I work in an area where I totally understand why some patients do not age out and are followed pretty much forever by peds doctors. These include congenital heart defects and rare syndromes. The oldest one of these patients was in their 40's, and it's not super uncommon to have people in their 20's come in for cardiac revisions of congenital heart defects. We also have total care teens who are contracted, get scoliosis and need spinal fusions as they grow. Fine.
However we have several patients who the RN's feel probably should have aged out at 18 to 20 years old. They are typically total care neuro devastated patients who had brain injuries. Usually it's hypoxic injury at birth, near drowning, head trauma, etc. These patients are just basically total care adults, and have no peds-related issues that I can see. They are contracted, sometimes trach/vent, need to be turned and suctioned but why are they still peds? Very heavy to care for, have facial and body hair, the females have periods. Usually they come in for respiratory infections or bowel obstructions which are typical of total care patients of all ages.
Peds patients have special needs with med dosing, growth and development issues, but total care adults need to be moved at some point to adult facilities in my opinion.
Does anyone else encounter this?