Transitioning adolescents with sickle cell disease to adult-centered care.

Efforts have been made to formalize transitioning of adolescents with chronic health conditions such as sickle cell disease (SCD), from child-centered care (CCC) to adult-centered care (ACC). A dearth of literature exists that examines the transition of adolescents with SCD or offers guidance for tr...

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Publicado en:Pediatric Nursing Vol. 25; no. 5; pp. 479 - 491
Autores principales: Hauser, Elizabeth S., Dorn, Louise
Formato: CEU exam questions research tables/charts Journal Article
Publicado: Jannetti Publications, Inc. Sep/Oct99
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep/Oct99
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      pub: Jannetti Publications, Inc.
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        atl: Transitioning adolescents with sickle cell disease to adult-centered care.
      aug:
        au:
          Hauser, Elizabeth S.
          Dorn, Louise
        affil: Research Coordinator and Clinical Specialist, Pathways Center for Children, Glenview, IL
      sug:
        subj:
          Anemia, Sickle Cell In Adolescence
          Health Services In Adulthood
          Attitude In Adolescence
          Adult
          Audiorecording
          Female
          Child Health Services Utilization
          Black Persons
          Pilot Studies
          Focus Groups
          Midwestern United States
          Parents
          Parental Attitudes
          Semi-Structured Interview
          Adolescence
          Life Expectancy
          Patient Education
          Anemia, Sickle Cell Education
          Patient Autonomy In Adolescence
          Accountability In Adolescence
          Attitude of Health Personnel
          Education, Continuing (Credit)
          Continuity of Patient Care In Adolescence
          Funding Source
          Human
          Adult: 19-44 years
          Adolescent: 13-18 years
          Female
      ab: Efforts have been made to formalize transitioning of adolescents with chronic health conditions such as sickle cell disease (SCD), from child-centered care (CCC) to adult-centered care (ACC). A dearth of literature exists that examines the transition of adolescents with SCD or offers guidance for transitioning. This study sought to explore concerns, expectations, and needs regarding the transition from CCC to ACC and to generate a framework for transitioning. Separate focus groups were conducted with adolescents (n=22), their parents (n=22), and practitioners (n=8). Focus group interviews revealed that concerns, expectations, and needs for adolescents and their parents were parallel. Adolescents and their parents had concerns about: (a) leaving a familiar setting and physician whom they trusted, (b) going to an adult provider who may or may not be familiar with managing sickle cell disease, and (c) establishing new family roles. Practitioners affirm the need for transitioning that prepares the adolescents and their families for ACC. Findings led to a draft framework for transitioning that which will be tested at a later date. The framework is based on an ecological perspective that includes physiologic, developmental and psychosocial, and educational/vocational components.
      pubtype: Academic Journal
      doctype:
        CEU
        exam questions
        research
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        Journal Article
      ougenre: Article
    language: English
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