Download or read book Transitioning Teens with Diabetes to Adult Healthcare written by Rebecca Ann Meyer and published by . This book was released on 2015 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Transitioning Adolescents with Type I Diabetes to Adult Care written by Kathyann Kenny Marsh and published by . This book was released on 2021 with total page 97 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

Download or read book Transition of Care written by M. Polak and published by Karger Medical and Scientific Publishers. This book was released on 2018-06-11 with total page 170 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Health Care Transition written by Albert C. Hergenroeder and published by Springer. This book was released on 2018-05-03 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Teens with Diabetes written by Michael Harris and published by American Diabetes Association. This book was released on 2014-08-05 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Effecting the Successful Transitioning of Adolescents with Type 1 Diabetes Mellitus from Pediatric to Adult Medical Care written by N. Tehrani and published by . This book was released on 2011 with total page 17 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Transitions in Care written by Howard A. Wolpert and published by American Diabetes Association. This book was released on 2009-05-18 with total page 129 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Investing in the Health and Well Being of Young Adults written by National Research Council and published by National Academies Press. This book was released on 2015-01-27 with total page 431 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Transitioning from Pediatric to Adult Care in Endocrinology written by Sarah K. Lyons and published by Springer. This book was released on 2019-03-01 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Transition from Pediatric to Adult Healthcare Services for Adolescents and Young Adults with Long term Conditions written by Cecily L. Betz and published by Springer Nature. This book was released on 2019-11-30 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Health Care for Adolescents written by and published by American College of Obstetricians and Gyencologists. This book was released on 2003 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: This resource, developed by the ACOG Committee on Adolescent Health Care, includes valuable information on the provision of health care to adolescent patients. Topics include primary care for adolescent females, confidentiality in adolescent health care, contraceptive issues, sexually transmitted disease screening, eating disorders, and suicide prevention.

Download or read book Transitioning Medical Care written by Dan Wood and published by Springer. This book was released on 2019-03-12 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a guide to the complexities of medical care through adolescence and into adulthood. The principles of transition, the management of patients and parents, and developmentally appropriate adolescent health care are discussed and evaluated. The academic importance of understanding long-term outcomes of treatments and diseases that began in childhood is also covered. This book aims to help readers build a multidisciplinary transition team and details the barriers encountered in this process and the ways to overcome them.

Download or read book Psychosocial Care for People with Diabetes written by Deborah Young-Hyman and published by American Diabetes Association. This book was released on 2012-12-25 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychosocial Care for People with Diabetes describes the major psychosocial issues which impact living with and self-management of diabetes and its related diseases, and provides treatment recommendations based on proven interventions and expert opinion. The book is comprehensive and provides the practitioner with guidelines to access and prescribe treatment for psychosocial problems commonly associated with living with diabetes.

Download or read book Transitions in Care ADA written by Howard Wolpert and published by American Diabetes Association. This book was released on 2009-05-20 with total page 104 pages. Available in PDF, EPUB and Kindle. Book excerpt: How to manage Type 1 diabetes in the young adult Written in separate sections for both the young adult and his or her care provider, this book outlines important information on managing diabetes, avoiding complications, and adjusting care to fit the challenges of growing up with diabetes.

Download or read book Diabetes Mellitus in Children written by Mark A. Sperling and published by . This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Bridging the Abyss written by Nancy Lynn Olson and published by . This book was released on 2011 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: The transition of children diagnosed with Type 1 diabetes mellitus (T1DM) into the adult diabetes care practice is often complicated, not only from the specificity of a pediatric illness but also the added stress of normal psychosocial transitions of the emerging adult and the family dynamics of a child with chronic illness. This survey provided information on what registered nurses and dieticians perceived as barriers to successful transition from pediatric to adult care and whether a dedicated facilitator would improve the overall health and glycemic control of young adult diabetics. Factors that affect the successful transition, identified from the research, are reviewed in this research paper. Suggestions for implementing guidelines for transition and follow-up care by a nurse practitioner are indicated. Guidance in transition by a familiar nurse practitioner, liaising between the pediatric and adult practices, will aid in reducing "dropping out" of medical care, and the costly complications of Type 1 diabetes.

