With this thesis i mean to highlight the nurse assistencial aspect in relation to dealing with terminal oncological patients.
The interest for this subject begins with my training at Modena's NODO (Oncological Homedelivered Operative Group)
in which i had the possibility to examine and appreciate nurses autonomy and the deep expertise in approaching to critical family situations such as disease, frustration or anguish for the awareness of losing a member of the family.
My thesis is structured in 4 chapters, one of each trea in this succession the folloqing subjects:
1) Terminality and total pain, palliativism main concept able to give awareness to all the staff about the real importance of pain factor, in all of his aspects, in a terminal desease patient;
2) Palliative cares, pharmacologycal and non pharmacologycal therapy, therapy collateral effects and role of nurse in the management of collateral effects, handy to understand which approach might be the better in the dealing of pain and which fundamental role has the nurse in dealing with bad sintomatologies and collateral effects during the subministration of pain therapy;
3) 03/15/2010 N°38th decree and evolution of nursery role in terms of professional autonomy, with the purpose to highlight the right of the patient to have no painful end of life in the holistic sense, and the evolution of professional nursery in terms of autonomy and teamwork;
4) Palliativist Nurse Core Curriculum and expertise area, highlighting the peculiarity that a palliativist nurse must have in order to play his role at the best, beginning from training to techincal proficiency analysis/professional that has to apply on the field.
