Early discussions encouraging self-management and independence are essential for success in preparing young adults for transition (Kennedy & Sawyer, 2008). Managing sickle cell disease is complex and requires a multidisciplinary approach. When developing a young adult transition program, nurse leaders must incorporate education, self-management skills, psychosocial implications, relationship building with adult health care providers, and orientation to an adult hospital to promote the best possible outcomes (DeBaun & Telfair, 2012). Young adults with SCD transitioning care ftom a children's
hospital to an adult academic hospital expressed concerns in understanding responsibilities and expectations, and in their ability to navigate as an adult.