1. NDT 3: Keep yourself bowel happy Constipation – an online resource for carers of and people with palliative care needs Loretto Keane Clinical Nurse Manager St. Colmcille's Hospital

3. NDT 3 Donna Dillon Denise Cranston South Eastern Health and Social Care Trust Jean Maguire Brenda McIlroy Belfast Health and Social Care Trust Loretto Keane St. Colmcille’s Hospital Dublin Angela Watters Louth Specialist Palliative Care Team Dublin North East Breda O’Neill Milford Care Centre Limerick

4.  30-90% of palliative patients suffer with constipation at some stage of their illness  It is a distressing and uncomfortable symptom  Our literature review shows that constipation is poorly recognised and undertreated However……Can be very effectively managed Rationale

5.  To develop an online resource for patient and carers about recognising and managing constipation  To promote awareness of constipation in the palliative care population  To enable patients and carers to take an active role in prevention and management of constipation Aim

6. Reviewed literature and canvassed colleagues – this informed the content for the initiative Investigated different styles and presentation methods Consulted with a user group – Voices for Care Explored options to help facilitate our chosen method of delivery – Doodle animation Engaged with Ardmore Advertising and created the Story Board for the animation Approach

7. ACTIVITIES

8. Reflections on our journey Relationships Collaboration Story Board Face to Face or Virtual Negotiation Doodle / DVD Voices for care Teleconference

9.  Disparate group  Engaging with the world of doodle animation  Budget management  Powers of persuasion to negotiate the budget with the company: Original quote – £ 7,050 Final negotiation - € 3,000 Key Challenges

10.  Building new relationships  Engaging with people outside medicine and nursing  Meeting our creative designer  Attending Voices for Carers  Participating in each stage of the development  Receiving our finished product Highlights

11.  Prepare to launch the resource in our own clinical areas as well as within the wider palliative care community  Upload the animation onto the AIIHPC hub  Put a link unto Grapevine  Present at palliative care conference Next step

12. Acknowledgement Animation created in collaboration with members of the PCSNN Development Team and Ardmore Advertising Agency The PCSNN Development Team would like to thank Ardmore Advertising Agency for the creation and production of the animation PCSNN

13. The Doodle https://drive.google.com/file/d/0BwkkhuY8lN0BeE4xN3JIZE9DM1U/view?usp=sharing PCSNN