Relationship With Care Providers

The ability of patients and their families to create a positive treatment alliance with their physician has been associated with improved adherence to treatment among adolescents with chronic medical conditions (Gavin et al. 1999). Clinicians completing a psychosocial assessment for transplantation are encouraged to inquire about any history of problematic behaviors in the working alliance with treatment providers and explore factors such as a patient's level of coping, impulse control, and frustration tolerance, which may impact the patient's ability to work collaboratively with the treatment team (Klapheke 1999). Rapid identification and resolution of conflict between the family and transplant team can have an enormous impact on enhancing the therapeutic alliance and avoiding communication obstacles.

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