SLIDE 1 Partnering For Care: Help Your CF Care Center Help You Thrive
August 19, 2010
This Web cast is supported by an unrestricted educational grant from Genentech, Inc.
SLIDE 2 Archived CF Education Web Casts
ff /Li i WithCF/W b t www.cff.org/LivingWithCF/Webcasts
- CF Research
- Lung health and lung disease
- Nutrition for kids and adults
- Nutrition for kids and adults
- Germs, infection control and people with CF
CF h lth i d
- CF healthcare coverage – insurance and
government programs F tilit i f ti
- Fertility information
- Building life skills to manage CF and more
SLIDE 3 Next Web Cast: Research and the F t f CF C Future of CF Care
- Tuesday, November 30th at 9 p.m. Eastern
y, p
- From the University of Alabama at
Birmingham Birmingham
- Featuring Eric Sorscher, M.D. and
Steven Rowe M D M S P H Steven Rowe, M.D., M.S.P.H.
- Submit your questions when you register
- Registration to open the end of October
- Registration to open the end of October
SLIDE 4 Partnering for Care g
- Partnering For Your Child with CF
g
- Partnering in the Transition to
Adult CF Care Adult CF Care
- Partnering as an Adult with CF
- Partnering when Thinking about Lung
- Partnering when Thinking about Lung
Transplantation
SLIDE 5
Peter Mogayzel, MD, PhD Johns Hopkins Hospital Johns Hopkins Hospital
Partnering for Care
Mi h l B l MD Michael Boyle, MD Johns Hopkins Hospital
SLIDE 6 Partnering For Your Partnering For Your Child with CF
August 19, 2010
Peter Mogayzel MD PhD Peter Mogayzel, MD, PhD Johns Hopkins Hospital
SLIDE 7 Members of CF Pediatric Team
- Child with CF and family
- Doctor
- Nurse
- Nurse
- Dietitian
R i t &/ Ph i l Th i t
- Respiratory &/or Physical Therapist
- Social Worker &/or Psychologist
- Clinical Research Coordinator
SLIDE 8 How do you keep updated on t ti ? current practices?
- Read medical & scientific journals
j
- CF Practice Guidelines
- Attend professional conferences e g
North
- Attend professional conferences, e.g., North
American &/or European CF Conferences
- Network/consult with others who care for
- Network/consult with others who care for
people with CF
Collaboratives – Collaboratives – List-servs
SLIDE 9 Partnering For Your Partnering For Your Child with CF
August 19, 2010
Peter Mogayzel MD PhD Peter Mogayzel, MD, PhD Johns Hopkins Hospital
SLIDE 10 Learn More…
- Talk with your CF Team members
- CF Foundation’s Web site
CF Foundation s Web site
SLIDE 11
SLIDE 12
SLIDE 13 Learn More…
- Talk with your CF Team members
- CF Foundation’s Web site
– Living with Cystic Fibrosis/Staying Healthy – Treatments/Therapies – Treatments/CF Care Guidelines
- Medical Journals online – www.pubmed.gov
p g
- NIH - www.medlineplus.gov
- Starlight Children’s Foundation – cf starlight org
- Starlight Children s Foundation – cf.starlight.org
- www.hopkinscf.org
SLIDE 14
Peter Mogayzel, MD, PhD Johns Hopkins Hospital Johns Hopkins Hospital
Partnering for Care
Mi h l B l MD Michael Boyle, MD Johns Hopkins Hospital
SLIDE 15 Peter Mogayzel, MD, PhD Johns Hopkins Hospital Johns Hopkins Hospital
Partnering in the T iti t Transition to Adult CF Care
August 19, 2010
Mi h l B l MD Michael Boyle, MD Johns Hopkins Hospital
SLIDE 16
Transition should start at the time of diagnosis! diagnosis!
SLIDE 17 15,000
Trends in Trends in Number of Number of Patients, 1986-2009 Patients, 1986-2009
12,000 9,000
Patients
6,000
umber of P
3,000
Nu Pediatrics (< 18 years old) Adults (≥ 18 years old)
√
'86 '88 '90 '92 '94 '96 '98 '00 '02 '04 '06 '08
Year
SLIDE 18 Peter Mogayzel, MD, PhD Johns Hopkins Hospital Johns Hopkins Hospital
Partnering in the T iti t Transition to Adult CF Care
August 19, 2010
Mi h l B l MD Michael Boyle, MD Johns Hopkins Hospital
SLIDE 19
The Goal:
Perfection Developing a Sense of Self-responsibility Self-responsibility
SLIDE 20
Ideal Transition to Adult CF Care
nsibility Respon Age 21
SLIDE 21 Goals for 12 ‐ 14 Year Olds
- Knows what causes CF and how the body is
affected
- Knows the names medications and when to
take them and actually does take them take them and actually does take them
- Understands the purpose of each medication
- Performs airway clearance without help
- Performs airway clearance without help
(most of the time)
- Understands choices about smoking and
- Understands choices about smoking and
drinking and effect on health in CF
SLIDE 22 Goals for 16 – 18 Year Olds
- Ability to recognize symptoms and describe them
- Awareness of the dates of clinic appointments
and other tests and can schedule them
- Awareness of medication supply and participates
in refilling prescriptions g p p
- Speaks directly to CF healthcare providers to
discuss changes in health d scuss c a ges ea
- Learns to maintain own equipment
SLIDE 23 Goals for 21 Year Olds
- Contact CF healthcare providers directly to
p y discuss changes in health
- Schedule all appointments and tests
Schedule all appointments and tests
- Refill prescriptions independently
- Awareness of details about insurance and
- Awareness of details about insurance and
strategies for future coverage
Boyle MP. “Transition from Pediatric to Adult Care: It’s a Transition for Parents As Well!”, 2007.
