Flashcards
Transitioning children with complex needs
Cards in this deck (8)
- 1What does transition include?Between hospital and home; health/
social care/education; and children’s and adults’ services - 2One older definition of transition Blum (1993)The purposeful, planned movement of adolescents and young adults with chronic physical and medical conditions from child centred to adult orientated health services.
- 3Why does the NSF say well planned and conducted transition is important?“all young people to have access to age appropriate services which are responsive to their specific needs as they grow into adulthood”.
(Standard 4) - 4What age?Transition proceeds at different rates for different individuals and families.
Different countries have different ideas e.g America sometimes up to 21 years old - 5Barriers to effective transitionFamilies attachment to children’s services
Paediatrician’s reluctance to make the transfer
Fragmented and impersonal health care in adult services
Poor coordination of services in adult care
No equivalent adult service available
Transfer at a time of instability - 6RCN Lost in Transition - Recommendations for nursesAll staff who work with adolescents to have specific training
Issues of confidentiality between children and parents to be discussed and outcome to be documented
Young people to receive support and education to help them prepare for transition
Each health care area to have an agreed transition policy
Services to be designed around the needs of young people rather than the needs of the service - 7DoH You're Welcome 2011Quality Criteria covers ten topic areas:
Accessibility
Publicity
Confidentiality and Consent
Environment
Staff training, skills, attitudes and values
Joined up working
Young people’s involvement in monitoring and evaluation of experience
Health issues for young people
Sexual and reproductive health services
Specialist child and adolescent mental health services (CAMHS)
To help health services ‘get it right’ and become ‘user friendly’ - 8The key principles of health transition planning DoH1. Planning is person centred and needs focused, identifying the hopes,
aspirations and goals of the young person who plays an active part in
decisions about their future.
2. It assesses the likely impact of future health needs and identiies
interventions/strategies.
3. It sees transition as a process and develops lexibility in moving to adult
services depending on a young person’s wishes, needs and developmental
readiness.
4. It explores, with young people, opportunities for independent living
and developing skills in monitoring/managing their conditions and in
developing and improving their self image.
5. It helps a young person understand how to access adult services and fully
engages children’s and adult health services in planning for an individual
young person.
6. It develops a health plan with the young person, and their family
and carers, identifying the most appropriate health professional to
coordinate this.
7. It takes account of physical, psychological, social, educational and
vocational dimensions and the need for equipment/adaptations.
8. It observes local information-sharing protocols, taking account of a young
person’s wishes for conidentiality.
9. It ensures a good working knowledge of the professional roles of the core
health transition team as well as those in other agencies.
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- University Nursing Flashcards on Transitioning children with complex needs, created by katherinethelma on 13/02/2014.
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- katherinethelma · Feb 2014
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- Aug 14, 2017
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