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Staying steady: avoiding falls when you have MS

17th June 2013 by stephen.trousse

Falls: managing the ups and downs of MSThis week is Falls Awareness Week,  an annual event which aims to highlight things you can do to reduce your risk of falling and the local services available to help you to do this.

Falling is the commonest cause of accidental injury in the UK, with more than 2.7 million people affected each year. Falls can happen to anyone, although some of the symptoms of MS – such as problems with sight, mobility and continence – can increase the risk.

In 2008 the MS Trust published  Falls: managing the ups and downs of MS, a practical guide to coping with the risk of falling. The book looks at factors that increase the risk of falling and includes tips and suggestions for reducing the dangers. There is also a section on the fear of falling and information on how to remain safe should you have a fall.

Our newsletter Open Door also has regular features offering practical advice on issues such as avoiding falls. In the February issue this year, Alison Clarke, Clinical Specialist Physiotherapist, Mobility and Specialised Rehabilitation Centre at Northern General Hospital, Sheffield, wrote about MS and changes to walking and balance.

Alison highlighted how functional electrical stimulation (FES) is often very successful in addressing walking problems in MS, particularly issues with dropped foot. People with MS who use FES often notice significant changes to their walking including greater confidence and speed, less effort involved and fewer stumbles. To read more about FES click here.

Do you have any practical tips for avoiding falls or stumbles? Let us know in the comments below.

My parachute jump for the MS Trust

12th June 2013 by laura.percival

Guest blog by Liz Blake

My name is Liz Blake and I work for the MS Trust. Part of my role here is doing the admin for our parachuting fundraising events. I was seriously thinking of doing a parachute jump myself to help raise funds for the MS Trust, so when a company booking of ten people from Active-PCB Solutions came in, I thought it would be a good idea to join this team and make a day of it.

We jumped at the Chiltern Park Aerodrome on Sunday 9 June and it was fantastic, exhilarating and scary at the same time. But what a start to the day, we thought we weren’t going to jump at all due to the low heavy cloud. I nearly went home. And then suddenly the first lot were in the air, at 2.20 in the afternoon!

We had some really useful instruction in the morning on how to skydive and were told all about the safety aspect of it. On with the jumpsuits and harnesses. There was time to eat a burger and watch the first people jump and land safely. And then it was my turn, walking to the plane and nearly getting blown off the steps up to the aircraft due to the draft from the propeller!

Liz Blake skydive

The small aircraft was off climbing to a height of 10,000ft and getting colder all the time. My instructor Deano who was a lovely chap, really friendly and reassuring, gave me a reminder of what we were going to do as we approached the point where we would exit the plane. Then the first guy jumped out almost as if he was getting out of bed, so relaxed. We shuffled to the edge of the plane, me in front. I had to dangle my legs outside the opening and flip them under, next thing a slight rock forward and we were out!

liz-blake2

It was absolutely terrifying at that moment. I screamed and now looking at the photo I know why – I’d forgotten my instruction to keep my head back and we were diving down toward the earth! The cameraman appeared in front of me smiling and waving and put me at ease and we continued to freefall for about 30 seconds. Falling at a rate of around 120 mph, wind rushing past your face is not the most attractive look in the world but its over so quickly.

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Next thing I got a tap on the arm to warn me that the main canopy was going to be deployed. It felt like we shot up in the air really fast, absolutely brilliant, and then we were floating. We could see all over the countryside and it was an absolutely fabulous feeling, just hanging there seems a bit surreal. We could see the River Thames, Didcot Power Station and as we approached the airfield I could see my son waving madly. We came in really gently and had a lovely soft landing. Phew!! What a relief.

liz-blake4

I’ve raised a total of £1,480 for the MS Trust, but I didn’t do this through sponsorship alone. I’m a modern jive dancer and go to various dance venues in Hertfordshire, so I thought I would hold my own charity dance to raise funds. It was quite well attended, everyone said there was a great atmosphere and that they had a wonderful evening. As well as the money from ticket sales, we did a raffle on the night and raised £170. I also put my sponsor form out at work and was absolutely amazed at how much everyone donated and how many did. I’ve raised a lot more than I thought I could.

I’m still buzzing from it.

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Find out how you can take part in a sponsored skydive for the MS Trust

Life after work: how did you manage the change?

4th June 2013 by stephen.trousse

Here at the MS Trust we are currently busy preparing the next issue of our quarterly newsletter, Open Door. The new issue, due out in August, has a feature on the changing world of work, exploring the various employment options open to you when you are diagnosed with MS.

We have an article by a person with MS who fought back against workplace bullying and we speak to an HR manager who was diagnosed with MS about her perspective on employment issues. We also have a feature on organisations that can help you, from providing advice, to helping you make adjustments to continue to work, or even supporting you if you decide to become self-employed.

One aspect of work and MS that is relatively underdiscussed is life after work. As much as most people would like to continue to work for as long as possible, there comes a point when some will have to think about giving up their job, and this can be a very difficult adjustment to make, financially, emotionally and psychologically.

