The Ins and Outs of Bowel Disease Conference
- : Melbourne VIC 3000
Bowel disorders are increasing in Australia today and their treatment is increasingly sophisticated. Bowel diseases have a significant impact on a person’s entire health. Nurses are therefore crucial in ensuring patients with bowel disease have the best health outcomes possible. Attend this conference and update your knowledge about:
- The huge effects of inflammatory bowel disease
- Abdominal assessment to identify potential complications
- Faecal pathology and what this reveals
- Screening and staging of colorectal cancer
- How to select appropriate products and manage challenging stomas
- Review of modern antiemetic medicines
- Allaying anxieties and fears associated with bowel disease and much, much more...
8:30AM REGISTRATION FOR DAY ONE
TBAMy Experience of Living with Inflammatory Bowel Disease
This introductory session commences with a story told by a person who lives with a chronic bowel disorder. It includes the challenges of the condition and their experience of the care they have received. As well, it will discuss the type of care that has made a difference to their treatment.
Angela XirihaAbdominal Assessment - Recognising the Warning Signs
Assessing a person’s abdomen - especially if they are experiencing pain - can be challenging. However, an accurate assessment can identify potential problems and enable them to be averted early. This session reviews the basics of an abdominal assessment but, more specifically, focuses on how you can recognise warning signs that may indicate something is wrong. Includes:
- What is the correct framework for performing an abdominal assessment?
- What to ask, what to look for, what to feel for and what to listen for
- Subtle signs that may indicate:
- Ileus / obstruction
- High or low output changes and associated fluid balance challenges, e.g. electrolyte management
- Intra-abdominal collections
- Peritonitis / perforation
10:30 MORNING TEA AND COFFEE
Professor Mark JenkinsScreening for Colorectal Cancer
The incidence of bowel cancer is increasing in Australia. When this condition is detected early, the prognosis is optimistic. This session will give a general overview of how this condition is screened and the evidence-based pathways following screening. Includes:
- What is the role of bowel screening?
- Who should be tested and when?
- Overview of different screening tools and why the faecal occult blood test (FOBT) is recommended
- When are other methods of screening required, i.e. sigmoidoscopy, colonoscopy and DNA testing?
TBAFaeces Under the Microscope
Faeces and other tissue samples reveal much about the state of a person’s health and disease. For example, although the look and smell of a stool is revealing, a pathological analysis can reveal a raft of information. This session follows on from the previous session on screening for colorectal cancer and looks at:
- The pathologist's role in bowel cancer screening
- Why does the pathological stage of a tumour matter?
- Profile and features of advanced cancer cells
- What are the implications of different types of stools and tissue samples?
- How do the different types of specimens relate to outcomes?
12:45PM LUNCH BREAK
Associate Professor Louis RollerThe Use and Misuse of Antimicrobials
Antimicrobial agents are routinely prescribed in acute settings following surgery. How are different agents selected and what side effects should be considered? This session will review available evidence of a range of medicines and consider when it is appropriate for them to be prescribed and when misuse may be at play. Includes:
- Why exactly are antimicrobial agents used?
- Review of modern antimicrobial agents
- Side effects, adverse reactions and precautions including adverse effects on the gut
- Case scenarios to support best practice use of antimicrobials
TBAAids and Appliances for Stomal Therapy
There are a complex range of modern aids and appliances associated with the care of a person with a stoma. With more and more products constantly being released, understanding the correct use of each product is essential. This practical session looks at some of these products and gives you information on their use and application, and how this relates to optimum patient care. You will also discover some useful tips that you can share with your patients.
3:15 AFTERNOON TEA AND COFFEE
TBAManaging Challenging Stomas
Preoperative planning is seen as a cornerstone of optimal stoma management. However, a 'perfect stoma' may not always result. The effects of stoma complications on a person are significant. This session looks at the causes, consequences and tips for managing the following:
- What factors may make a stoma more difficult to construct and manage?
- Stoma complications and practical management options:
- Skin issues
- Parastomal hernia
- Retracted stoma
4:30 CLOSE OF DAY ONE OF CONFERENCE
9:00AM COMMENCEMENT OF DAY TWO
Megan YeomansManaging Pain in Patients Post Bowel Surgery
Evidence suggests that good pain management is intrinsically tied to improved patient outcomes such as reduced de-conditioning, rates of infection and other preventable complications. However, the complex nature of managing pain, particularly in the immediate post-operatively period requires nurses to be well informed. This session will detail evidence-based nursing management of pain, with a focus on patients following bowel surgery. Includes:
- The meaning of pain
- Quick revision of pain pathways
- Working through acute and chronic pain issues
- Surgical pain and treatment considerations
- ERAS- Evidence based practice
- Clinical application of evidence
Dr Guru IyngkaranInflammatory Bowel Disease (IBD)
Inflammatory bowel disease, of which Crohn’s and Ulcerative Colitis are most common, is chronic and lifelong. The rate of prevalence in Australia of this mostly hidden disease is one of the highest in the world and increasing. This session looks at:
- How is IBD defined and what are its causes?
