University of Central Lancashire.
Insights
Children needing tracheostomies face challenges transitioning to adult care due to limited data and varying needs. Further research is crucial for comprehensive education, health, and social support.
Area of Science:
- Pediatric Healthcare
- Transition of Care
- Respiratory Medicine
Background:
- Increasing numbers of children and young people require tracheostomies.
- These individuals present complex and varied care needs upon transitioning to adult services.
- Current transition protocols often lack specificity for this population.
Purpose of the Study:
- To review existing evidence on the transition of pediatric patients with tracheostomies to adult care.
- To identify challenges and considerations for clinical practice during this transition.
- To address the growing needs of this patient group.
Main Methods:
- Literature review of studies on pediatric tracheostomy and transition to adult services.
- Analysis of current care models and their applicability.
- Identification of data gaps in incidence and prevalence.
Main Results:
- A significant lack of data exists regarding the incidence and prevalence of pediatric tracheostomy patients transitioning to adult care.
- Care needs, technological requirements, and prior experiences vary widely, necessitating tailored transition processes.
- Existing transition service models are not sufficiently specific for individuals with tracheostomies.
Conclusions:
- Further investigation into the needs of children and young people requiring airway technology is essential.
- Short- and long-term education, health, and social care needs require focused attention.
- Enhanced, specific transition strategies are needed for this vulnerable population.
Purpose Of Review:
The purpose of this review is to explore the evidence around children and young people who require a tracheostomy and transition into adult services, reflecting on the challenges and considerations for clinical practice as these needs increase.
Recent Findings:
There are a lack of data on the incidence and prevalence of children and young people with a tracheostomy transitioning to adult services for ongoing care. There are significant variations in care needs, technology and previous experiences that demand more than a simple handover process. Examples of service models that support the transition of care exist, however these lack specificity for children and young people with a tracheostomy.
Summary:
Further exploration of the needs of children and young people requiring airway technology is indicated, particularly considering the short and long-term education, health, and social care needs.
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