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Debi Fischer is a nurse at the University of Miami surgical oncology step down unit. Prior to that she worked in orthopedics and neurology for many years. In addition to her nursing experience, she has earned a master’s degree in social work. Becoming a Licensed Clinical Social Worker was a lon-sought-after goal which she finally attained. She is a caregiver for her family and her dogs as well.

Connecting Potential Stem Cell Transplant Recipients with Survivors Aids in Procedure Preparation

Elise James, LCSW, and Mayra Garcia, LCSW, describe the Stem Cell Transplant Meet and Greet program at The Sylvester Comprehensive Cancer Center, which provides psychosocial support to pre-transplant patients. 
PUBLISHED: 8:00 PM, TUE NOVEMBER 13, 2018
Stem cell transplant survivors have a second chance at life–I have seen that firsthand as an RN in surgical oncology. But these patients have many obstacles they face as they experience this cutting-edge treatment, ranging from having emotional distress to financial problems.

I recently attended a lecture given by two social workers, Elise James, LCSW, and Mayra Garcia, LCSW, who discussed patients’ pre-transplant experiences and also about a helpful group they run at their facility that orients and supports these patients. Their presentation at the 35th Annual Florida Society of Social Workers (FSOSW) conference in Miami, Florida–called “Stem Cell Transplant Meet and Greet:  A Journey Through Transplant”–described one way social workers take the patient though the journey of approaching a stem cell transplant.1

The Only One of Its Kind

At the Sylvester Comprehensive Cancer Center, James and Garcia hold monthly psychoeducational events called Stem Cell Meet and Greets at their facility, which is part of the University of Miami Health System, for interested patients.

The Stem Cell Meet and Greet support group program is the only one of its kind in the country, according to the Sylvester Comprehensive Cancer Center’s website.2 During the sessions, potential patients can explore any questions they may have about stem cell transplants, which are very complex medical procedures. If they have any lingering questions regarding transplants or doubts, they can talk to survivors. They also have a chance to meet staff members who work in the unit and ask them about the transplant and what to expect. The group meeting not only gives patients information about the transplant procedure, but hope as well. Meeting others who have survived and thrived after the transplant can enable them to feel more secure in approaching the procedure.

New Terminology

James and Garcia defined 2 important terms related to stem cell transplant: allogen and engrafment. This lecture was an eye opener for me because, despite working in surgical oncology as an RN and being an LCSW, I was not conversant with these 2 terms.

Allogen refers to stem cells derived from a matching donor that are used for a transplant.  The opposite term, autologous, refers to using stem cells from the patient’s own system. Engrafment is the process that occurs after the stem cell transplant is completed. That is when the patient starts to create new blood cells and their immune system starts functioning again. 

Inspiring Others

Oncology nurses at institutions that conduct stem cell transplants may want to consider suggesting a support group of this kind for their institutions. Connecting surviving patients with those facing the prospect of the procedure can have a positive impact on the prospective patient’s psychosocial well-being.
 
References
  1. James E, Garcia M. “Stem Cell Transplant Meet and Greet:  A Journey Through Transplant.” Presented at: 35th Annual Florida Society of Social Workers (FSOSW) Conference, Miami, Fl, Oct 10-12, 2018.
  2. Support groups.  Sylvester Comprehensive Cancer Center website.  umiamihealth.org/sylvester-comprehensive-cancer-center/cancer-support-services/support-groups.  Accessed November 6, 2018. 


Talk about this article with nurses and others in the oncology community in the General Discussions Oncology Nursing News discussion group.
More from Debi Fischer, MSW, BSN, BA, LCSW, RN
A study published in the journal Plastic and Reconstructive Surgery described a surgical procedure called prepectoral breast reconstruction that was used among patients who had mastectomies and radiation therapy following their breast cancer diagnosis.
PUBLISHED: Sat December 01 2018
An 11-year study showed that patients with nonmetastatic breast cancer who learned to manage their stress with cognitive behavioral interventions had less depression and a better quality of life.
PUBLISHED: Thu November 08 2018
Elderly women living in nursing homes who were diagnosed with breast cancer may face a greater chance of death compared with their non-resident peers–despite what, for many in other age groups, is routine surgery. Therefore, the decision to perform breast cancer surgery must lie with the patient, family, and her physician. 
PUBLISHED: Tue November 06 2018
Patient education comes in many forms. Consider the podcast.
PUBLISHED: Thu October 18 2018
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