Health Care Transition in Adolescents and Young Adults With Chronic Kidney Disease: Focus on the Individual and Family Support Systems

Cozumel S. Pruette, Daniel Ranch, Weiwen Vivian Shih, Maria Diaz Gonzalez Ferris

Resultado de la investigación: Review articlerevisión exhaustiva

Resumen

Health care transition (HCT) from pediatric to adult-focused services is a longitudinal process driven by the collaboration and interactions of adolescent/young adult patients, their families, providers, health care agencies, and environment. Health care providers in both pediatric and adult-focused settings must collaborate, as patients' health self-management skills are acquired in the mid-20s, after they have transferred to adult-focused care. Our manuscript discusses the individual and family support systems as they relate to adolescents and young adults with chronic or end-stage kidney disease. In the individual domain, we discuss demographic/socioeconomic characteristics, disease complexity/course, cognitive capabilities, and self-management/self-advocacy. In the family domain, we discuss family composition/culture factors, family function, parenting style, and family unit factors. We provide a section dedicated to patients with cognitive and developmental disability. Furthermore, we discuss barriers for HCT preparation and offer solutions as well as activities for HCT preparation.

Idioma originalEnglish (US)
Páginas (desde-hasta)318-326
Número de páginas9
PublicaciónAdvances in Chronic Kidney Disease
Volumen29
N.º3
DOI
EstadoPublished - may 2022

ASJC Scopus subject areas

  • Nephrology

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