Oncology Patient Care. Nutrition and Nursing Communication

A complete specialization that will help you to know the main tools and novelties in nutrition in the field of oncology"

Nurses are the main professionals who provide care to cancer patients and, within their scope of action, nutrition is an essential pillar, both in the prevention and treatment of cancer, so it is essential that the student acquires complete and updated knowledge on the nutritional approach to the cancer patient.

Malnutrition is a frequent problem that causes a large number of complications in cancer patients, reducing their quality of life and worsening their general condition. For this reason, it is essential to know the causes and factors involved and to detect early the clinical manifestations of these patients in order to provide adequate nutritional care and support.

Another time when nursing care becomes essential is at the end of life. In the last moments, the patient presents a characteristic symptomatology, with specific needs that must be known and learned to be met. Thus, in this Postgraduate Diploma, the student will be provided with the necessary tools to detect the most common signs and symptoms at this stage of the disease, as well as strategies to provide the most appropriate treatment and alleviate suffering at this time of life.

In addition, it is essential for nurses to be able to communicate with patients and their families correctly, especially in situations that require special psychosocial care, especially in the most difficult moments of the disease, where communication can become a powerful therapeutic tool.

The updating of the contents of this Postgraduate Diploma and its integrative approach will give rise to a complete vision of all aspects related to oncology nursing. The contents will provide a journey through the diverse needs of cancer patients, whose particularities require personalized attention.

Both the design of the program and the didactic material used will facilitate the understanding of concepts, and the realization of practical cases will help to adapt what has been learned to clinical practice. In this way, the completion of the Postgraduate Diploma will provide immersive learning to achieve the professional's training in real situations of their usual professional practice.

Don't miss the opportunity to study at the largest private online university in the Spanish-speaking world"

This Postgraduate Diploma in Oncology Patient Care. Nutrition and Nursing Communication for Nursing contains the most complete and up-to-date educational program on the market. The most important features of the specialization are:

•  The development of case studies presented by experts in Oncology Nursing. 
•  The graphic, schematic, and eminently practical contents with which they are created provide scientific and practical information on the disciplines that are essential for professional practice.
•  What's new in oncology nursing: tumor types, oncology treatment, and management.
•  Practical exercises where the self-assessment process can be carried out to improve learning.
•  Special emphasis on innovative methodologies in Oncology Nursing.
•  Theoretical lessons, questions to the expert, discussion forums on controversial topics and individual reflection papers.
•  The availability of access to the contents from any fixed or portable device with Internet connection.

This Postgraduate Diploma is the best investment you can make in selecting a refresher program to update your knowledge in oncology nursing."

The teaching staff includes professionals from the field of Oncology Nursing, who bring their experience to this specialization program, as well as renowned specialists from leading societies and prestigious universities.

Its Multimedia Content, elaborated with the latest Educational Technology, will allow the Professional a situated and contextual learning, that is to say, a Simulated Environment that will provide an immersive specialization programmed to train in real situations.

This program is designed around Problem Based Learning, whereby the specialist must try to solve the different professional practice situations that arise during the academic year. For this purpose, the professional will be assisted by an innovative interactive video system created by renowned and experienced experts in Oncology Nursing with extensive experience. 

The best didactic material in a high quality training development that will facilitate your learning through a contextual approach"

This 100% online Postgraduate Diploma will allow you to combine your studies with your professional work while increasing your knowledge in this field"

The structure of the contents has been designed by the best professionals in the field of Oncology Nursing, with extensive experience and recognized prestige in the profession, backed by the volume of cases reviewed and studied, and with extensive knowledge of new technologies applied to healthcare. 

We have the most complete and up-to-date academic program in the market. We strive for excellence and for you to achieve it too." 

Module 1. Nursing Approach to Nutrition and Post-Surgical Care of the Oncology Patient

1.1.  Nutrition in Cancer Prevention  

1.1.1.  Dietary Carcinogenesis  
1.1.2.  Food and Nutrients  
1.1.3.  Risk Factors and Protective Elements  
1.1.4.  Lifestyle  

1.2.  General Principles of Malnutrition in Oncology Patients  

1.2.1.  Epidemiology of Malnutrition  
1.2.2.  Pathophysiology.  
1.2.3.  Types of Malnutrition  
1.2.4.  Causes of Malnutrition in Oncology Patients  

