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A43 Workshop [in Dutch]: Prescribing medicines. How to act in practice
Abstracts and learning outcomes / European Journal of Oncology Nursing 14S1 (2010) S1–S62
will be encouraged to interact with the session with examples and case-studies from their own country. Reference(s) [1] Taylor C, Ramirez AJ. Multidisciplinary team members’ views about MDT working: results from a survey commissioned by the National Cancer Action Team. 2009. National Cancer Action Team (www.ncin.org.uk/mdt). [2] Taylor C et al. Multidisciplinary team working in cancer: where are we now? BMJ 2010 (in press).
Workshop [in Dutch]: Prescribing medicines. How to act in practice A43 Workshop [in Dutch]: Prescribing medicines. How to act in practice H. Jongkind [Coordinator]1 , A. Evers [Coordinator]2 . 1 UMC Utrecht Cancer Centre, Utrecht, The Netherlands; 2 Lawyer at V&VN, Utrecht, The Netherlands The Dutch Oncology Nursing Society (V&VN Oncologie) participates since 2007, together with the Association of Diabetes nurses and the Society of Lung nurses, in a pilot initiated by the ministry of healthcare to develop a ministerial order in which prescribing medicine by certain specialized groups of nurses is legalized. Because prescribing medicine by nurses is new in the Netherlands, a choice was made to start with legalizing a group of fairly common medication to treat the signs and symptoms of cancer patients. After 3 years we’re finally reaching our goal. All the reason to discuss with you the following subjects during an interactive workshop: • The background of the ministerial order. • What’s the content of the ministerial order? • What do I have to do to be certified for prescribing medicine? • What does it mean for my daily routine as an oncology nurse? • What’s the difference between the nurse specialist and me when it comes to prescribing medicine? • And last but not least “The bears on the road show”. The board of the Dutch Oncology Nursing Society will use the outcomes of this workshop to determine her future policy and actions on this subject.
Workshop: Interpreting Computerised Tomographic scans (CT scans) A44 Workshop: Interpreting Computerised Tomographic scans (CT scans) H. Dekker [Coordinator]1 , S. Bunskoek [Coordinator]2 . 1 University Medical Centre Nijmegen, Department of Radiology, Nijmegen, The Netherlands; 2 University Medical Centre Groningen, Groningen, The Netherlands Workshop description: Multidetector CT (MDCT) is used in our clinical practice for diagnosis, staging, evaluation of the effectiveness of treatment, and follow-up in cancer patients. CT is the most used imaging modality in evaluating treatment efficiency in patients undergoing chemotherapy. CT of the thorax and abdomen is performed with administration of intravenous and oral contrast material. Intravenous contrast can increase the serum creatine level in patients with renal function impairment. MDCT principles will be discussed. In many hospitals nowadays, the CT images (including report) are available in the electronic patient files. Systematic reading of the images is essential in order to find the lesions. We will discuss how
S17
to find the major lesions on CT of thorax and abdomen during a routine survey. The role of nurses has been in motion during recent years. More nurses now see out-patients independently and have a certain role in diagnostics, treatment and follow-up of cancer patients. It is becoming increasingly important for specialized nurses to have knowledge of imaging and to be able to interpret images, not only in order to fulfill a role during multidisciplinary meetings, but also to be able to explain the images when this is requested by patients. To be able to give a good explanation, you need to know the basic principles. During this workshop the CT technique and the use of a routine survey while interpreting CT will be explained. There will be time for interactive training with CT images of different cases. Workshop objectives: Upon completion of this workshop it is expected that participants will demonstrate: • Knowledge of CT principles. • Knowledge of CT reading. • Correlation of the disease and the major findings at CT. Workshop material: Participants will be provided with a package of handouts of all workshop material. Instructional method: Teaching methods will include lectures, and practical image reading based on cases. Reference(s) [1] Computed Tomography of the body. Prokop, Galanski. Thieme. [2] ESUR guidelines on contrast media. www.esur.org [3] CT-body. http://www.radiologyinfo.org/en/pdf/bodyct.pdf
Scientific Symposium: Emotional distress A45 Assessment of psychosocial distress screening measures and current developments A. Mehnert. University Cancer Centre Hamburg (UCCH), Department of Medical Psychology, Hamburg, Germany Over the past thirty years psychosocial cancer care has become an integral part of cancer treatment in many countries around the world, a development that has been accompanied by research findings and meta-analyses showing that psychosocial care enhances the well-being and quality of life for cancer patients. Studies using screening measures have reported distress, anxiety and depression in on average one quarter to one third of patients following diagnosis and treatment. Recent data will be presented about psychological comorbidity and distress among cancer patients during acute and follow-up cancer care particularly considering cancer survivors as well as patients with advanced disease. Current developments will be reviewed with the focus on new screening measures assessing distress and supportive care needs such as the NCCN Distress Thermometer, the Patient Health Questionnaire or the Supportive Care Needs Survey. Particularly emphasis will be placed on the implementation and evaluation of distress screening programs in cancer centres and health care facilities. Reference(s) [1] Holland JC, Reznik I. Pathways for psychosocial care of cancer survivors. Cancer 2005; 104: 2624–37. [2] Jacobsen PB, Shibata D, Siegel EM, Lee JH, Alemany CA, Brown R et al. Initial evaluation of quality indicators for psychosocial care of adults with cancer. Cancer Control. 2009;16(4):328–34. [3] Merckaert I, Libert Y, Messin S, Milani M, Slachmuylder JL, Razavi D. Cancer patients’ desire for psychological support: prevalence and implications for screening patients’ psychological needs. PsychoOncology 2010;19(2):141–9. [4] National Comprehensive Cancer Network (NCCN). Distress treatment guidelines for patients, NCCN, ACS 2004, www.nccn.org
will be encouraged to interact with the session with examples and case-studies from their own country. Reference(s) [1] Taylor C, Ramirez AJ. Multidisciplinary team members’ views about MDT working: results from a survey commissioned by the National Cancer Action Team. 2009. National Cancer Action Team (www.ncin.org.uk/mdt). [2] Taylor C et al. Multidisciplinary team working in cancer: where are we now? BMJ 2010 (in press).
