Abstract
The psychosocial evaluation used in the assessment of the pediatric solid organ transplant recipient continues to play an important role in the transplant process although its key roles have changed from the inception of transplantation. This chapter describes the history of the psychosocial assessment and how it was first used in the transplant process in the early 1980s to the present day of transplantation. The fundamentals of the assessment, which are to attain a well-rounded knowledge of the transplant candidate and the candidate’s family, have remained a constant, but the reader will learn that with the advancements in solid organ transplantation came changes in psychosocial issues deemed pertinent. The issues of importance include the presence of family discord/stressors, financial issues, evidence of nonadherence, and cognitive and cultural discordance. Each of these will be addressed.
Although the psychosocial assessment is an integral part of the multidisciplinary evaluation, it is meant to identify patient and family strengths and weaknesses. It is not intended to impact on the determination of eligibility for pediatric transplantation.
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Shreve, B.S. (2018). Psychosocial Assessment in Transplantation. In: Dunn, S., Horslen, S. (eds) Solid Organ Transplantation in Infants and Children. Organ and Tissue Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-07284-5_70
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DOI: https://doi.org/10.1007/978-3-319-07284-5_70
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