Ateneo - UPO

Concepts on nursing practice in the onco-hematological area

- AIAO a cura di Miriam Magri. Assistenza infermieristica in Oncologia. Linee guida, procedure e protocolli di assistenza. II edizione,Casa Editrice Elsevier Masson

- Carpanelli I., Mazzufero F., Pellachin S., L'infermiere in oncologia. La Gestione dei farmaci antiblastici, Carocci Faber, 2009, Roma.
- Linee Guida nazionali/internazionali (CVC, trasfusioni

At the end of the course the student will be able to
-design and implement a care plan for a cancer patient in the different stages of the disease.
The student will be provided with the essential concepts to know, understand and be able to apply the following skills :
- identifying the factors contributing to the development of malignant neoplasms, knowledge of prevention and early diagnosis in the various clinical situations;
- planning nursing interventions during each phase of disease and treatment
- design a standard care plan during chemotherapy and radiotherapy.

The student is expected to demonstrate autonomous clinical judgement, communication skills to plan and describe the implementation of individualised care, autonomously using diagnostic reasoning (nursing process) and knowledge of anatomy and pathology.

Power Point presentations.
Frontal and online, participatory lectures.
Work in small groups to analyse and discuss clinical and care cases in onco-hematology.

Students with disabilities or Specific Learning Disorders (DSA) or Special Educational Needs (BES) may request specific services and tools dedicated to them by contacting the Career Development and Coordination Staff and Student Services and consulting the dedicated page on the University website: https://uniupo.it/it/servizi/servizi-studenti-disabili-e-dsa
Students with disabilities, DSA, BES, once they have made contact with the University Staff, they can contact the teacher in charge of the teaching programme in relation to the declination of examination methods, with regard to teaching aspects.

The examination consists of a written test and an oral test. the written test is designed to test the level of knowledge and understanding of the content of the disciplines covered.
- Starting with the 2nd year cohort of students aa 2023/2024 (June 2024), the written test, delivered online, consists of 70 multiple-choice questions concerning the medical disciplines. Passing this test (60% of the total number of questions) allows access to the oral test concerning the nursing disciplines. The oral test, which takes place 5/15 days after the written test, is aimed at assessing the student's ability to use diagnostic reasoning autonomously, using the knowledge learnt and demonstrating that he/she is able to engage in an in-depth discussion on care aspects peculiar to the person with cancer

Module 1 - Prevention in oncology
- European strategies against cancer
- The National Cancer Plan 2023-2027
- Primary prevention: Educational interventions in the population; lifestyles
- Secondary prevention: Screening in oncology, nursing perspectives
- Tertiary prevention: follow-ups
Module 2 - Psychosocial needs of the person with cancer disease
- Psychological reactions to the disease
- The process of adaptation to the disease
- The pre-diagnostic phase; the acute phase; the chronic phase; the advanced phase
Module 3 - The relationship
- Information to the person diagnosed with cancer
- Communication of the serious diagnosis
- Consent to treatment
- Relational aspects
Module 4 - Taking charge
- Taking charge of the network
- Oncological networks
- CAS; GIC; PDTA
- Oncological network tools Piedmont - Aosta Valley
Module 5 - Cancer treatments
- Surgery: nursing approach to the person undergoing treatment
- Chemotherapy: preparation and handling of antiblastic drugs; routes of administration; adverse events. Clinical trials
- Radiotherapy: principles of radiation protection; treatment; side effects
- Hormone therapy: principles of treatment; side effects
- Target therapies: principles of treatment; side effects
- Immunotherapy: principles of treatment; side effects
Module 6 - The extravasation of antiblastic drugs
- Definitions, mechanisms of action; types and treatment
- Prevention of extravasation
Module 7 - Transfusion of blood products
- Clinical risk; nursing responsibility; transfusion practice

Module 8 - Cancer pain and cancer related fatigue
- Pain: Theoretical framework; assessment; treatment; routes of administration; therapeutic approaches
- Fatigue: Theoretical framework; evaluation; treatment; routes of administration; therapeutic approaches

Module 9 - The person with Onco-Hematological disease
- Leukaemias; Lymphomas and Myelomas
- Symptom management in haematology: Anaemia; Plateletopenia; Immunodepression
- Treatment regimens in haematology: protective isolation
- Marrow transplantation: autologous; allogeneic
- Innovative therapies: CAR-T; CAR-M

Below are the expected outcomes of this module:
--Knowledge and understanding
Students at the end of the course will be able to:
- know the factors that contribute to the development of malignant neoplasms
- know cancer prevention and early diagnosis strategies
- know the psycho-social needs of the oncological patient in the early phase of treatment, and in the advanced phase of the oncological disease and his or her family
This knowledge is acquired during the theoretical lectures and exercises and is assessed during the learning assessment examinations
--Ability to apply knowledge and understanding
Students at the end of the course will be able to:
- know the signs and symptoms of oncological disease and arising from treatments
- know the care strategies to be implemented in the various stages of the disease
- be able to apply diagnostic reasoning, using the knowledge provided by the course, in identifying the needs of the oncological patient and the possible risks resulting from treatments
- to know how to formulate the care plan, with objectives and interventions, for the cancer patient
These skills are acquired during the theoretical lectures and exercises and are assessed during the learning assessment examinations
--Making judgement
Students at the end of the course will be able to:

- be able to present in oral form the appropriate considerations on the diagnostic reasoning carried out and the consequent care plan designed, the method used, the planned interventions and the expected results.
- be able to use the correct terminology.
These skills are acquired during the theoretical lectures and exercises and are assessed during the learning assessment examinations.