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EBMT 2025 | Developing excellence in identifying acute GvHD: key messages for nurses

In this video, Sophie van Lancker, Ghent University Hospital, Ghent, Belgium, emphasizes the importance of nurses developing excellence in identifying acute graft-versus-host disease (GvHD), highlighting two key factors: knowledge and experience. She advises young nurses to gain practical experience by observing and working with patients, and outlines the importance of considering individual patient risk factors that may contribute to the development of GvHD. This interview took place at the 51st Annual Meeting of the EBMT in Florence, Italy.

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Transcript

When I got this title I was wondering what I wanted to tell as a senior nurse to young nurses, what you can do to develop experience. And I searched on the internet and I read a lot of information, and there are two main issues that you have to have to develop experience. And that’s first knowledge, because if you don’t have any knowledge, you can’t know what you are looking for...

When I got this title I was wondering what I wanted to tell as a senior nurse to young nurses, what you can do to develop experience. And I searched on the internet and I read a lot of information, and there are two main issues that you have to have to develop experience. And that’s first knowledge, because if you don’t have any knowledge, you can’t know what you are looking for. And then the second one is the experience itself. And that’s something you will only get when you are working in a ward and you see or you observe, or you hear from other nurses what’s going on with the patients and when they suspect it will be acute graft-versus-host or not because the definition or the diagnosis themselves is mainly based on clinical issues and sometimes also because you don’t find anything else and then you suspect it’s acute graft-versus-host disease. 

Know your patient’s story, because if you know his history, his illness, his donor, his condition regimen, you will have some idea if graft-versus-host disease is likely to occur or not. But it’s not only the one who has a high potential to develop that can develop acute graft-versus-host disease, but also the one who has less signs, less possibility to get the graft-versus-host. So you have to see it for everyone, but we all know that the HLA mismatch, if it’s a male or female donor, what’s the condition, have CMV infection and organ damage before. That’s also taking part of developing graft-versus-host disease. So know your patient’s story and you will be more aware about graft-versus-host disease, when it occurs.

 

This transcript is AI-generated. While we strive for accuracy, please verify this copy with the video.

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