  1.2.4.1. Tumor-Related  
  1.2.4.2. Patient-Related  
  1.2.4.3. Treatment-Related  

1.2.5.  Clinical Manifestations of Malnutrition  

  1.2.5.1. Tumor Cachexia  
  1.2.5.2. Sarcopenia  

1.3.  Assessment of Nutritional Status  

1.3.1.  Clinical Record and Subjective Nutritional Assessment  
1.3.2.  Screening Tests  

  1.3.2.1. Malnutrition Screening Tool  
  1.3.2.2. Patient-Generated Subjective Global Assessment  

1.3.3.  Anthropometric Measurements  
1.3.4.  Biochemical Measurements  

1.4.  Nutritional and Pharmacological Approach  

1.4.1.  General Recommendations  
1.4.2.  Recommendations in Altered Intake Situations  

  1.4.2.1. Anorexia  
  1.4.2.2. Nausea and Vomiting  
  1.4.2.3. Dysphagia  
  1.4.2.4. Dysgeusia.  
  1.4.2.5. Oral Mucositis
  1.4.2.6. Xerostomia  
  1.4.2.7. Dysphagia to Liquids and Solids  

1.4.3.  Nutritional Supplements  
1.4.4.  Pharmacotherapy  

1.5.  Enteral Nutrition  

1.5.1.  Indications  
1.5.2.  Access Routes  
1.5.3.  Enteral Nutrition Formulas  
1.5.4.  Complications  

1.6.  Parenteral Nutrition  

1.6.1.  Indications  
1.6.2.  Access Routes  
1.6.3.  Types of Parenteral Nutrition  
1.6.4.  Nutritional Requirements  
1.6.5.  Complications  

1.7.  End-Of-Life Nutrition  

1.7.1.  Nutritional Intervention  
1.7.2.  Assisted Nutrition and Hydration  
1.7.3.  Ethical, Cultural and Religious Aspects  

1.8.  Post-Surgical Care After Thoracic Surgery  

1.8.1.  Pulmonary Rehabilitation  
1.8.2.  Respiratory Physiotherapy  

1.9.  Care of Ostomized Patients  

1.9.1.  General Concepts  
1.9.2.  Ostomies Classification  

  1.9.2.1. Digestive Ostomies  

    1.9.2.1.1. Digestive Ostomy Types  
    1.9.2.1.2. Hygiene and Care  
    1.9.2.1.3. Diet  
    1.9.2.1.4. Psychological Aspects  
    1.9.2.1.5. Complications  

  1.9.2.2. Urinary Ostomies  

    1.9.2.2.1. Types of Urinary Ostomy
    1.9.2.2.2. Hygiene and Care  

  1.9.2.3. Respiratory Ostomies  

    1.9.2.3.1. Types of Respiratory Ostomy  
    1.9.2.3.2. Hygiene and Care  

1.10.  Post-Surgical Care After Breast Tumor Surgery  

1.10.1.  Breast Cancer Surgery  

  1.10.1.1. Psychological Impact  

1.10.2.  Lymphedema  

  1.10.2.1. Classification  
  1.10.2.2. Epidemiology  
  1.10.2.3. Etiology  
  1.10.2.4. Clinical Manifestations 
  1.10.2.5. Diagnosis  
  1.10.2.6. Nursing Care

Module 2. Nursing Care in the Palliative and Terminal Patient

2.1.   Principles and Organization of Palliative Care  

2.1.1.   Palliative Care Definition  

   2.1.1.1. Palliative Care Objectives  
   2.1.1.2. Principles of Palliative Care  

2.1.2.   History of Palliative Care  
2.1.3.   Quality of Life  

2.2.   Legislation and Ethical Aspects Related to Palliative Care  

2.2.1.   State Legislation  
2.2.2.   Rights and Duties of the Patients  
2.2.3.   Quaternary Prevention  
2.2.4.   Informed Consent  

2.3.   Main Signs and Symptoms in the Terminally Ill Patient  

2.3.1.   Digestive Manifestations  

   2.3.1.1. Anorexia  
   2.3.1.2. Constipation  
   2.3.1.3. Nausea and Vomiting  
   2.3.1.4. Cachexia  
   2.3.1.5. Dryness and Mouth Lesions

