[Nursing management of patients with intrathecal pumps in oncology]

Some pains, especially in oncology, are refractory to standard analgesics. Epidural analgesia is an efficient way to manage them. It allows the patient to be relieved, to improve his quality of life and the conditions of his return home or in an institution. The nurse has a very important role in the therapeutic education of the patient, the follow-up of the management, the accompaniment of the family and the anticipation of these needs.

[Development of advanced practice nursing in geriatric oncology]

The first challenge, after graduating as an advanced practice nurse is to establish a new model of care in one's place of practice. The feedback from the creation of an advanced practice nurse position in oncology in Amiens-Picardie university hospital, using a population-based approach, illustrates the roles and skills required in this new health profession.

[Satisfaction survey within the context of remote iconographic follow-up of wounds in an oncology centre]

Over 40 patients benefited from remote iconographic follow-up of wounds in an oncology centre. This system is piloted by three expert nurses. They carry out an initial analysis of the photographs received, seek medical expertise if necessary and liaise with the city's professionals. This system makes it possible to expertly accompany professionals and patients while avoiding unnecessary travel. The satisfaction survey conducted in 2018 established full satisfaction of patients and professionals (> 95%) and a guarantee in terms of the safety and quality of care of the wounds.

[Advanced practice nurse in oncology]

In many countries, health systems are facing major difficulties in maintaining the quality, continuity and safety of the care provision. That is why healthcare systems are being reformed across the world. These reforms are redefining the boundaries between medical and paramedical professions, and have resulted in the emergence of advanced practices, notably in nursing. The field of oncology is not immune from these issues. It must deal with the evolution of techniques and technologies, the increase in knowledge as well as an evolution in the needs of patients with cancer. In France, advanced practice nurses appear to have found their place in oncology as they can take an active part in the priorities fixed by the different national cancer plans, notably through the prevention role which is one of the objectives.

[Nurse-led central venous catheter insertion, a review of a cooperation protocol]

Chemotherapy for cancer patients often requires a central venous catheter the insertion of which has previously been the exclusive remit of medics. As the shortage of doctors worsens, waiting times for catheter placement have increased. The implementation of the 'Transfer of competence: nurse-led central venous catheter insertion' cooperation protocol in 2016, in the Paris hospital trust (AP-HP), has enabled these waiting times to be reduced without any increase in the frequency of complications or effects on the safety of the procedure.

[The role of the bed manager nurse in medical oncology]

The organisation of unscheduled hospitalisations is a constant concern for hospitals, in particular in the absence of an emergency department. The bed manager's role is essential in this context. The medical oncology ward of a cancer unit has put in place such a system in order to optimise bed management and improve the quality of care.

[Management of the cutaneous side effects of chemotherapies and targeted therapies]

The treatments used in oncology cause frequent cutaneous side effects. The different types of cutaneous toxicities depend on the class of anti-tumour therapies and can involve the skin, mucosa, nails and hair. Effectively managing these cutaneous toxicities requires adapted preventive and curative measures in order to reduce their impact, notably on patients' quality of life.

[The pain resource nurse in a cancer unit]

The pain resource nurse in oncology works on the wards, upon the teams' request, in situations of complex pain in the context of serious and chronic diseases. She supports and cares for patients providing specific pain relief, in collaboration with an algologist, and is involved in the continuous training of caregivers.