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An empirically based practice perspective on the transition to adulthood for solid organ transplant recipients
Author(s) -
Annunziato Rachel A.,
Freiberger Dawn,
Martin Kathy,
Helcer Jacqueline,
Fitzgerald Christopher,
Lefkowitz Debra S.
Publication year - 2014
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/petr.12359
Subject(s) - medicine , perspective (graphical) , transition (genetics) , adult care , process (computing) , health care , organ transplantation , nursing , transplantation , young adult , gerontology , computer science , surgery , biochemistry , chemistry , artificial intelligence , economics , gene , economic growth , operating system
Preparing patients for transitioning to self‐managed care and subsequently transferring to the adult healthcare system has become a critical process for clinicians working with pediatric transplant recipients. This paper reviews several barriers to a successful transition. These include patient barriers, caregiver barriers, and considerations within pediatric and adult centers. To date, few approaches for improving the transition process have been empirically tested. This review details studies that have examined possible models including usage of a transition coordinator and transition clinics. Recommendations are offered to promote an optimal transition including the importance and content of preparation, assessing and addressing transition readiness, insuring the involvement of all stakeholders, and finally, at minimum providing services during the transfer period. Future directions are offered aiming to advance this important area of investigation.