This course, made available on www.ESOTTransplantlive.org and organised by ESOT, is accredited by the European Accreditation Council for Continuing Medical Education (EACCME®) to award 3 European CME credit (ECMECModule 1: Person-centred care and rehabilitation before and after SOT
The foundation of rehabilitation after Solid Organ Transplantation is that a life that is saved should also be lived. Person-centred care is the basic approach in rehabilitation regardless of indication, condition or disease/disability. The mission is planned, person-centred and goal-oriented rehabilitation. Key elements are self-management and patient empowerment based on the premise that you don’t passively receive rehabilitation as an organ recipient but receives support from the interdisciplinary or multidisciplinary team. As a person you make or carry through rehabilitation by means of an active process in collaboration with the professional team.
Rehabilitation can either be provided interdisciplinary or multidisciplinary. In interdisciplinary rehabilitation different health care professionals collaborate through a horizontal communication and interaction where the organ recipient becomes a valid partner of the team. When multidisciplinary rehabilitation is provided, the organ recipient consults different members of the rehabilitation team independently. However, there are no concurrent goals integrated with the different professionals in the team. Instead the rehabilitation process is evaluated through occasional team rounds.
There is a need for both interdisciplinary and multidisciplinary rehabilitation after organ transplantation. To enhance knowledge and skills among transplant professionals regarding how to organise rehabilitation a course is developed by ETAHP also promotion the team approach towards in transplant care.
Learning objectives:
After finalising this module, participants will be able to:
- understand the relationship between person-centred care and rehabilitation
- outline and defend the basic principles of rehabilitation
- describe the specific methodological steps of rehabilitation
- present how to assess rehabilitation needs after solid organ transplantation
- outline the essentials of goal setting in rehabilitation
- distinguish between interdisciplinary and multi-disciplinary rehabilitation and present a plan for rehabilitation needs after solid organ transplantation
- advocate the team approach towards post-transplant rehabilitation.
To obtain your credits, please complete the EACCME evaluation survey located under the tab "EACCME evaluation survey" in each module.
Module 2: Physical activity, exercise and training before and after SOT
The evidence and knowledge about physical activity and exercise recommendation in solid transplantation is growing. Physical activity and exercise play a crucial role in maintaining and improving cardiorespiratory fitness and muscle strength and is beneficial on short- and long-term health outcomes. Despite these health effects, maintaining daily physical activity remains a challenge for transplant candidates and recipients. In this module the most important exercise goals and recommendations in transplantation management care will be discussed.
Learning objectives:
After finalising this module, participants will be able to:
- name the benefits of physical activity and exercise before and after Solid Organ Transplantation
- recognise the differences between physical activity and exercise training before and after Solid Organ Transplantation
- recognise pre-operative exercise goals prior to Solid Organ Transplantation
- recognise post-operative exercise goals in the clinical phase after Solid Organ Transplantation
- recognise post-operative exercise goals in the post-clinical phase after Solid Organ Transplantation.
To obtain your credits, please complete the EACCME evaluation survey located under the tab "EACCME evaluation survey" in each module.
Module 3: Nutrition before and after SOT
The prognostic and therapeutic role of nutritional issues in the treatment of transplanted patients has been known for long. Malnutrition and underfeeding are risk factors for postoperative complications, especially for those undergoing upper gastrointestinal surgery. Therefore, nutritional status is an important variable in the evaluation of transplant candidates. It is also a crucial factor in the postoperative rehabilitation and an important component in the long-term result. This module aims to give you a current update on evidence and expert opinion into recommendations for allied health personnel, responsible for nutritional management of adult transplanted patients.
Learning objectives:After finalising this module, participants will be able to:
- identify patients at risk for malnutrition
- monitor the newly transplanted patient from a nutritional point of view
- be oriented in the ESPEN recommendations for transplanted patients
- know how to give nutritional care in line with the ERAS programmes
- understand the different roles in the transplant team related to nutrition (who is responsible for what)
- get confidence in educating transplant candidates and transplanted patients in healthy eating and drinking habits.
To obtain your credits, please complete the EACCME evaluation survey located under the tab "EACCME evaluation survey" in each module.
