Search

The number of hematopoietic stem cell transplantation is in constant rise. This increase has put in spotlight the lack of physician availability. Some healthcare centers have already organised a nurse's consultation under the supervision of an expert physician. We conducted a survey among nurses and physicians from the French Society of Bone Marrow Transplantation and Cell Therapy (SFGM-TC) centers who confirmed the need to create a special transplantation-skilled population of nurses. During this ninth annual workshop of the SFGM-TC, we have defined the required conditions for a transplant nurse consultation until day 100 post-transplant with the responsibility of the transplant expert physician. To help the centers in this dynamic, we provided practical tools to support this consultation. The current heath policy is in favor of an increased autonomy of the expert nurse. The implementation of the status of nurse in advanced practice is the first step in this professional development.

Resume Dans une demarche qui vise a uniformiser les procedures de greffe de cellules souches hematopoietiques, la Societe francophone de greffe de moelle et de therapie cellulaire (SFGM-TC) a organise les septiemes Ateliers d’harmonisation des pratiques en allogreffe en septembre 2016 a Lille. Le but de ces ateliers annuels est de trouver un terrain d’entente entre des centres qui le souhaitent dans les domaines ou la litterature ne fournit pas de reponses incontestables et consensuelles. Dans cet atelier, nous elaborons le carnet national destine aux patients autogreffes.

Allogeneic haematopoietic stem-cell transplantation is usually applied with success for patients with diseases involving bone marrow and associated with frequent and severe malnutrition. Denutrition is an independent survival factor and contribute to transplant-related mortality. Due to the heaviness of the treatment, this event is frequent. Before allogeneic transplantation, the nutritional statute should be evaluated. The adult or pediatric patient's evaluation modalities and nutritional needs are detailed in this paper. The administration modalities (enteral or parenteral) with doses are specifically precise. We also explain why the enteral nutritional support may remain the best option comparing to parenteral option.

In an attempt to harmonize clinical practices among French hematopoietic stem cell transplantation centers, the Francophone Society of Bone Marrow Transplantation and Cellular Therapy (SFGM-TC) held its seventh annual workshop series in September 2016 in Lille. This event brought together practitioners from across the country. Our workshop discusses the creation of a patient care logbook for patients undergoing autologous hematopoietic cell transplantation.

Allogeneic haematopoietic stem-cell transplantation is usually applied with success for patients with diseases involving bone marrow and associated with frequent and severe malnutrition. Denutrition is an independent survival factor and contribute to transplant-related mortality. Due to the heaviness of the treatment, this event is frequent. Before allogeneic transplantation, the nutritional statute should be evaluated. The adult or pediatric patient's evaluation modalities and nutritional needs are detailed in this paper. The administration modalities (enteral or parenteral) with doses are specifically precise. We also explain why the enteral nutritional support may remain the best option comparing to parenteral option.

Resume Le nombre de greffes de cellules souches hematopoietiques (CSH) reste en constante progression sans que cette augmentation se soit accompagnee d’un ajustement des effectifs medicaux assurant le suivi des patients. Parallelement a cette insuffisance concernant les greffes, plusieurs disciplines medicales ont mis en place des delegations de tâches voire un transfert de competences. En hematologie, il existe en France peu de donnees sur la delegation de tâches, meme si quelques centres ont instaure une delegation de certaines prises en charge specifiques comme le post-greffe a des infirmieres dediees. Dans une demarche qui vise a uniformiser les procedures d’allogreffe de CSH, la Societe francaise de greffe de moelle et de therapie cellulaire (SFGM-TC) a organise les quatriemes ateliers d’harmonisation des pratiques en septembre 2013 a Lille. Dans cet atelier nous abordons la question du transfert de competence et la mise en place d’un statut infirmier de greffe pour le suivi post-greffe.