[Transition from child to adult epilepsy. Difficulties with an objective that cannot be delayed].

[Transition from child to adult epilepsy. Difficulties with an objective that cannot be delayed]. Rev Neurol. 2018 Jun 05;66(s02):S7-S16 Authors: Casas-Fernandez C, Alarcon-Martinez H, Martinez-Salcedo E, Ibanez-Mico S Abstract Paediatric care of a chronic process is limited by the moment when the clinical and therapeutic follow-up must be continued by a specialist from the area for adults. The delay in the transition from paediatrics to adult medicine can be due to causes attributable to the patient or his/her relatives, or the professional who diagnosed the disease. The former arises from the uncertainty of facing the unknown, which becomes more intense when the diagnosis and treatment have been difficult, as there is a fear of upsetting the stability of the patient. The latter concerns the paediatric specialist, who created ties of dependence with the patient due to the difficulties involved in the process, and perhaps even owing to a wish to avoid playing a less important role in it. Delaying the transition gives rise to problems that are detrimental for the child, because after adolescence there will still be a harmful dependence on the family and the paediatrician, which will delay the necessary knowledge of their own illness and of the limitations that can condition them. As a result this can prevent them from developing mechanisms for coming to terms with the reality of their own life situation. Later on, when it comes to tak...
Source: Revista de Neurologia - Category: Neurology Authors: Tags: Rev Neurol Source Type: research