Transitioning Teens with Diabetes to Adult Healthcare PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download Transitioning Teens with Diabetes to Adult Healthcare PDF full book. Access full book title Transitioning Teens with Diabetes to Adult Healthcare by Rebecca Ann Meyer. Download full books in PDF and EPUB format.
Author: Rebecca Ann Meyer
Publisher:
ISBN:
Category : Diabetes in adolescence
Languages : en
Pages : 149
Get Book Here
Book Description
Adolescents must enter adult health care services at age 18, yet most are not ready and have not mastered daily self management of their type 1 diabetes. The purpose of this study was to determine the feasibility of a transition planning intervention, focused on educating adolescent/parent dyads about diabetes self management in preparation for the transition from pediatric to adult health care, using a newly developed transition plan and framework. The setting was a diabetes endocrinology clinic where 95% of young type 1 diabetics in the metropolitan area are seen. The intervention included supporting the parent in the relinquishing of diabetes management responsibilities to the adolescent. This study measured the transition readiness and self management practices of the adolescent as well as the parents' ability to promote autonomy in their adolescents' transition to self management. In addition, this study sought to gain information from the dyads on the usefulness of this intervention. The intervention consisted of four weekly sessions emphasizing a review of type 1 diabetes pathophysiology, daily living with type 1 diabetes, leaving the parental home, and reproductive health. A non-experimental, pre-post feasibility design was used and 11 adolescent/parent dyads consented to participate. Seven dyads completed the intervention. Using descriptive statistics, mean scores improved for transition readiness, diabetes care activities, problem solving, communication, and goals setting. Post intervention evaluations completed by participants were favorable. Most agreed or strongly agreed that the transition intervention was helpful in getting adolescents ready for transition and taking care of diabetes as a young adult. They would recommend this intervention to others. Based on the findings of this study and evidence found in the literature, the intervention will soon be packaged into brief 15-minute teaching sessions presented during quarterly clinic visits for all adolescents age 15-18 at the study site. If any adolescent remains in the clinic until age 19 or later, the intervention will continue quarterly until the adolescent transitions to adult health care. In addition, based on the responses given by the adolescent/parent dyads at completion of the sessions, this intervention contains useful information relevant to the adolescents' transition to adult health care.
Author: Rebecca Ann Meyer
Publisher:
ISBN:
Category : Diabetes in adolescence
Languages : en
Pages : 149
Get Book Here
Book Description
Adolescents must enter adult health care services at age 18, yet most are not ready and have not mastered daily self management of their type 1 diabetes. The purpose of this study was to determine the feasibility of a transition planning intervention, focused on educating adolescent/parent dyads about diabetes self management in preparation for the transition from pediatric to adult health care, using a newly developed transition plan and framework. The setting was a diabetes endocrinology clinic where 95% of young type 1 diabetics in the metropolitan area are seen. The intervention included supporting the parent in the relinquishing of diabetes management responsibilities to the adolescent. This study measured the transition readiness and self management practices of the adolescent as well as the parents' ability to promote autonomy in their adolescents' transition to self management. In addition, this study sought to gain information from the dyads on the usefulness of this intervention. The intervention consisted of four weekly sessions emphasizing a review of type 1 diabetes pathophysiology, daily living with type 1 diabetes, leaving the parental home, and reproductive health. A non-experimental, pre-post feasibility design was used and 11 adolescent/parent dyads consented to participate. Seven dyads completed the intervention. Using descriptive statistics, mean scores improved for transition readiness, diabetes care activities, problem solving, communication, and goals setting. Post intervention evaluations completed by participants were favorable. Most agreed or strongly agreed that the transition intervention was helpful in getting adolescents ready for transition and taking care of diabetes as a young adult. They would recommend this intervention to others. Based on the findings of this study and evidence found in the literature, the intervention will soon be packaged into brief 15-minute teaching sessions presented during quarterly clinic visits for all adolescents age 15-18 at the study site. If any adolescent remains in the clinic until age 19 or later, the intervention will continue quarterly until the adolescent transitions to adult health care. In addition, based on the responses given by the adolescent/parent dyads at completion of the sessions, this intervention contains useful information relevant to the adolescents' transition to adult health care.
