Developmental Perspective on Management of Childhood Chronic Diseases in Pediatric Practices

Management of Chronic Diseases in Pediatric Practices

Abstract

Management of chronic health conditions in pediatric practice requires a holistic and systematic approach for optimal development. Although a substantial body of literature exists on chronic disease and health management across various chronic health conditions, there is a need for holistic approaches to achieving the optimal developmental potential of these vulnerable groups of children. This article reviews the developmental and behavioral effects, the hospitalization process, and the clinical management of chronic health conditions in children and provides specific recommendations. Chronic health conditions both affect and are affected by the development and behavior of children. Clinicians should be aware that chronic conditions affect all family members. To minimize the adverse effects of the disease, the unmet needs of children and their families should be identified, and supportive approaches should be implemented throughout illness and hospitalization. Specific pediatric roles, including coordination of care, identification of developmental-behavioral functioning, assessment of family strengths, education about the disease, and planning for schooling, should be integrated into standard pediatric care for effective management of chronic conditions.