Effective bowel management beyond laxatives

Nov 16, 2021

Wednesday 8th December 2021

19:00 – 20:00 (GMT)

Best practice for transanal irrigation (TAI)

This webinar from the Bowel Interest Group (BIG), sponsored by Coloplast, will focus on TAI as a timely and cost-effective treatment for chronic constipation. Consultant Gastroenterologist Professor Anton Emmanuel and Specialist Continence Advanced Nurse Practitioner Carlene Igbedioh investigate the challenges and opportunities associated with TAI treatment including the time taken for patients to commence transanal irrigation (TAI); barriers to introducing TAI; the cost of treatments for chronic constipation; referral to specialist services; patient follow-up, and the impact of COVID-19 on already over-stretched services.

The learning objectives of this webinar are to:

  • Acquire a practical understanding of bowel dysfunction
  • Identify symptoms and when to consider TAI treatment: Why-When-How
  • Understand the TAI treatment algorithm
  • Understand the patient journey for TAI including the factors that influence patient selection, training the patient in the technology and techniques to improve adherence to TAI
  • Consider rationale and cost implications using BIG’s ‘Bowel Dysfunction Treatment Pyramid ’ to understand points of escalation in the treatment of chronic constipation and associated costs
  • Understand how to follow up with the patient and troubleshoot

Professor Anton Emmanuel

Professor in Neuro-Gastroenterology at UCL & Consultant Gastroenterologist at University College Hospital

Anton Emmanuel obtained his medical degree from London University. He is a Neuro-Gastroenterologist at University College London and Consultant Gastroenterologist at University College Hospital at the National Hospital for Neurology and Neurosurgery (Queen Square) and the Royal National Orthopaedic Hospital (Stanmore).

He is director of the GI Physiology Unit at University College Hospital as well as providing specialist gastroenterology service for patients with neurological illness He currently chairs the Clinical Studies Group of the NGM section of the BSG, is the Medical Director of Core, the largest UK gastrointestinal charity, and is editor in chief of Frontline Gastroenterology, a specialist clinical journal.

Carlene Igbedioh

Integrated Continence Advanced Nurse Practitioner, St Thomas’ Hospital

Carlene qualified in Luton & Dunstable Hospital in 1991. Soon afterwards started at Newham General Hospital in Plaistow, London. Her career started in Elderly Care & Acute Medicine. At the early stage in her career, she was involved in leading developments such as patient information, ward documentation development and student development.

She then went on to Senior Staff Nurse at Guy’s & ST Thomas’ Hospital in the Elderly care unit. Instrumental in developing the Continence Service at Guy’s & ST Thomas’ hospital in 2001 whilst working as a Senior Staff Nurse. Wrote the proformas, policies and leaflets for the service. Subsequently became the Continence Nurse Specialist in the trust covering elderly care and acute medicine.

30 years of service in the NHS, 19 years at Guy’s & St Thomas’ Foundation Trust. Developed the Continence service across all disciplines when first started at GSTT. Part of the integrated continence service, lead the pelvic floor unit, received thousands of referral per year. Involved in the integrated pathway with urology, urogynaecology and leading on it, ensuring one- stop services and streamlining the process, reducing the number of visits for patients. First nurse in the country to lead on the telephone assessment clinic for pelvic floor; this is a nurse led service. New service set up by the colorectal department. Booking appropriate tests and investigations, vetting the referrals for the telephone triage clinics. Also runs Nurse led biofeedback clinics.

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