Transition to Adulthood in Pediatric Palliative Care: A Narrative Review

Franca Benini1, Laura Brogelli2, Anna Mercante3

  • 1Pediatric Palliative Care, Pain Service, Department of Women's and Children's Health, University of Padua, 35122 Padua, Italy.

PubMed

Insights

Pediatric palliative care (PPC) supports children with life-limiting illnesses and their families. This review explores optimizing the transition from pediatric to adult palliative care services for long-term patient well-being.

Area of Science:

  • Palliative Care
  • Pediatric Healthcare
  • Transition Medicine

Background:

  • Pediatric palliative care (PPC) is crucial for children with life-limiting or life-threatening diseases, extending support to families.
  • PPC is initiated upon diagnosis and can continue for many years due to advancements in care.
  • As children mature, transitioning to adult healthcare services becomes essential.

Purpose of the Study:

  • To discuss interventions for an efficient transition from pediatric to adult palliative care.
  • To review existing issues, experiences, and programs related to this transition.
  • To offer author perspectives and proposals for improved transition processes.

Main Methods:

  • A narrative review of literature on pediatric to adult palliative care transition.
  • Analysis of issues, experiences, and existing programs.
  • Inclusion of a "Perspectives" section for expert opinions.

Main Results:

  • The transition is a developmental process, not just a service change.
  • Interdisciplinary management, planning, and collaboration are vital.
  • Current programs and experiences highlight areas for improvement.

Conclusions:

  • Efficient transition requires a holistic, developmental approach.
  • Collaboration between pediatric and adult care teams is paramount.
  • Proactive planning ensures continuity of quality palliative care for young adults.

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