The Official Magazine of MS Australia – ACT/NSW/VIC www.msaustralia.org.au/actnswvic Autumn 2011 ISSN 1833-8941 Print Post Approved: PP 255003/08108 Common MS diets: A snapshot Is MS hereditary? Your guide to fire prevention at home Growing up with MS Practical advice and personal stories from children, siblings and parents World MS Day & MS Awareness Week New column: MS Advisory Council 25 May – 5 June Updates and initiatives www.facebook.com/MSAustralia http://twitter.com/MS_Australia www.youtube.com/MSSocietyAustralia Editor: Rebecca Kenyon Publisher: Multiple Sclerosis Limited ABN: 66 004 942 287 Website: www.msaustralia.org.au/actnswvic Frequency: Published quarterly in March, June, September, December Advertising enquiries: Tel: (02) 9646 0725, Fax: (02) 9643 1486, Email: [email protected] Design: Byssus, (02) 9482 5116, www.byssus.com.au Photographs: The stock images appearing in Intouch are sourced from Thinkstock.com Printing: Webstar Print MS Australia – ACT/NSW/VIC ACT Gloria McKerrow House 117 Denison Street Deakin ACT 2600 Tel: (02) 6234 7000 Fax: (02) 6234 7099 32 NSW Studdy MS Centre 80 Betty Cuthbert Dr Lidcombe NSW 2141 Tel: (02) 9646 0600 Fax: (02) 9643 1486 Victoria The Nerve Centre 54 Railway Road Blackburn VIC 3130 Tel: (03) 9845 2700 Fax: (03) 9845 2777 MS ConnectTM (information and services): 1800 042 138 (free call) Regional offices: Visit www.msaustralia.org.au/actnswvic and click on ‘Contact Us’ Privacy Policy: Visit www.msaustralia.org.au/ actnswvic for our full policy document ISSN: 1833-8941 Disclaimer: Information and articles contained in Intouch are intended to provide useful and accurate information of a general nature for the reader but are not intended to be a substitute for legal or medical advice. Multiple Sclerosis Limited is not recommending medical or legal advice and readers must seek their own medical or legal advice as may be appropriate. 11 Advertising disclaimer: Advertisements are provided to assist consumers to locate and purchase suitable products and services. Multiple Sclerosis Limited does not endorse any one product or service over another, nor do we receive any commission on sale of items. Consumers are encouraged to discuss the options for exchange or return at time of purchase with a particular supplier as Multiple Sclerosis Limited is not liable in the event the product is not satisfactory. MS Australia – ACT/NSW/VIC is a not-forprofit organisation that has been supporting and helping people with multiple sclerosis (MS) since 1956. Through an extensive network of centres, branches, support groups and health services, the organisation provides specialist programs to people with MS, their families, carers, friends and healthcare professionals. © Multiple Sclerosis Limited 2011 2 intouch autumn 2011 28 06 www.msaustralia.org.au/actnswvic Contents 16 FEATURES 9 2011 MS Awareness Week Mark your calendars for World MS Day and MS Awareness Week activities 11 My Story: Motivated by a Goal David Stratton challenges his MS and attends the gym for the 1,000th time 12 Special: Growing up with MS 34 CEO’s Message • In a child’s eye… We explore the increasing incidence of childhood MS and provide practical advice to affected families • When a parent has MS… Services, support and advice for children of parents with MS MS COMMUNITY 23 All for a Good Cause: How to get involved in community fundraising 24 Volunteers in Action: Helping to make a difference 26 Peer Support: Supporting our youth 27 Support Group Profile 28 MS Ambassador Profile: Meet Mary-Ann Germain HEALTH & WELLNESS 30 Get Active: Health promotion activities to help you stay well 32 Feature: Food for thought – common MS diets 34 Spotlight On: Exercise physiologists and therapists – how they can help Welcome to our first edition of Intouch for 2011. I would like to take this opportunity to wish you a happy, safe and healthy year ahead. Unfortunately, the New Year did not start well with the floods in Queensland, northern NSW and Victoria, and the raging bush fires in Western Australia. We are doing our best to assist those in the MS community who have been affected by these events. If you do need our support, please contact MS Connect on 1800 042 138 and we will determine how we can best help. In good news, I am pleased to announce the opening of our new supported accommodation facility at McKinnon in Melbourne’s south east. The home is specifically designed to accommodate six people with MS. You can read more about this exciting new development on page 7. It is my pleasure to introduce a new regular column in Intouch by Andrew White, Chair of the MS Advisory Council (MSAC). MSAC is a group of people living with MS who represent the needs and views of people with MS, their family members and carers. MSAC report to the MS Australia – ACT/NSW/VIC Board and through this new column, Andrew will share with you the latest news and initiatives from the Council. Also in this edition, we explore the impact of MS on children. It can be difficult for a child of a parent with MS to understand why Mum or Dad aren’t well, and there is an increasing incidence of paediatric MS, with our youngest client being just six years of age. Articles in this edition of Intouch will provide you with useful information about managing some of the challenges your young ones may face. Finally, World MS Day will be celebrated globally on 25 May, followed by MS Awareness Week in Australia. A week full of activities will again culminate in the MS Walk and Fun Runs being held in Sydney, Melbourne and Canberra on Sunday 5 June. Find out more about the events taking place on page 9. I hope you enjoy the first edition of Intouch for 2011. LIFESTYLE 36 Play it Safe... Tips for fire prevention and emergency planning at home REGULARS 5 Your Say 6 News 10 Q&A 20 Events 22 MS Readathon 29 Take Charge of Your Health 39 New Resources www.msaustralia.org.au/actnswvic Bill Younger CEO, MS Australia – ACT/NSW/VIC Thank you and Farewell to an Inspiring CEO Since the time of writing, our CEO Bill Younger has decided to hand over the reins after six years. Bill has been responsible for the smooth merger of, firstly, the NSW and Victorian MS Societies and, more recently, the merger with ACT. Bill’s passion for the MS cause will be dearly missed. The Board and staff would like to thank Bill for all he has achieved, and are committed to building on this strong foundation. Head of Corporate Affairs Ken Sharpe will act in the position while the Board undertakes an executive search for the next CEO. autumn 2011 intouch 3 Editor’s Note Welcome to the first edition of Intouch for 2011. I hope you all had a wonderful festive season and can now enjoy the cooler weather as the autumn leaves begin to fall. You may recall that our Autumn 2010 edition of Intouch focused on ‘Parenting and MS’, so it was felt that a follow up on ‘Growing up with MS’ was in order. An increasing number of children are being diagnosed with MS and many children who have a parent with MS have an important role to play as families learn to live with the disease. As such, we discuss both of these issues, providing useful strategies, resources and avenues of support that can help children growing up with MS to live full and happy lives. Interestingly, when this theme was set, I did not know that this would be my last edition before taking leave to start my own little family. My husband and I are expecting our first child in April, which is wonderful and exciting but, of course, comes with its fair share of uncertainty and anxiety. Having, myself, been affected by chronic illness as a teen and young adult, this naturally brings up emotions and concerns about my children being affected in the same way. With little research to draw on, I can only feel blessed to have been given the opportunity to bring a new life into this world and, as my parents imparted, to provide the unconditional love and support that will hopefully see my child through life’s biggest challenges. I plan on returning to MS Australia – ACT/NSW/VIC following my leave and in the mean time, Intouch will continue in the hands of the experienced Communications Team. You can still contact us on (02) 9646 0725 or email [email protected] I hope you enjoy this edition of Intouch and I wish you all good health and happiness for 2011. Rebecca Kenyon Editor Follow us online www.facebook.com/MSAustralia http://twitter.com/MS_Australia www.youtube.com/MSSocietyAustralia JOIN CL UB MS TODAY HELP US FU FOR PEOP NDRAISE $750,0 00 LE LIVING The 2011 WITH MS Melbourne Summer to explore Cycl Drive away or jet off to play! marvellous e offers you Melbourne a unique cyclists on opportunity in the sum Feb. 20th mer time to ride the Be part of . 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You ting e Summer desk, rovin are never cycle. to melbourn g informati too old or esummerc complete on, too young an applicati ycle.org.a to help out u or call (03) on form with online, plea 9845 2770 se visit www . . Limited, 246 • VIC Public draw IzeS IS Friday 1st $47,030 Limited, April 201 2a/10 Carr 1 at 11.0 ington Road 0am at Mult Winners will be notifi , Marrickvi iple Sclerosis lle, NSW ed by telep be publishe 2204. hone and d on www mail and .raffleres on 4th Apri the results ults.com l 2011. .au & www will .msraffle s.org.au YES! I wou ld lIkE to buY art 1 ticket: unIon tIck $15 Et(S) 2 tickets: 22 tickets: $25 $200 5 tickets: 33 tickets: $50 $300 44 tickets: $400 name: 8 tickets: $75 55 tickets: $500 from actual 11517/10 Lidcomb e NSW 2141 Getaways to the Whitsunday Coast and picturesque Phillip Island are also up for grabs for two runners up. TICKET ORDER FO RM The total value of all prizes is $47,030! OF ALL PR re may differ GOC/AU/1 in this brochu .1 • nSW images shown 10/00388 Sclerosis / automotive er: ACT R PReVIOU S WInneR S Art Union 208 draw held 24th 1st prize Septemb er 2010. Ms M Gitto 2nd prize es Mr F. Henr 3rd prize Entry no y 13664 Mr C. Towe Club MS Entry no rs 5048 prize Ms J. Simp Entry no COngRA son 16763 TULATIOn Entry no S to the winn 9409 ers and than who prov k you to all ided prize who boug s. ht tickets Multiple and spon Sclerosis sors Ltd ABN 66 004 942 287 photos: www.t hinkstock.co m AL VALUe Permit numb PROMOT eR: Bill Youn ger, Mult iple Destination Please Help & Order Your Tick ets Toda PHOne FRe y! Art Unio eCALL: 180 n 211 if outside 0 287 367 ACT/nS or (02) 829 W/VIC 9 0100 BY MAIL: Multiple Sclerosis Limited, FAX: (02) Locked Bag 9559 693 7001, Marr 2. BUY TICK ickville, NSW eTS OnL 1475 Ine: eMAIL: mslr www.msr affles.org affles@m .au saustralia .org.au TOT prize. 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Tickets are strictly limited so the odds of winning are great. address: 11 tickets: $100 16 tickets: Phone (H): Email addr ess: Phone (w): or debit my credit card Enclosed : is my cheq amex cardholder’s ue/money Mastercar order for d name: Visa $ Permit num credit card ber: ACT Expiry date no: r 10/00388 : .2 • NSW CLOSIng / Goc/au/1246 dATe FOR Signature • VIC : TICKeT SAL 11517/10 DRAW LIM eS: 9.00 AM 1ST ITED TO 30 ,000 TICkE APRIL 201 TS! 1 PRI I would like State: to join club Please make : cheques payab Please do $150 MS Postcode Phone (M): le to Multip not send le Sclerosis limited date: me any further ze dRAWn PHOne enqU mailings : 11.00AM IRIeS: 1800 287 367 MAIL: Multi 1ST APR or (02) 8299 ple Scler IL 2011 osis Limit 0100 if outs BUY TICK ed, Locked ide ACT/ eTS OnLI Bag 7001 nSW/VIC ne: www , Marrickvil .msraffles. le, NSW 1475 org.au eMA IL: mslra ffles@msau stralia.org .au The competition is drawn on 1 April. Giving Life Back For more information and to purchase tickets, visit www.msraffles.org.au or FreecallTM 1800 287 367 4 intouch autumn 2011 www.msaustralia.org.au/actnswvic Your Say Thank you for sharing your stories, tips and feedback. We’d love to hear more! Write to us at [email protected] or post your letter to ‘Intouch’, PO Box 210, Lidcombe NSW 1825 Freedom to ride LIFESTYLE Having lived with MS for 35 years, I usually use a walking stick and need some help from others to get around. However, I recently travelled to New York to visit family and decided that I needed to have some level of independence. I found it relatively easy to hire an electric scooter, which was delivered to the apartment, and I found an ‘Accessibility Guide’ on the New York City website. This enabled me to spend many hours in the parks with my grandchildren, visit their schools, museums and shops, and just feel the exhilaration of this vibrant city. For the first time, I was able to see all of Central Park and the Riverside Park, which, even for the fittest, is a challenge. I returned home feeling exhilarated, having travelled across the world alone and achieving this wonderful adventure. My message to others is that ‘you can do it too!’ With some forward planning, travelling is a very rewarding experience. My family were very proud of me and my grandchildren thought it rather exciting to have Nan on a scooter instead of walking at a ‘snail’s pace’. I just wish I had tried something like this years ago instead of thinking I needed to have someone to assist me. Anon, via email Staying connected I enjoy reading Intouch, which arrives at my Melbourne address but is forwarded to me in Malaysia. I was diagnosed with MS five years ago while working as a volunteer teacher in Malaysia. A year at home getting well gave me itchy feet again and I have been back teaching in Kuala Lumpur for four years now. I’m normally one of those people who don’t get too involved in MS issues, breakthroughs and so on but, thanks to my family, I still get all the MS support and knowledge I lack in Malaysia. Not only does my sister Molly read up on MS and pass information on to me, my amazing 13-year-old nephew Jasper rides in the Sydney to the Gong MS Bike Ride. Over the last two years he has raised thousands of dollars for MS. It makes me feel proud that my family takes such an involvement, especially given I am overseas. While my aim is to keep working and maintain my health, Molly and Jasper deserve a huge thanks from me for all their involvement on my behalf. G. Reid, via email The Official Magazine of MS Australia – ACT/NSW/VIC New-look Magazine! ISSN 1833-8941 Print Post Approved: PP 255003/08108 Beat the Heat summer 2010 www.msaustralia.org.a u/actnswvic summer 2010 A conscious consumer intouch 37 It was great to read about the ingenuity and achievements of those awarded Go for Gold Scholarships in the Summer 2010 edition of Intouch. I would like to support businesses such as these that are run by Australians with MS. Is there a registry of such businesses I can refer to so that I can become a more conscious consumer? Helen, via email Editor’s note: Thanks for your note Helen. Our scholarship winners are certainly inspiring. Unfortunately, we don’t currently maintain a list of businesses run by people with MS. However, we have included more detail about each of our Go for Gold winners (past and present) on our website at www.mssociety.org.au/go-for-gold.asp. If you would like to be connected with any of our winners, please call MS Connect on 1800 042 138 and we will endeavour to assist. Write in to WIN! Keep your feedback and stories coming in. Next issue’s theme will focus on ‘Vision and MS’. Each reader to have their letter published has won an Organic tea and chocolate indulgence pack Summer 2010 autumn 2011 www.msaustralia.org.au/actnswvic How to stay cool and safe this summer 2009 Go for Gold intouch www.mssociety.org.au Autumn 2010 ISSN 1833-8941 Print Post Approved: PP 255003/08108 36 Great intouch 5 NEWS Oral Meds Update Below is the latest information regarding oral medications in the pipeline: Movectro® (cladribine tablets): Following approval by the Therapeutic Goods Administration (TGA) last year, a ‘familiarisation’ program commenced in January and some people in Australia are now taking cladribine. The application for a Pharmaceutical Benefits Scheme subsidy for cladribine tablets is listed for consideration at the March meeting of the Pharmaceutical Benefits Advisory Council. Gilenya® (fingolimod tablets): Approved by the TGA in February for use by people with relapsingremitting MS in Australia. Details of cost and access schemes are yet to be released. Applications in Europe are proceeding. Ampyra® (fampridine tablets): No news in Australia, although an application for approval in Europe has been turned down. Go for Gold Scholarships: Apply Now! Applications are now open for the 2011 Go for Gold Scholarships. Thanks to the generous support from the 24 Hour Mega Swim Program, last year the scholarships helped change the lives of 65 people living with MS. We encourage all people with MS in the ACT, NSW and Victoria to apply. Applications close 30 June, so don’t delay. For more information about the scholarships or to download an application form, visit www. mssociety.org.au/go-for-gold.asp or call 1800 042 138. 