The role of the SCN in the pre-transplant period includes:19
- validating the individual's understanding of the plan and goal of care
- assisting the individual to formulate questions and giving additional information concerning the long term consequences of the planned therapy
- providing a detailed explanation of what the recipient may expect, including care requirements
- outlining the role of the carer and the commitment required.
A complete baseline nursing assessment is required prior to initiation of the conditioning regimen. Assessment is also needed at regular intervals throughout the transplant journey.
The SCN may identify risk factors that could trigger or exacerbate effects of the transplant. These may include:29
- previous treatment history
- responses to previous treatment
- perception of uncertainty and coping styles
- strategies for managing treatment effects.
Recipient and carer education
Prior to admission it is essential that recipients of HSCT and their carers receive thorough and individualised education. A number of existing resources are available online to people affected by cancer, providing information on the transplant procedure.
- Leukaemia Foundation website
- American Cancer Society patient information
Describe the assessment and education that the recipient receives in the pre-transplant period in your health care facility.
Outline the role and responsibilities of a carer that would be discussed with a recipient and their carer prior to transplantation.
Outline the evidence based information and education provided to a recipient and their carer regarding the following issues prior to admission:
- Dietary restrictions
- Visitor guidelines
- Neutropaenic precautions
- Bleeding precautions.