Transitional care

Description

Nursing young people and the transition of care between child and adult services
Kirsty Jayne Buckley
Flashcards by Kirsty Jayne Buckley, updated more than 1 year ago
Kirsty Jayne Buckley
Created by Kirsty Jayne Buckley over 8 years ago
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Resource summary

Question Answer
What can nurses do for young people in their care? Work in partnership Involve family where appropriate Advocate Empower - acknowledge them
Why does the way we treat our young patients change so frequently? Children grow up faster and have a better understanding in a short period of time. A 15 year old will understand things differently as a 12yo or an adult.
What important factors impinge on the way we treat our patients? We treat the entire family, from recognising they have trouble with travelling, or a damp, mouldy house and put them in touch with the appropriate services.
How does politics affect care? Pressure to cut costs We in turn put pressure on the family to learn to care for their child Culture of blame and HEALTHCARE CLIMATE OF LITIGATION!
How can we provide good quality care? Empower the child to do things themselves, and don't rush them. Let them learn at their own pace. KEEP GOOD RECORDS - document any referrals made, not that you've just discharged.
What challenges to children face during the transition? Adult wards are scary - new people, not as friendly, busier, noisier. No respite in adult hospices - crisis management only.
List the 4 aspects of family centred care Empowerment Partnership - delegate to family safely Negotiation - constantly changing goal of care Advocacy
Name the 1 major report involving transition of care Together for Short Lives. New report called "Stepping Up" published in 2015, building on the seminal 2007 report.
Name the six standards outlined in the report 1) Sharing significant news - key worker 2) Approaching adolescence - dedicated age appropriate facilities 3) Proactive planning - supported by MDT 4) On going planning - appropriate takeover team 5) Settling into adult care - overlap of teams if possible 6) Planning for Death - reassurance of no pain, cultural & spiritual needs met.
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