Integrating a palliative approach into the healthcare provided by the French-African Pediatric Oncology Group's pilot units. Insights from a 3-year training program.

Working alongside local stakeholders, members of the French-African Pediatric Oncology Group developed a 3-year program to train pediatric oncology teams from 15 French-speaking countries in Africa in using analgesics and providing palliative care. This program was rolled out in three phases: initial training, in situ assessment, and advanced training in selected topics. To access this program, multidisciplinary teams had to come up with a project to improve their existing palliative care and pain management practices, and commit themselves to implementing it.

[Management of fatigue in oncology].

Fatigue associated with cancer may be present at any stage of the disease; its characteristics vary depending on the type and the duration of treatment, the presence of side effects and the reactions from patients. Often associated with other symptoms (pain, nausea, vomiting, anxiety, stress etc.), fatigue affects the daily life of patients as much as or even more than pain.