ESTRO 37 Abstract book

S12

ESTRO 37

organize a nursing/RTT consultation. This can be hold before, during or after the treatment. The nurse/RTT is an expert in various domains and supplements the radiotherapist-oncologist by giving specific information about different subjects. In the University Hospital of Ghent, Belgium, women who are irradiated for a tumor in the pelvic region, in addition to the radiotherapist-oncologist, are also guided through their treatment and followed up by a specialized nurse in radiation oncology-cancer care. This person is present during the multi-disciplinary consultation and the CT-sim. Every week, during a ‘nursing consultation’, the patient is asked about possible side effects. Time is given to reflect on nutritional problems, social and sexual problems and questions. The nurse also link back weekly to the radiotherapist-oncologist. This nurse is the liaison between the patient, the other nurses and the doctor. Very specific information regarding the treatment, the side effects, the results of CBCT images, specific considerations about the treatment are always discussed. The patient feels much better informed, experiences to be fully involved . Worldwide, the role of the nurse in radiation oncology or RTT is evolving from technician to specialist. Something we only can be proud of! SP-0034 Learning and evidence based radiotherapy, how can we learn from our patients? S. Petri 1 1 The Finsen Center - Rigshospitalet, Department of OncologySection for Radiotherapy, Copenhagen, Denmark Abstract text In modern health care services, patient experiences are an essential source of knowledge (1). Who knows better than the patient himself, how he experiences illness, treatment and care? Therefore, we have to consider how we can learn from our patients in a more systematic way than is the case today, since the patients' experiences can add substantially to our existing knowledge. Patient experiences should be viewed in a wider perspective than just in relation to the experience and management of side effects; but also in research, quality improvement, direct patient care and other aspects of evidence based radiotherapy. In this presentation the application of patient experiences in evidence based radiotherapy is discussed in the light of existing literature. The impact and challenges of using patient experiences in clinical practice are discussed likewise. Finally the rapidly growing utilization of PRO (PROM and PREM) in health care services, and in particularly in relation to evidence based radiotherapy is discussed. This entails systematic application of patient experiences in toxicity management during radiotherapy. Current and future examples of PROM data in toxicity scoring and management during radiotherapy are presented and discussed. References: (1): Black, N (2013). Patient reported outcome measures could help transform healthcare. BMJ. 2013 Jan 28; 346: f167 SP-0035 How to involve patients in the organisation of the department G. Thompson 1 1 University of Sheffield, Faculty of health & Wellbeing, Sheffield, United Kingdom Abstract text I trained as a Therapy Radiographer in 1990, working clinically until 2002 when I moved into Radiotherapy & Oncology education at Sheffield Hallam University. Diagnosed with Stage 2 ER+/HER2+ breast cancer in 2015

The natural extension of CBCT intensity correction is to enable dose calculation on 4DCBCT images for monitoring of the treatment of moving tumours. However in such applications the lower amount of projections per reconstructed phase entails that iterative reconstruction techniques may be necessary to obtain an image capable of accurately driving deformable image registration.

Symposium: Patient centered care and monitoring side effects: Review clinics and follow up

SP-0033 The role of a specialised nurse in cancer care during radiotherapy L. Van den Berghe 1 1 University Hospital Ghent, Radiotherapie, Gent, Belgium Abstract text Every training for radiotherapy nurse, radiographer or radiation therapist has the common goal of treating, counseling and caring for the patient during his or her treatment. The job is overshadowed by the mainly technical fact. Similarly, care for the patient and his environment is equally important and continuously present. Various curricula worldwide describe in specific details the content of the job. Nevertheless, researchers have, since the 40s of the previous age, been thinking about the specific role of the radiation oncology nurse. They described the importance of preparing patients before treatment, reassuring them regarding safety and their progress during treatment, comforting patients and addressing their symptoms. In America they described from 1980 on specific roles: patient care, education of patients and families, administrative responsibilities, research, consultation. During the 90s they described four levels of nursing care. Clinic care, patient teaching, counseling and the advanced practice role. The last role is evenso a role that the ESTRO RTT Committee introduced in the RTT Education Qualification Framework for level 7 and 8. So we become a "specialist" in radiation oncology. A possible strategy to work out this specialistic view is to