2 Diagnosis and Staging of Cancer 2.1 Pathophysiology of cancer 2.2 Classification and staging 2.3 Diagnostic measures for specific cancer types

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1 Oncology Nursing Sub-Specialty Module Reference: Gobel B. M., Triest-Robertson S. & Vogel W.H. (Eds). (205). Advanced Oncology Nursing Certificate Review and Resources Manual. Pittsburgh: Oncology Nursing Society.. Prevention, Early detection and Screening of Cancer. Epidemiology.2 Prevention.3 Cancer screening and diagnostic test.4 Public participation in prevention, screening and early detection 2 Diagnosis and Staging of Cancer 2. Pathophysiology of cancer 2.2 Classification and staging 2.3 Diagnostic measures for specific cancer types 3 Treatment Modalities a) Surgery b) Systemic therapy: chemotherapy, biological agents, hormone and targeted therapies c) Radiation therapy d) Concurrent combination therapy e) Hematopoietic stem cell transplant f) Complementary alternative health care 4 Knowledge of Cancer Diseases 4. Management of patients with a) Breast cancer b) Brain and central nervous system cancer c) Colorectal cancer d) Gastrointestinal cancer e) Genitourinary cancer f) Gynecological cancer g) Head and neck cancer h) Leukemia i) Lung cancer j) Lymphomas K) Melanoma l) Myelomas m) Prostate cancer 5 Symptom and Treatment Management 5. Oncology emergencies a) Disseminated intravascular coagulation (DIC) b) Extravasations c) Febrile neutropenia d) Hypercalcemia e) Hypersensitivity f) Increased intracranial pressure

2 g) Malignant bowel / urinary obstruction h) Neoplastic cardiac tamponade i) Pneumonitis j) Sepsis K) Spinal cord compression l) Superior vena cava obstruction m) Syndrome of inappropriate antidiuretic hormone (SIADH) n) Tumour lysis syndrome 5.2 Treatment delivery device and systems 5.2. Role and types and safe management of treatment delivery devices (e.g. peripheral and central venous access devices, infusion pumps) Assessment, care and maintenance of venous access devices Patient education and subsequent monitoring 5.3 Management of disease symptoms and treatment related side effects including alternations in the followings a) Bone marrow function b) Mobility c) Skin / mucosal integrity d) Neurological status e) Mental status f) Circulation g) Ventilation h) Gastrointestinal function i) Metabolic function j) Urinary function k) l) Comfort i.e. Pain Psychosocial status 6 Supportive Care 6. Patient diversity 6.2 Sexuality and intimacy 6.3 Patient and family support throughout the cancer continuum 6.4 Rehabilitation 6.5 Survivorship 6.6 Palliative and End-of-Life care 6.7 Bereavement 7 Continuity of Care 7. Navigate the patient in the health care system 7.2 Inter-professional health care team communication and collaboration 8 Ethics, Legal Obligations and Research 8. Ethical principles in care of cancer patient 8.2 Ethical dilemmas 8.3 Legal obligations 8.4 Purpose and design of research studies 8.5 Ethical principles associated with research 9 Development of Nurse-led Clinics

3 0 Facilitate change and adopt evidence-based practice in nursing care Quality and risk management 2 Management & leadership Design and Framework of Oncology Nursing Sub-Specialty Module The Oncology Nursing Sub-Specialty Module is designed under the competency framework of HKCMN. Below indicated the Sub-Specialty Module matching the competency framework: Subject areas Prevention, Early Detection and Screening of Cancer 2 Diagnosis and Staging of cancer 3 Treatment Modalities Domains ,3,5,9,0,,2,3,4,5,6,8,2,4,2,3,4,5,6,7, 9,0,2,3,4,5,8, 9,0,3,4,6,8 2,6,2,5,8 a) Surgery all all,2,3,4,5 2,4,5,6,2,3,4,5,6,2,3,4,5,6,7,8, 9,0,,2 b) Systemic therapy all all,2,3,4,5 2,4,5,6,2,3,4,5,6,2,3,4,5,6,7,8, 9,0,,2 c) Radiation therapy,2,3,4,5,6,7,8, all all,2,3,4,5 2,4,5,6,2,3,4,5,6 9,0,,2 d) Concurrent combination,2,3,4,5,6,7,8, all all,2,3,4,5 2,4,5,6,2,3,4,5,6 therapy 9,0,,2 e) Hematopoietic stem cell,2,3,4,5,6,7,8, all all,2,3,4,5 2,4,5,6,2,3,4,5,6 transplant 9,0,,2 f) Complementary alternative health care,2,6,7, all,2,3,4,5 4 2,8,9,0 4 Knowledge of Cancer Diseases Management of Patient with a) Breast cancer all all all b) Brain and central nervous system cancer all all all c) Colorectal cancer all all all d) Gastrointestinal cancer all all all e) Genitourinary cancer all all all f) Gynecological cancer all all all g) Head and neck cancer all all all h) Leukemia all all all i) Lung cancer all all all j) Lymphomas all all all k) Melanoma all all all l) Myelomas all all all m) Prostate cancer all all all 5 Symptom and Treatment Management 5. Oncology emergencies a) Disseminated intravascular,2,3,4,5,6,7,,2,3,4,5,6,7,8, coagulation (DIC) 9,0,,2 b) Extravasations,2,3,4,5,6,7,,2,3,4,5,6,7,8, 9,0,,2 c) Febrile neutropenia,2,3,4,5,6,7,,2,3,4,5,6,7,8, 9,0,,2 d) Hypercalcemia,2,3,4,5,6,7,,2,3,4,5,6,7,8, 9,0,,2 e) Hypersensitivity,2,3,4,5,6,7,,2,3,4,5,6,7,8, 9,0,,2 f) Increased intracranial,2,3,4,5,6,7,,2,3,4,5,6,7,8, pressure 9,0,,2 g) Malignant bowel / urinary,2,3,4,5,6,7,,2,3,4,5,6,7,8, obstruction 9,0,,2 h) Neoplastic cardiac,2,3,4,5,6,7,,2,3,4,5,6,7,8, tamponade 9,0,,2 i) Pneumonitis,2,3,4,5,6,7,,2,3,4,5,6,7,8, 9,0,,2 j) Sepsis,2,3,4,5,6,7,,2,3,4,5,6,7,8,

