24 statements
· 1 topic
· summaries given as host listed separately
Featured statements
▶Ep 2 · 20:30
The process of transition cannot be on the shoulders of one single person but must be a holistic approach in the whole hospital so it continues when individuals retire or fall ill.
In adult healthcare during the first couple of years after transition, consultations should be more frequent and longer than for other adult patients because trust takes time.
Transition of Care - A general overview by Silja Kosolove
▶Ep 2 · 0:01
clinicalIf adolescents are left to survive on their own without proper transition, they will not adhere to care in adult hospitals and their health outcomes will diminish, with many not surviving.↗
▶Ep 2 · 0:10
quotecan't we just kick them out? Well, that's been tried and done, and it really does not work.↗
▶Ep 2 · 1:00
epidemiologicalPoor health from inadequate transition leads to greater expenses, with emergency admissions and unplanned procedures being more expensive than planned care.↗
▶Ep 2 · 3:00
clinicalPatients should not be transferred during clinically unstable periods requiring frequent inpatient care, treatment regime changes, or new surgical procedures.↗
▶Ep 2 · 4:00
guidelineIn many countries the age limit from pediatric to adult care has risen and is now most often 18 years, though in Finland it remains 16 years.↗
▶Ep 2 · 4:30
clinicalWhen 16-year-olds are transferred to adult care, adult professionals are mostly not familiar with legal requirements for child protection notifications, and the rights of the child are not properly addressed.↗
▶Ep 2 · 8:00
clinicalCognitive skills develop logically during adolescence, but psychosocial skills take a dip during teenage years, with the timing and depth of this dip being very individual.↗
▶Ep 2 · 9:00
clinicalIllness, nutrition, and stress affect adolescent development and may lead to the developmental conflict being greatest right at the time when young people should leave pediatric care.↗
▶Ep 2 · 10:00
clinicalThe last bits of the human brain to develop are in the frontal lobe, where planning for the future, problem-solving, and emotional and behavioral control are learned.↗
▶Ep 2 · 10:40
clinicalEmotional centers in the adolescent brain develop earlier than frontal lobe control centers, creating a situation where young people have strong emotions but underdeveloped impulse control.↗
▶Ep 2 · 14:00
clinicalMedical follow-up can resemble the relationship young people have with their parents, and as they struggle for autonomy they may rebel against medical care.↗
▶Ep 2 · 14:10
quotePlease be one of the people who tries to see how that dream could perhaps be made possible. It, it will benefit you in the long run.↗
▶Ep 2 · 14:30
quoteadolescents are first and foremost young people, they are not diabetics. They are not Hirschprung's disease. They are a person who has Hirschprung's, but they are a lot more than just the disease.↗
▶Ep 2 · 15:00
epidemiologicalIn many studies, quality of life has been better when judged by young people themselves than when judged by their parents or carers.↗
▶Ep 2 · 16:00
clinicalTransfer is a simple moving of paper, while transition is a prepared process with someone on the other side saying welcome and continuing the care relationship.↗
▶Ep 2 · 17:00
guidelinePatients should be met alone from the age of 12, at least for part of the appointment.↗
▶Ep 2 · 17:20
guidelineTreatment advice should be given directly to the patient even if the parent is in the room.↗
▶Ep 2 · 17:40
quotePediatric hospitals are not for grown-ups. You're going to grow up, and that's what we all hope for.↗
▶Ep 2 · 18:00
epidemiologicalThere is growing evidence that single days of coaching for transition have very low or no impact.↗
▶Ep 2 · 18:20
epidemiologicalThere is growing evidence that joint consultations with pediatric and adult teams both present builds trust and may lead to better outcomes.↗
▶Ep 2 · 19:00
guidelineIn adult healthcare during the first couple of years after transition, consultations should be more frequent and longer than for other adult patients because trust takes time.↗
▶Ep 2 · 19:40
guidelineYoung people need one named contact person between consultations, though most times they don't call, providing a sense of security.↗
▶Ep 2 · 20:20
epidemiologicalThere is strong evidence that continuity of care (management continuity, information continuity, and relationship continuity) leads to better outcomes in transition.↗
▶Ep 2 · 20:30
guidelineThe process of transition cannot be on the shoulders of one single person but must be a holistic approach in the whole hospital so it continues when individuals retire or fall ill.↗
Summaries Silja gave as host
· 1 summary
Recaps of other experts' statements, not Silja's own clinical position.
Transition of Care - A general overview by Silja Kosolove
▶Ep 2 · 21:00
host summarySilja Kosolove summarizing a resource: success is never final... Failure is usually not fatal. You can say, I'm sorry, I didn't maybe. Show enough respect when I said that what I said, can we do that again? It's the courage to continue that counts.↗
