Oral_Mucositis_in_Hematopoietic_Stem_Cell_Transplantation_HSCT: Nursing careName : Tatiana Porro
Affliation : Nurse
University : European Institute Of Oncology (IEO)
Country : Como, Italy
Mucositis is a serious inflammatory complication affecting oral and gastro-intestinal mu-cosa of cancer patients undergoing chemotherapy and/or radiotherapy. It is one of the most debilitating effects in patients receiving Hematopoietic Stem Cell Transplantation resulting from harmful drugs used in conditioning regimens. Pathogenesis of mucositisconsists in some complex molecular modifications induced by chemotherapy and radio-therapy, with or without inflammation. Risk factors for the development of mucositis can be related to the patient or treatments characteristics. Literature reviews indicate that a more systematic approach based on feasibility, education and adherence to oral hygiene should be pursued and that hospitals and health care organizations should have policies and specific set of protocols leading to an appropriate oral care. Guidelines on oral assessment, support, care and documentation should be implemented in every department and ward. The Gruppo Italiano Trapianto di Midollo Osseo (GITMO)Nursing Group (NG) expert panel, has wanted to develop a series of evidence-based and expert opinion based suggestions on basic oral care. In the belief that the main ways to find effective strategies and to develop new clinical research are made up by health care professionals skills and training and a common approach to oral care interventions.