Medical Oncology Department, S. Maria Hospital, Terni
ESMO Designated Centre of Integrated Oncology and Palliative Care
|Contact person||Dr Fausto Roila, Dr Guglielmo Fumi|
Via Tristano di Joannuccio 1
|Contact||Phone: +39(0)74420 5410 / +39(0)744205631 - roila(dot)fausto(at)libero(dot)it|
The centre is located in the university hospital of Terni, part of the Italian National Health System. The oncology division was re-organised in 2008, when Dr Roila became the chief: in that year the in- and out-patient clinics were unified and the two pre-existing staff began collaborating for a better “global-care” of cancer patients.
At present, the division consists of a ward for inpatients and a day hospital for outpatients; the division is in the same department as the radiotherapy unit and also collaborates closely with the home-care service and the city hospice.
The oncology division includes:
- a ward with eight beds for inpatients
- a day hospital with 12 armchairs for therapy and three beds for over-day hospitalisation
- 10 medical oncologists (two of them dedicated to supportive and palliative care)
- 18 nurses
- radiotherapy unit (chief Dr Ernesto Maranzano)
- access to two psycho-oncologist specialists
Upon arrival, patients are offered a variety of services and information to facilitate their inclusion in the hospital activities. For example, blood tests can be done in the department and patients can book various instrumental examinations and future chemotherapy sessions and clinical follow-up visits.
Female patients are also offered weekly meetings with beauty and hair specialists for advice about make-up and hairstyle as to improve their self-confidence and esteem in the perspective of true global care.
The department collaborates with home care services (including three physicians, two nurses and one physiotherapist, the city hospice (including nine rooms, two doctors and six nurses and the territorial health service. The supportive/palliative multidisciplinary team, active since January 2009, meets once a month with nurses, anesthesiologists, radiotherapists and palliative care specialists.
Areas of specialisation
The centre is a medical oncology department, with experience in the treatment of solid tumours, including rare cancers. The entire staff is interested in the global care of the patient and two physicians, a palliativist and a nurse are especially involved in supportive and palliative care and in-the-home care – thus creating a connection between the hospital and the patient’s home.
Furthermore, we are involved in several national and international clinical trials and we are also very interested in clinical research related to supportive care, palliative care and quality of life.
Palliative and supportive
At present, there is no dedicated (formal) palliative care service inside the department, but all staff firmly believe that the patient needs are not only towards the cancer, but also the physical symptoms alongside emotional, social and spiritual issues. Our philosophy of care is the “global care”.
The supportive/palliative multidisciplinary team, active since January 2009, meets once a month with nurses, anesthesiologists, radiotherapists and palliative care specialists. During the meetings clinical cases are discussed and care pathways to share are identified.