Author: Kathyann Kenny Marsh
Publisher:
ISBN:
Category : Diabetes in youth
Languages : en
Pages : 97
Get Book Here
Book Description
Background: Care transitions, defined as hospital discharge or movement from one healthcare setting to another, are currently a major concern for healthcare providers and policy makers alike. These care transitions are occurring in the context of increasingly fragmented care and have been known to result in hospital readmissions, adverse events, and medication errors. The adolescents' transition between pediatric and the adult care system is not only fragmented but occurs at a time when they are most vulnerable and ill equipped for change. Objectives: The purpose of this research was to conduct a feasibility study to examine if the use of a diabetes transition program, SMILE (Self-Management In Living Everyday), improves glycemic control in adolescents with type I diabetes mellitus (TIDM). The aims of the study were to examine 1) pre and post scores in diabetes knowledge, diabetes distress, and glycemic among a sample of adolescents with TIDM participating in the SMILE program, 2) relationships between diabetes knowledge, diabetes distress, and glycemic control among a sample of adolescents with TIDM participating in the SMILE program, and 3) the feasibility and acceptability of an individualized transition program utilizing technology, health care advocates, and home education visits among a sample of adolescents with TIDM participating in the SMILE program. Methods: A descriptive, correlational, repeated measures design was used for this feasibility study. Both quantitative and qualitative data were collected from a purposive sample of 14 adolescents recruited from patients who received care in the endocrine clinic at a large academic children's hospital located in Southern California. Data were collected during the spring of 2012 and participants' total time in the program was three months. Study measures included The Diabetes Knowledge Test (Fitzgerald, et al., 1998), Diabetes Distress Scale (DDS17), (Polonsky et al., 2005), Hemoglobin Al c, Frequency of Self Monitored Blood Glucose Testing (SMBG), and selected demographics. Statistical analysis included descriptive and inferential statistics. Results: A statistically significant difference was found in the pre mean = 12.57 (SD = 1.61) and post mean = 10.97 (SD=1.62) intervention HbAlc, t (13) = 3.94, p =.002; the pre mean, M = 72.4 (SD = 5.2) and post mean 87.5 (SD = 3.8) diabetes knowledge scores t (13) = - 6.47, p
Author: Albert C. Hergenroeder
Publisher: Springer
ISBN: 3319728687
Category : Medical
Languages : en
Pages : 386
Get Book Here
Book Description
This comprehensive book thoroughly addresses all aspects of health care transition of adolescents and young adults with chronic illness or disability; and includes the framework, tools and case-based examples needed to develop and evaluate a Health Care Transition (HCT) planning program that can be implemented regardless of a patient’s disease or disability. Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is a uniquely inclusive resource, incorporating youth/young adult, caregiver, and pediatric and adult provider voices and perspectives. Part I of the book opens by defining Health Care Transition, describing the urgent need for comprehensive transition planning, barriers to HCT and then offering a framework for developing and evaluating health care transition programs. Part II focuses on the anatomic and neuro-chemical changes that occur in the brain during adolescence and young adulthood, and how they affect function and behavior. Part III covers the perspectives of important participants in the HCT transition process – youth and young adults, caregivers, and both pediatric and adult providers. Each chapter in Part IV addresses a unique aspect of developing HCT programs. Part V explores various examples of successful transition from the perspective of five key participants in the transition process - patients, caregivers, pediatric providers, adult providers and third party payers. Related financial matters are covered in part VI, while Part VII explores special issues such as HCT and the medical home, international perspectives, and potential legal issues. Models of HCT programs are presented in Part VIII, utilizing an example case study. Representing perspectives from over 75 authors and more than 100 medical centers in North America and Europe, Health Care Transition: Building a Program for Adolescents and Young Adults with Chronic Illness and Disability is an ideal resource for any clinician, policy maker, caregiver, or hospitalist working with youth in transition.