6 intouch autumn 2011 Pedal Power On Sunday 20 February, close to 5,000 cyclists took to the streets to pedal for a cause as part of the 2011 Melbourne Summer Cycle. Participants of all ages and abilities geared up for the ride, from family groups to corporate teams; serious cyclists to recreational riders. A range of fundraising strategies were used to great effect, from simply sending emails to friends and family, to online social networking and staging local fundraising activities before the event. To date, more than $550,000 has been raised for people with MS. Top fundraising teams included Form 700 and Keilor Cares, with Swan Hill Supporting MS leading the field, with 99 members and a tally of $48,630 raised. Erin Ede, Abby Johnson and MS Ambassador Danny Potter were among the highest individual fundraisers, with Peter James coming out on top with an outstanding $25,830! MS Australia – ACT/NSW/VIC would like to thank the Events Team and all of our fundraisers, sponsors and volunteers who put in an exceptional effort. You all helped make the 2011 Melbourne Summer Cycle a great success! n MS Supporters Honoured Three of our most steadfast and dedicated supporters were rewarded with Australia Day honours this year. Australian of the Year Simon McKeon was founding chair of our research arm, MS Research Australia, and a long-time champion of our cause. Simon’s wisdom and business expertise has helped shape and develop MS research in Australia to an unprecedented level. As a person with MS, he embodies the contribution that so many people living with this disease continue to make to our nation. Stephen Niall King (known to us as Niall) was honoured with the Medal of the Order of Australia (OAM). As one of our most active and generous volunteers, Niall’s hard work has lead to numerous improvements to our residential care facility in Lidcombe. Our congratulations also go to Sue Gavel, who was named Leeton Shire Council Citizen of the Year. Sue and her husband John have anchored our Murrumbidgee Irrigation Area Branch for the past 15 years, putting in thousands of hours in support of our cause. “These three people, in very different ways, embody the MS community spirit,” commends Bill Younger, CEO of MS Australia – ACT/NSW/ACT. “Whether our supporters are working on a national level as Simon has, or on a local level like Niall and Sue, they make their mark in a very real way.” n www.msaustralia.org.au/actnswvic NEWS News from MSAC By Andrew White, MSAC Chair New Accommodation Facility Opens A new shared supported accommodation facility in McKinnon, Victoria was officially opened on 23 December. Built in response to the Young People in Nursing Homes, my future my choice initiative, McKinnon provides contemporary accommodation (pictured) to six young women living with MS, close to a popular shopping precinct and train services. The accommodation focuses on a holistic approach to care through the provision of a healthy home-like environment where residents feel safe, secure and supported, and where opportunities and choice are routine. Australian Home Care, who currently partner with MS Australia – ACT/NSW/VIC in shared supported accommodation and respite for the neurological and progressive neurological group, provides the care services to McKinnon residents. n Top Journalism Gong for Disability Program We would like to congratulate John Blades, a person with MS and producer of world-renowned radio program, The Too Hard Basket, for taking out one of Australia’s top journalism honours at the 2010 Walkley Awards in December last year. “Attending these awards was truly the greatest experience of my life,” says John. “With the awards being televised and mention made of my MS, I hope that this has helped raise awareness of the disease and the work of MS Australia – ACT/NSW/VIC.” The following day, John also took out the 2010 Human Rights ‘Radio Award’. Congratulations John for all that you have achieved and continue to do for others living with MS. n New Carer Resource Carers NSW has developed a new online resource for carers, the Carer Life Course. This interactive course identifies six phases of caring that most carers go through, while providing relevant information, support and resources. To access the course, visit www.carerlifecourse.org.au www.msaustralia.org.au/actnswvic Welcome to this new regular update from the MS Advisory Council (MSAC). As the Chair of MSAC, I am delighted to be able to communicate our initiatives and achievements to others with MS, and engage you in our activities. There is clear evidence to support the positive impact that strong community consultation and engagement can have on the quality of services delivered by organisations such as MS Australia. As such, MSAC has been in place for a number of years to provide the MS Australia – ACT/NSW/VIC Board of Directors and management with the views of people with MS, their family members and carers. Last year presented an opportunity for MSAC to review its Charter going forward. This involved looking at ‘best practice’ for consumer engagement and consultation; a full review of member roles; recruitment of new members in Victoria; and planning for future projects. Key to this work was ensuring that the Council remains well placed to achieve its major objective – to accurately and actively reflect the perspectives of people with MS, their families and carers. This year, the Council will initially focus on achieving much wider engagement with the MS community across the ACT, NSW and Victoria. To do this, new Council members will be sought and appointed from ACT and NSW. Please look out for our advertisements calling for expressions of interest to fill these roles. Importantly, the Council is also building a diverse network of representatives from the MS community to be involved in projects and consultation that will assist us in providing the MS Australia – ACT/NSW/VIC Board and management with the most representative and insightful feedback. We welcome the involvement of all in the MS community and encourage you to register your interest to get involved by visiting www.msac.org.au and following the links to ‘register’. Your details will be kept private and will only be used for the purposes of MSAC. Finally, other projects the Council has in the pipeline for 2011 relate to people newly diagnosed with MS, carers and potential new treatments. In conducting these projects, we aim to gather many and diverse perspectives and provide the most insightful and meaningful input and feedback from our community. We will be delighted if you can join us in this work as we believe that it will ultimately make a significant difference to all within the MS community. To contact us, please email [email protected] autumn 2011 intouch 7 NEWS: ADVOCACY At the launch: Pilot participant Michelle Brown with her husband (right) and Minister Peter Primrose. Positive Results for NSW Continuous Care Pilot Positive results from the NSW Continuous Care Pilot were launched at Parliament House in December, by the NSW Minister for Ageing, Disabilities, Youth and Volunteers Peter Primrose. The detailed evaluation findings from this project build on those already established by the Victorian Continuous Care Pilot completed in December 2009. Together, these pilots form a compelling case for a specialist neurological care coordination model to be introduced in both states. To recap, the Continuous Care Pilots (CCPs) trialled a new model of care for people with progressive neurological conditions who are at risk of being placed in a residential care facility (nursing home). Funding was provided by the state governments under the Young People in Residential Aged Care program in NSW and the Young People in Nursing Homes, my future my choice initiative in Victoria. MS Australia – ACT/NSW/VIC provided additional funding to support major evaluations of each pilot. The independent evaluations of these pilots found that this was a successful and important new model of care to prevent younger people with progressive neurological diseases being placed in nursing homes. “While actively campaigning to get young people out of nursing homes, we were acutely aware of the need to find better ways of assisting people to be supported at home and avoid the risk of placement in aged care,” says Alan Blackwood, Policy Manager at MS Australia. “By combining community care services with clinical input through a specialist coordinator, the projects clearly 8 intouch autumn 2011 demonstrated that it is possible for people with complex needs to remain at home with their families if care programs are individually tailored and well-timed.” “Some of the key findings were that meeting needs as they emerge and supporting families are critical to success. Both projects pointed to the importance of working closely with individuals and families in care planning. Nearly half the participants had dependent children, adding to the imperative for people to stay at home.” Michelle Brown was one such participant. Diagnosed at 28 with two young children, Michelle spent much of her first year with MS in hospital. “Like every young mum, I want to live at home and be the best mother and wife I can possibly be,” she says. “I don’t want to be a patient and, most of all, I don’t want to go into an aged care facility. “As soon as I joined the Continuous Care Pilot, and was assigned a team of experts to manage my symptoms at home, things really started to change. The team kept in close contact with one another, sharing information about me and my circumstances, so I never really needed to reach out for help. It was just there.” The findings of both pilots are being examined by federal and state government agencies. MS Australia – ACT/NSW/VIC, along with other organisations representing people with progressive neurological conditions, will continue to press for the introduction of this approach across both states. n Policy Updates: Disability Care and Support Inquiry The much anticipated interim report for the Productivity Commission inquiry into the feasibility of a national disability funding scheme has been released and is available at www.pc.gov.au/projects/inquiry/ disability-support. MS Australia will be responding to the interim report in the inquiry’s second round consultations. For the latest updates on this inquiry, please visit www.msaustralia.org.au National Carer Strategy The Federal Government is developing a 10-year strategy to improve government programs for carers. Carer recognition legislation is also being set across Australia. The strategy is still in development and will include elements that cover employment, information, services and carer recognition. MS Australia is contributing to the strategy and has recommended specialised employment support programs for carers, giving all carers the legislated right to request flexible working arrangements and access to a personal injury insurance scheme to cover them for injuries sustained through providing unpaid care. For more information, visit www.health.gov.au/nationalcarerstrategy www.msaustralia.org.au/actnswvic Education and Awareness Activities MS Awareness Week Mark your calendars: 25 May – 5 June! This year’s World MS Day and MS Awareness Week has something for everyone. Here are just some of the activities you can get involved in. Keep checking our website for more details. MS Australia – ACT/NSW/VIC will host or take part in the following activities around MS Awareness Week. GP Conference and Expo (GPCE) 20–22 May 2011 Sydney Showground, Homebush NSW Rehabilitation for people with MS: Professional development seminar for allied health professionals 25 May 2011 Studdy MS Centre, Lidcombe NSW MS Research Update Keep up to date with the latest in MS research. Presentations by experts in MS research with the latest findings on a range of topics including clinical trials, genetics and vitamin D. 28 May 2011, 9.30am – 12.30pm Macquarie University, North Ryde, NSW (and via live webcast) MS Walk & Fun Run: 5 June Running concurrently in Sydney, Melbourne and Canberra, this year’s MS Walk and Fun Run is set to be our biggest and best yet. Not only does this esteemed event help increase awareness of MS in the community, we are also aiming to raise over $1.1 million to support people living with MS. Team Gopez has been one of our top fundraising teams for many years. Lead by Annette Lopez (whose husband Perry has MS) the team has raised an amazing $180,000 to date. “Participating in the MS Walk and Fun Run is extremely rewarding for us,” says Annette. “We are very lucky to have the support of great friends and family, as well as the Mosman Daily and local businesses who have continued their support over the years. “The ‘Walk’ is one of the best initiatives for us because participants can choose from different levels of involvement. Some of our friends are great at raising money but don’t necessarily want to walk on the day, others love to put on the colours and really get into the atmosphere, and then there are the die-hard runners – overall, there’s something for everybody. “The main ingredient of our team’s success is that all of the members are walking for Perry. Perry never complains about his MS and is just the perfect husband, father and great mate to everyone. If you can duplicate that you will have a successful team and a wonderful day.” How can you get involved? l Enter by starting or joining an existing team.There are walk and run courses suited to people of all abilities. l If you’re unable to walk or run the course, why not ask a family member, friend or colleague to do so on your behalf? You can offer to help set up the team online, rally support and perhaps coordinate some more local fundraising to go towards the team’s total. l Support a team online and/or alert your family, friends and colleagues to such a good cause. l Have you considered volunteering? Call us to talk about the opportunities available. For more information, visit www.mswalk.org.au www.msaustralia.org.au/actnswvic A number of information sessions, morning teas and other community events will take place in local areas. For the latest information about these events, check our website or call MS Connect on 1800 042 138. To receive updates and invites to MS events, please ensure we have your current email address. worldMSday Employment Focus Now in its third year, World MS Day – an initiative of the Multiple Sclerosis International Federation (MSIF) – will take place on 25 May. Continuing with the success of last year’s theme, ‘Employment and MS’ will again be the main focus for the global MS movement in May. The MSIF has initiated a petition to encourage employers and policy makers to remove the obstacles preventing people with MS from getting or staying in work. An international survey is also exploring the policies and facilities that are in place to support people with MS and other chronic conditions. For more information, visit www.worldmsday.org autumn 2011 intouch 9 Q&A Your MS-related, health and lifestyle questions answered. If you have questions about MS-related concerns, please contact MS ConnectTM on 1800 042 138. Associate Professor David Booth*, one of Australia’s leading researchers in the field of MS and genetics, advises that genetic testing is not necessarily helpful for people with MS and their families. Given the complex interplay between genetics and environmental factors, he says there is little that can be learned from a genetic test that could not be discovered from a family’s history. Genetics are just one part of the picture when it comes to understanding why MS occurs in some people and not others. The most dramatic illustration of this comes from studies in identical twins. Where one twin has MS, the chance of the other twin developing 10 intouch autumn 2011 * Dr David Booth is an Associate Professor at the Westmead Millennium Institute for Medical Research. He is a research scientist studying the genetics of MS. Useful Resources: The resources below may help you to understand more about genetics and MS: l MS in Focus, Issue 8: Genetics and hereditary aspects of MS – www.msif.org l MS Essentials Factsheet: Genes and MS – www.mssociety.org.uk For more information about genetic counsellors visit: l Centre for Genetics Education – www.genetics.com.au If you are interested in participating in any of the research currently exploring the genetics of MS, there are two major studies you might like to investigate: l ANZgene – www.msra.org.au/anzgene l Ausimmune – http://nceph.anu.edu.au/ Ausimmune/index.php www.msaustralia.org.au/actnswvic Thinkstock/iStockphoto My partner was diagnosed with MS in June last year. I was told that MS is not hereditary, but this is still something that I am unsure of. Do we need to see a genetic counsellor if/when we are thinking about having children? Can a father pass MS onto his children? – R. Verrills MS is between 20–26 per cent. This means that even when all genetic variants are identical, the chance of determining accurately if a twin of someone with MS will develop the disease is no more than one in four. The chance of a person from the general population developing MS is around 0.1 per cent. For a person with one first-degree relative (a person who shares 50 per cent of their genes) who has MS, the risk is around two per cent which, despite being many times higher, is still a very low risk (i.e. about 49 in 50 such people will not develop MS). A/Professor Booth explains that the direct value of studying the genetics of MS is that it enables researchers to build knowledge of the important processes in the development of the disease. This allows them to develop therapeutic strategies based on this knowledge. It is advised that you discuss any concerns you may have about MS with