Chronic myeloid leukaemia

The patient at the centre of decision-making and the aim of personalised treatment

Patients are expected to play an active role in their care pathway and in hospital and institutional working groups, but they need training and a sense of physical and mental balance

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3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

The role of patients with CML (chronic myeloid leukaemia) has changed significantly in recent years. From being a passive recipient of care, patients are now expected to take an active role, both in shaping their own treatment pathway and in participating in hospital and institutional working groups, thereby helping to improve care processes.

To fulfil this role, the patient must be supported in finding a new physical, psychological and emotional balance, enabling them to cope with the challenges posed by their illness and everyday life.

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Building effective dialogue

It is important to develop active listening skills and build an effective dialogue with your haematologist, ensuring that not only your needs but also your expectations are addressed. These include treatment that is better tailored to personal needs and improved management of side effects, discussing with the specialist any adjustments to the treatment, such as reducing doses or changing the dosing schedule. Equally important is being able to start planning your life again: exploring new career opportunities or working patterns compatible with your condition, considering starting a family, travelling again, and fostering more authentic and meaningful relationships with family members and colleagues.

Information and training are essential to make this participation possible.

The training available in hospitals may be limited; patient organisations therefore play an increasingly important role in supplementing it.

The role of the association

Our association offers integrated self-leadership programmes, complemented by yoga sessions and nutrition education days. Through individual and group sessions, these programmes provide practical and measurable tools to help participants rediscover their inner resources and take an active role in their own care and daily life.

The self-leadership programme follows an approach that begins by working on the patient’s thoughts, promoting a shift towards greater well-being even in the face of life’s difficulties. The aim is to strengthen personal resources such as courage and self-confidence.

Patients wish to rediscover a sense of balance that will enable them to find new meaning in their lives, in all its aspects.

As an organisation, we also provide information on employment rights and offer support to help identify new career opportunities when health-related needs make a change necessary.

Taking a holistic approach to a person’s care can have a significant impact on their quality of life.

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Comprehensive training and skills

A second key aspect concerns patient representation on working groups within hospitals, regional cancer networks, institutions and pharmaceutical companies, whilst respecting the objectives and independence inherent in a patients’ association. Effective participation in these working groups requires specific training.

To join regional cancer networks, for example, registration with RUNTS is not sufficient. The regions require specific criteria to demonstrate the organisation’s reliability and expertise, including:

- demonstrable experience in safeguarding the rights of people with cancer and their carers;

- transparency, reliability and the absence of conflicts of interest.

In order to represent patients’ needs effectively, representatives of patient organisations must have expertise in the following areas:

- patient advocacy, that is, the protection of patients’ rights and needs;

- healthcare organisation;

- PDTA (diagnostic, therapeutic and care pathways);

- health economics and HTA (Health Technology Assessment. A multidisciplinary process for analysing the medical, clinical, economic, organisational, ethical and social implications of a technology)

- communication and negotiation.

This new role requires a broader range of skills and appropriate training, so that patients’ voices can be represented with increasing effectiveness.

Membership of networks of patient organisations, such as FAVO (Federation of Voluntary Organisations in Oncology), facilitates access to appropriate training programmes and encourages a collaborative approach to finding solutions that meet patients’ needs and expectations.

*Vice-President of the Italian Association of Chronic Myeloid Leukaemia Patients (aps)

Chair of the Patient Organisations at the San Raffaele Hospital Comprehensive Cancer Centre

www.aipleucemia-chronic-myeloid.it

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