The nurse is working with a 20-year-old who is medically fragile. It is the policy of the clinic to only see patients from birth to 21 years of age. The nurse is responsible for assisting the individual and family to transition to adult health care. The nurse recognizes that the individual may face difficulties related to:

Question

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A) The individual may no longer qualify for the state's child health insurance program and become uninsured. This is a common difficulty that arises during the transition from pediatric to adult healthcare. The nurse should work with the patient and family to explore other healthcare insurance options that would be available such as employer-sponsored health insurance, Medicaid, or private insurance.

C) Adult clinics may be unwilling to accept this chronically ill individual into their practice due to a lack of specialized care. The nurse should help the individual and family identify adult clinics that have experience in treating adult patients with similar medical conditions. The nurse can also provide resources such as support groups or advocacy organizations that can help the individual and family obtain care.

E) The individual may be unwilling to transition to the adult clinic due to the relationships they have with the pediatric clinic. The nurse should work with the individual and family to ensure a smooth transition by addressing any concerns that may arise during the process. The nurse can also help arrange for a visit to the adult clinic prior to the transition to ease any anxiety the individual may have.

The Nurse Is Working with a 20-Year-Old Who Is Medically