Spina bifida: the transition into adulthood begins in infancy.
Many concerns surround the preparation of a person with spina bifida for a successful transition into adult life and responsibilities. A model of intervention must be based on developmental concerns and timely issues from infancy through all stages of development to young-adult life. This article discusses, within a developmental framework, issues of transition in relation to physical, social, emotional, and educational/vocational needs; it also presents a conceptual framework for the transition into adulthood. Guidelines were developed by incorporating expected outcomes of people with spina bifida and using a philosophical framework that encompasses the achievement of a balance among dependence, independence, and interdependence. This model is based on developmental issues from infancy through all stages of development to young-adult life. Using this framework for care, the rehabilitation nurse can feel confident that the needs of clients with spina bifida and similar chronic conditions are being met.
Peterson
P M
PM
Rauen
K K
KK
Brown
J
J
Cole
J
J
D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D002648:Child; D002675:Child, Preschool; D006803:Human Development; D006801:Humans; D007223:Infant; D008960:Models, Psychological; D010347:Patient Care Planning; D016135:Spinal Dysraphism / Q000451:nursing / Q000523:psychology* / Q000534:rehabilitation*