Eddieson Pasay-An, Reynita Saguban, Dolores Cabansag, Sameer Alkubati
Health literacy as mediator between perception of illness and self-medication behaviour among outpatients in the Kingdom of Saudi Arabia: implication to primary healthcare nursing
BMC nursing
children growth hormone deficiency ghd face multiple challenges negatively impact transition pediatric adult endocrinology care children ghd resulting brain cancer treatment involvement oncology care providers possible diseaserelated comorbidities add complexity transition advisory board pediatric adult endocrinologists convened help better understand unique challenges faced childhood cancer survivors ghd discuss recommendations optimize continuity care patients proceed adulthood topics included benefits risks growth hormone gh therapy cancer survivors importance initiating gh replacement therapy early patients journey continuing adulthood obstacles limit effective transition adult care patients identified obstacles included need prioritize cancer treatment treatment ghd lack patient oncologist knowledge full range benefits provided longterm gh administration concerns tumor recurrence risk cancer survivors receiving gh treatment suboptimal communication coordination eg referrals care providers could potentially result treatment gaps even complete loss followup care transition advisors provided recommendations increasing education patients care providers improving coordination treatment team members intended help improve continuity care maximize health benefits gh administration critical period childhood cancer survivors transition adulthood