Transition and interprofessional collaboration in moving from pediatric to adult renal care.

摘要

Pediatric patients with chronic kidney disease (CKD) are a challenging subset of patients who have unique physical and psychosocial care needs. All too often, a particularly difficult process for these patients to experience is the transition from a pediatric to an adult healthcare team. The goal of transition is "to maximize lifelong functioning and potential through the provision of high-quality, developmentally appropriate health care services that continue uninterrupted as the individual moves from adolescence to adulthood" (American Academy of Pediatrics [AAP], American Academy of Family Physicians [AAFP], American CoEege of Physicians [ACP], & the American Society of Internal Medicine [ASIM], 2002, p. 1304). Recently, clinicians and researchers have highlighted the complex difficulties inherent in the transition process, even for healthy individuals, and many tools and recommendations have been made available to clinicians and families (Chesshir, Brown, Byerley, & Ward-Begnoche, 2013,). Despite numerous recommendations during recent decades, the transition from pediatric to adult care continues to pose a challenge for patients and caregivers alike (Fegran, Hall, Uhrenfeldt, Aagaard, & Ludvigsen, 2014).