- When is onset of the disease experienced?
- What is the course of the disease and its associated complications?
- What factors are associated with impaired health-related quality of life?
- What are the goals and evidenced principles of IBD treatment? (I.e. What’s normal? What should a person expect to be optimal quality of life?)
11:00 MORNING TEA
Dr Guru IyngkaranBeyond the Belly - Systemic Complications of IBD
The effects of IBD on a person are evidently far reaching. Complications are not just limited to the bowel. IBD or treatment associated with IBD can cause a raft of systemic effects to a person. This session will look at some common systemic complications of IBD. Gain knowledge to help you truly understand the impact of IBD on a person and identify complications early. Includes:
- Local complications of IBD that affect the intestines, e.g. strictures, fistulas etc.
- Skin conditions
- Urinary complications
- Other complications to be aware of
12:30PM LUNCH BREAK
Dr Jenny GowanPharmacological Treatment of IBD
Anti-inflammatory agents and immunosuppressants are common medicines used in the treatment of IBD. Antimicrobial agents may also be required, as well as other medications for pain relief and symptoms. These may be prescribed using a step-wise approach. This session provides a review of these medicines in the context of their treatment of IBD as well as precautionary considerations. Includes:
- What are the main types of medicines used in the treatment of IBD and why?
- Anti-inflammatory agents
- Immunosuppressants and biological agents
- Other adjunct therapies
- What are some of the long term adverse effects of these medicines on the person and potentially nurses?
- How to provide safe advice to patients
- Considerations when allergies are present
Jamee BarughNutrition for People Living with Chronic Bowel Disease
It should be no surprise that nutrition plays an integral part in living well with chronic bowel disease. Good nutrition assists with the management of symptoms and prevention of complications such as weight loss, flare ups, nutritional deficiencies and malnutrition. This practical, informative session will update you on relevant nutritional approaches to a range of chronic bowel conditions. It will look at what happens in the hospital and as a person transitions to going home. A strong focus will be on providing correct education. Includes:
- How do chronic bowel diseases affect appetite, absorption and other aspects of nutrition?
- When may oral supplements, enteral or parenteral nutrition be required?
- Correct, practical nutritional approaches to:
- Colorectal cancer
- Small bowel obstructions
- Diverticular disease
- Inflammatory bowel disease
- People living with stomas
3:00 AFTERNOON TEA
Dr Simon KnowlesOvercoming Fear and Shame...
Fear and shame associated with bowel conditions can be devastating to a person. It can affect their quality of life and delay seeking help. As with any serious illness the risk of developing co-morbid depression is very real. As well, the psychological implications for nurses when working with people with chronic bowel disease. A nurse's ability to care for and develop professional rapport with a person affected by lifelong bowel disease relies on understanding the impact of this disease. This session will look at ways that people can be assisted to deal with their condition and nurses to understand and offer appropriate support.
4:15Final questions and Wrap Up
4:30 CLOSE OF CONFERENCE AND EVALUATIONS
The Goal Need for Program
The incidence of people with bowel disease varies in Australia with some, such as inflammatory bowel disease and colon cancer, being common disorders. They are by nature anxiety-producing and may cause very uncomfortable symptoms. Current evidence suggests that timely management of these conditions and best practice care is imperative if wellness and quality of life is to be preserved. Nurses frequently connect with patients with disorders of the bowel and have a key role in their support and desired outcomes.Purpose of Program
This conference provides evidenced knowledge to promote best practice nursing care of people with bowel conditions.Your learning outcomes:
Correlate information obtained from a nursing assessment of a patient’s health and laboratory findings to develop appropriate care plans
Use current knowledge about bowel related disorders and their management to promote best outcomes for patients across the continuum of care
Patients in your care will be supported to deal with the anxieties and emotional strains associated with a bowel disorder
Use information relating to bowel health to promote prevention of disorders and to educate patientsPresenters
Angela Xihria is a Clinical Nurse Specialist on the Hepatobiliary and Upper Gastrointestinal Surgery unit at St Vincent's Hospital Melbourne. ... Read More
Professor Mark Jenkins is the Director of the Centre for Epidemiology and Biostatistics at the University of Melbourne. He is ... Read More
Associate Professor Louis Roller, PhC, BPharm, BSc, MSc, PhD, DipEd, FPS, FACPP has been an academic at the Faculty of ... Read More
Megan Yeomans has been a Clinical Nurse Consultant with over 20 years experience in the field of acute and chronic ... Read More
Jenny, a practicing pharmacist, is a Teaching Associate at Monash University, Melbourne. She is a member of the PSA Branch ... Read More
Jamee Barugh is a Clinical Dietitian at St Vincent’s Hospital Melbourne. Jamee graduated in 2007 with a Post Graduate Diploma ... Read More
Dr Simon Knowles is a Senior Lecturer and Clinical Psychologist based at Swinburne University of Technology, Melbourne. His clinical and ... Read More
Dr Guru Iyngkaran is a Gastroenterologist based at the Royal Melbourne Hospital, specialising in Inflammatory Bowel Disease. ... Read More
To Be Determined