SLIDE 24 “The worst thing you can do for someone
for someone you love is to do that which they could and y should do for themselves.”
— John Wooden
SLIDE 25 Peter Mogayzel, MD, PhD Johns Hopkins Hospital Johns Hopkins Hospital
Partnering in the T iti t Transition to Adult CF Care
August 19, 2010
Mi h l B l MD Michael Boyle, MD Johns Hopkins Hospital
SLIDE 26 Learn More…
- Talk with your CF Team members
y
- “Building Life Skills to Manage CF” Web cast
- n CF Foundation's Web site
- n CF Foundation s Web site
- NIH – www.medlineplus.gov
- www hopkinscf org
- www.hopkinscf.org
- Kidshealth.org - search “transition”
SLIDE 27
Peter Mogayzel, MD, PhD Johns Hopkins Hospital Johns Hopkins Hospital
Partnering for Care
Mi h l B l MD Michael Boyle, MD Johns Hopkins Hospital
SLIDE 28 Partnering as an Partnering as an Adult with CF
August 19, 2010
Mi h l B l MD Michael Boyle, MD Johns Hopkins Hospital
SLIDE 29 How do you keep updated on t ti ? current practices?
- Read medical & scientific journals
j
- CF Practice Guidelines
- Attend professional conferences e g
North
- Attend professional conferences, e.g., North
American &/or European CF Conferences
- Network/consult with others who care for
- Network/consult with others who care for
people with CF
Collaboratives – Collaboratives – List-servs
SLIDE 30 Members of CF Adult Team
- Adult with CF and family
- Doctor
- Nurse
- Nurse
- Dietitian
R i t &/ Ph i l Th i t
- Respiratory &/or Physical Therapist
- Social Worker &/or Psychologist
- Clinical Research Coordinator
SLIDE 31 Partnering as an Partnering as an Adult with CF
August 19, 2010
Mi h l B l MD Michael Boyle, MD Johns Hopkins Hospital
SLIDE 32 Learn More…
- Talk with your CF Team members
- CF Foundation’s Web site
CF Foundation s Web site
SLIDE 33
SLIDE 34
SLIDE 35 Learn More…
- Talk with your CF Team members
- CF Foundation’s Web site
– Living with Cystic Fibrosis/Staying Healthy – Treatments/Therapies p – Treatments/CF Care Guidelines
- Medical Journals online – www pubmed gov
Medical Journals online www.pubmed.gov
- NIH - www.medlineplus.gov
- www cfroundtable com
- www.cfroundtable.com
- www.hopkinscf.org
SLIDE 36
Peter Mogayzel, MD, PhD Johns Hopkins Hospital Johns Hopkins Hospital
Partnering for Care
Mi h l B l MD Michael Boyle, MD Johns Hopkins Hospital
SLIDE 37 Peter Mogayzel, MD, PhD Johns Hopkins Hospital Johns Hopkins Hospital
Partnering when Thi ki b t L Thinking about Lung Transplantation
August 19, 2010
Mi h l B l MD Michael Boyle, MD Johns Hopkins Hospital
SLIDE 38 Learn More…
- Talk with your CF Team members
y
– Treatments/Lung Transplantation – Treatments/Lung Transplantation – Treatments/CF Care Guidelines
SLIDE 39
SLIDE 40 Learn More…
- Talk with your CF Team members
y
- CF Foundation’s Web site
- Medical Journals online – www pubmed gov
- Medical Journals online – www.pubmed.gov
- Transplant Living - www.transplantliving.org
U it d N t k f O Sh i
- United Network for Organ Sharing -
www.unos.org
SLIDE 41 Learn More…
- NIH - www.medlineplus.gov
p g
- NTAF - www.ntafund.org
- Children’s Organ Transplant Association -
- Children s Organ Transplant Association -
www.cota.org
www organdonor gov
- Organ Donor.gov - www.organdonor.gov
- Share Your Life - www.shareyourlife.org
SLIDE 42
Partnering for Care Series
SLIDE 43
Partnering For Care: CF Foundation- Accredited Care Centers
SLIDE 44
Partnering For Care: Help Your Nurse Help Your Nurse Help You Thrive
SLIDE 45
Partnering For Care: Help Your Dietitian Help Your Dietitian Help You Thrive
SLIDE 46
Partnering For Care: Partnering For Care: Help Your Respiratory and Respiratory and Physical Therapist Help You Thrive Help You Thrive
SLIDE 47
Partnering For Care: Partnering For Care: Help Your Social Worker & Social Worker & Psychologist Help You Thrive Help You Thrive
SLIDE 48 Archived CF Education Web Casts
ff /Li i WithCF/W b t www.cff.org/LivingWithCF/Webcasts
- CF Research
- Lung health and lung disease
- Nutrition for kids and adults
- Nutrition for kids and adults
- Germs, infection control and people with CF
CF h lth i d
- CF healthcare coverage – insurance and
government programs F tilit i f ti
- Fertility information
- Building life skills to manage CF and more
SLIDE 49 Next Web Cast: Research and the F t f CF C Future of CF Care
- Tuesday, November 30th at 9 p.m. Eastern
y, p
- From the University of Alabama at
Birmingham Birmingham
- Featuring Eric Sorscher, M.D. and
Steven Rowe M D M S P H Steven Rowe, M.D., M.S.P.H.
- Submit your questions when you register
- Registration to open the end of October
- Registration to open the end of October
SLIDE 50
- …for watching & submitting questions
…for watching & submitting questions
- Peter Mogayzel and Michael Boyle
- Rick Vasta & the technical crew
- Rick Vasta & the technical crew
- Emily Ann Powell, Melissa Chin
Th CF F d ti
- The CF Foundation
- Genentech