Module 4: Management of immunosuppression induced symptoms after SOT
Solid organ transplantation is the gold standard replacement therapy in the event of organ failure. The most common being kidney, liver, pancreas, lung and heart transplantation. Despite improved and more potent immunosuppressive drug regimens, solid organ transplant patients still report physical and psychosocial symptoms that they have to live with and this at times impedes on good quality of life (QOL) including mental health. The immunosuppressive therapy regimens used are also associated with side effects that can affect quality of life. This module aims to discuss and manage the most common physical, psychosocial and drug related symptoms to support staff during management of patients who may experience such symptom.
Learning objectives:After finalising this module, participants will be able to:
- identify patients at risk for malnutrition
- identify common symptom burden on patients in each organ transplant group
- discuss potential causes with patients to gain understanding
- discuss a management plan to relieve symptoms
- refer to appropriate health care professionals for further management if needed.
To obtain your credits, please complete the EACCME evaluation survey located under the tab "EACCME evaluation survey" in each module.
Module 5: Emotional and social well-being after SOT
The evidence and knowledge about phycological evaluation and assistance recommendation in solid organ transplantation are growing. The psychopathology or insufficient internal and external psychological resources of the patient can lead to poor quality of life and can impact adherence to post-transplant pharmacological treatment and survival. In this module, psychological evaluation and intervention in the pre- and post-transplant period will be discussed.
Learning objectives:
After finalising this module, participants will have:
- knowledge of the psychological aspects before and after SOT and their implications for patients and for medical adherence knowledge of the impact of psychological aspects in the quality of life
- understanding of the goals of psychological evaluation and criteria
- knowledge of the psychological tools for assessing the psychological aspects, cognitive status, and quality of life of patients
- ability to analyse the role of caregivers in improving the well being of patients and their families
- knowledge of the methods of treatment of psychological problems after SOT.
To obtain your credits, please complete the EACCME evaluation survey located under the tab "EACCME evaluation survey" in each module.
Module 6: Sexuality and pregnancy after SOT
This
module offers a thorough exploration of sexuality and reproductive health in
solid organ transplant (SOT) recipients, equipping healthcare professionals
with the essential knowledge and skills to address these sensitive topics.
It starts with a personal account from a patient representative, who discusses
her experience of pregnancy after kidney transplantation. This introduction
sets the stage for understanding the challenges faced by SOT recipients.
The module then covers common sexual problems, medical and psychosocial
treatments, and effective strategies for patient discussions. It also addresses
contraceptive use post-transplant and pregnancy outcomes, providing crucial
insights for counselling women and managing pregnancy in both female and male
recipients.
Learning objectives:
After finalising this module, participants will be able to:
- identify sexual problems after SOT
- get knowledge on frequently sexual problems after SOT
- give recommendations on how to discuss this subject with recipients
- get knowledge on potential treatment of sexual problems
- get knowledge on anti-conceptive drugs after SOT
- get knowledge on pregnancy outcomes after SOT
- get knowledge on effect of pregnancy on the graft
- give recommendations on how to counsel SOT recipients
- get knowledge on risk factors for adverse pregnancy outcomes
- get knowledge on how to guide/treat SOT recipients during pregnancy.
To obtain your credits, please complete the EACCME evaluation survey located under the tab "EACCME evaluation survey" in each module.
Module 7: Self-management after SOT
Self-management refers to the ability of a person to manage his or her own health condition on a daily basis. Effective self-management is important for transplant recipients because they have a complex treatment regimen after transplantation, have to adhere to various lifestyle guidelines, and need to find a new balance in life. Given that 99% of the time spent on managing their health condition is in the hands of transplant recipients themselves, the best we can do as transplant professionals is supporting them adequately to be able to perform their self-management tasks effectively. With this support we can help transplant recipients to live a satisfactory life and improve outcomes after the transplant. In this module, we will focus on how self-management (support) is perceived by a transplant recipient, discuss self-management and self-management support in general. In addition, we will look in more detail into a tool that can be helpful to discuss management with transplant recipients, the self-management web, and into discussing and intervening on post-transplant adherence.
Learning objectives:
After finalising this module, participants will be able to:
- recognise the importance of adequate self-management after SOT
- get knowledge about the different self-management domains after SOT
- give recommendations on how to discuss (problems with) self-management with recipients
- give recommendations on how to discuss (medication) adherence with recipients
- give recommendations on how to counsel SOT recipients.
To obtain your credits, please complete the EACCME evaluation survey located under the tab "EACCME evaluation survey" in each module.