4 9,0,,2 k) Spinal cord compression,2,3,4,5,6,7,,2,3,4,5,6,7,8, 9,0,,2 l) Superior vena cava,2,3,4,5,6,7,,2,3,4,5,6,7,8, obstruction 9,0,,2 m) Syndrome of inappropriate,2,3,4,5,6,7,,2,3,4,5,6,7,8, antidiuretic hormone 9,0,,2 (SIADH) n) Tumour lysis syndrome,2,3,4,5,6,7,,2,3,4,5,6,7,8, 9,0,,2 5.2 Treatment delivery device and systems 5.2. Role and types and safe,5,6,8,0, management of treatment 2,0 3 3,7 delivery devices Assessment, care and maintenance of venous access devices Patient education and subsequent monitoring,2,3,4,5,6,7,,2,3,4,5,6,8 all,2,3 all,2,3,4,5,6,7,8, 9,0,,2,3,4,5,6,7,,2,3,4,5,6,8,2,3,4,5,6,7,8,,2,3 3,4,5,6 all 9,0, 5.3 Management of disease symptoms and treatment of related side effects including alterations in the following a) Bone marrow function,2,3,4,5,6,7,,2,3,4,5,6,8 3,2,3,4,6 all all b) Mobility,2,3,4,6,7,9,,2,3,4,5,6,8 3,2,3,4,6 all all c) Skin/ mucosal integrity,2,3,4,6,7,9,,2,3,4,5,6,8 3,2,3,4,6 all all d) Neurological status,2,3,4,5,6,7,,2,3,4,5,6,8 3,2,3,4,6 all all e) Mental status,2,3,4,5,6,7,,2,3,4,5,6,8 3,2,3,4,6 all all f) Circulation,2,3,4,5,6,7,,2,3,4,5,6,8 3,2,3,4,6 all all g) Ventilation,2,3,4,5,6,7,,2,3,4,5,6,8 3,2,3,4,6 all all h) Gastrointestinal function,2,3,4,5,6,7,,2,3,4,5,6,8 3,2,3,4,6 all all i) Metabolic function,2,3,4,5,6,7,,2,3,4,5,6,8 3,2,3,4,6 all all j) Urinary function,2,3,4,5,6,7,,2,3,4,5,6,8 3,2,3,4,6 all all k) Comfort i.e. Pain,2,3,4,5,6,7,,2,3,4,5,6,8 3,2,3,4,6 all all l) Psychosocial status,2,3,4,5,6,7,,2,3,4,5,6,8 3,2,3,4,6 all all 6 Supportive Care 6. Patient diversity 2 all 3 4 3,7,8 6.2 Sexuality and intimacy,2,9, all 3 2,3,4 3,7,8 6.3 Patient and family support throughout the cancer continuum,2,3, all 3 4,8 6.4 Rehabilitation,2,3,4,6,7,8, 0, all 3,2,3,4,5,6 3,4,5,6,7,8 6.5 Survivorship,2,5,9,0,,2,3,4,5,6,8,9 all 3 2,4,6,7 0,,3,4 all 6.6 Palliative and End-of-Life,2,3,4,5,6,7, care all 3,2,6 all all all 6.7 Bereavement,2,3,4,5,6,7, all 3,2,6 all all all 7 Continuity of Care 7. Navigate the patient in the health care system 7.2 Interprofessional health care team communication and collaboration,2,3,7,9,0,,3,4,8 4 4,6 2,8,9,2,3,7, Ethics, Legal Obligations and Research 8. Ethical principles in care of 2,3,,4 3 3,4 cancer patient 8.2 Ethical dilemmas 3 3,4 2,3,,4 8.3 Legal obligations 3 3,4 2,3,,4 8.4 Purpose and design of research studies 6 3,6,5,6,7,4,5,6,7

5 8.5 Ethical principles associated with research 3,6 3,4 2,3,,4 9 Development of nurse-led clinics all all,3,4,5,6 all all,2,8,9,0 all 0 Facilitate change and adopt evidence-based practice in all all,2,3,5 5 2,3,7 3,4,5,9,0 all nursing care Quality and risk management 9,3,4 all 2,3,4,5,7 all 2Management & leadership all all all 3,4,5,6,7 all all