Download presentation
Presentation is loading. Please wait.
1
Adolescent Care Transfer to Transition
2
“I would there were no age between ten and three and twenty, or that
youth would sleep out the rest; for there is nothing in the between but getting wenches with child, wronging the ancientry, stealing, fighting”. William Shakespeare
5
Follow-up of adolescent patient
Transfer to adult clinic (crisis situation) Long-term retention at paediatric clinic Failure to attend Discharged
6
Transitional care “The purposeful, planned movement of adolescents and young people with chronic physical and medical conditions from child-centred to adult-orientated health care systems.”
7
Key Public Health Issues
Obesity Smoking Alcohol consumption Pregnancy
8
Top 10 topics with GP Sex Depression Stress Size/shape
Relationships Drugs Diet Pregnancy General health Contraception
9
Health related behaviour
Exercise Diet Smoking Drugs Alcohol Sexuality
13
Why give adolescents special consideration
Numbers Workload Illness appears/worsens Mortality Little concern Great anxiety Childhood survivors
16
Paediatric Medicine RBHSC
(Oct 04 – Sept 05) Age Inpatients Outpatients (Yrs) (Bed days) New Review DC % 52% % % % 42% % % % % % %
17
Cases notified to N. Ireland register 1989-2003
140 120 100 80 Cases 60 40 20 ’03 '89 '90 '91 '92 '93 '94 '95 '96 '97 '98 ’99 ’00 ’01 ’02 Year
19
‘I don’t believe its going to do me any harm at all
‘I don’t believe its going to do me any harm at all. You’re all just trying to scare me. I won’t believe anything you say unless I can meet someone who has had bad things happen to them because of their diabetes’ 14 year old male
20
Age versus HbA1c 6 8 12 14 5 10 15 HbA1c (%) Age at visit
24
Health care services for
Children Adults Family centred Patient centred Socially orientated Disease orientated Informal and relaxed Formal and direct School/life progress Glycaemic control/ complications
25
Young adult survey 17 – 20 years Privacy and confidentiality
Short waiting times Informality Approachable physician Continuity of care
26
Storm and Stress The challenge of adolescence is to achieve the desired independence and autonomy, while at the same time, maintaining close and supportive ties with the nuclear family
27
Transition clinics Cystic fibrosis Congenital heart disease
Metabolic diseases Juvenile arthritis Diabetes and endocrine
28
Paediatric Conditions Requiring Adult Handover
Hypothalamic/Pituitary Disease Thyroid Disease, Parathyroid Disease Polyglandular autoimmune disease, MEN Congenital adrenal hyperplasia - Addison’s Adrenarche - PCO, Cushing’s Insulin resistance Hypogonadism; Turner’s/Klinefelter’s; Intersex Sporadic endocrine tumour
29
Barriers to good transition
Circumstances Paediatrician Patient Parent
30
Principles of successful transition
1. Transition policy for every paediatric clinic Preparation for transition 3. Timing – growth and puberty completed In good health
31
Principles of successful transition
5. Skill to cope with adult clinic An identified person in both teams 7. Management links between clinics 8. Evaluation of arrangements
32
Adolescent and Transitional Care Responsibility of the Paediatric Team
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.