Azienda Ospedaliero Universitaria di Cagliari, Oncologia Medica 1

ESMO Designated Centre of Integrated Oncology and Palliative Care

Contact person Prof. Giovanni Mantovani
Address Policlinico Universitario
Presidio di Monserrato
S.S. 554, Km 4,500
09042 Monserrato (Cagliari)
Country

Italy

Contact Tel: +39 070 51096253 -
Web Azienda Ospedaliero Universitaria di Cagliari
Azienda Ospedaliero Universitaria di Cagliari, Unità Operativa Complessa, Oncologia Medica 1, Cagliari, Italy

History

The Supportive Care Action Team (SCAT) of the Department of Medical Oncology, University of Cagliari, was established in 2005 to enable a systematic evaluation and treatment of symptoms and to warrant continuity of care in all phases of neoplastic disease. It includes 3 oncologists, 3 residents in medical oncology and a psychologist.

Profile

  • There are ten beds in 5 wards (two beds in each ward).
  • The Centre includes one Head of Division, 3 oncologists, 3 residents in medical oncology and a psychologist and 5 nurses.
  • All standard facilities for a University Hospital are available for patients with the exception of radiation therapy.

The integration between oncology and palliative care is considered a key-point of our clinical activity. The broad range of needs of patients and families as well as the intensity of the demands on health professionals require a team of professionals with complementary, but different skill sets. As Medical Oncologists we have thus the opportunity to ease the suffering that patients and families experience through the integration of palliative care into the continuum of cancer care. The interdisciplinary nature of the palliative care team is a fundamental characteristic of the discipline.

The oncologists and palliative medicine services work closely to deal effectively with complex needs whenever they are identified. We believe that the integration of activities in speciality settings is critical for advanced and end-of-life cancer patients. Decisions made by the multidisciplinary team are then communicated to each individual patient. To allow continuity of care and integration between oncology and palliative care, clinical cases, plans of treatment and evaluation of results are discussed daily by SCAT and the other physicians of the Medical Oncology Unit. A formal morning ward-round is performed together by all physicians.

Our Centre is the only Palliative Care Centre in our region (Sardinia, Italy).

Our hospital provides home care with a specifically dedicated service. A close collaboration has been established since 2005 between SCAT and the Home Care Service to allow continuity of care after discharge. Neurologist, infectious diseases specialist, clinical nutritionist physiotherapist are available for consultations.  Diagnostic procedures (blood samples, electrocardiogram, eco-scan) and therapy are administered daily.  Oncologists and nurses are on call 12 hours a day.

Patients treated at home can be re-admitted to the Medical Oncology Unit in case of uncontrolled symptom and/or family related and social difficulties.

Specialities

The centre's specialities include a psychologist, a neurologist, a physiotherapist and a clinical nutritionist (physician).

Palliative and supportive care

Azienda Ospedaliero Universitaria di Cagliari, Unità Operativa Complessa, Oncologia Medica 1's Staff, Cagliari, Italy

All patients submitted to cancer-directed therapies are evaluated by SCAT to identify those who need supportive/palliative care. Palliative care is considered part of the cancer care with real-time evaluation and treatment of symptoms. At the same time, all patients receiving palliative care can receive, if needed, oncologic care.

Our mission is to coordinate patient care at all stages of the disease along with other relevant disciplines. The goal of a “simultaneous care", in which “disease-oriented” and “symptoms-oriented” treatments are administered at the same time, represents a cornerstone of our philosophy.