Leaving the nest or flying the coop? The transition from pediatric to adult care is universally challenging

2022 ◽  
Author(s):  
Joseph DiNorcia ◽  
John C. Bucuvalas
Keyword(s):  
Adult Care

Pediatric to Adult Care Transition: Developing a Multidisciplinary Hospital Program

2010 ◽  
Author(s):  
Jamie A. Grollman ◽  
Jami N. Gross ◽  
William Jones
Keyword(s):  
Care Transition ◽  
Adult Care

An Overview of Digital Health in the Transition of Pediatric to Adult Epilepsy Care

2020 ◽  
Vol 09 (04) ◽  
pp. 106-113
Author(s):  
Ysabeau Bernard-Willis ◽  
Emily De Oliveira ◽  
Shaheen E Lakhan
Keyword(s):  
Health Management ◽  
Digital Health ◽  
Health Care Systems ◽  
Well Being ◽  
Pediatric Care ◽  
Medical Mistrust ◽  
Patient Portals ◽  
Language Therapy ◽  
Adult Care ◽  
Care Systems

AbstractChildren with epilepsy often have impairments in cognitive and behavioral functioning which may hinder socio-occupational well-being as they reach adulthood. Adolescents with epilepsy have the added worry of health problems while starting the transition from family-centered pediatric care into largely autonomous adult care. If this transition is not appropriately planned and resourced, it may result in medical mistrust, nonadherence, and worsening biopsychosocial health as an adult. In recent years, there has been increased availability of digital health solutions that may be used during this stark change in care and treating teams. The digital health landscape includes a wide variety of technologies meant to address challenges faced by patients, caregivers, medical professionals, and health care systems. These technologies include mobile health products and wearable devices (e.g., seizure monitors and trackers, smartphone passive data collection), digital therapeutics (e.g., cognitive/behavioral health management; digital speech–language therapy), telehealth services (e.g., teleneurology visits), and health information technology (e.g., electronic medical records with patient portals). Such digital health solutions may empower patients in their journey toward optimal brain health during the vulnerable period of pediatric to adult care transition. Further research is needed to validate and measure their impact on clinical outcomes, health economics, and quality of life.

Pharmacological Considerations When Transitioning the Care of Epilepsy Patients from Pediatric to Adult Epilepsy Centers

2020 ◽  
Vol 09 (04) ◽  
pp. 177-185
Author(s):  
Natalie Guido-Estrada ◽  
Shifteh Sattar
Keyword(s):  
Medication Compliance ◽  
Lifestyle Changes ◽  
Transition To Adult Care ◽  
Pediatric Epilepsy ◽  
Transition Of Care ◽  
Adult Health ◽  
Adult Care ◽  
Adult Model ◽  
Antiepileptic Medications ◽  
The Many

AbstractThere is scarce evidence in review of the available literature to support a clear and superior model for the transition of care for epilepsy patients from pediatric to adult centers. Anecdotally, there is a common perception that families are reluctant to make this change and that the successful transition of care for epilepsy can be a challenge for patients, families, and physicians. As part of the effort to prepare the patient and family for the adult model of care, several treatment issues should be addressed. In this article, we discuss the specific challenges for physicians in transition of care for epilepsy patients from a pharmacological standpoint, which include differences in metabolism and pharmacodynamics that can impact tolerability or efficacy of antiepileptic medications, lifestyle changes affecting medication compliance and seizure control, acquired adult health conditions necessitating new medications that may result in adverse drug interactions, and adult neurologists' potential lack of familiarity with certain medications typically used in the pediatric epilepsy population. We offer this as a guide to avoid one of the many possible pitfalls when epilepsy patients transition to adult care.

Microstructure and physical properties of composite nonwovens produced by incorporating cotton fibers in elastic spunbond and meltblown webs for medical textiles

2021 ◽  
pp. 152808372110042
Author(s):  
Partha Sikdar ◽  
Gajanan S Bhat ◽  
Doug Hinchliff ◽  
Shafiqul Islam ◽  
Brian Condon
Keyword(s):  
Tensile Strength ◽  
Physical Properties ◽  
Composite Structures ◽  
High Surface ◽  
High Surface Area ◽  
Barrier Properties ◽  
Cotton Fibers ◽  
Adult Care ◽  
Medical Textiles ◽  
Improved Performance

The objective of this research was to produce elastomeric nonwovens containing cotton by the combination of appropriate process. Such nonwovens are in demand for use in several healthcare, baby care, and adult care products that require stretchability, comfort, and barrier properties. Meltblown fabrics have very high surface area due to microfibers and have good absorbency, permeability, and barrier properties. Spunbonding is the most economical process to produce nonwovens with good strength and physical properties with relatively larger diameter fibers. Incorporating cotton fibers into elastomeric nonwovens can enhance the performance of products, such as absorbency and comfort. There has not been any study yet to use such novel approaches to produce elastomeric cotton fiber nonwovens. A hydroentangling process was used to integrate cotton fibers into produced elastomeric spunbond and meltblown nonwovens. The laminated web structures produced by various combinations were evaluated for their physical properties such as weight, thickness, air permeability, pore size, tensile strength, and especially the stretch recovery. Incorporating cotton into elastic webs resulted in composite structures with improved moisture absorbency (250%-800%) as well as good breathability and elastic properties. The results also show that incorporating cotton can significantly increase tensile strength with improved spontaneous recovery from stretch even after the 5th cycle. Results from the experiments demonstrate that such composite webs with improved performance properties can be produced by commercially used processes.

Sign in / Sign up

Export Citation Format

Share Document