Author: M. Polak
Publisher: Karger Medical and Scientific Publishers
ISBN: 3318061433
Category : Medical
Languages : en
Pages : 170
Get Book Here
Book Description
Pediatricians face many questions and challenges during patients’ transition from childhood to adulthood. Chronic diseases justify long-term medical, psychological, educational, and social management. The establishment of networks with adult endocrinologists is, therefore, very important to achieving optimal conditions for a successful transition period. In this book, leading experts discuss major public health issues such as diabetes and obesity. They also review genetic diseases, including Turner syndrome and congenital adrenal hyperplasia. All clinical cases are presented in a focused way to highlight any issues which might be discussed by the doctor with patients and family. Psychological approaches are debated as are proposals for defining specific tools to encourage autonomy during this life period. This book is a valuable tool and will be helpful in answering many questions for endocrinologists, adult and pediatric, dedicated to the long-term management of patients with chronic diseases.
Author: Howard A. Wolpert
Publisher: American Diabetes Association
ISBN: 1580403646
Category : Health & Fitness
Languages : en
Pages : 129
Get Book Here
Book Description
Providing care for a young adult with type 1 diabetes during this stage can be difficult as well. Transitions in Care serves as a coaching manual for health care providers and parents, and as a guide to self-care and independence for young adults with diabetes. It demystifies a complicated period in a life with type 1 diabetes and makes the passage to adulthood easier for everyone involved.
Author: Michael A. Harris
Publisher: American Diabetes Association
ISBN: 1580405770
Category : Medical
Languages : en
Pages : 129
Get Book Here
Book Description
Written by three psychologists with more than 50 years of collective experience in the field of diabetes and youth, Teens with Diabetes provides evidence-based techniques for clinicians to treat the psychological needs of children with diabetes and help them transition into their teenage years. The authors have provided care to thousands of diabetic teens and their families from initial diagnosis to leaving home for college. Any professional working with diabetic teens, including psychologists, physicians, social workers, dietitians, and nurse educators, needs this how-to handbook for working with what is arguably one of the most difficult populations in diabetes. Topics covered include handling the initial diagnosis of diabetes in teens, talking with young people about diabetes in a manner that is effective and reduces reactivity, improving diabetes self-care, helping families negotiate the challenges of adolescent diabetes, dealing with peer relations, dealing with high-risk issues related to diabetes, and handling with mood problems.
Author: N. Tehrani
Publisher:
ISBN:
Category :
Languages : en
Pages : 17
Get Book Here
Book Description
Background : Type 1 Diabetes Mellitus is one of the most common chronic diseases in the pediatric population. Complications arising from inadequate follow up and treatment not only represent a disruption to care but also result in significant increases in the morbidity and mortality of such patients. One particular challenge faced by pediatric healthcare practitioners is the inevitable need to transfer care from the pediatric to the adult healthcare setting. Unsuccessful patient transfer results in the loss of appropriate care and an increase in the risk for adverse health outcomes. The main obstacles to the timely transfer of care are a lack of adequate patient preparedness for transfer of care and inadequate inter-physician networking/sharing of information in a culturally competent manner. Definition/Goals : Given these obstacles, this study stipulates that the provision of educational and networking resources to patients and adult care practitioners during the transition process will enable more effective transitioning from pediatric to adult care in T1DM patients. The main goal of this project is to create culturally appropriate transition tools and secondarily to identify and address obstacles to the process of educating patients and the establishment of networks among providers to the transitioning population. Methods/Materials : English and Spanish transition tools including patient and parent questionnaires, practitioner health summary tools, and transition brochure will be created. Materials will be reviewed by transition providers and clinic staff for effectiveness. Outcomes : These tools will then be made available to patients and practitioners through the Pediatric Endocrine clinic for immediate use in transitioning patients. The effectiveness of the transition tools will be assessed in follow up studies determining the percentage of transition teens scheduled and seen by their new providers and by feedback from both the transitioning population and their new providers.
