Challenges caring for adults with congenital heart disease in pediatric settings: How nurses can aid in the transition

Abstract

As surgery for complex congenital heart disease is becoming more advanced, an increasing number ofpatients are surviving into adulthood, yet many of these adult patients remain in the pediatric hospitalsystem. Caring for adult patients is often a challenge for pediatric nurses, because the nurses have lessexperience and comfort with adult care, medications, comorbid conditions, and rehabilitation techniques.As these patients age, the increased risk of complications and comorbid conditions from their heartdisease may complicate their care further. Although these patients are admitted on a pediatric unit, nursescan aid in promoting their independence and help prepare them to transition into the adult medicalsystem. Nurses, the comprehensive medical teams, and patients' families can all effectively influence theprocess of preparing these patients for transition to adult care.