your GP and/ or neurologist. They will provide you with information and support about your individual circumstances. n My Story: Motivated by a Goal Living with secondary progressive MS and being unable to walk did not stop David Stratton from reaching his goal to attend his local gym for the 1,000th time. He tells Rebecca Kenyon what keeps him motivated. The year was 1996. David Stratton was married with six teenage children, living in Canada, working as a university IT consultant, and regularly indulging in his passion for hiking in the mountains. However, when he began stumbling during his hikes, David’s Australian wife Ros suggested he see someone about it. Thinking it was simply due to walking through rough terrain, David made a visit to the doctor to ease his wife’s concern. However, the verdict was much more serious. An MRI revealed David has MS. While the diagnosis came as a surprise, David says his MS symptoms don’t tend to occur as suddenly. “Secondary progressive MS is slow and gradual, allowing me the chance to get used to things, but always getting worse. While Ros and I do grieve about what could have been, I tend to be a ‘glass half full’ kind of person, which helps.” Wanting to simply get on with life, the couple moved their family back to Australia later that year, settling in regional Victoria where David began work as a university lecturer. While his mobility became significantly affected, progressing to a point where he needed a walking frame and a wheelchair, David says he was fortunate to have a supportive employer and an appropriate occupation. “My boss ensured that the workplace was gradually adapted, with ramps and doors that opened automatically. For people with MS, it’s really important to do work that suits our disposition.” Strength in numbers Other than his love for hiking, David admits to never being one for ‘fitness’. “I was certainly no gym-junkie; in fact, I often considered myself a bit of a Sharing the joy: David with his wife Ros (left) and daughter Jo during the celebrations at his 1,000th gym visit. wimp. In those earlier stages of using a wheelchair, Ros could see how I really needed to heave myself up and that I lacked a lot of strength.” When a nurse mentioned that her brother ran a local gym, David decided that’s where he would go. With the help of his daughter Jo who has a background in sport science and physiology, David was able to get started. “She would come and review my gym program and work out new methods of torture for me,” David laughs. After a few years of visiting the gym twice a week, David realised that if he went four times a week, he would reach 1,000 visits around Ros’ sixtieth birthday. “The idea of a birthday gift kept me motivated – I was counting every visit to work towards that occasion. If I missed a visit, I would always make it up. The gift was very much something for both of us.” David was right on schedule and reached his goal on the Friday before Ros turned 60 in June last year. “We had a little celebration at the gym; it was covered by the local press and the gym gave me a cake and three months free membership, which was very generous of them. “Everything you read about the benefits of physical activity is very real. I definitely feel more positive and brighter about life. It also means I have retained my physical strength, so I can still do transfers (to and from the car, bed etc), get up off the floor on my own and so on. “I think the important thing for people with MS is to just start! Goalsetting can be great, too, especially if you need help staying motivated.” For the past year, David has used his wheelchair full-time, and in July last year decided it was time to retire from his job. Realising he would need more care, Ros also retired. “She is my strongest support. We are ridiculously in love so it works really well for us. However, respite for her is still very important. We have great friends and family who will come to care for me while Ros takes some respite, often heading out on wilderness walks to have some time alone.” The couple recently enjoyed an overseas trip to England and Canada where David took advantage of a new device called the Trail Rider. This enabled him to join Ros on a hike up the mountains and even snow skiing. Between trying to get a product like that into Australia and his work in the local community, David is never far from achieving even more life goals. n Would you like to share your story with other people living with MS? Contact the editor on (02) 9646 0725 or email [email protected] www.msaustralia.org.au/actnswvic autumn 2011 intouch 11 GROWING UP WITH MS In a child’s eye... With a growing number of children being diagnosed with MS, Rebecca Kenyon explores this phenomenon and seeks personal and professional advice for those families who are affected. 12 intouch autumn 2011 The impact of childhood MS Relapsing-remitting MS is the most common type of MS among children with the disease, says A/Professor Kornberg. For children above the age of 10, there is also a noticeable skew towards the number of females being diagnosed. The symptoms experienced by children with MS are very similar to those experienced by adults – pain, dizziness, fatigue, vision difficulties, challenges with thinking and memory and so on. “On a physical level, the impact of childhood MS can be much more significant simply because of age,” explains A/Professor Kornberg. “However, the biggest impact of MS can be on a child’s cognition. We know from research that MS can severely impact a child’s learning and cognition in comparison to an adult who has already done most of their core learning. On an emotional level, too, the whole family can be affected by the MS, so it is a significant and severe disease.” Keeping it under control The good news is that treatment, support and services are readily available to assist families to manage the physical, emotional and mental impact of MS. “The vast majority of children respond to immunotherapy treatment,” says A/Professor Kornberg, “but we also work with families to help them understand what the disease is, why treatment is so important, and where they can access the necessary support. When we’re talking to the kids, we naturally change the theory to a level they can understand.” www.msaustralia.org.au/actnswvic iStockphoto/Thinkstock/Pixland While MS is now the most common neurological disease among young adults, we are also seeing an increasing incidence of early-onset MS in children. “Globally, between 10 and 15 per cent of people diagnosed with MS are under the age of 16,” confirms Associate Professor Andrew Kornberg, Director of Neurology at the Royal Children’s Hospital Melbourne. “The vast majority are aged between 10 and 16, with the percentage dropping to about three per cent for children under 10. While these figures may seem relatively small, the fact is that we are seeing more children diagnosed with MS than what we were, say, 15 years ago.” So why is this happening? “If we look at many autoimmune diseases and their incidence in children, such as type 1 diabetes and Crohn’s disease, they have become more frequent over time. It is the same for MS,” explains A/Professor Kornberg. “There are a number of theories about why this is happening, such as: the tendency for Western cultures to be a bit ‘too clean’; the existence of new viruses; and environmental factors, such as the role of vitamin D. All of those may play a part. “Paediatricians are also more inclined to diagnose children because MS treatments are now available. Prior to 1997 we didn’t really have any treatments that made a difference, so we tended not to make the diagnosis. Nowadays, with a variety of new ‘effective’ treatments available, we do diagnose children as quickly as possible.” GROWING UP WITH MS “Paediatric neurologists tend to be much more holistic in helping children and their families manage MS. We have to look at the physical effects of the disease – relapses and so forth – but we look at the whole-of-life impacts as well. To do this, we involve a range of people, such as teachers and health professionals who specialise in working with people with MS. This ‘support team’ tend to be involved in the early stages with children because it’s more than just the relapses that can affect them. “Managing any long-term effects on cognition is particularly important for children with MS,” stresses A/Professor Kornberg. “A child’s neurologist needs to work closely with the parents and support team to identify the child’s strengths and weaknesses. “We’re also very diligent in looking for the impact on the child’s emotions (such as signs of depression and anxiety) and we get them the appropriate support immediately.” Considerations for teenagers As teenagers become more independent and have the added pressure of puberty and wanting to ‘fit in’, A/Professor Kornberg warns that they may think they have their disease under control and stop taking their medication. “Some may go into complete denial about their illness. Obviously this can have significant repercussions for the child, so it’s something parents and the child’s support team need to be on the look-out for. For example, parents should check in occasionally about how the child’s injections are going. Many kids will learn how to inject themselves, but checking that they’re injecting correctly and whether they are having any local reactions will often tell a parent whether the child is taking their medication properly. We also ask them to look out for emotional changes, such as whether the child is acting a little more subdued, withdrawn or having trouble sleeping. “It is also healthy for the teenager to have a friend or family member (other than their parents) who they can confide in about how they’re feeling.” Connecting with other teenagers living with MS could also help. The MS Australia – ACT/NSW/VIC Peer Support Program can be extremely beneficial. Accessing support A child’s healthcare team, along with Community Support Workers and allied health professionals from MS Australia – ACT/NSW/VIC will be able to assist parents who may need help with explaining certain aspects of MS and how a family can best live with the disease. To contact us for support, call our information line on 1800 042 138. Also, there are some great books, websites and other information resources available for children and their families living with MS. We have highlighted some of these throughout the following feature within this ‘Growing up with MS’ Special. One website that is particularly useful for kids and teens who have MS or know someone who does is ‘Young MS’, by the UK MS Society. Visit www.youngms.org.uk Research Insight Given the increasing incidence of childhood MS, the International Paediatric MS Study Group (IPMSSG) was formed in 2002 by a global network of neurologists, scientists, clinicians, representatives of international MS societies and other relevant organisations. Associate Professor Andrew Kornberg, Director of Neurology at the Royal Children’s Hospital in www.msaustralia.org.au/actnswvic Melbourne, has been on the IPMSSG Steering Committee for the past seven years. “The aim of the group is to conduct clinical trials and research into why MS is happening in young children, and to educate the world about paediatric MS and best practice for treating it,” he says. For more information about the group, visit www.ipmssg.org autumn 2011 intouch 13 GROWING UP WITH MS Support for Siblings Case Study: Angela’s Story Age: 23 Occupation: Student Siblings: 2 sisters and 1 brother Diagnosed with MS: Aged 10 Have you had a strong support network around you? Yes, my family provided wonderful support, and still do. I am the youngest of three but I am particularly close to my sister Josie who is just one year older than me. I think my parents and Josie took on a lot of the 14 intouch autumn 2011 pressure. My parents are Lebanese, so for them, MS was even more foreign. In the Lebanese culture, illness is generally something that you keep to yourself. English is their second language, so understanding what was going on was very confronting for them. I think they learnt the most by just watching how the MS was affecting me. It was especially hard for them to explain to me how important it was to take the injections. MS Australia has also been an amazing support, especially when I was changing medications. A nurse would come to see me whenever I needed them to. How do you feel MS affected you as you were growing up? I didn’t have to repeat a grade at school, which was good. All of the teachers realised that when I was at school, I worked extra hard to catch up. I always felt like I couldn’t tell anyone else about my MS. You know little kids; they think that they’ll catch MS just by hanging around someone who has it, so I didn’t tell anyone until after year 12 when I hand-picked three friends who I wanted to know. They were really great about it. As a kid, it can be very frustrating not being able to do as much as other kids can. From an early age, I didn’t really take part in sport because it would just exhaust me. I learnt pretty quickly what I can and can’t do. I like to stretch my limits, but that isn’t always good for my MS. Stress can definitely flare things up for me. Like anyone, I do go through times when I’m in denial about the MS. Sometimes I don’t think about it at all and I let normal life take over. But there are moments when I think, ‘why me?’ Has there been anything positive to come out of your experience? Yes, I’d always thought that I would like to do something with MS Australia; to give back what they have given to me. When I saw an advertisement calling for Peer Support Volunteers, I thought it would be a good opportunity. Now, it’s actually very rewarding. I like helping others realise that they’re not alone and that they’ll get through the challenges that MS throws at them. What would you like to achieve in the future? I like this feeling of being able to help other people. I am studying a Diploma of Community Services and doing work experience at the Wesley Mission, Youth Outreach Centre, so I think I’d like to do more of that. www.msaustralia.org.au/actnswvic Thinkstock/Hemera What was it like when you were first diagnosed with MS? I was eight years old when I had my first MS attack but I was officially diagnosed with MS two years later. The symptoms weren’t too bad at first but by the second year, I kept having regular attacks that affected my speech, vision and mobility. After two lumbar punctures and numerous MRI scans, I was eventually diagnosed. I remember being in Westmead Children’s Hospital and everyone swarming over me. It was pretty scary not knowing what was wrong, but I was also concerned about school. Spending so much time in hospital, all I could think was, ‘I don’t want to repeat’. I had never heard of MS before and neither had my parents. It wasn’t until I was about 12 that I became fully aware of what I have and what this means. MS Australia – ACT/NSW/VIC sent me a newly diagnosed kit and I remember reading along thinking ‘yes, that’s me’. I realised I wasn’t alone. GROWING UP WITH MS Siblings of children with MS can also be significantly affected by their brother or sister having MS. “Siblings will often have concerns about their brother or sister who is unwell (why do they have to go to hospital; why do they have MS; why do they have to have injections?) and they worry about whether they will also get MS and when this might happen,” says A/Professor Kornberg. “Issues for siblings can also go as far as them feeling as though Mum and Dad are always more concerned about the child who has MS, rather than them. “Overall, it’s important that siblings also get the necessary support. We talk to families about making sure that everyone has their ‘special time with Mum and Dad’ and to encourage siblings to talk about their concerns. Foster open communication and explain to siblings in age-appropriate language what the MS is, that it’s not likely to happen to them, and it’s not their fault.” Siblings Australia is a national organisation committed to enhancing the wellbeing of siblings of children with disability and chronic illness. For more information, visit www.siblingsaustralia.org.au about Angela and what this meant. Before that, all I knew of MS was that our school raised money for the MS Readathon, but I had no idea what MS actually was. That soon changed, as we all started researching to find out more about it and what we could do to help. A Sister’s Perspective: Josie’s Story Age: 24 Occupation: Ecomomist Relation to person with MS: Sister Started living with MS: Aged 11 What do you remember about the time when your sister was diagnosed with MS? I remember my parents taking Angela to ‘Emergency’ on many occasions, seeing several doctors and undergoing extensive tests to find out why she was so sick. It was very scary and very stressful to see her like that and to be so helpless. I vividly remember the time Angela’s doctor was telling my parents that her attacks were consistent with MS. My parents were very distressed and worried www.msaustralia.org.au/actnswvic MS has had a significant impact on everyone [in the family] but, on a positive note, it has made us stronger as individuals How has MS affected you growing up? MS has had a significant impact on everyone on a