chapter  18
8 Pages

IBD, psychosocial functioning and the role of nurses

ByJULIE DUNCAN

Although infl ammatory bowel disease (IBD) is undoubtedly organic, the infl uence of psychological factors, such as stress, anxiety or depression, upon disease activity and health-related quality of life (HRQOL) is increasingly considered important. Modern IBD services are multi-disciplinary and specialist nurses are now seen as core to a good IBD team with greater responsibilities for the direct care and management of IBD patients. They are often the fi rst point of contact to the patient; therefore, they are well placed to play an important role in the assessment or management of psychosocial issues associated with IBD. This Chapter will provide a nursing view on management of psychological problems in IBD and explore the role of the specialist nurse within the multidisciplinary team.