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Young Adults With PI

As children grow into young adults, they gain more independence to prepare for adulthood. This happens in many parts of a young adult's life, and caring for primary immunodeficiency (PI) is no exception.

You can't let it get in the way of things you want to do in your life.

Celina, college sophomore at
the University of Southern California

Transitioning to Adulthood

Preparing for independence and adulthood when you have PI involves some extra care and considerations. It is important that young adults learn to take responsibility in managing their own health. This transition should be a process, rather than happening all at once when a young adult turns 18.

There is no standard transition plan that exists, and each plan should be individualized for the patient. Dr. Parag Shah, who leads the Chronic Illness Transition Team at the Ann & Robert H. Lurie Children's Hospital of Chicago, suggests that the transition to adulthood and independence for healthcare management should begin as early as age 14 years.1 To find out if there are similar transition programs in your area, talk to your healthcare team.

Getting involved with healthcare management could take a variety of forms, ranging from scheduling appointments, to asking your doctor questions directly, to preparing and administering your own subcutaneous (SubQ) treatment.

Keep reading for some specific checklists that you can use to ensure you are learning all the skills you'll need to transition to independence and adulthood.

Transition Resources

IDF's Adolescents Living with Primary Immunodeficiency Diseases and Transition Skills Checklist: This comprehensive guide for parents addresses the challenges of adolescents with PI, including the special emotional and social needs that come with chronic health issues. It also includes a thorough checklist of skills to help transition adolescents to adulthood.

Be Prepared Checklist

Be Prepared Checklist: Covering everything from information about your healthcare team and medications to being comfortable making your own health choices, our checklist can help you feel prepared for independence.

Knowing What to Know
  • Do you know the name of all of your conditions?
  • Do you know the names and jobs of everyone on your healthcare team?
  • Do you know the name and purpose of all of your medications?
Taking Care of Business
  • Do you know who to contact for nonemergency questions?
  • Can you fill a prescription independently?
  • Can you make your own doctor appointment or infusion appointment?
  • Do you know where to go for emergency medical care?
  • If you do home care, have you ordered supplies from your supplier independently?
  • Are you comfortable talking to your doctors and your healthcare team yourself?
Staying on Track
  • Do you know when to take medications and administer infusions?
  • If you do Ig SubQ, do you know how to set up and do your own infusions?
  • Are you currently compliant with your medical treatment?
Planning Ahead
  • Have you planned out your transition to an adult primary care doctor?
  • Do you have a plan for adult insurance, if yours will change?
  • Do you know if you qualify for any government benefits?
  • Are you keeping your own medical records or a medical summary?
  • Do you know your patient rights, including consent and confidentiality?

Tips for College

In addition to normal adolescent transitions, there are some specific things to take into consideration before beginning college.

Before College

Choosing Schools

Where you choose to attend college depends on a variety of factors, but it is worth considering your proximity to home and your home healthcare team.2 If you choose to attend a school that is farther away, keep in mind that it may also include finding new hospitals, healthcare teams and pharmacies.

Applications

The same federal laws that protect you from discrimination by your employer also protect you from discrimination by schools. You are not required to disclose your chronic illness or any other disability on an application.2 However, there may be times, such as in your application essay, where telling your story about your experience with PI can help explain who you are, how you can overcome challenges, and explain possible absences in your school records.

After Being Accepted

Student Health Center

Talk to the staff at your school's student health center to create your new healthcare plan. Consider asking whether anyone is familiar with your condition, what to do if you need assistance after hours, and whether you can meet with the same team on staff so that they can become familiar with your medical history and needs.2

Student Disability Center

Every college is required to have a student disability center or office of disability services. This office or center can help you with accommodations or modifications that you may need, including adjustments to housing, meals, transportation, and coursework.2

College Prep Series

This essential guide can help ease the transition from high school to college, or from one college year to the next. You'll find information and tips to help you manage everything from the application process to housing to campus life. Plus, you'll learn about your educational rights as someone going to college with PI.

Call 1-855-250-5111 for your free copy of the College Prep Series.

References: 1. Chronic illness best practices. Ann and Robert H. Lurie Children's Hospital of Chicago website. https://www.luriechildrens.org/en-us/care-services/specialties-services/transitioning-to-adult-care/education_training/Pages/best-practices.aspx. Accessed May 1, 2017. 2. Immune Deficiency Foundation. School Guide for Students with Primary Immunodeficiency Diseases. 3rd ed. Towson, MD: Immune Deficiency Foundation; 2014.

    

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Gammagard Liquid MyIgCoPayCard Program Terms and Conditions

This manufacturer's coupon program is not valid for prescriptions reimbursed, in whole or in part, by Medicaid, Medicare, Medigap, VA, DoD, TRICARE, or any other federal or state healthcare programs, including state pharmaceutical assistance programs, and where prohibited by the health insurance provider or by law

Shire's MyIgCoPayCard program provides a maximum total benefit of $5,000 for eligible out-of-pocket costs and expires 12 months from date of activation. Eligible costs include deductible, copayment, and co-insurance costs for eligible Shire IG (Immunoglobulin) products. Non-medication expenses, such as ancillary supplies or administration-related costs, are not eligible.

To be eligible, patients must: 1. be starting or receiving treatment with (and have current prescription for) an eligible Shire IG product with an ICD-10 for a diagnosis of Primary Immunodeficiency; and 2. have commercial insurance that covers medication costs for prescribed Shire IG product and allows for CoPay assistance; and 3. be two (2) years old or older.

Acceptance of this offer must be consistent with the terms of benefits provided by patient's health insurance provider.

Offer limited to one card per person and may not be combined with any other coupon, discount, prescription savings card, rebate, free trial, patient assistance, or other offer.

This program is only valid for residents of the United States.

Shire reserves the right to change or discontinue this program at any time without notice.

This is not health insurance.

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Add to patient instructions:

If your insurance situation changes, it is your responsibility to notify MyIgSource's CoPay assistance program.


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Selected Important Safety Information for GAMMAGARD LIQUID
  • GAMMAGARD LIQUID can cause decreased kidney function or kidney failure, blood clots in the heart, brain, lungs or elsewhere in the body. Call your healthcare professional or go to your emergency department right away if you have: Reduced urination, sudden weight gain, or swelling in your legs. These could be signs of a kidney problem. Pain, swelling, warmth, redness, or a lump in your legs or arms. These could be signs of a blood clot.
  • Do not take GAMMAGARD LIQUID if you have a known history of a severe allergic reaction to IgG or other blood products.