number of levels. Angela and I are very close in age; we have always done everything together and have always been best friends as well as sisters. It was tough seeing her so sick. Particularly around the time of an attack, Angela would require significant assistance with basic daily activities, like mobility and showering. Between attacks, there were daily injections, drug trials, doctor’s appointments, MRIs, physiotherapy, and catching up on her school work. It was extremely difficult to see her hospitalised so frequently and for long periods of time. My mum stayed with her in the hospital day and night. For a long time, this routine became normal for us. Obviously we all wanted Angela to be as healthy as possible, so we began taking extra precautions to help manage her symptoms. We would change our activities and stay indoors on hot days, we installed airconditioning, and found a tutor to help her catch up on school work, etc. More importantly, I would try to help her by providing emotional support, such as talking about things and keeping her motivated to work on her health and her recovery despite the setbacks. On a more positive note, the MS has made us stronger as individuals, especially Angela. She has grown into a mature and generous person with an admirable strength of character. She accepts the things life throws her way and overcomes any obstacle – always with a cheeky smile and with genuine optimism. She has a strong desire to help others like herself. I have much admiration and deep respect for my little sister and have learnt a lot from her approach in life. What advice might you give to other children who are living with a brother/sister who has MS? Put yourself in their shoes. Understand what it is to have this condition and then provide as much emotional support and assistance to help them cope with the challenges that arise. Make sure they are socially engaged with family, friends, groups and networks; be supportive and motivating; be there for them; and fully respect their independence. n autumn 2011 intouch 15 When a parent has MS... While growing up with a parent who has MS can be challenging, accessing the right information and support will assist children and families to live happy and fulfilling lives, despite MS. 16 intouch autumn 2011 Quick Tips for Parents How to help children adjust to, communicate about, and live well with a parent’s MS diagnosis: l Lead by example and foster open and honest communication. l Encourage children to use the MS Readathon or times when they are learning about the body at school to talk to their friends and/or ask you questions about MS. l Help kids understand symptoms in a practical, age-appropriate way. For example, get children to try tying shoe laces with socks on their hands or put on someone else’s glasses to imitate some common MS symptoms. l Encourage kids to think about their own strengths and weaknesses, and tell them what yours are. l Identify things that your children like to do with you, as well as things they like to do on their own or with friends. Encourage them to do these things and tell them what you enjoy doing with them as well. l Be honest about your limits but don’t always say ‘no’. Be creative and offer a compromise. l Plan weekly meetings with all family members to organise activities, solve problems, organise a daily routine, etc. l Prepare children for changes that will affect them. For example, explain what will need to happen if you have to go into hospital (e.g. who will take care of them). Let them express their fears and discuss solutions together. l Try to keep a sense of humour. www.msaustralia.org.au/actnswvic Thinkstock/iStockphoto MS is a reality for many children whose parents are living with the disease. Some children grow up always knowing their parent to have MS, while others experience the effect of a parent’s diagnosis when they are well into their childhood. For children who are born to a parent with MS, many aspects of living with the disease will seem fairly ‘normal’ compared with those whose lives suddenly change due to a parent’s diagnosis. Either way, parents will naturally question when to explain MS in more detail to their children. There is no right or wrong answer for when this should be, says Elizabeth Stanton, Clinical Psychologist at MS Australia – ACT/NSW/VIC. “A number of variables are at play, such as how the parent is coping with the MS and the nature and personality of the child (some may be more inquisitive and eager to find out more, while others may be anxious and frightened). It will also depend on the family dynamic; how educated the parent is about MS; the level of communication they have with their child; and how open they have been about MS symptoms and treatment over time. For example, an eight-year-old who has always seen her parent inject medication may not be as alarmed because she doesn’t know any different. An eight-year-old who is confronted with this for the first time is likely to react differently and may need support to adjust. “Overall, it’s important not to push and overwhelm the child,” adds Stanton. “Just like the parent who has MS, children will also need time and space to adjust. Parents can begin by providing small amounts of age-appropriate information and asking their child if they have any questions, giving them the opportunity to absorb it and to come up with additional questions in their own time.” GROWING UP WITH MS Mary-Ann Germain was diagnosed with MS 13 years ago, just five weeks after her second child was born. “I think the diagnosis was harder for me being a parent because, here I was with this tiny newborn and a toddler and all I could think was that I wouldn’t be able to raise my own kids. I had some dark days back then but now, here I am with one child doing the HSC, one midway through high school and we’re leading relatively normal lives, albeit with some adjustments. “Given how young my children were when I was diagnosed, they haven’t really known any different. They’ve seen me injecting medication from an early age and occasionally they would see me lurching around, slurring my speech or finding it difficult to write. When they were little, they used to find it quite funny. “As the kids got older they did ask a few more questions about MS, especially when they were learning about the body at school. “Being a parent with MS can sometimes bring a lot of guilt and concern about the welfare of your children as they are growing up. One of the hardest things for me was letting go and allowing other people do what I knew I couldn’t do. I just needed to adapt and accept the fact that I couldn’t do certain things, but I could make up for it in other ways.” that being upfront and a little creative with her kids has been beneficial. “I have always been honest with my kids about what I can and can’t do, but I won’t always say ‘no’ to them either; I’ll offer an alternative. “In general, I find my children are more accepting of people with illness and disability, making them stronger and better people,” adds Mary-Ann. “Teenagers, especially, can be inherently selfish, but MS has actually made my kids more considerate and understanding at a younger age. They’ve also realised early on that they can’t always do what they want, which is healthy for children to learn.” “Overall, it is important that the parent is coping with their illness,” concludes Elizabeth Stanton. “If not, it is hard to expect a child to be coping. Based on their own circumstances, parents should talk to children when they feel they are ready.” Children participating in our Journey Club program learn about MS while having fun. What about children of newly diagnosed parents? “How children react to an MS diagnosis can depend on a number of different things – their age, the relationship they have with their parent who has been diagnosed, the family structure and dynamic, and so on,” explains Elizabeth Stanton. “The normal and expected emotions a parent with MS will go through will also apply to their partner and children, and perhaps other friends and family members as well. These can include anger (why can’t I go to the park; why can’t Mum be just like other mums?); fear (what is going to happen?); guilt (is this my fault?); sadness and loss (Mummy just can’t do the things she used to do). Any or all of these emotions can be experienced at any time throughout the child’s upbringing. “A diagnosis of MS is a difficult time for everyone, especially the person with MS. How the parent reacts to their own diagnosis and how they express this can also affect their children. “Some parents try to protect their children by not telling them about a diagnosis or what is going on. In some circumstances this is okay, especially where the parent is still trying to come to terms with it themselves. However, when parents are open and honest about what is happening – by using age-appropriate language and keeping communication open – the parent is letting the child know that it is okay to talk about things if they are feeling frustrated or scared.” Mary-Ann, who is also a child psychiatrist and one of our MS Ambassadors (see her profile on page 28), has found www.msaustralia.org.au/actnswvic Where can I get help and support? “Children may find it difficult to speak to their parents about MS for fear they might get in trouble or that they will hurt someone’s feelings,” says Elizabeth Stanton. “For this reason, it is important to encourage children to develop a strong support network of people who can help them cope with difficult situations. This may include aunts/uncles, friends, teachers, siblings, doctors and so on. Let children know that they can talk to these people if they need to. “Interacting with other children who have parents with MS could also be very beneficial in helping them to realise that they are not alone. Parents are encouraged to make contact with other families in a similar situation via our Peer Support Program and some of our other family programs.” Overall, there is a lot of very practical and emotional (psychological) support for children who may be finding the situation a little more difficult to cope with. For example, your GP can refer you to a psychologist or psychiatrist, which can have very effective outcomes. autumn 2011 intouch 17 GROWING UP WITH MS MS Australia – ACT/NSW/VIC also provides a host of support services for children of parents with MS, including: l Community Support Workers who can provide support to your family and can help you to answer any questions your children may have about the disease, medications and so forth. They can also suggest other local support services for children in your area. l Clinical psychology services and referrals. l Education sessions about MS and managing MS symptoms. Sessions for families and carers are also available. l Family programs such as our Kids Day Out, Family Camps, Teen Day, Journey Club (all primarily run in Victoria) help young children, teens and families living Further Reading & Resources: l MS Australia – ACT/NSW/VIC has a number of information resources that can assist children and families living with MS. These include: – Has your mum or dad got MS? A booklet for young people on facts and feelings about MS. – Family Matters: A three-part information series for family members and carers of people with MS. – Understanding MS: A DVD for people newly diagnosed with MS and their families. – Creating Resilient Families: A soon-to-bereleased DVD for and about families living with MS. – A range of information sheets about managing MS symptoms. For a copy of these resources, call MS Connect on 1800 042 138 or visit our website at www.msaustralia.org.au/actnswvic l MS Library: Our MS Library holds a range of resources for children growing up with MS. Visit www.msaustralia.org.au/libraryopac.asp l Young MS: A website especially for kids and teens who may have MS or know someone who has MS – www.youngms.org.uk l How to Talk about MS with Your Children. By the MS Society of Canada – http://mssociety. ca/en/pdf/talkChildren.pdf l Keep your balance: Teens talk about living with a parent with MS, by the MS Society of Canada – http://mssociety.ca/en/pdf/pub_ keepbalance_en.pdf l Keep Smyelin: An activity book about MS for kids, by the MS Society of Canada – http:// mssociety.ca/en/pdf/pub_activity_book_en.pdf 18 intouch autumn 2011 with MS to connect with others and learn to live with MS, while having fun! l Information resources, which are available for children and families living with MS. See ‘Further Reading’ listed in the box below. l FlexiRest for people with MS, their families and unpaid carers provides options and choice to help meet respite needs, particularly where these can’t be met by existing community services. For example, FlexiRest has helped a teenage boy, who is usually the primary carer for his mum, by funding transport and camp fees so he can attend a scout camp. FlexiRest is a NSW Government funded program. l Respite services. Facility-based and flexible in-home community respite is available to families living with MS across our regions. To access any of these services, please contact MS Connect on 1800 042 138. The following organisations also offer relevant support services to families and children: l Relationships Australia: www.relationships.com.au, 1300 364 277 l Brighter Futures: Provides targeted support to vulnerable children and families by connecting them to the services they need. Visit www.community.nsw.gov.au or www.education.vic.gov.au for more information. l The Smith Family Learning for Life Program: Supports disadvantaged children and young people – www.thesmithfamily.com.au l Parentline: Telephone counselling, information and referral services for parents and carers of children – ACT: www.parentlineact.org.au, (02) 6287 3833 NSW: www.parentline.org.au, 1300 130 052 Vic: www.education.vic.gov.au/earlychildhood/parentline, 132 289 l Kids Helpline: A free and confidential telephone and online counselling service specifically for children, teens and young adults – www.kidshelp.com.au, 1800 551 800 l COPMI (Children of Parents with a Mental Illness): Promoting better mental health outcomes for children of parents with a mental health problem or disorder – www.compi.net.au l Commonwealth Government Youth Programs: For more information about the Office for Youth, Youth Allowance or Indigenous Youth, visit the ‘youth’ section at www.deewr.gov.au l Karitane: Providing services for parents, including a Careline facilitated by Child and Family Health Nurses – www.karitane.com.au/services/careline.php, 1300 227 464 l House With No Steps: Providing services and support to the disability sector – www.hwns.com.au l CatholicCare: Providing for the social and emotional wellbeing of communities, families and individuals. Visit the ‘services’ section of the Catholic Social Services Australia website at http://catholicsocialservices.org.au www.msaustralia.org.au/actnswvic Considerations for Young Carers In 1997, Erin Hodder was just eight years old when her mother was diagnosed with MS. Not long after her Mum’s diagnosis, Erin’s parents separated and, as her mum’s MS progressed, her role as a carer became more involved. Erin is now 22 and cares for her Mum in between university and work commitments. As one of our MS Ambassadors, Erin often shares her story as a young carer and person who has grown up with MS. Despite the challenges it presents, Erin often says she is grateful for her experience with MS and believes that it has made her the person she is today. “Caring for someone with MS can be a challenging task due to the unpredictable nature of the disease,” says Erin. “One morning Mum may wake up and not need much help from me but other days (for no reason at all) she may not be able to get out of bed. “Mum’s MS has been progressive and she is now confined to a wheelchair. As her MS has worsened, my role has become more intense. In saying this, I am proud of how much my Mum still strives to do for herself. She never complains; she just needs a bit of help. “The hardest part is watching someone you love more than anything else in the world become so frustrated with the challenges they face. On a practical level, I contribute to most of the washing, cooking, cleaning, shopping and so on around the house. If Mum is having a bad day, I will also assist her with personal care.” Don’t ever feel alone. No matter how much support you need, there is always someone who can help Erin is just one of the many young people taking responsibility for the care of a parent living with MS. While young carers are often all too willing to help their parent or loved one, it is important they also look after themselves. “It is particularly important for young carers to be open and honest with their parents, telling them what they are capable of and what they are not,” advises Elizabeth Stanton, Clinical Psychologist at MS Australia – ACT/NSW/VIC. “When things are getting too much, it is important to ask for help. “All carers need to look after themselves by eating well, staying active and maintaining hobbies and doing www.msaustralia.org.au/actnswvic Erin Hodder (left) with her mum Jill and Tim Bailey during a Channel 10 live weather cross on World MS Day last year. things they enjoy. If they don’t look after themselves, they won’t be able to look after their family