Download or read book One on One Providing Vital Support to Parents and Adolescents written by Harburg Elizabeth and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: One on One: Providing vital support to parents and adolescents BackgroundThe transition from childhood to adolescence can be a challenging time for any child and their parents. This is especially so for children and teenagers with type 1 diabetes. In addition to the general challenges experienced in adolescence, young people with type 1 diabetes are also taking increased responsibility for their diabetes management as well as transitioning into the adult health care system. This transition period is known to impact both parent and child, with both experiencing impaired emotional wellbeing including moderate to severe anxiety[1]. Providing support to both young people with diabetes and their parents to help them navigate this transition period is vital to ensure optimal diabetes management. The Diabetes MILES Youth Study 2014 survey provides a national snapshot of the emotional well-being, general health and psychosocial issues facing young people with type 1 or type 2 diabetes and their parents.This report found that parents of children with diabetes are at increased risk of anxiety and depression. Parents major concerns were around hypoglycaemia at night and that parents worried about their child developing complications and feeling like they were the u201cdiabetes policeu201d with their child.The transition from childhood to adolescence can be a challenging time for any child and their parents. This is especially so for children and teenagers with type 1 diabetes.It is recognised that children with diabetes often start to rebel against the diabetes management routine at this time. This could be for many reasons, including that they do not want to appear u2018differentu2019 from their friends. They may want to be more independent of their own lives and not have their parents so involved.Body image concerns may arise at this time and may impact on diabetes management. Diabetes may also contribute to self-confidence issues.During the transition period, the responsibility for diabetes management will move from the parents to the teenager. This responsibility may put pressure on the teenager, especially as they experience frustrations relating to unpredictable or changing blood glucose levels (BGLs), despite their best efforts. Anecdotal reports to Diabetes Queensland and information obtained through research demonstrates that parents are often concerned about their teenageru2019s health during this transition period, including relating to diabetes management, mental health. Parents often feel that they are being distanced and do not know how to approach their child to discuss their concerns.AimsThe One on One program aims to improve confidence among both young people with diabetes and their parents to navigate the transition into adulthood and help to establish supportive relationships both between parent and child as well as among peers. Increased awareness of diabetes and diabetes management for parents of type 1 children whilst transitioning into adulthood.The parents who attend the session benefit from the peer support offered to feel more connected and less isolated in their experiences relating to their child with diabetesThis program is designed to engage a Psychologist who facilitates discussion and provides parents with information and strategies to assist them and their child through this transition time. The program also provides a peer support opportunity for the type 1 child, allowing them to meet others in the same situation, to share experiences and to feel less isolated.MethodsYoung people with type 1 diabetes aged from 9 to 16, and their parents, attend a tailored education session delivered in collaboration with the local health care team who provide services to young people with type 1 diabetes. The session also includes presentations from local young adults with type 1 diabetes who share their experiences and insights in their own transition into adulthood with the condition. To allow for the development of peer relationships and the delivery of targeted information, parents and children are separated for part of the session with children partaking in engaging relationship-building activities and parents having an opportunity to discuss relevant issues with other parents in the presence of a psychologist and or an endocrinologist and a credentialled diabetes educator. Opportunity for open discussion of parents concerns, identifying similarities which assists with the feeling of community and support. Open discussion between the parents and the health team to look at strategies to assist with the transition period. The children whilst away from the parents are engaged in building a support network with other children of similar age who also have type 1 diabetes.Having the local health team involved is important as they hear the concerns of the parents and the strategies discussed so when going back to clinical practice they can assist in the implementation to support transition to adulthood [2].ResultsThe program has been successful in increasing confidence among both parents and young people in navigating the transition into adulthood with type 1 diabetes. The sessions have also facilitated on going peer support relationships and mechanisms both between young people and between parents. Positive feedback for the program with over 90% of respondents recommending this evening to other parents of a child with type 1 diabetesAn overwhelming majority of participants completing the evaluation were satisfied with the program they attended, with more than 95% of NDSS registrants overall agreeing the sessions they attended met their needs in terms of what they were hoping to learn or achieve.An overwhelming majority of participants completing the evaluation felt the program increased their awareness of the NDSS, with more than 89% of respondents overall agreeing with this statement. Attendees at events are asked to rate the speakers in terms of ease of understanding and usefulness of information. These are useful measures of whether the seminar was adequately aimed at the target group and whether it has been successful in meeting set objectives. Overall, for NDSS registrant sessions, more than 95% of responses indicated speakers were easy to understand and over 95% of responses that participants were provided with information they can use [3].Feedback from previous events as well as other Diabetes Queensland programs and research, indicates that parents of children with type 1 find it useful to hear from older adolescents or young adults about their diabetes experience through the teenage years. DiscussionSupport to both parents and young people navigating the transition into adulthood, with the added pressures of managing a complex condition like type 1 diabetes, is an important strategy to improve emotional wellbeing and diabetes management outcomes. The One on One program is an example of an effective program providing tailored support to both parent and young person.References1.tSpeight, J., et al., Diabetes MILES Youth Study 2014 Survey Report. 2015, Diabetes Victoria: Victoria, Australia.2. Ersig, L.; Tsalikian, E; Coffey, J; Williams, K. Stressors in Teens with Type 1 Diabetes and Their Parents: Immediate and Long-Term Implications for Transition to Self-Management. Journal of Pediatric Nursing, Jul/Aug 2016; 31(4): 390-396. 3. NDSS National evaluation framework 2016 17 end of year report.