Programme

Please click on each talk or speaker for more information

Session One Chair: Dr. Julia Williams, Senior Lecturer in Adult Nursing, Bucks New University

Session Two Chair: Jennifer-Louise Clancy, Chairperson, Hepatology Clinical Nurse Specialist, Royal Free Hospital, London


Session Three Chair: Jennie Burch, Head of GI Nurse Education, St Mark’s Hospital

Session Four Chair: Lisa Younge, Lead IBD Nurse, Bart’s Health NHS Trust

Thursday, October 31, 2019

8:30:00 AM -
9:00:00 AM

Nasogastric tube insertion is a frequent intervention done on the wards to administer artificial nutrition and hydration. Misplaced tubes into the lungs or pleural space can have devastating consequences. NPSA alerts have been issued to highlight the risk and address this ‘Never Event’. This presentation will cover the history of nasogastric tubes, a review of the NPSA alerts, algorithms and troubleshooting techniques to deal with those problematic insertions.

Exploring the challenges and learning around a nurse lead quality improvement project aiming to increase access for patients to palliative care in a tertiary liver unit. How the introduction of a clinical nurse specialist in palliative care and liver disease is changing culture and perceptions across both specialities.

Metaphors can help to illustrate complex issues and can illuminate a description of cancer to the lay public. However, they are also capable of creating or perpetuating stereotypes and stigma. Historically and metaphorically, survival has been associated with war or laws of nature and in cancer it is metaphorically aligned with war, fighting battles and survival.

10:30:00 AM -
11:00:00 AM

The ACE operation facilitates the self-administration of enemas into the bowel near the caecum. As it has been widely used in children, for the treatment of faecal incontinence and constipation, there is a necessity for health care professionals in adult services to have a greater awareness of this procedure.

Patients and their families expect nurses to deliver high-quality care. Maintaining these high standards is vital; however, this involves overcoming many challenges. Standards can be undermined by conflicting messages and interactions, as well as failures of communication, both with patients and between health professionals. Likewise, mistakes in data collection, documentation or interpretation, especially if influenced by professional bias, can lead to misdiagnosis and inappropriate interventions.

History taking and physical examination are increasingly being undertaken by senior clinical nursing staff, especially in nurse-led clinics and community-based care. Therefore, it is increasingly important that nurses are able to be systematic in their assessment and evaluations of interventions, as well as sensitive to patient wellbeing. Assessment is the crucial first stage of care delivery, forming the basis of diagnosis, planning, implementation, and evaluation. Nurses need to think critically about all the data they collect, whether subjective or objective. For the patient, assessment should not be a passive process, but should instead be dynamic, with active patient participation in explaining and clarifying the clinician’s findings. If a clinician relies entirely on their own findings without consulting the patient for their input, professional bias, whether unconscious or sometimes conscious, can lead to diagnostic overshadowing, in which a comorbidity can go undiagnosed. In patients with complex needs, this can lead to suboptimal care and even early preventable death.

This presentation aims to help nurses be aware of potential bias, employ theories of critical reasoning and take a systematic and patient-centered approach to assessment.

12:30:00 PM -
1:30:00 PM

Rachel will be examining adherence and concordance for 5asa medications, the impact on non-adherence and will host a case study discussion.

The recovery from major surgical complications is more than just physical.  This presentation will discuss the role of nurses in supporting patients’ emotional needs after surgical complications, including how a patient may need a nurse to act as an intermediary between them and their surgeon.

This presentation will  focus on Genetic Haemochromatosis (GH); the MOST common inherited genetic disorder affecting Caucasians that most people have not heard about! Despite its prevalence with approximately 1: 120 with the disease, only 1:5000 people are diagnosed with it.

In GH the body absorbs excess iron and over time can lead to systemic iron overload causing inflammation and tissue damage. Early symptoms are nonspecific such as fatigue, abdominal and joint pain and as  such, can be considered inconsequential by health care practitioners. Once diagnosed treatment is lifelong!

This talk will discuss GH, the signs, symptoms and treatment as well as discuss some research findings from a small qualitative study on patients experiences of the disease.

3:00:00 PM -
3:30:00 PM

Over the last ten years, management options for individuals with locally-advanced (PRbTME- primary rectal cancer beyond TME plane) or recurrent rectal cancers have improved considerably. Traditionally, pelvic exenterative surgery involved has been described by three distinct types of operation; anterior, posterior and total pelvic exenterations. More recent procedures include an extended lateral pelvic side-wall excision (ELSiE) for a lateral recurrence and partial sacrectomy for sacral recurrences. The aim of surgical treatment is to achieve an en-bloc resection of the tumour with a clear resection margin (R0).

Patients must be carefully consented, and all potential complications discussed in detail so that they can make an informed choice about whether they wish to proceed with treatment. In addition to coping with physical challenges, such as pain and fatigue, all patients will experience emotional issues as they adjust to alterations in their body image and function. Skilled support to address their psychological, social and financial issues is needed. Input from a range of nursing specialists in pain management, nutrition, stoma care and continence will be required. Nursing care is therefore essential throughout all stages of these patients’ surgical care.

This presentation will discuss the key role nurses play in managing any potential post-operative complications, supporting patients through the transition from critical care, to ward care and discharge home.

New IBD Standards and a Benchmarking Tool were launched in 2019 with the aim to transform how we care for people with Inflammatory Bowel Disease (IBD) across the UK. These have been created by IBD UK, a partnership of 17 patient and professional organisations. The IBD Standards set out what high-quality care should look like at every point of a patient’s journey – from first symptoms, to diagnosis, treatment, and ongoing care. The digital IBD Benchmarking Tool, with patient survey and service self-assessment components, enables IBD services to assess how they are doing against the IBD Standards and plan quality improvement.  Together with guidance, case studies and practical resources on the IBD UK website (ibduk.org), this insight will provide an opportunity to implement real changes in the way care in the NHS is delivered to patients with IBD.

Ceuta is a Spanish city on the north coast of Africa, sharing a land border with Morocco. Due to the bad quality of health services in Morocco, population from the north of Morocco are used to visiting Ceuta to receive proper care. In this case, a 49 years old Moroccan woman who had colon cancer, went under surgery in Ceuta, where she used to work.