member either.” When children are relied on to perform certain responsibilities it can, at times, lead to anger and hostility – perhaps not towards their parent but at the situation in general, warns Stanton. “Looking after one’s ‘self’ will go a long way to keeping such feelings at bay. It is also important for the young person to have someone to confide in – another family member, counsellor, teacher, the parent’s community support worker, or the like.” Based on her experience, Erin agrees: “Don’t ever feel alone. There are so many services available for carers. As carers we often live by the notion that ‘I don’t need help; I’ve done it on my own for years,’ but the fact is that no matter how much or how little support you may need, there is almost always someone who can help you. “It is especially important to have a great support network of friends and family as well. They are your informal support networks and, in many ways, they are the best.” n Key Contacts for Young Carers: l MS Connect: 1800 042 138, [email protected] l Carers Australia Young Carers Program: 1800 242 636, www.youngcarers.net.au l Centrelink (financial assistance for carers): www.centrelink.gov.au l Kids Helpline: 1800 551 800, www.kidshelp.com.au l Lifeline: 131 114, www.lifeline.org.au autumn 2011 intouch 19 EVENTS ACT & NSW For bookings or more information, email [email protected] or call 1800 042 138 INFORMATION SESSIONS Wellness Days Learn About MS Suited to those recently diagnosed, meet others and learn about MS and MS Australia services 15 March, 5.30pm – 8.30pm Phillips MS Centre, Chatswood 14 May, 10am – 1pm Studdy MS Centre, Lidcombe, NSW Explore health promotion activities relating to mind–body medicine, stress management and lifestyle Continence Awareness Information Sessions Learn about bladder and bowel problems – causes, assessment and treatment options Date and time TBC (please call MS Connect) Various locations in ACT and southern NSW Mood & Emotions An opportunity to learn about and discuss reasons for mood and emotional changes in MS, as well as various treatment options 5 May, 3pm – 5pm (video-linked from Blackburn, Vic) Gloria McKerrow House, Deakin, ACT Fatigue Information Session An overview of MS fatigue and how to manage this invisible symptom 22 June, 10am – 12pm (video-linked from Blackburn, Vic) Gloria McKerrow House, Deakin, ACT PHYSICAL ACTIVITY GROUPS Dru Yoga Classes A gentle form of yoga where postures are modified so that people with various levels of ability can fully participate, either from a sitting position or lying down 2nd Term, time and dates TBC (call MS Connect) Gloria McKerrow House, Deakin, ACT Cost: $10 per participant MS Australia – ACT/NSW/VIC, along with community partners, operate maximising strength, flexibility and aquatic exercise groups across the ACT, NSW and Victoria. For exact locations and times call 1800 042 138 or go to ‘Health & Wellness’ on our website at www.mssociety.org.au/living-with-ms.asp Greater Western Sydney Harmony Wellness Day 27 March, St Mary’s Memorial Hall, Sydney ALL REGIONS: Albury/Wodonga Wellness Day 1 May, location TBC Cost: $25/person for catering (incl GST) ALL REGIONS: Albury/Wodonga Wellbeing Forum This program is for health professionals working with people with neurological disorders. It will address the evidence-based benefits of healthy living, diet, vitamin D supplementation, and the latest research in exercise and MS 2 May, location TBC Cost: $60 (incl GST) To register for Wellness Days, contact: ACT/NSW: Sharon Valks on (02) 9646 0728 or email [email protected] Victoria: Jon Adams on (03) 9845 2840 or email [email protected] OTHER 24 Hour Mega Swim Raising money for the Go for Gold Scholarships and Financial Assistance Program 12–13 March: Macquarie Uni, North Ryde, NSW 19–20 March: Leeton Shire Pool, NSW 4–5 June: AIS Swimming Centre, Canberra For more information, visit www.megaswim.com TELECONFERENCES Available to clients and their family members across all regions To register, call 1800 042 138 Learn About MS Teleconference Suited to those recently diagnosed, ask questions and learn about MS and MS Australia services 2 June, 7pm – 8.30pm Working With MS Teleconference (NSW & ACT only) Explore your rights and responsibilities at work, as well as superannuation, insurance and financial matters 7 June, 7pm – 8.30pm Get Active With MS Teleconference Our physiotherapists discuss how fitness and exercise can help manage MS symptoms 23 March, 10.30am – 12pm Continence Care in MS Teleconference Learn about bladder and bowel problems – causes, assessment and treatment options 29 June, 10.30am – 12pm 20 intouch autumn 2011 www.msaustralia.org.au/actnswvic Thinkstock/Photodisc/Jeff Randall Managing Fatigue Teleconference Learn how to manage MS-related fatigue Part 1: 4 May, 10.30am – 12pm Part 2: 18 May, 10.30am – 12pm VIC For bookings or more information, email [email protected] or call 1800 042 138 INFORMATION SESSIONS Refer to page 20 for a full list of teleconferences Learn About MS Suited to those recently diagnosed, meet others and learn about MS and MS Australia services 2 April, 10am – 1pm The Nerve Centre, Blackburn 7 May, 10am – 1pm Brimbank Lifemoves Program A six-week structured peer support program provided by Peers Inspiring Peers 16 March – 20 April (weekly), 12.30pm – 3pm The Nerve Centre, Blackburn Managing Fatigue An overview of MS fatigue and how to manage this invisible symptom 22 March, 10am – 12 noon Brimbank 26 May, 10.30am – 12.30pm Narre Warren Taking Control and Planning Ahead Receive advice from the Office of the Public Advocate about enduring powers of attorney, guardianship and administration 24 March, 10am – 12pm MS Centre, Footscray 23 May, 10am – 12pm The Nerve Centre, Blackburn Thinking and Memory Learn about common MS-related thinking and memory changes and how to manage them 31 March, 10.30am – 1pm Narre Warren Working With MS Explore your rights and responsibilities at work, as well as superannuation, insurance and financial matters 9 April 10am – 3pm Bendigo 4 June 10am – 3pm The Nerve Centre, Blackburn Mood and Emotions An opportunity to learn about and discuss reasons for mood and emotional changes in MS, as well as various treatment options 5 May, 3pm – 5pm The Nerve Centre, Blackburn Get Active with MS Our physiotherapists discuss how fitness and exercise can help manage MS symptoms 6 June, 6pm – 8pm Brimbank Bookings are essential for all of these events. Please call 1800 042 138 or email the Education Coordinator in your state at the above address www.msaustralia.org.au/actnswvic EVENTS FAMILY & CARER PROGRAMS Zooperdooper Family Day Out For primary and secondary school-aged kids who have a parent with MS 12 April, 11am Melbourne Zoo The Journey Club A four-week program for families with primary schoolaged children, incorporating fun activities to help kids learn more about MS 30 April – 21 May (weekly), 2pm – 4pm The Nerve Centre, Blackburn Humour and Caring Lead by Carers Victoria, this program explores how humour can be an effective tool in assisting carers to maintain their health and wellbeing (Respite available if required) 24 March, 2pm – 4pm MS Centre, Footscray 4 April, 2pm – 4pm The Nerve Centre, Blackburn Other 24 Hour Mega Swim Raising money for the Go for Gold Scholarships and Financial Assistance Program 9–10 April: Aqualinks Nunawading For more information, visit www.megaswim.com Mega Start to the Mega Swim Program The momentum of the 24 Hour Mega Swim reached its summer peak during February and continues into March, with 10 events taking place across three states. Now in its 11th year, the Fitzroy swim continues to go from strength to strength, under the dynamic leadership of Mega Swim founder Carol Cooke. Inaugural events at Camden and Wollongong in NSW, Leeton in ACT and Adelaide in SA, achieved wonderful results thanks to the enthusiasm and effort of community groups and ‘champions’ of the cause, such as former Olympian Sarah Ryan (pictured). Champions of two sporting codes – swimmers Michael Klim and Linley Frame and Commonwealth Games squash athletes, Lisa Camilleri and Melody Francis – came together in a 24-hour ‘doubleheader’ at the Melbourne Sports and Aquatic Centre on 5–6 February. For the first time, Squash Vic held 24 Hour Mega Squash, aiming to raise $20,000 for MS Australia. This funding, in addition to funds raised by the 24 Hour Mega Swim events, support our Financial Assistance Program and Go for Gold Scholarships, helping people with MS to achieve their dreams. Keep your eye out for upcoming Mega Swim events in this section of Intouch or visit www.megaswim.com autumn 2011 intouch 21 Readathon Revamp in 2011 Now in its 32nd year, the MS Readathon is the premier reading fundraising program in Australia. Last year’s MS Readathon saw nearly 20,000 Australian children read to raise over $1.5 million for Australians living with MS. What an achievement! To revive the enthusiasm of past MS Readathon participants, The Novel Challenge – a reading and fundraising program for adults – was also launched last year. Raising over $100,000, the new program attracted more than 800 participants. The 2011 year brings with it some exciting new developments to the MS Readathon program. With a new-look interactive website (www.msreadathon.org.au), fundraisers have everything they need at their fingertips, making reading and raising dollars easier to do. In addition, there is plenty to see and do on the site, which offers a heap of cool competitions, videos and prizes to entertain. Participating schools also have the chance to win some fantastic new rewards. If you would like information on how to register or get your school involved in the 2011 MS Readathon, please call 1300 677 323. Both the 2011 MS Readathon and The Novel Challenge will open in May. Visit www.msreadathon.org.au or www.thenovelchallenge.org.au to register! n Seeking Sponsors If you are a local business, corporation or individual looking for a way to support a not-for-profit organisation, look no further. Become a local sponsor to help support the 2011 MS Readathon. There are several ways to get involved. You can: l pledge to support the fundraising efforts of your local school by matching their contribution with a taxdeductible donation; l donate products or services that might encourage schools and children to participate in the MS Readathon; and/or l provide a tax-deductible donation to the MS Readathon through a sponsorship agreement or a one-off donation that promotes your local business. To discuss how you can get involved or share any other ideas you might have for being a part of Australia’s premier reading and fundraising program, contact your MS Readathon State Manager on 1300 677 323, or email: ACT/NSW: [email protected] Victoria: [email protected] 22 intouch autumn 2011 One of our dedicated volunteers shares a laugh with the MS Readathon mascot Bosko. Ahoy Volunteers! The success of the MS Readathon program could not be achieved without the help of our fantastic volunteers. Why not jump on board, share in the success and volunteer for the 2011 program. Volunteer positions are available for community representatives, administration support and media interns. If you or someone you know might be interested in being a part of an amazing program that works with children, schools and the local community, please contact your state office on 1300 677 323. www.msaustralia.org.au/actnswvic Roll of Honour MS COMMUNITY We would like to thank the following community members who also helped raise funds for MS over the past three months: l l l l l l l l l l Alena Vydra Christmas tree fundraiser raised $1,140 Andrew ‘Zorro’ Notaras’ Shave the Mane charity auction at Sydney Fish Markets raised $28,000 Barwon Valley (Golden Oldies) Golf Club raised $424 Fleur & Simone Van Den Berg and committee raised $4,500 through the White Party at the Hunters Hill Club Hillary Britton, Phillipa Hogg & Sarah Macsmith raised $5,348.50 at their annual Melbourne Cup lunch in Orange Jan Smith and her family’s Christmas light display raised $6,539.70 Jason Worldon raised $1,830 through the inaugural ‘Hoops for MS’ in Sawtell Lions Club of Bright raised $617.75 Participants in the 2010 Rebel Sport Run 4 Fun raised $10,150. Top fundraiser Justin Veil raised $6,773 St Roch’s Primary School raised $2,747.85 All for a Good Cause Special thanks to the everyday Aussies who are getting together to support the MS cause. Why not get involved by creating your own fundraising activity? Every little bit counts. Choir Sings for MS At a recent concert organised by Joy Brink, a member of the Frankston U3A choir in Victoria, more than 100 people came to enjoy the sounds of the choir while making generous donations to MS Australia, totalling almost $760. The choir created a flyer to promote the event and the members worked hard to gather support from friends, family, colleagues and extended networks. “It was a very happy occasion and the sense of community was terrific,” says Joy. “I would definitely encourage others to give fundraising a go – it is so easy once you get started and working with a group is more effective as everyone puts in their little bit.” Thank you to Joy and all of the members of the Frankston U3A Choir for your wonderful support. Ashes Legends Help Raise $43K Three Ashes Legends events held across Melbourne and Sydney in November raised more than $43,000 for MS Australia as the events’ chosen charity partner. Sir Ian Botham, Allan Border and Ian Healy engaged and captivated the audience with their cricketing stories and a great night was had by all. The ‘Gift’ of Giving On 12 November 2010, Sam Macqueen and Kim Caswell were married in front of 150 guests on a beautiful spring day at Sydney’s Palm Beach. Followed by a joyous reception and an unforgettable honeymoon to Mexico and South Africa, the couple say the most wonderful aspect of the whole event has been the pleasure of ‘giving’ more than $12,000 to MS Australia – ACT/NSW/VIC in lieu of receiving wedding gifts. Sam and Kim set up an online fundraising page and asked their guests to give a donation to support people living with MS. Their fundraising total is still rising! “My sister has suffered from MS for a number of years, so we have seen first hand how hard it can be,” says Sam. “The uncertainty surrounding its cause, symptoms and a cure are mysteries we would really like to help solve. “We are fortunate enough to have all the material things that we need so we thought that by donating to MS Australia, it would be a great way to give back. “We are truly blessed to have such a great network of family and friends who were more than willing to open their wallets for a great cause, while helping us to celebrate our marriage.” MS Australia would like thank Sam and Kim for their generosity and kind spirit and wish them a long and happy future together. Get Involved! Would you like to be a community fundraiser for the MS cause? As you can see, the options are endless and every little bit counts. Gather your friends, family members and colleagues, and discover how you can make a difference. Get further inspiration from our website at www.mssociety.org.au/events.asp or contact: www.msaustralia.org.au/actnswvic ACT: Mirimba Kovner, (02) 6234 7030, [email protected] l NSW: Kerry Hill, (02) 8299 0134, [email protected] l Victoria: (03) 9845 2726, [email protected] l autumn 2011 intouch 23 MS COMMUNITY Volunteers in Action How our dedicated volunteers are helping to make a difference for people living with MS. All Wrapped Up Michelle’s Story When I was diagnosed with MS in 1997, I started going downhill pretty quickly. The MS was ruling me at that point, so I decided to take some time off work to recover. A short time later, I was visiting the MS Society (as it was called back then) and I asked about opportunities to volunteer. That was eight years ago and I have been an active volunteer ever since. Initially, I helped out with the MS Readathon, general office support and data entry. Before long, I was asked to help out on the Public Relations Desk, which involves meeting and greeting people as they arrive to The Nerve Centre and directing them to where they have to go. That role progressed and I have volunteered as the PR Desk Team Leader for the last five years. My husband and I have often volunteered to help out at the fundraising events as well, and I have now started putting my hand up for other things when I can. For me, personally, volunteering has been an opportunity to keep my mind stimulated and maintain my own self-worth. Things really turned around for me when I took on these roles, so I think volunteering is good for the soul. I volunteer for this organisation because I have MS, but it’s really the wonderful people I get to see and work with every week that keeps me coming back. 24 intouch autumn 2011 The week leading up to Christmas saw 522 volunteers fill 1,038 shifts across 20 Borders bookstores in the ACT, NSW and Victoria, as well as Robinsons Bookshop in Frankston, Victoria. Overall, these dedicated volunteers gave 4,000 hours of their own time during this busy period to wrap customers’ gifts in exchange for a donation that helped raise funds for people living with MS. “I have been wrapping for five years and I love it; it has become part of my Christmas,” said one enthusiastic volunteer. “It’s a great