Presentation Description:
The continual advent of new and innovative therapies in the field of Blood and Marrow Transplantation has led to increasingly complicated patient care requirements. Comorbidities of disease and previous treatments render the accurate pre- transplant assessment of patients to be essential if care requirements are to be adequately anticipated and planned for. During the transplant admission many acute issues may arise as a result of the intensity of current treatment regimes. The post transplant period may see a continuation of these acute issues into a more chronic phase or the continued emergence of new issues.

As a transplant centre for patients from multiple referral hospitals it is recognized that information flow between centres regarding all phases of transplantation is essential for optimal care. This presentation provided an overview of the rationale for and the pre- transplant work-up required related to comorbidities and potential impact on care.  Additionally, current challenges of inpatient care were discussed. The information necessary and the process for organizing a safe return home to the original referring centre were also discussed.

Speakers:
Christine Armstrong, RN(EC), MScN,
Nurse Practitioner, Blood and Marrow Transplant Program
The Hospital for Sick Children, Toronto

Sarah Courtney, RN(EC), MN, NP Pediatrics
Nurse Practitioner, Blood and Marrow Transplant Program
The Hospital for Sick Children, Toronto

Mary Jo De Courcy, RN, MScN, CPHON
Nurse Practitioner, Oncology
Children’s Hospital, London Health Sciences Centre, London