Progress in Transplantation back issues from December 2006:
Transition: changing our approach to care for long-term pediatric transplant survivors
Dec 01, 2006; ... We shrink from change; yet is there anything that can come into being without it? Marcus Aurelius We first met these infants and children at the diagnosis of an end-stage organ disease. We helped their parents cope with the grief of a congenital anomaly, an acute illness, or a ...
Role of adolescent development in the transition process
Dec 01, 2006; ... Adolescent development is the normal process of transition from childhood to adulthood. Adolescents with transplants make the transition from pediatric to adult care within the context of other transitions in cognition, emotional attachments, autonomy, self-identity, sexuality, physical changes, ...
The ON TRAC model for transitional care of adolescents
Dec 01, 2006; ... This article describes the framework and clinical pathway for ON TRAC (Taking Responsibility for Adolescent/Adult Care), a model of transition care for adolescents with chronic health conditions, as applied to pediatric transplant transition. This model was developed in 1998 at Children's and ...
Smoothing things over: the transition from pediatric to adult care for kidney transplant recipients
Dec 01, 2006; ... Background-Transition is a planned movement of adolescents with chronic physical and medical conditions from child-centered to adult-oriented Healthcare systems as opposed to a purely administrative event. Objective-To evaluate the transition of pediatric kidney transplant recipients to ...
There to here: young adult patients' perceptions of the process of transition from pediatric to adult transplant care
Dec 01, 2006; ... Background-An increased understanding of the transition process from pediatric to adult transplant care may inform strategies for facilitating the transfer of patients and ultimately improve outcomes of care. Objective-To explore the transition process from pediatric to adult transplant ...
Medication adherence after heart transplantation: adolescents and their issues
Dec 01, 2006; ... Context-Medication nonadherence among adolescent heart transplant recipients can have overwhelming negative consequences including rejection and mortality. Because of issues specific to adolescents such as peer pressure, risk taking, independence, self-image, and self-esteem, they are a ...
Pediatric to adult transition: a personal experience
Dec 01, 2006; ... Transitioning from pediatric to adult transplant programs presents various challenges to the patient, his or her family, and the Healthcare staff. In this personal, retrospective account of the issues associated with transitioning, a patient and a nephrologist provide insights into some of the ...
Transition of transplant patients with cystic fibrosis to adult care: today's challenges
Dec 01, 2006; ... One of the most trying ordeals for patients with cystic fibrosis is moving from one care setting to another. When the patient is facing the crisis of failing health and the need for lung transplantation, the transition can seem even more overwhelming. In Toronto, patients are transferred from ...
Caregivers of lung transplant candidates: do they benefit when the patient is receiving psychological services?
Dec 01, 2006; ... Background-We recently demonstrated that a targeted psychological intervention has quality of life, mood, and social intimacy benefits for patients awaiting lung transplantation. Objective-To evaluate the impact of the patient's participation in treatment on caregiver ...
Lung transplantation in adolescents and young adults with cystic fibrosis
Dec 01, 2006; ... Context-Little is known about adolescents' and young adults' experience with cystic fibrosis while waiting for or after receiving a lung transplant. The psychological and psychosocial factors that may influence these patients' transplant outcomes are yet to be fully ...
The effect of donor factors on human islet yield and their in vivo function
Dec 01, 2006; ... Background-A major problem in the islet field is the high selectivity exercised in accepting cadaveric pancreas for islet isolation. This practice is based on experience that indicates that islet yield and posttransplant function are related to donor demographics and injury ...
Advanced practice organ procurement techniques: insertion of arterial catheters
Dec 01, 2006; ... Placement of arterial catheters by organ procurement coordinators is becoming more common. Classroom and clinical training in this technique and provision of appropriate quality assurance and supportive policies/procedures by organ procurement programs will ensure the coordinators' success. This ...