Volume 18, Issue 5 pp. 423-434
Review Article

Waiting for transplant: Physical, psychosocial, and nutritional status considerations for pediatric candidates and implications for care

Samantha J. Anthony

Corresponding Author

Samantha J. Anthony

Transplant and Regenerative Medicine Centre, The Hospital for Sick Children, Toronto, ON, Canada

Samantha J. Anthony, PhD, MSW, Department of Social Work – 1109C, The Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada

Tel.: 416 813 7006

Fax: 416 813 6746

E-mail: [email protected]

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Rachel A. Annunziato

Rachel A. Annunziato

Department of Psychology, Fordham University, New York, NY, USA

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Elise Fairey

Elise Fairey

Department of Specialty Pediatrics, British Columbia's Children's Hospital, Vancouver, BC, Canada

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Vicky L. Kelly

Vicky L. Kelly

Critical Care and Cardiorespiratory Division, Great Ormond Street Hospital for Children, London, UK

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Stephanie So

Stephanie So

Transplant and Regenerative Medicine Centre, The Hospital for Sick Children, Toronto, ON, Canada

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Jo Wray

Jo Wray

Critical Care and Cardiorespiratory Division, Great Ormond Street Hospital for Children, London, UK

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First published: 05 July 2014
Citations: 35

Abstract

The waiting period for an organ transplant has been described as a time of tremendous uncertainty and vulnerability, posing unique challenges and stressors for pediatric transplant candidates and their families. It has been identified as the most stressful stage of the transplant journey, yet little attention has been given to the physical, psychological, or social impact of the waiting period in the literature. In this review, we discuss the physical, nutritional, and psychosocial implications of the waiting period for child and adolescent transplant candidates and the impact on their parents and siblings. We identify areas for future research and provide recommendations for clinical practice to support children, adolescents, and families during the waiting period.

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