2.3.2.   Respiratory Manifestations  

   2.3.2.1. Dyspnoea  
   2.3.2.2. Cough  
   2.3.2.3. Hiccup  
   2.3.2.4. Antemortem Rales  

2.3.3.   Neuropsychological Manifestations  

   2.3.3.1. Tiredness and Fatigue  
   2.3.3.2. Insomnia  
   2.3.3.3. Depression  
   2.3.3.4. Delirium  

2.3.4.   Genitourinary Manifestations  

   2.3.4.1. Urinary Retention  

2.3.5.   Pain
2.3.6.   Fever and Dysthermia  
2.3.7.   Emergencies in the Terminally Ill Patient  

   2.3.7.1. Massive Hemorrhage  
   2.3.7.2. Seizures.  
   2.3.7.3. Acute Respiratory Depression  

2.4.   Nursing Care  

2.4.1.   Virginia Henderson Needs Model  

   2.4.1.1. Need 1: Breathing  
   2.4.1.2. Need 2: Nutrition/Hydration  
   2.4.1.3. Need 3: Elimination  
   2.4.1.4. Need 4: Mobilization  
   2.4.1.5. Need 5: Rest/Sleep  
   2.4.1.6. Need 6: Getting Dressed  
   2.4.1.7. Need 7: Temperature  
   2.4.1.8. Need 8: Hygiene/Skin  
   2.4.1.9. Need 9: Security/safety  
   2.4.1.10. Need 10: Communication.  
   2.4.1.11. Need 11: Religion/Beliefs  
   2.4.1.12. Need 12: Development  
   2.4.1.13. Need 13: Recreational/Occupational Activities  
   2.4.1.14. Need 14: Learning/Discovering  

2.5.   End of Life  

2.5.1.   Last Days  
2.5.2.   Agony  

   2.5.2.1. Agony Situation Characteristics  
   2.5.2.2. Care of the Dying  

2.5.3.   Spiritual Care  
2.5.4.   Sedation  

   2.5.4.1. Refractory Symptoms  
   2.5.4.2. Sedation Types  
   2.5.4.3. Drugs Used  
   2.5.4.4. Ethical Considerations  

2.6.   Palliative Care and Comprehensive Care of the Oncology Patient  

2.6.1.   Multidisciplinary Team Role  
2.6.2.   Care Models  
2.6.3.   Family Care  

   2.6.3.1. Family Symptoms in the Care of the Terminally Ill Patient  
   2.6.3.2. Psychosocial Care  

2.7.   Palliative Home Care  

2.7.1.   Medical history  
2.7.2.   Home Care Process  
2.7.3.   Dying at Home  

2.8.   Grief  

2.8.1.   Definition  
2.8.2.   Stages of Grief  
2.8.3.   Manifestations of Grief  
2.8.4.   Types of Grief  

   2.8.4.1. Uncomplicated Grief  
   2.8.4.2. Pathological Grief  
   2.8.4.3. Anticipatory Grief  
   2.8.4.4. Non-Complicated or Prolonged Grief  

2.8.5.   Grief Completion  
2.8.6.   Nursing Interventions in Grief  
2.8.7.   Grief Management  

2.9.   Palliative Care Bioethics  

2.9.1.   Bioethics  
2.9.2.   Human Dignity  
2.9.3.   Quality of Life  
2.9.4.   Ethical and Bioethical Issues at the End of Life  

2.10.   Nursing Care Process (NCP) at the End of Life  

2.10.1.   Comprehensive Nursing Assessment  
2.10.2.   Need for NCP in Palliative Patients  
2.10.3.   Nursing Diagnosis (NANDA)  
2.10.4.   Nursing Outcomes (NOC)  
2.10.5.   Nursing Interventions (NIC)

Module 3. Communication and Psychosocial Approach to the Oncology Patient in Nursing

3.1.   Communication in Oncology  

3.1.1.   Communication Role in Oncology  
3.1.2.   Somatic-Psychological Interaction  
3.1.3.   Bioethical Support  
3.1.4.   Counseling  

   3.1.4.1. Knowledge  
   3.1.4.2. Attitudes  
   3.1.4.3. Relational Strategies  

3.2.   Denial Management Adaptive and Maladaptive Denial  

3.2.1.   Causes of Denial  
3.2.2.   Nursing Professional Objectives  
3.2.3.   Denial Management  

   3.2.3.1. Factors Involved  
   3.2.3.2. Nursing Interventions  

3.3.   Communicating Bad News  

3.3.1.   Delivering Bad News  
3.3.2.   Nursing Professional Objectives  
3.3.3.   Factors Involved  
3.3.4.   Bad News Delivery Strategies  

3.4.   Decision-Making.  

3.4.1.   From Communication to Deliberation  
3.4.2.   Difficulty in Decision-Making  
3.4.3.   Nursing Professional Objectives  
3.4.4.   Factors Involved  
3.4.5.   Deliberative Process  
3.4.6.   Criteria for Assessing Decision-Making Capacity  
3.4.7.   Problems in Decision-Making Capacity Nursing Approach  

3.5.   Conspiracy of Silence  

3.5.1.   The Conspiracy of Silence  
3.5.2.   Causes of The Conspiracy of Silence  
3.5.3.   Factors Involved  
3.5.4.   Nursing Approach  