way to meet other people.” Given the amount of people going through these stores in the lead-up to Christmas, the organisation was also able to enjoy a high level of visibility and promote awareness of MS Australia and our services to the community. We would like thank all of the volunteers who gave so generously of their time at Christmas. Committed to the Cause After volunteering at the 2000 Olympics and for a variety of community groups, I became interested in volunteering at other events. I came across the opportunity to volunteer for the 2001 MS Walk and Fun Run via the Volunteering NSW website. I was drawn to this because I like the fact that MS Australia raises funds by encouraging people to be active and, in the case of the MS Readathon, encourages children to read and improve their literacy. During that first event, I helped out as a timekeeper and transported other volunteers to and from their positions along the course. I also had the opportunity to meet a woman in her late twenties who has MS. At that point I knew very little about the disease and was shocked that it could affect someone so young. A couple of months later the MS Volunteer Coordinator asked me if I would be interested in becoming a Sector Manager for the MS Sydney to the Gong Bike Ride. Since then, I have been a regular volunteer (Sector Manager) at both of these events and, during that time I have met many people with MS, as well as family members and friends of people with MS. My empathy for them is what keeps me coming back each year. The MS Events Team is also fantastic, as is the opportunity to meet so many other wonderful volunteers. If you are considering a volunteer role, don’t procrastinate. I am confident that you will find the experience both rewarding and memorable. – Noel Patterson www.msaustralia.org.au/actnswvic Volunteer Opportunities We are always looking for more volunteers to help out in many areas. Here are some opportunities we’re looking to fill right now. A Friend Indeed My goal to do some volunteer work came to fruition last year when I commenced a new job and realised I had some spare time after work. I applied to several community organisations and it was MS Australia – ACT/NSW/VIC who had vacancies for volunteers. I was contacted by the ACT Volunteer and Events Coordinator, who assisted with my application and suggested I help with providing social support to Bonnie, a woman with MS who lives in supported accommodation within easy walking distance from my workplace. The Coordinator came with me on my first visit to Bonnie in November last year. Bonnie finds it a little hard to move about now and she doesn’t get out too often, so the social interaction is really important for her. She is a wonderful person with a wicked sense of humour and, after my first few visits, I realised how rewarding our friendship had become. Each week, we do all those things that friends do together. I will phone and see if she is free for a visit, she will call me if she is going shopping, and we celebrated her birthday together recently. We share our thoughts and feelings and we talk about our lives and the things that are happening in the world around us. There are always little things I can do to help Bonnie as well, such as connect her computer up, move around a vase of flowers or open her mail. Most recently I have volunteered to type up Bonnie’s memoirs, which I am very excited about. Overall, I get a warm inner-feeling about helping others – it grounds me and gives me a sense of doing something worthwhile. I believe that, as a global community, we are all better off if we can help out. – William Scott Steve’s Story I had never known anyone with MS but when I saw the MS Walk and Fun Run advertised some years ago, I got involved as a participant. I really enjoyed this so my family and I also started to participate in the Gong Ride. When I finished up work in 2006, I was looking for something to do and came across volunteer opportunities advertised on the MS Australia – ACT/NSW/VIC website. I contacted the organisation and they said they needed someone to help clients with their computers at the residential unit at Lidcombe. My working background was in IT, so it was the perfect match. They had some permanent residents who were doing TAFE courses at the time and I was able to help them out two days per week. By mid-last year, the students I’d been helping had finished their courses, so I started doing a bit of work in the gardens. I do that one day a week now and I’ve also been helping a resident with MS at another nursing home with her computer. The most rewarding aspect for me has been the wonderful people I get to meet and spend time with. I met one gentleman who had served in the Navy on HMAS Sydney and that was interesting because my grandfather served on the first HMAS Sydney. I was able to share some photos with him that my grandfather had given me from the 1900s. Overall, I truly believe that, as volunteers, we get more out of the experience than what we give. www.msaustralia.org.au/actnswvic ALL STATES: The MS Walk and Fun Run will take place in Sydney, Melbourne and Canberra on 5 June. We require volunteers to perform a range of duties to help make these events a success in each location. For more information visit www.mswalk.org.au CENTRAL REGION: l Social support volunteers are required throughout ACT and central NSW. l Volunteers required to assist at AIS 24 Hour Mega Swim in Canberra: 4–5 June. NORTHERN REGION: l Social support volunteers required in Carlingford, Lakemba, Oatlands, Peakhurst and more. l Exercise volunteers needed to assist with our Friday class at Chatswood. l Hydrotherapy volunteers needed to assist with our Monday morning class at Villawood. SOUTHERN REGION: l MS Community Shops in Kew, Daylesford, Fairfield, Geelong and Melton require volunteers. l Volunteers required to assist in the Confident Living Program. l Volunteers needed to help on the Administration and Public Relations Desk at The Nerve Centre, Blackburn. l Volunteers needed to facilitate social and activity programs at our accommodation facilities in Williamstown, McKinnon and Watsonia. l Social support volunteers are required throughout Victoria. l Volunteers needed to assist with our Health and Wellness and Education Programs. If you are interested in these or any other volunteer role in the ACT, NSW or Victoria, please call MS Connect on 1800 042 138. autumn 2011 intouch 25 MS COMMUNITY Supporting Our Youth At 16, Madeline’s journey with MS is now a little easier thanks to the Peer Support Program. On 13 November 2009, my life changed forever. When I woke up, I had no feeling in my left arm and foot and, while I had been troubled by weak limbs previously, the diagnosis was soon confirmed – I was told that I have multiple sclerosis. I was instantly prescribed the usual immunotherapy treatment, which was made easier thanks to the help and support of my MS nurse. She not only helped with my injections, she also suggested a number of different things I could do to manage my MS symptoms day-today. She also suggested I access the MS Australia – ACT/NSW/VIC Peer Support Program. Being just 15 at the time, it was hard to accept that I would live with this disease for the rest of my life, so I took her advice and enrolled in the program. Soon after, I was contacted by a trained Peer Support Volunteer who had been through a similar experience. It was a great opportunity to talk to someone who understood exactly what I was going through. We spoke over the phone once a week for six weeks, mostly about our MS and how it affects our daily lives. The whole experience has been very helpful and has made me realise that there is support available and there are other teenagers living with MS as well. I have also learnt not to sit around and worry about having MS; I now want to go out and live life to its fullest. Overall, I think the Peer Support Program is important for families and people diagnosed with MS as it is an opportunity to ask questions, find out what others have been through and access support in your area. Thanks to the program, I have also found a new friend, so I would highly recommend it to anyone. n Born to Lead As one of our long-standing Peer Support Volunteers, 52-year-old Daphne recently graduated from RMIT’s Leadership Plus Program. She shares her story. I had just landed my dream job in the banking sector when, at 32, I became unsteady on my feet and developed optic neuritis. Doctors were fairly quick to confirm these symptoms were a result of MS. I continued in my role at the bank for about two years (working around the challenges of MS) until the company downsized and let me go. I was devastated at the time but my brother helped me find part-time work as a secretary and not long afterwards I met my husband Rob. I continued in that role until 2005 when I decided it was time to move on. Soon after, I was visiting the MS Centre at Footscray when a support worker suggested I try voluntary and/or peer support work. I had previously done some peer support through the online mc2 community, which I really enjoyed; however, I felt there was more I could do. I contacted the Peer Support Program staff, enrolled in Peer Support training and I now work as a peer support and general volunteer at The Nerve Centre in Blackburn. I absolutely love it. While I have provided peer support over the phone, I prefer the face-to-face support work. I have been heavily involved in the Blackburn MS Discussion Group and I am also getting involved in Peers Inspiring Peers. Last year I was nominated to undertake the Leadership Plus Program at RMIT University. This is a unique program that has been designed for people of all abilities. It provides a supportive learning environment and delivers a range of accredited leadership competencies and skills, which enable participants the opportunity to become involved and work in the wider community. I graduated from the program in November last year and, overall, I met some wonderful people and it broadened my mind. What I learnt most was to look outside the box. I am now more solution-focused and the course made me aware of how important it is to listen when dealing with people. I would encourage anyone and everyone to get involved in peer support and voluntary work if they can. n For all enquiries relating to the Peer Support Program, please contact MS Connect on 1800 042 138. 26 intouch autumn 2011 www.msaustralia.org.au/actnswvic MS COMMUNITY Support Group Profile Peer Support Group Facilitator Mandy reveals how the combined powers of peer support and physical activity works wonders for the newly-formed Frankston Physical Activity Peer Support Group. iThinkstock/Stockphoto When and how was the group established? There has been very little peer support available to people with MS in the Frankston region of Victoria. So, when MS Australia – ACT/NSW/VIC called for expressions of interest from the area, they had quite a lot of people (myself included) saying they would like to be involved in a support group, as well as physical activity. I’ve been a Peer Support Volunteer for about eight years, and I’ve also been active in facilitating the Women in the East support group. It was always known that if and when a group was proposed in Frankston, I would help make it happen. Thanks to the MS Australia – ACT/NSW/VIC Peer Support and Health Promotion teams, we were able to take action and launch the group in November last year. We currently have around 20 members and anyone in the area can join. These first few months, we have been trialling a range of physical activities, such as Heartmoves (pictured), strength maximising, tai chi and yoga. The trainers involved are happy to adjust the exercises to suit people of all abilities. We have asked the group to feed back what activities they would prefer to do on an ongoing basis. What are the benefits of combining peer support with a physical activity group for people with MS? Importantly, there was an interview and training process for the physical activity instructors who have been educated about the special needs of people with MS. To me, the physical activity is vitally important to the wellbeing of people with chronic illness but it’s not always something people will go out and do on their own. The fact that, with our group, there is the added reward of the social support makes it more enticing. I also think that it can be motivating to share the experience with others in a group where people feel safe to be themselves and are not afraid to voice their opinions. n When do you meet and what does the group do together? We meet every second Saturday of the month at a community centre in Frankston. We enjoy a physical activity and then share our experiences with a chat over lunch. LIB1161 There are a number of MS support groups operating throughout the ACT, NSW and Victoria. To find a support group 2:55 nearPMyou, please contact MS Connect on 1800 042 138. Advert ApprovalV2.pdf 1 25/02/09 www.msaustralia.org.au/actnswvic autumn 2011 intouch 27 MS COMMUNITY MS Ambassador Profile Mother of two, Mary-Ann Germain shares her experience as an MS Ambassador. Tell us a bit about your MS journey I was diagnosed with MS when my second child was just five weeks old. When I woke up after delivering her via caesarean I couldn’t feel my feet. In the days following, I was unsteady on my feet and the pins and needles spread to the point where I had impaired sensation from the neck down. An MRI revealed a large plaque with lots of associated inflammation at the very top of my spinal chord. My fears were confirmed – I have MS. The baby was weaned on the spot and I was treated with high dose steroids. Over the next six months I continued to experience frequent MS attacks which all ran into one another. I lost the effective use of my hands at one point, which was really hard when I had a little baby and a toddler running around. I was very lucky indeed that my wonderful husband and parents were there to help. I went back to work part-time when my daughter was six months old. I was in the fortunate position of being my own boss, which meant I could choose my own hours. While it was challenging, it was also very grounding for me because the MS had started to make me feel rather de-skilled. Going to work put me back in touch with my ‘professional self’. On my daughter’s first birthday, I started on one of the self-injecting immunotherapy treatments, which I continue to use. This certainly seemed to help and in the early days I sought professional help to deal with the emotional aspect of the diagnosis. However, I think the most significant change to help me get on top of the MS was to get physically fit again. Thirteen years later, I have two healthy teenage children and we lead a fairly normal life, albeit with some adjustments. Why did you decide to become an MS Ambassador? I read about the MS Ambassador Program back in 2005 when it first launched in NSW. I had been wondering how I could help out by bringing some of my skills (as a psychiatrist) to bear in a positive way when, professionally, I prefer not to treat other families who are living with MS. I felt the MS Ambassador Program was a great opportunity to do that and get a message of positivity out there. I am someone who is able to get up and talk about my experience, which includes a message of hope and good outcomes. Coming from a medical background is also beneficial when explaining to groups what MS actually is and so on. What are some of the things you have done in your role as an MS Ambassador? I have spoken to a range of different groups in various 28 intouch autumn 2011 Name: Mary-Ann Germain Age: 47 Occupation: Child and adolescent psychiatrist Family: Married with two teenage children Lives: Sydney, NSW Diagnosed with MS: 13 years ago forums, such as community fundraising events, corporate and professional conferences, education sessions and even at Parliament House. What is the most rewarding aspect of being an MS Ambassador? I derive huge satisfaction out of seeing the kindness in people’s hearts. The people I have met along the way have been incredibly interesting, intelligent, motivated, wellmeaning people. I am humbled by the good intentions of those who, especially, put in so much effort to organise fundraising events. It does my heart good. What is the message you most like to deliver in your role as an MS Ambassador? It can depend on the group of people I’m talking to but I like to leave people with some facts about MS that they may not have known otherwise. Through my presentations, it’s important that I can help to create acceptance and understanding of the illness and the many ways it can manifest. I try to leave people with a message of hope that says, ‘with your support, we can find better ways of intervening with MS’. n Would you like an MS Ambassador to speak at your next corporate, school or community event? Contact the MS Ambassador Program Team via MS Connect on 1800 042 138. www.msaustralia.org.au/actnswvic HEALTH+WELLNESS Research Study Falls in Multiple Sclerosis Giving Life Back MS Australia – ACT/NSW/VIC is inviting participants to take part in a study that will explore predictors of falling in people with MS. The main aim of the study is to determine whether a battery of physiological tests, such as vision, sensation, balance, reaction