title: Working together as a team: adolescent transplant recipients and nurse practitioners.
abstract: Nurse practitioners are a critical part of the transplant team, enhancing the quality of patient care with their knowledge and skill with respect to disease-specific populations of patients. Adolescent transplant recipients are a vulnerable population and require specific considerations. Nurse practitioners can successfully tailor care to the adolescent developmental stages in order to promote quality of life, adherence to the medical regimen, and successful transition to adult transplant centers and to minimize risk-taking behaviors. Teamwork between the patient's family and the entire transplant team is important to optimize not only the patient's health but also to ensure quality of life after transplant. Adolescents can be especially challenging after transplant, given their complex and evolving psychosocial and cognitive development. Nurse practitioners are in a unique position to be central in adolescents' successful adaptation to their medical condition. Facilitating identification and management of medication-related side effects, awareness of emotional health and quality of life, adherence to the medical regimen, and eventual transition to adult caregivers all remain critically important steps in care that are ideally suited for advance practice leadership.
authors.affiliation: Medical College of Wisconsin Children's Hospital of Wisconsin, Milwaukee, WI 53226, USA. slerret@chw.org
authors.forename: Stacee M
authors.initials: SM
authors.lastname: Lerret
authors.forename: Gail
authors.initials: G
authors.lastname: Stendahl
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D041923:Adolescent Development; D002648:Child; D006801:Humans; D055118:Medication Adherence; D009722:Nurse Practitioners; D016377:Organ Transplantation / Q000451:nursing* / Q000523:psychology; D040242:Risk Reduction Behavior; D055815:Young Adult