title: Investing in Uncertainty: Young Adults with Life-Limiting Conditions Achieving Their Developmental Goals.
abstract: With improvements in pediatric care and technology, more young adults (YAs) with life-limiting conditions (LLCs) are surviving into adulthood. However, they have limited expectations to live beyond the first decade of adulthood. This study describes the monumental efforts required for YAs with LLCs to achieve their goals in an abbreviated life.
  
  
  
  The experiences and aspirations of YAs with LLCs to achieve their goals are relatively unknown. This report focuses on their experiences of living with uncertainty and its impact on achieving developmental goals.
  
  
  
  This study is one component of a larger descriptive study using an innovative bulletin board focus group to examine life experiences of YAs with LLCs.
  
  
  
  YAs with LLCs share the aspirations and goals of all YAs. Some participants demonstrated a striking capacity to navigate system barriers and achieve their goals, whereas others "got stuck" resulting in lost opportunities. Successful personal life investments were possible if resources were made available, coordinated, navigable, and responsive to new and special requests. Transformative changes to health, social care, and community services are necessary to support their YA ambitions.
  
  
  
  This study gave voice to those who were previously unheard and demonstrates the monumental hurdles YAs with LLCs face to achieve their goals. A palliative approach to care can mitigate unnecessary hardships and support their goals.
authors.affiliation: 1 Faculty of Health Disciplines, Athabasca University , Athabasca, Alberta, Canada .|2 Faculty of Health Sciences, McMaster University , Hamilton, Ontario, Canada .
authors.forename: Karen A
authors.initials: KA
authors.lastname: Cook
authors.affiliation: 2 Faculty of Health Sciences, McMaster University , Hamilton, Ontario, Canada .
authors.forename: Susan M
authors.initials: SM
authors.lastname: Jack
authors.affiliation: 3 Faculty of Medicine, University of British Columbia , Vancouver, British Columbia, Canada .
authors.forename: Hal
authors.initials: H
authors.lastname: Siden
authors.affiliation: 2 Faculty of Health Sciences, McMaster University , Hamilton, Ontario, Canada .
authors.forename: Lehana
authors.initials: L
authors.lastname: Thabane
authors.affiliation: 2 Faculty of Health Sciences, McMaster University , Hamilton, Ontario, Canada .
authors.forename: Gina
authors.initials: G
authors.lastname: Browne
mesh_terms: D006040:Goals; D006801:Humans; D011336:Probability; D035501:Uncertainty; D055815:Young Adult