3.6.   Aggressiveness Management  

3.6.1.   Oncologic Patient Aggressiveness  
3.6.2.   Causes of Hostile Reactions  
3.6.3.   Nursing Professional Objectives  
3.6.4.   Factors Involved  
3.6.5.   Aggressive Patient Management  

3.7.   Therapeutic Effort Limitation  

3.7.1.   The Therapeutic Effort Limitation  
3.7.2.   Need to Limit Therapeutic Effort  
3.7.3.   Nursing Professional Objectives  
3.7.4.   Factors Involved  
3.7.5.   Approach and Intervention  

3.8.   Familiar Claudication  

3.8.1.   Familiar Claudication Prevention  
3.8.2.   Claudication Causes  
3.8.3.   Nursing Professional Objectives  
3.8.4.   Factors Involved  
3.8.5.   Approach and Intervention With Regards To Family Claudication  

3.9.   Prevention of Complicated Family Grief  

3.9.1.   Complicated Family Grief  
3.9.2.   Causes of Problems in the Grieving Process  

   3.9.2.1. Personal Factors  
   3.9.2.2. Situational factors  
   3.9.2.3. Interpersonal Factors  

3.9.3.   Nursing Professional Objectives  
3.9.4.   Factors Involved  
3.9.5.   Approach  

   3.9.5.1. During Illness  
   3.9.5.2. At the Time of Death  

3.10.   Advance Directives  

3.10.1.   Advance Planning of Health Care Decisions  
3.10.2.   Need for Advance Directives  
3.10.3.   Nursing Professional Objectives  
3.10.4.   Factors Involved  
3.10.5.   Approach  
3.10.6.   Specific Considerations  

Module 4. Oncology Nursing in the Pediatric and Elderly Patient.  

4.1.    General Context of Pediatric Oncology  

4.1.1.    Epidemiology of Pediatric Cancer  
4.1.2.    Most Frequent Tumors in Pediatric Age  

    4.1.2.1. Leukemia Types  
    4.1.2.2. Lymphoma  
    4.1.2.3. Brain Tumors  
    4.1.2.4. Wilms Tumor (Nephroblastoma)  
    4.1.2.5. Neuroblastoma.  
    4.1.2.6. Rhabdomyosarcoma  
    4.1.2.7. Bone Tumors  

4.2.    Main Treatments in the Pediatric Patient  

4.2.1.    Surgery  
4.2.2.    Chemotherapy.  
4.2.3.    Radiotherapy  
4.2.4.    Hematopoietic Progenitor Transplantation  
4.2.5.    Side effects  

4.3.    Child and Family Focused Care  

4.3.1.    Quality of Life  
4.3.2.    Family Role  
4.3.3.    Emotional Impact 
4.3.4.    Nurse Assessment and Management  

4.4.    Pediatric Patient Nutrition  

4.4.1.    General Aspects  
4.4.2.    Malnutrition Consequences  
4.4.3.    Assessment  
4.4.4.    Nutritional Support  

4.5.    Psychological Care in Pediatric Oncology Patients  

4.5.1     Emotional Support During Diagnosis  
4.5.2.    Emotional Support During Treatment  
4.5.3.    Emotional Support after the End of Treatment  

4.6.    Palliative Care for Pediatric Patients  

4.6.1.    Most Frequents Symptoms  
4.6.2.    Symptom Control Pain Management  
4.6.3.    Palliative Sedation  
4.6.4.    Coping with Death  
4.6.5.    Spirituality  
4.6.6.    Grief  

4.7.    General Context of Oncogeriatrics  

4.7.1.    Cancer Epidemiology in the Elderly Population  
4.7.2.    Specific Characteristics of the Elderly Cancer Patient  

    4.7.2.1. Physiological Aging  
    4.7.2.2. Polypharmacy  
    4.7.2.3. Associated Pathology  

4.8.    Particularities of Oncologic Treatment in the Elderly Patient.  

4.8.1.    Chemotherapy.  
4.8.2.    Radiotherapy  
4.8.3.    Surgery  
4.8.4.    Hormone Therapy  

4.9.    Comprehensive Assessment in Elderly Oncologic Patients  

4.9.1.    Geriatric Assessment Methodology  
4.9.2.    Frailty Screening  

4.10.    Oncologic Pain in the Elderly Patient  

4.10.1.    Features  
4.10.2.    Evaluation  
4.10.3.    Pharmacological and Non Pharmacological Treatment 

This specialization will allow you to advance in your career comfortably"