Home care of children and youth with complex health care needs and technology dependencies

Ellen Roy Elias, Nancy A. Murphy, Gregory S. Liptak, Richard C. Adams, Robert Burke, Sandra L. Friedman, Amy Houtrow, Miriam Kalichman, Dennis Kuo, Susan E. Levy, Kenneth W. Norwood, Renee M. Turchi, Susan E. Wiley

Research output: Contribution to journalArticlepeer-review

126 Scopus citations

Abstract

Children and youth with complex medical issues, especially those with technology dependencies, experience frequent and often lengthy hospitalizations. Hospital discharges for these children can be a complicated process that requires a deliberate, multistep approach. In addition to successful discharges to home, it is essential that pediatric providers develop and implement an interdisciplinary and coordinated plan of care that addresses the child's ongoing health care needs. The goal is to ensure that each child remains healthy, thrives, and obtains optimal medical home and developmental supports that promote ongoing care at home and minimize recurrent hospitalizations. This clinical report presents an approach to discharging the child with complex medical needs with technology dependencies from hospital to home and then continually addressing the needs of the child and family in the home environment.

Original languageEnglish (US)
Pages (from-to)996-1005
Number of pages10
JournalPediatrics
Volume129
Issue number5
DOIs
StatePublished - May 2012

Keywords

  • Children and youth with special health care needs
  • Discharge planning
  • Habilitative services
  • Home care
  • Medical home
  • Technology dependency
  • Tube feedings

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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