Workshop [in Dutch]: Prescribing medicines. How to act in practice A43 Workshop [in Dutch]: Prescribing medicines. How to act in practice H. Jongkind [Coordinator]1 , A. Evers [Coordinator]2 . 1 UMC Utrecht Cancer Centre, Utrecht, The Netherlands; 2 Lawyer at V&VN, Utrecht, The Netherlands The Dutch Oncology Nursing Society (V&VN Oncologie) participates since 2007, together with the Association of Diabetes nurses and the Society of Lung nurses, in a pilot initiated by the ministry of healthcare to develop a ministerial order in which prescribing medicine by certain specialized groups of nurses is legalized. Because prescribing medicine by nurses is new in the Netherlands, a choice was made to start with legalizing a group of fairly common medication to treat the signs and symptoms of cancer patients. After 3 years we’re finally reaching our goal. All the reason to discuss with you the following subjects during an interactive workshop: • The background of the ministerial order. • What’s the content of the ministerial order? • What do I have to do to be certified for prescribing medicine? • What does it mean for my daily routine as an oncology nurse? • What’s the difference between the nurse specialist and me when it comes to prescribing medicine? • And last but not least “The bears on the road show”. The board of the Dutch Oncology Nursing Society will use the outcomes of this workshop to determine her future policy and actions on this subject.
Workshop: Interpreting Computerised Tomographic scans (CT scans) A44 Workshop: Interpreting Computerised Tomographic scans (CT scans) H. Dekker [Coordinator]1 , S. Bunskoek [Coordinator]2 . 1 University Medical Centre Nijmegen, Department of Radiology, Nijmegen, The Netherlands; 2 University Medical Centre Groningen, Groningen, The Netherlands Workshop description: Multidetector CT (MDCT) is used in our clinical practice for diagnosis, staging, evaluation of the effectiveness of treatment, and follow-up in cancer patients. CT is the most used imaging modality in evaluating treatment efficiency in patients undergoing chemotherapy. CT of the thorax and abdomen is performed with administration of intravenous and oral contrast material. Intravenous contrast can increase the serum creatine level in patients with renal function impairment. MDCT principles will be discussed. In many hospitals nowadays, the CT images (including report) are available in the electronic patient files. Systematic reading of the images is essential in order to find the lesions. We will discuss how
S17
to find the major lesions on CT of thorax and abdomen during a routine survey. The role of nurses has been in motion during recent years. More nurses now see out-patients independently and have a certain role in diagnostics, treatment and follow-up of cancer patients. It is becoming increasingly important for specialized nurses to have knowledge of imaging and to be able to interpret images, not only in order to fulfill a role during multidisciplinary meetings, but also to be able to explain the images when this is requested by patients. To be able to give a good explanation, you need to know the basic principles. During this workshop the CT technique and the use of a routine survey while interpreting CT will be explained. There will be time for interactive training with CT images of different cases. Workshop objectives: Upon completion of this workshop it is expected that participants will demonstrate: • Knowledge of CT principles. • Knowledge of CT reading. • Correlation of the disease and the major findings at CT. Workshop material: Participants will be provided with a package of handouts of all workshop material. Instructional method: Teaching methods will include lectures, and practical image reading based on cases. Reference(s) [1] Computed Tomography of the body. Prokop, Galanski. Thieme. [2] ESUR guidelines on contrast media. www.esur.org [3] CT-body. http://www.radiologyinfo.org/en/pdf/bodyct.pdf
Scientific Symposium: Emotional distress A45 Assessment of psychosocial distress screening measures and current developments A. Mehnert. University Cancer Centre Hamburg (UCCH), Department of Medical Psychology, Hamburg, Germany Over the past thirty years psychosocial cancer care has become an integral part of cancer treatment in many countries around the world, a development that has been accompanied by research findings and meta-analyses showing that psychosocial care enhances the well-being and quality of life for cancer patients. Studies using screening measures have reported distress, anxiety and depression in on average one quarter to one third of patients following diagnosis and treatment. Recent data will be presented about psychological comorbidity and distress among cancer patients during acute and follow-up cancer care particularly considering cancer survivors as well as patients with advanced disease. Current developments will be reviewed with the focus on new screening measures assessing distress and supportive care needs such as the NCCN Distress Thermometer, the Patient Health Questionnaire or the Supportive Care Needs Survey. Particularly emphasis will be placed on the implementation and evaluation of distress screening programs in cancer centres and health care facilities. Reference(s) [1] Holland JC, Reznik I. Pathways for psychosocial care of cancer survivors. Cancer 2005; 104: 2624–37. [2] Jacobsen PB, Shibata D, Siegel EM, Lee JH, Alemany CA, Brown R et al. Initial evaluation of quality indicators for psychosocial care of adults with cancer. Cancer Control. 2009;16(4):328–34. [3] Merckaert I, Libert Y, Messin S, Milani M, Slachmuylder JL, Razavi D. Cancer patients’ desire for psychological support: prevalence and implications for screening patients’ psychological needs. PsychoOncology 2010;19(2):141–9. [4] National Comprehensive Cancer Network (NCCN). Distress treatment guidelines for patients, NCCN, ACS 2004, www.nccn.org