The Japanese Journal of Clinical Dialysis Vol.34 No.9(1)

Theme Pediatric end-stage kidney disease -- management of transition
Title The importance of a smooth transition from pediatric to adult healthcare
Publish Date 2018/08
Author Mikiya Fujieda Department of Pediatrics, Kochi Medical School, Kochi University
[ Summary ] The number of patients transitioning from pediatric to adult healthcare has progressively increased due to improved medical management. Adult healthcare professionals are increasingly treating adolescent and young adult (AYA) patients who have either transitioned from pediatric care or have presented directly to adult services. There is a substantial risk of nonadherence during this time of transition. Therefore, the process to prepare pediatric patients in their move from caregiver-directed care to self-management of the disease as adults is important. Transition from pediatric to adult healthcare is an individualized process that provides AYA patients with appropriate self-management skills and assesses their support structures. Support for AYA patients should include both pediatric and adult-focused sides and is required to ensure continuity of care from childhood to adulthood.
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