Pediatrics Transitions Flashcards
Review slides 6 and 8 for the differences between pediatric and adult care
Why do transitions between pediatric and adult care matter?
Poor health outcomes
Caregiver burden
Mental health
Disengagement (1/2 of Ontario youth had a 12 month gap in care while transitioning to adult care)
Review slide 11 for guidelines of transtions of care
What are the Canadian Paediatric Society’s reccomendations for successful transition of care?
- Ensure care is continuous, and meets needs of patients, family, and HCPs
- Prepare youth gradually, timing is individualized (flexible age cut-offs)
- Collaboration between pediatric and adult care providers
- Establish quality indicators of successful transition
- Educational reforms for youth, families, as well as HCPs
- Appropriate program funding
What are Ontario Health’s reccomendations for successful transition of care?
- Early identification and transition readiness
- Information sharing and support
- Transition plan
- Coordination transition
- Introduction to adult services
- Transfer completion
Review slide 14 for how to gradually increase the child’s confidence and independence with managing their conditions
What are some barriers to successful transition of pediatric to adult care?
- Difficulty navigating healthcare system
- Shift from holistic, interdisciplinary care to fragmented care
- Difficulty finding primary care provider to coordinate care
- Shift in responsibility
- Fear of unknown for patients and family (loosing established relationships)
- Financial barriers
Review slides 15 and 16
What are the consequences of poorly executed pediatric to adult care transitions?
Decreased clinical engagement
Increased emergency department use
Increased hospitalizations
Poor clinical outcomes
Review slides 19 and 20 for pediatric to adult transition of care in the contect of T1DM
What is transition champion in the context of care transitions?
A clinician who takes responsibility for facilitating and coordinating the HCPs involved in a young person’s care, including primary care, and ensuring effective communication throughout the process
What are some ways transition of care readiness can be assessed?
Validated self-assessment tools for adolescents with chronic disease to assess readiness to transition to adult care
ex. TRANSITION-Q14 and Am I ON TRAC
What are some ways transition of care outcomes be evaluated?
- Triple Aim Framework (patient experience of care, population health, cost)
- International Classification of Function (psychosocial outcomes)
- Quality of Life Outcomes (need for systematic processes to evaluate)
What is the role of pharmacists in helping children and their families to successfully transition into adult care?
Pharmacists can pass on information on to patients and family
- Provide medical knowledge
- Knowledge on relevant programs
- Familiarity with adult medical services
- Navigating insurance
- Establishing goals of therapy
- Accessible
Review slides 26 and 27 for a pediatric to adult care transition case study