Author: National Research Council
Publisher: National Academies Press
ISBN: 0309309980
Category : Medical
Languages : en
Pages : 431
Get Book Here
Book Description
Young adulthood - ages approximately 18 to 26 - is a critical period of development with long-lasting implications for a person's economic security, health and well-being. Young adults are key contributors to the nation's workforce and military services and, since many are parents, to the healthy development of the next generation. Although 'millennials' have received attention in the popular media in recent years, young adults are too rarely treated as a distinct population in policy, programs, and research. Instead, they are often grouped with adolescents or, more often, with all adults. Currently, the nation is experiencing economic restructuring, widening inequality, a rapidly rising ratio of older adults, and an increasingly diverse population. The possible transformative effects of these features make focus on young adults especially important. A systematic approach to understanding and responding to the unique circumstances and needs of today's young adults can help to pave the way to a more productive and equitable tomorrow for young adults in particular and our society at large. Investing in The Health and Well-Being of Young Adults describes what is meant by the term young adulthood, who young adults are, what they are doing, and what they need. This study recommends actions that nonprofit programs and federal, state, and local agencies can take to help young adults make a successful transition from adolescence to adulthood. According to this report, young adults should be considered as a separate group from adolescents and older adults. Investing in The Health and Well-Being of Young Adults makes the case that increased efforts to improve high school and college graduate rates and education and workforce development systems that are more closely tied to high-demand economic sectors will help this age group achieve greater opportunity and success. The report also discusses the health status of young adults and makes recommendations to develop evidence-based practices for young adults for medical and behavioral health, including preventions. What happens during the young adult years has profound implications for the rest of the life course, and the stability and progress of society at large depends on how any cohort of young adults fares as a whole. Investing in The Health and Well-Being of Young Adults will provide a roadmap to improving outcomes for this age group as they transition from adolescence to adulthood.
Author: Cecily L. Betz
Publisher: Springer Nature
ISBN: 3030233847
Category : Medical
Languages : en
Pages : 344
Get Book Here
Book Description
This book offers essential information on interventions and actions that enable and promote transition experiences for adolescents and young adults. It provides guidance on appropriate strategies that bring together these groups and caregivers in the context of transition preparation, and those which optimize adolescents’ and young adults’ ability to self-manage their healthcare. The health care transition for adolescents and young adults has gained more attention given the improved survival rates, including for those with long-term conditions. It is now estimated that more than 90% of children diagnosed with a long-term condition will survive into adulthood. The significant change in survival requires concomitant services to facilitate adolescents’ and young adults’ successful transition to adult health care, therefore providers need education, knowledge and skills to support healthcare transition services. A recent US national survey demonstrated only 10% of parents/caregivers reported that their children received transition preparation services. This book is targeted at nurses and pediatric and adult health care providers of different disciplines seeking guidance on which interventions are available, how they can be used, advantages and challenges, and how best to promote a seamless transition for all adolescents and young adults with long-term conditions. It provides several examples of transition programmes and initiatives worldwide. There is an increasing focus on how nurses can support transition but little guidance on what is effective and what has been tried. This book will fill a gap by addressing all of these issues outlined above and by providing worked examples from leading nurse researchers and academics worldwide.
Author: Sarah K. Lyons
Publisher: Springer
ISBN: 3030050459
Category : Medical
Languages : en
Pages : 236
Get Book Here
Book Description
This unique handbook provides pediatric and adult endocrinologists and multidisciplinary clinical care providers a guide to transition from pediatric to adult care and an understanding of developmental and psychosocial issues of young adulthood and how they relate to healthcare and disease self-management. The handbook is divided into two parts. Part one describes transition interventions and novel strategies that can be integrated into routine care and gives practical considerations for transition processes from both the pediatric and adult perspectives, with applications across multiple endocrine conditions. Part two focuses on transition issues specific to common endocrine conditions – type 1 and type 2 diabetes, Turner syndrome, congenital adrenal hyperplasia, endocrine sequelae of childhood cancer, and transgender care – with condition-specific developmental and psychosocial issues, treatment and screening recommendations, healthcare process considerations, transition care guidelines, and key resources for more information. By highlighting medical, psychosocial, and healthcare delivery concerns relevant to transition to adult care, this book provides a practical, patient-centered overview of the essential information to supporting optimal adult care transition across a number of endocrine conditions. Timely and practical, Transitioning from Pediatric to Adult Care in Endocrinology: A Clinical Handbook is an excellent resource for pediatric and adult endocrinologists, behavioral healthcare providers, allied health professionals, primary care providers, and all clinical staff working with young people with endocrine conditions as they transition from children to adults.
