Understanding the emotional impact of inflammatory bowel disease (IBD): looking after nurses looking after patients

Conference overview

This innovative conference will address the profound impact of inflammatory bowel disease (IBD) on patients and the complex emotional impact on nurses working with IBD patients.

For almost 100 years, the Tavistock and Portman clinics have embodied a distinctive way of thinking about and understanding mental distress, emotional wellbeing and the links with the physical body. The Trust provides rich learning experiences that are based in the day to day of clinical work but provide an important opportunity to look beneath and beyond the surface presentation.

Key note speakers will include Julian Stern who has spoken and published widely on the area of the psychological impact of IBD, including the impact on those working with IBD patients and Gareth Drake whose expertise focuses on using Mindfulness within the clinical setting.

“I am delighted that the Tavistock and Portman NHS Foundation Trust are hosting this conference, on a topic very close to my heart. For many years I have worked closely with dedicated and resourceful IBD nurses, and am aware of the extent to which they are often the professionals to whom IBD patients pour out their hearts, about the emotional consequences of living with IBD.

Whilst there is sometimes some psychological resource available for such patients, more often than not the IBD nurse and team have to carry this emotional load. This conference is dedicated to helping such nurses, and hopefully will contribute to further trainings in this critical area of need”

Julian Stern, Consultant Psychiatrist in Psychotherapy

The conference will be provided by the Tavistock and Portman NHS Foundation Trust and is free of charge to IBD nurse specialists. The conference has been generously funded by an Educational Grant from Ferring Pharmaceutical Company.

• To develop a greater understanding of the importance of ‘self-care’ for Nurses working within the IBD specialism and how this can benefi both themselves and the patients they work with

• To provide an opportunity to look at tools and techniques to achieve this within their own service

• To provide an opportunity to network with others and experience peer supervision

9.45    Registration and coffee

10.15  Welcome - Chris Caldwell, Director of Nursing, The Tavistock and Portman NHS                 Foundation Trust

           Introduction: - The Nurses’ Role in IBD Care - Lisa Younge, IBD Clinical Nurse                       Specialist

10.30 Developmental challenges for IBD patients-and their nurses

In this presentation Julian will talk about the specific challenges that IBD patients face in their lifelong psychological, social and psychosexual development. Any long term condition poses challenges to the development of the personality, and the specific areas of the body and bodily functioning that are involved in IBD, may pose particular, additional challenges to patients, their families and carers. Healthy and unhealthy defences may be employed (by all of us, to lesser or greater extents), and some of these defences will be illustrated through the use of case materials.  

Julian Stern, Consultant Psychiatrist in Psychotherapy

11.30   Coffee break

11.45  Being with patients – the impact of working with IBD

In this talk Dr Mahadevan will reflect on the experiences of working with patients with IBD and the thoughts and feelings evoked in this process.

Mellini Mahadevan, Consultant Psychiatrist in Medical Psychotherapy

12.45  Lunch 

1.30    Using mindfulness practice in the management of IBD

Patients and staff managing and living with IBD can often feel overwhelmed and filled up with distress. Mindfulness practice involves becoming aware of one’s feelings, sensations and thoughts in the present moment. This session will focus on the challenges involved in seeking and maintaining an ‘observer perspective’ when managing IBD by exploring the psychological aspects of IBD and discussing the utility of mindfulness practice for staff and patients. Through the use of experiential exercises, the aim will be for staff to become more familiar with the concept and practice of mindfulness and to have a space to think about where and when it might be applicable to their work.

Gareth Drake, Clinical Psychologist             

2.30   Clinical Case Discussions - Marcus Evans, Psychoanalyst and Consultant                            Psychotherapist

3.20   Facilitated clinical case discussions 

4.10   Coffee break

4.15   Facilitated Practice Development Discussions (small groups, facilitated by senior              IBD nurses focusing on opportunities for practice developments, identifying nurse,            patient and service opportunities)

4.45  Feedback from small groups

5.00  Close

Julian Stern BA (Hons), MB ChB, FRCPsych

After Julian completed his Psychiatry and Adult Psychotherapy training at the Maudsley Hospital London, UK., for the next 17 years-until September 2012- he was the Consultant Psychiatrist in Psychotherapy at St Mark’s Hospital, Harrow where he built up and headed their unique Psychological Medicine Unit. He has taught internationally and published widely in Gastroenterology, Nursing, Surgical and Psychiatry journals.

 In addition, in 2010 he was appointed as a Consultant at the Tavistock Clinic in London, where he is now Head of Psychiatry in the Adult Department. Since April 2016 he has been Director of Adult and Forensic services, at The Tavistock and Portman NHS Foundation Trust. He has published widely and has co-edited 2 popular textbooks “Core Psychiatry” (Wright, Stern and Phelan, now in its 3rd edition); and "Functional Gastrointestinal Disorders: A biopsychosocial approach" (Knowles, Stern, Hebbard) (2017).

Particular fields of expertise include:

  • Psychological and psychiatric symptoms in medically ill patients
  • Psychological and psychiatric symptoms following surgery / complications of surgery
  • Depression, anxiety, trauma and eating disorders in adults, especially with medical/ GI conditions

Julian has always enjoyed working closely with specialist GI Nurses and spoken at various nursing conferences including NECCO, UK IBD nursing meetings, ASCN (Stoma), and biofeedback courses/conferences.

Gareth Drake, Clinical Psychologist

Gareth works as a Clinical Psychologist for The Tavistock and Portman NHS Foundation Trust, in a service called the Team Around the Practice (TAP). We are based in GP surgeries around Camden, providing psychodynamically informed assessment, therapy and GP consultation for complex patients in primary care, including those with chronic physical health conditions. He is particularly
interested in the links between bodily symptoms and psychological distress and the way in which this distress can impact upon clinical staff. As a researcher, he has worked with nursing teams on a gastrointestinal ward at UCLH to explore barriers to optimal pain management, and have published articles on psychological approaches to functional bowel disorders and nursing education interventions for pain. As a clinician, he has found mindfulness-based therapies to be clinically useful in a range of settings, both as stand-alone treatments and as part of broader interventions.​

Dr Mellini Mahadevan

Dr Mahadevan is a Consultant Psychiatrist in Psychotherapy at Team Around the Practice, a primary care psychotherapy service based in Camden. She has trained in general adult psychiatry and psychoanalytic psychotherapy and has worked extensively in Group Relations Conferences.

Marcus Evans

Marcus Evans is a Psychoanalyst and Consultant Adult Psychotherapist. He was the first nurse appointed in a senior post at the Tavistock and Portman clinic and held the role as head of nursing for twenty years. He worked as a clinical nurse specialist in liaison psychiatry and head of the nurse lead parasuicide team at Kings College hospital in the 1980’s. His book, "Making Room for Madness in Mental Health: the psychoanalytic understanding of psychotic communications" was published in 2016.

This conference will take place at 9.45am - 5pm on Friday 7 December 2018 at the Tavistock Centre, London.

To register your interest please contact us at CPDEvents@tavi-port.ac.uk 

The Tavistock Centre, London
7 December 2018 09:45 to 17:00

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The conference has been generously funded by an Educational Grant from Ferring Pharmaceutical Company.

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