time and strength, can be used to predict falls in people with MS. Any person with MS who can walk at least 10 metres with or without a mobility aid can participate. Participants will be invited to perform a number of physical tests at either the Studdy MS Centre at Lidcombe or the Phillips MS Centre at Chatswood. This will take 40–50 minutes to complete. You will be asked to fill in a demographic questionnaire and questions relating to your everyday activities before the test. This study has been approved by the Human Research Ethics Committee of the University of NSW and is being conducted by Dr Phu Hoang of MS Australia – ACT/NSW/VIC and Professor Stephen Lord from Neuroscience Research Australia. To volunteer or for further information, please contact: Dr Phu Hoang, PhD MS Australia – ACT/NSW/VIC (02) 9646 0686 [email protected] Thinking & Memory in MS Call for Research Participants We are seeking volunteers with relapsing-remitting MS, aged 20–50, to take part in a research study that will explore speed of information processing and memory in people with multiple sclerosis (MS). Many people with MS complain of slowed thinking and memory difficulties. While this can be frustrating, we know very little of the way this impacts on everyday tasks. Through this study, we aim to gain a better understanding of this impact so that we can develop strategies to help people with MS manage these symptoms. As a participant in this study, you will be asked to complete some brief questionnaires and memory and attention tasks. This will take 2–3 hours and can be completed at a place of your convenience. You will receive a $25 Coles Myer voucher in recognition of your involvement. To volunteer or for further information, please contact: Hasret Niazi Neuropsychology Doctorate Student, La Trobe University (03) 9479 5328 [email protected] www.msaustralia.org.au/actnswvic Take Charge of Your Health The following initiatives could help you save money on your medical expenses. Health Care Card (HCC) and Commonwealth Seniors Health Card (CSHC) Eligible cardholders can have prescriptions dispensed at the concession rate. For more information, contact Centrelink on 132 717 or visit www.centrelink.gov.au PBS Safety Net Once your family has spent a certain amount on PBS (government-subsidised) prescriptions, you may be eligible for a lower co-payment rate for the remainder of the calendar year. For more details, speak to your pharmacist. Brand price premiums and generic medications Unless specified by your doctor, ask your pharmacist if there is a least expensive brand of medication. When PBS prescriptions are dispensed, Medicare only subsidise the least expensive brand. Medicare Safety Net Once your family has spent a certain amount on Medicaresubsidised out-of-hospital services, you are entitled to additional benefits for the remainder of the year. Contact Medicare on 132 150 or visit www.mbsonline.gov.au Medicare bulk billing for tests If your doctor refers you for a medical test outside a public hospital you may have to pay the fees upfront. Ask your GP for a referral to imaging centres and pathology services that offer bulk billing for Medicare cardholders, if applicable. GP Chronic Disease Management, Chronic Disease Dental Scheme and Better Access to Mental Health If you are eligible for any or all of these programs, you will be able to access additional Medicare subsidies on certain health services, such as allied health consultations, dental services and psychology consultations. For more information, speak to your GP. Medical Expenses Tax Offset If your family’s medical expenses exceed a certain amount, you may be able to claim a tax offset on your personal tax return. Contact the ATO on 132 865 or speak to your tax agent. autumn 2011 intouch 29 HEALTH+WELLNESS Get Active Stay active with programs and advice brought to you by our Health Promotion Team. First Wellness Day to Involve all Regions On 1 May, MS Australia – ACT/NSW/VIC will hold its first ever Wellness Day that will bring together people living with MS, health professionals and staff from across our regions. The event will be held in Albury/Wodonga on the NSW and Victorian border, and will be followed the next day with a Wellbeing Forum for health professionals working in that area. The client event will involve the usual ‘come and try’ physical activities and experts Dr Craig Hassed and Sandy Davidson will provide practical insights to the ‘ESSENCE of Managing MS’ and ‘Nutrition to Nourish the Nervous System’, respectively. Beyond the Wellness Day, our Health Promotion Team will work closely with local tai chi, Heartmoves for MS, yoga and community strength training programs to establish new physical activity programs in the area. Dr Hassed and Dr Lisa Dell’Oro, MS Australia – ACT/ NSW/VIC Exercise Physiologist, will deliver the keynote presentations at the health professionals’ Wellbeing Forum – a Professional Development Program for Neurological Disorders. They will address the evidence-based benefits of healthy living, diet, the importance of vitamin D, and the latest research in exercise and MS. This program will help equip local health and fitness professionals to support people with MS and other chronic and neurological conditions in the region to live well, long into the future. Networking and local knowledge shared on the day will strengthen the services of local health professionals as well as support us in the development of ongoing programs for people living with MS. For more information and to register for these events, see pages 20–21. Upcoming Wellness Days for 2011 Expanding Heartmoves for MS Building upon the enormous success of our partnership with the Heart Foundation, and the development of the Heartmoves for MS physical activity program in the ACT and NSW, we are delighted to advise that this program has now commenced in Victoria. Our staff have been trained to enable future partnering with, and educating of, new Heartmoves instructors across Victoria, which will support the expansion of Heartmoves for MS programs across the state. The newly-formed Frankston Physical Activity Peer Support Group trialled one of the first Heartmoves exercise programs in the state. In 2011, MS Australia – ACT/NSW/VIC will work closely with the Heart Foundation Heartmoves team to train all State Heartmoves Coordinators in the Heartmoves for MS program. Together, our organisations will develop a strategy to communicate with all MS Societies in Australia to promote the Heartmoves for MS program and increase the number of people with MS exercising in Heartmoves programs across the nation. Calling Expressions of Interest – New Physical Activity Groups Central Region: l Albury/Wodonga, 1 May ell run, extrao rdinary guest speCanberra, od sessions to akers, date TBC try, with carl ing essionals and a wonderful lun ch.” Northern Region: Greater Western Sydney, 27 March Southern Region: Outer east metro Melbourne, the help of hea lth professional oing to try and s, improve my life date TBC courage more people I kno MS Australia – ACT/NSW/VIC is now calling on expressions of interest from people interested in joining physical activity groups in the following locations: Central Region: Canberra, Albury/Wodonga Northern Region: Greater Western Sydney, Baulkham Hills, Oatley Southern Region: Brimbank, Mildura, Traralgon To express your interest or to find an existing physical activity group near you, call MS Connect on 1800 042 138. w S to attend the se workshop s. you!” Giving Life Back Giving Life Back 30 intouch autumn 2011 www.msaustralia.org.au/actnswvic Words of Wisdom: Managing Stress While stress can be unavoidable at times, its impact on the body has been widely researched and documented. Therefore, minimising stress through activities such as meditation can go a long way to enhancing your overall wellbeing. A regular meditation practice can have many beneficial effects. For example, it can: l improve one’s overall health l increase concentration and focus l assist people to find balance in their lives l improve quality of sleep l increase energy. For more information about the benefits of meditation and how to incorporate it into your daily life, the following related resources are available for loan from the MS Library: l Hurry Up and Meditate: Your starter kit for inner peace and better health, by David Michie. Sydney: Allen & Unwin, 2008 l Know thyself: the stress release programme, by Dr Craig Hassed. Melbourne: Michelle Anderson Publishing, 2002 l Stress Release Program (CD), by Dr Craig Hassed. Melbourne, 2006 l The Essence of Health: The Seven Pillars of Wellbeing, by Dr Craig Hassed. Sydney: Ebury Press, 2008 Contact the MS Library on (03) 9845 2809 or email [email protected] MS Australia – ACT/NSW/VIC, along with exercise therapists in the community, currently operate more than 75 physical activity groups across the ACT, NSW and Victoria. These include Heartmoves for MS, strength maximising, flexibility and aquatic exercise groups. Visit www.mssociety.org.au/living-with-ms.asp or call 1800 042 138 to find a group near you. HEALTH+WELLNESS Food for Thought Maintaining a healthy diet is an important aspect of keeping well, but what does it mean for people with MS? We take a look at the current diet therapies associated with the management of the disease. 32 intouch autumn 2011 The Swank Diet The Swank diet is perhaps the best known diet associated with MS. Named after Dr Roy Swank, it is suggested that the diet is effective in reducing the frequency and severity of relapses (exacerbations) in people with MS. The Swank Diet recommends that polyunsaturated fatty acids are increased while saturated fats are decreased to 15 grams or less per day. Fish is one of the main foods in the regime, as is vegetable oil and cod-liver oil. The Swank MS Foundation recommends the diet be incorporated into a lifestyle that includes regular physical activity, adequate rest, reduced stress and an optimistic attitude to life. For more information: l The Swank MS Foundation website: www.swankmsdiet.org l The Multiple Sclerosis Diet Book, by R Swank & B Brewer. New York: Bantam Doubleday Dell Publishing Group Inc, 1987 The Jelinek Diet Professor George Jelinek, a professor in emergency medicine and a person with MS, devotes his time to helping others understand the disease. The focus of his MS management regime is around diet. Professor Jelinek suggests that dietary fats play a major part in the development and progression of MS. He advocates that a diet very low in saturated fat (with no dairy and little or no meat) has shown significant reductions in relapse rates and disease progression. Much of his evidence is based on the work of Roy Swank and others suggesting the benefits of a low-fat diet for people with MS. The health benefits of sunlight, vitamin D supplementation and lifestyle changes that focus on the mind–body connection are also promoted as part of Jelinek’s program. For more information: l Overcoming MS website: www.overcomingmultiplesclerosis.org l Overcoming Multiple Sclerosis: An evidence-based guide to recovery, by G Jelinek. Sydney: Allen & Unwin, 2010 l Doidge M. Evaluation of a nutrition education programme for people with multiple sclerosis. Journal of Human Nutrition and Dietetics 1993; 6(2):131-147 www.msaustralia.org.au/actnswvic Thinkstock/Comstock Images/iStockphoto/Digital Vision/ Noel Hendrickson We are often told ‘you are what you eat’ and that a healthy diet will enable our bodies to work to their full potential. People with MS, especially, can benefit from eating nutritionallybalanced meals. A good diet can help to minimise fatigue, reduce the impact of symptoms and promote an overall sense of wellbeing. This much is true, but what of the diet therapies that have emerged over the years claiming to reduce the rate and impact of relapses in people with MS? This is an area of enormous interest and concern for people living with MS. There is currently a great deal of promising research into the disease-modifying impact of certain diets and nutritional practices. Needless to say, however, all national strategies and guidelines support attention to a healthy diet in supporting people living with chronic disease, through improvements in quality of life outcomes. Below are some of the current diet therapies associated with MS. However, it is crucial for individuals to seek professional advice from a nutritionist or GP before eliminating certain foods from their diet. And remember, a nutritionally-balanced diet is just one aspect of a healthy lifestyle. Keeping active and taking part in stress-reducing activities also play an important role in keeping well. A Good Starting Point The Heart Foundation and the National Health and Medical Research Council (NHMRC)’s Dietary Guidelines for Australians are a useful reference point if you are unsure where to start. They highlight a number of key principles for maintaining a healthy and well-balanced diet, such as: l Enjoy a wide variety of nutritious foods. l Eat vegetables, wholegrains, fruit, nuts and seeds daily. l Eat plenty of cereals (bread, rice, pasta and noodles), preferably wholegrain. l Incorporate lean meat, fish, poultry and/or alternatives. l Consume reduced-fat milks, yoghurts, cheese and/or alternatives. l Choose healthier fats and oils, limiting saturated fat and moderate total fat intake. l Choose foods low in salt. l Consume only moderate amounts of sugar and foods containing sugar. l Limit alcohol intake. l Drink mainly water and keep hydrated. l The national guidelines also suggest that keeping physically active and eating according to your energy levels is part of healthy living. For more information: l Complementary and alternative medicine and multiple sclerosis, by A Bowling. New York: Demos, 2007. l Heart Foundation website: www.heartfoundation.org.au l MS Essentials 11: Diet and nutrition, by the UK Multiple Sclerosis Society (2008) – www.mssociety.org.uk l National Health and Medical Research Council website: www.nhmrc.gov.au l Nutrition Australia website: www.nutritionaustralia.org HEALTH+WELLNESS The Mediterranean Diet Inspired by the dietary patterns of the poor coastal regions of southern Italy, Crete and Greece in the 1960s, medical researchers believe the Mediterranean Diet reduces the risk of heart disease, lowers blood pressure and decreases levels of low-density lipoprotein (LDL), or ‘bad’ cholesterol. The Mediterranean Diet has been associated with a reduced risk of overall (and cardiovascular) mortality, and a reduced incidence of cancer, Parkinson’s and Alzheimer’s diseases. Olive oil is particularly characteristic in the diet. It contains a very high level of monounsaturated fats – especially oleic acid – which studies suggest may be linked to a reduction in coronary heart disease risk. Evidence also suggests that the antioxidants in olive oil improve cholesterol regulation and LDL cholesterol reduction, and that it has other anti-inflammatory and antihypertensive effects. The Mediterranean Diet emphasises the need for regular exercise and eating primarily plant-based foods. For more information: Eat, Drink and Be Healthy, by W Willett. New York: Free Press, 2005 l The Ornish Diet Dr Dean Ornish is known for his lifestyle-driven approach to the control of coronary artery disease. Ornish showed that heart disease could not only be slowed, but actually reversed with a low-fat, plant-based diet and healthy lifestyle regime featuring yoga, meditation, smoking cessation and regular exercise. Dr Ornish’s main argument is that eating a high-fibre, low-fat vegetarian diet will not only help you get and stay healthy, it will also help you lose weight. For more information: l Eat More, Weigh Less, by C Ornish. New York: Quill (Harper and Collins), 2001 l The Spectrum, by D Ornish. New York: Ballantine Books, 2008 Action for Research into Multiple Sclerosis (ARMS) Diet The ARMS Diet was originally formed by a group of people with MS in the UK (it no longer exists under this name). ARMS turned to Professor Michael Crawford, a professor of nutrition at Nottingham University, for therapy options. Professor Crawford devised a diet for the group which was high in essential fatty acids and provided a good intake of vitamins and minerals. His diet was based on a number of trials that had indicated a diet high in polyunsaturated fatty acids helped reduce the frequency, severity and duration of MS relapses. The overriding principle for the ARMS Diet is not so much about the amount of saturated fat in the diet, but more the ratio of polyunsaturated fat to saturated fat. For more information: l Managing multiple sclerosis naturally: A self-help guide to living with MS, by J Graham. Vermont: Healing Arts Press, 2010 www.msaustralia.org.au/actnswvic autumn 2011 intouch 33 HEALTH+WELLNESS Spotlight On: Exercise Physiologists & Therapists The benefits of exercise have been widely reported for people with MS but knowing what type of exercise is best, and where to access suitable programs, can be a challenge. Our exercise physiologists and exercise therapists can help you connect the dots. Exercise physiologists (EPs) are university-qualified allied health professionals who specialise in the delivery of exercise, lifestyle and behavioural modification programs for the prevention and management of chronic