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Child and family adjustment following pediatric solid organ transplantation: Factors to consider during the early years post‐transplant
Authors:Cheryl Brosig  Ahna Pai  Elise Fairey  Jennifer Krempien  Michael McBride  Debra S Lefkowitz
Institution:1. Department of Pediatrics, Medical College of Wisconsin, , Milwaukee, WI, USA;2. Herma Heart Center, Children's Hospital of Wisconsin, , Milwaukee, WI, USA;3. Cincinnati Children's Medical Center, , Cincinnati, OH, USA;4. Department of Specialty Pediatrics, Multi‐Organ Transplant Clinic, British Columbia's Children's Hospital, , Vancouver, BC, Canada;5. Division of Cardiology, The Children's Hospital of Philadelphia, , Philadelphia, PA, USA;6. Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, , Philadelphia, PA, USA
Abstract:Adjusting to life after transplant can be challenging to pediatric solid organ transplant recipients and their families. In this review, we discuss a number of important factors to consider during the first 2–3 yr after transplant (defined as the “early years”), including transitioning from hospital to home, returning to physical activity, feeding and nutrition, school reentry, potential cognitive effects of transplant, family functioning, and QOL. We highlight steps that providers can take to optimize child and family adjustment during this period.
Keywords:pediatric transplantation  psychosocial adjustment  outcome  quality of life
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