diseases and injuries. MS Australia – ACT/NSW/VIC has qualified EPs and exercise therapists (qualified personal trainers) who provide an holistic approach to the often complex management of an individual’s MS symptoms. As such, these therapists will work closely with physiotherapists and other allied health professionals to: l educate clients, their family members/carers and relevant staff about the benefits of physical activity l prescribe individualised exercise programs l inform/guide clients through the strategies required to manage an ongoing exercise program l refer clients to a community EP (e.g. in regional areas) and assist with access to appropriate exercise groups l follow-up and review as required l develop and provide training to fitness professionals on the key aspects of working with people with MS. 34 intouch autumn 2011 Our EPs and ETs also work with the Health Promotion Team to expand the number of exercise opportunities available for people with MS, as well as the Peer Support Program Team to help launch combined peer support/ physical activity groups. How can exercise physiologists and therapists support me? In consultation with a client’s healthcare team, an EP will assess a client’s ability and needs to determine the best type of exercise program suitable for them. For our clients in NSW, this is generally done by a physiotherapist who will assign clients to MS-specific training programs that are actually run by our exercise therapists (ETs). Importantly, people can expect progress to be made towards achieving their individual health and fitness goals. To support MS Australia’s commitment towards symptom self-management, the EP and/or ET will guide the client on how to progress their exercise program as appropriate. For example, a client may already be attending a gym but requires some specialised guidance or review of their www.msaustralia.org.au/actnswvic Thinkstock/Creatas What is exercise physiology and exercise therapy? How are they relevant to people with MS? HEALTH+WELLNESS exercise program. This usually includes an education session for gym staff to extend their knowledge of MS and help in tailoring specific exercises around MS symptoms (e.g. seated exercise for people with mobility problems or reducing the number of repetitions to lessen the likelihood of muscle and nerve fatigue). There is a tendency for many people to not complete their gym-based exercise programs because they feel their specific needs around MS are not catered for. However, an important role of our EPs, ETs and physiotherapists is to equip fitness professionals with the necessary skills and knowledge to ensure people with MS can continue with their gym activities. What types of exercise programs are available? MS Australia – ACT/NSW/VIC, along with fitness professionals in the community, currently operate more than 75 physical activity groups across our regions. These include Heartmoves for MS, maximising strength, flexibility and aquatic exercise groups that are specifically tailored for people with MS. Our EPs and physiotherapists can assist you with assessing your level of ability and can suggest a suitable program near you. For many reasons we would recommend either a group or individual program outside the home but sometimes a home exercise program is deemed appropriate. A suitable program can be devised with the client’s needs and goals at the forefront, always considering realistic timeframes. information about this scheme, visit www.health.gov.au/ mbsprimarycareitems, call 132 001 or talk to your GP. n *Special thanks to Lisa Dell’Oro, Exercise Physiologist, and Tracy Martinuz, Exercise Therapist, at MS Australia – ACT/ NSW/VIC for their assistance with this article. Community Teams Exercise physiology and exercise therapy are just two of the health services provided by MS Australia – ACT/NSW/VIC. Exercise physiologists and therapists work alongside the following health professionals in our community teams: l Community support workers l Clinical psychologists l MS nurses l Neuropsychologists l Occupational therapists l Physiotherapists l Social workers If you would like more information on any of these services, please contact MS Connect on 1800 042 138. How do I access these services? People with MS can access the support of our EPs, ETs and physiotherapists by contacting MS Connect on 1800 042 138 or can be referred by their GP or other allied health professionals within our community teams. Assessments can take place in one of our MS centres, a local gym, at the client’s home, and via the phone or email. Having also developed strong relationships with community-based EPs, ETs, physiotherapists, fitness instructors, gyms, aquatic centres and other relevant facilities throughout our regions, MS Australia – ACT/NSW/VIC ensures that we cater for our large client base. To provide continuity and support for clients it is necessary for them to have a local provider they can link in with as required. This is especially important for rural/regional clients where access to an MS EP is limited. Clients are often referred to suitable exercise groups run externally but supported by MS Australia. To view the current locations of our existing groups, visit www.mssociety.org.au/living-with-ms.asp or call MS Connect on 1800 042 138. Notably, under the Medicare rebate scheme, clients may be eligible for five free visits to an EP or physiotherapist as one of a range of allied health services covered by the GP Chronic Disease Management program. For more www.msaustralia.org.au/actnswvic autumn 2011 intouch 35 LIFESTYLE Play it Safe: Fire Prevention at Home Robyn Pope is all too familiar with the disastrous effects of a house fire. With her own home catching alight last year, it was only the quick thinking and bravery of her neighbour that saved her life. Robyn is 43 and has been living with MS for 13 years. She lives alone in Sydney’s south west and has very limited Quick Facts Each year, Fire and Rescue NSW responds to approximately 190,000 calls across NSW. l Last year, 4,348 of these were preventable fires in residential properties. l Data indicates that residential fires increase during the cooler months from May to August. l In Australia, research has found the following to be the most common causes of fire: cooking 47% faulty electrical appliance/ fitting 13% open fire 5% bush fire 5% candles/oil burners 4% flammable liquid/gas/gas leak 4% cigarettes 3% l 36 intouch autumn 2011 mobility and other permanent and severe challenges due to her progressive disease. Wishing to remain independent and live at home, Robyn uses an electric wheelchair and has home care services visit four times per day, as well as MS community support workers and a physiotherapist once a week. Last year, though, life took an unexpected turn for Robyn. “Home care usually come and put me to bed at 8.15pm but on 16 September I wanted to stay up and watch The Footy Show,” recalls Robyn. “My neighbour came over to help hoist me into bed. As she was saying goodbye and walked out of the bedroom, she just happened to turn around to see a big red glow coming from under the door of the second bedroom. She opened the door to find the house was on fire. She raced back in and grabbed the hoist to help me out of bed but I realised that, because the bedroom door had been opened, the fire would spread quickly and it would take too long for us to get the hoist operating and get out safely. “While my neighbour called the fire brigade and her partner for help, I dragged myself out of bed and into my wheelchair. It was hard and very painful but I just had to do it. Everything seemed like it was taking forever. My neighbour’s partner jumped the fence and grabbed the hose to start tackling the fire. The glass windows blew out and he was quite badly cut from that explosion. “As my friend was trying to help me get out of the bedroom, the smoke was so thick we could barely see two inches in front of us. I accidentally pinned her against the cupboard at one point because we just couldn’t see. I managed to turn the chair around to move out of the bedroom and head to the back door. By the time we got out of the room, though, we couldn’t get to the back door as the fire and smoke has spread. The only other option was the front door but I have a small patio and www.msaustralia.org.au/actnswvic Thinkstock/Digital Vision/ Michael Blann As the weather cools down, we will soon start digging for the electric blankets and dusting off our heaters to brace for winter. It is also a good time to remind ourselves about the potential risk of house fires, as well as how to prevent them and plan for an emergency. LIFESTYLE The impact steps out the front, so I started panicking. I didn’t think the wheelchair would make it out that way either. “Urging me to trust her, my neighbour put a cardigan over both our heads, and I just shut my eyes and hit the controller. I dived out the front door and landed on the front porch with my wheels just touching the top step. Thankfully, that’s when the fire brigade turned up.” Both Robyn and her neighbour were treated for severe smoke inhalation, and Robyn had to stay in a care facility for six weeks while her home was being repaired. Robyn lost quite a lot of personal items but fortunately the cost of repairs was covered by the Department of Housing. While she was happy to return home, Robyn says she still feels anxious going to bed at night. “I have had trouble settling back in. I feel quite anxious now and I can’t stop thinking that, if I had of gone to bed when the care service came at 8.15pm, I could quite possibly be dead now. “Again, if it wasn’t for my neighbour, I definitely would not be here, and her partner really saved the house from completely burning to the ground.” Robyn later found out that the fire was caused by an electrical fault in one of the power points in the second bedroom. While she did have smoke detectors in the common areas of the house, they didn’t go off until her neighbour opened the door to the bedroom where the fire had started. The fire brigade have now put smoke detectors in every room and the wiring throughout the whole house has been checked. Prevention and planning “As a firefighter, I have seen how quickly a fire can spread,” says Melanie Rebane, Community Safety Coordinator (Ageing and Disabilities) at Fire and Rescue NSW. “Unless you’ve experienced a house fire, most people just don’t LIFESTYLE realise that a small fire can quickly escalate to completely engulf a room in less than three minutes.” Rebane is responsible for developing and managing preventative projects and programs across NSW to assist ‘at risk’ communities to prepare for and prevent fires. “People with disabilities or those who may simply have minor challenges with mobility or cognition (like many people with MS) are often less capable of escaping from a fire, particularly if they’re living alone,” she says. “My role involves changing the fire safety perceptions and behaviours of people. “Some of the key fire prevention and safety tips we provide to the community include: l When you are asleep, you will not smell smoke and it will in fact put you into a deeper sleep. A smoke alarm detects smoke well before you would, alerting you to the danger of a fire and giving you precious time to escape. l Install smoke alarms in your home (one outside your bedroom in the hallway and one in your bedroom, at least). Test them monthly and replace the battery yearly. If you are hard of hearing, there are specialised smoke alarms available with a strobe light and vibrating pad, which is placed beneath your pillow. l Never leave cooking or any other open flame (including candles or oil burners) unattended. l Never smoke in bed and take extra care if consuming alcohol while smoking. l In winter, take extra care when using heaters, electric blankets or open fires. l Don’t overload power points and always switch off appliances when not in use. “I would encourage anyone with a disability to prepare a home escape plan in the case of an emergency,” stresses Rebane. “Emergencies usually happen when you least expect it. By planning ahead, you will have a better chance of protecting yourself, your pets, your possessions and your property. “Developing, and regularly practising, a written home escape plan that takes into consideration your own requirements and proper arrangements for assistance if required, will ensure you and your support network will know exactly what to do in an emergency. For example: l Smoke from a fire limits your visibility and can make you confused. Know two ways out of every room in the house and make sure there is no furniture restricting your safe passage outside. l Ensure any mobility aids you may need are in good working order and are easily accessible. l Where possible, sleep in a bedroom close to an exit doorway. l Make sure keys to all locked doors are readily accessible. l Keep your mobile phone close by at night. If you have difficulty using the telephone, consider using a personal alarm. For more information about these, contact the Independent Living Centre in your state. Visit www.ilcaustralia.org for details. “It is important for family members and carers of people with disabilities to get together to discuss and practise the home escape plan of a person with a disability,” adds Rebane. “Planning how to contact ‘000’ (triple zero), family members, neighbours or carers in the case of emergency, and planning your escape path and predetermined point of safety are vital to surviving a house fire.” n All fire services have informative websites with handy fire safety tips and fact sheets on the services they provide to the community. For example, Fire and Rescue NSW has a program for people with disabilities and seniors called the Smoke Alarm and Battery Replacement program. Visit your state’s fire service’s website at: l ACT: www.firebrigade.act.gov.au l NSW: www.fire.nsw.gov.au or www.rfs.nsw.gov.au l Victoria: www.mfb.vic.gov.au or www.cfa.vic.gov.au For information and a template on how to develop your own home escape plan, visit the Fire & Rescue NSW website at www.fire.nsw.gov.au. The Australian Red Cross also have emergency preparedness resources for people with disabilities. Visit www.redcross.org.au 38 intouch autumn 2011 www.msaustralia.org.au/actnswvic Thinkstock/Digital Vision/Michael Blann/iStockphoto For more information and resources WHAT’S NEW: MS-RELATED RESOURCES Check out the latest resources, sourced by the MS Library. Childhood MS – a guide for parents Carer Relaxation (audio CD) By the Australian Government Department of Health and Ageing Childhood MS: A Guide for Parents By the UK MS Society Website: www.mssociety.org.uk/support_and_services/free_ publications/childhood_ms.html In keeping with the theme of this edition of Intouch, Childhood MS: A guide for parents tackles some of the issues and challenges that young children with MS may face. The topics covered include the possible causes of MS, diagnosis, symptoms, treatment and management, cognitive issues, and MS and the family. A section titled ‘school, college and university’ contains useful information related to coping with fatigue, bullying and taking medication at school. The following booklets published by the UK MS Society may also be of interest: • MS in your life: A guide for young carers www.mssociety.org.uk/support_and_services/free_ publications/young_carers.html • Our dad makes the best boats www.mssociety.org.uk/support_and_services/free_ publications/dad_boats.html • Our mum makes the best cakes www.mssociety.org.uk/support_and_services/free_ publications/our_mum_cakes.html Featuring three short programs, the Carer Relaxation CD is a useful resource that allows carers to escape from the day-to-day pressures of being a caregiver. The first program on the CD runs for five minutes, talking listeners through some gentle stretching exercises. The recharge program – a 10-minute segment – encourages ‘time out’ and helps carers to feel refreshed and ready to face the day. For those who need to completely unwind, the CD provides a 20-minute relaxation program that gently guides listeners through a number of tension-releasing activities. The CD concludes in an arrangement of soothing music that carers can listen to whenever they need to tune out. The Carer Relaxation CD is available free to carers via the Commonwealth Respite and Carelink Centres (contact 1800 052 222 to locate your nearest centre). Keeping the blues away: The ten-step guide to reducing the relapse of depression By C Howell, Radcliffe Publishing Keeping the blues away is a 10-step guide that can assist in the recovery of depression and in helping people to stay well. Covering areas such as assessment, goal setting, healthy lifestyles, coping skills and the benefits of activity, this book takes a holistic approach to the treatment of depression. Each chapter in the book includes strategies and activities for achieving the steps and developing a plan to combat relapses, as well as a list of useful resources. Relaxation music can also be downloaded from an accompanying website. To borrow books or for assistance in accessing online resources, please contact the MS Library on (03) 9845 2809 or [email protected] www.msaustralia.org.au/actnswvic autumn 2011 intouch 39
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