If you have been through this experience we’d like to hear your thoughts. What was the hardest part about giving up work? Have there been positive aspects to the change? What do you know now that you wish you’d known then? And what advice would give to people considering leaving their job because of MS? Let us know in the comments below and we’ll feature a selection of the comments in our Open Door article. If you’d prefer you can email us with your thoughts.

If you don’t already receive Open Door you can see back issues online and find out how you can subscribe here.

Can you help name our resource for people newly diagnosed with MS?

24th May 2013 by helena.jidborg

The MS Trust is developing a new way to provide information about MS to people who have just been diagnosed.

The background goes like this. In 2012 we commissioned some research into the sort of information that people prefer at, or soon after, diagnosis. It turned out that some people want very little information and some people would like loads and most people are somewhere in between. Many people have phases when they want information and then phases when they don’t.

Our challenge now is to develop new publications and areas of our web site which allow people to get as much info as they want, when they want. Some info is important for everyone to know straight away but the rest can be a pick and mix kind of approach.

We are preparing a small introductory resource which will help answer the most common questions that people have after diagnosis. It is quite small and those who want more information will be able to follow the signposts to get more info on the topics that are important to them.

So the question is “What to call the resource”?

At the moment, many newly diagnosed people look at our bigger booklet called “MS what does it mean for me?” The new booklet will replace this one so perhaps it could be called the same thing.

We’ve had a few other suggestions already:

- What now I have been diagnosed with MS?

- What’s next?

- Going forward

- What would help me?

 

Tell us your ideas.

Do you have any inspiration? Do you like one of the suggestions above?

Should it have MS in the title? What would be positive and helpful and not worrying to someone who has just been diagnosed?

Please tell us using the form below or email infoteam@mstrust.org.uk

Thank you. We appreciate your help.

 

Jane, Information Officer

How NOT to talk about MS

17th May 2013 by stephen.trousse

Diane Evans on why it’s best to stop, look and listen before holding forth on MS

Most people with MS will come across this situation at least once in their life after diagnosis. You meet a work colleague of your partner’s and Diane Evanshave to make small talk and you end up talking about MS. The work colleague turns out to have a fabulous friend who also has MS, but it went away for a long time but recently it’s come back and has targeted their eyesight, and they are now registered as blind. But they are still working with their husband in their own business and being a productive part of society. They then go on to tell you how there’s a job out there for everyone and since you can’t get a job that requires going out to work, maybe you should try working from home, filling envelopes or making badges?

At the time I was so astounded at the ignorance, arrogance and rudeness I was at a loss for words. But mulling it over later at home these things came to mind.

So you know a person with MS?

That’s not too surprising. There are over 2.1 million people across the world with MS, it’s really not that uncommon.

You know a little bit about her condition and at least one of her symptoms?

The symptom you are aware of is probably just the tip of the iceberg. For every bit you see above the surface there’s another 90 percent going on under it.  Unless your friend is a gobby mare like me she’ll probably not tell you about it even if you ask!

Don’t think you know enough to offer someone who lives with MS career advice

Think about the person sat across the table from you.  Before holding a friend up as a paragon of good living with MS, have the decency to ask the person across the table from you how their MS affects them.

If you know one person with MS that’s all you know. If your friend is vocal about their condition you may know about a few of their symptoms but you still only know one person with MS and a tiny portion of what they experience of life with their MS. I have MS. I live with the iceberg of symptoms in all its glory every single day of my life and I know exactly how my MS effects me. But I don’t have a clue of my friend Meg’s experience with her MS or of how anyone else with it experiences it as it is individual to each person with MS. If I have it and I don’t know how it affects others then you aren’t in the best position to be offering advice.

If you have a friend who’s got MS, but isn’t that vocal about it, educate yourself

Ask people like me who are quite happy to tell you in clear terms what it means to live with a progressive, degenerate and mostly invisible disorder. Most of all, listen and learn because your friend with MS deserves that from you. Your friend might struggle to put their experiences into words or they might find it difficult to talk about. One person’s experience MS is very different from another’s. Everyone is wired differently. How I experience pain is not relative to how you do.

I’ve spoken a lot about the ‘do nots’ here, but there’s only really a couple of‘do’s’ you need to remember. Do ask questions and do educate yourself so you understand better what people with MS have to live with.

A brush with fate: why Brian Palmer is contributing to the MS Trust’s Secret Art Show

14th May 2013 by helena.jidborg

Fate tapped me on the shoulder in a room at the National Gallery in London’s Trafalgar Square.

It was the room where the Titians are, and, even if it sounds like Pseuds Corner in Private Eye, I was analyzing Titian’s late masterpiece “Diana and Actaon”.

Symbolic, perhaps, because in the myth Actaon is an innocent man struck down by Fate.

In my case, the shoulder-tapper was my 32-year-old son. Which came as a surprise, as he lived and worked in Manchester at the time.

“I’ve got something to tell you, Dad,” he said. “Can we go somewhere quieter?”

There was an underground wine bar I knew just across the road. We had a drink, and then my son told me he had been diagnosed with MS.

That was in 1992. Although I was working full time in my own business then, I had also started a two-day-a week course at art school. Six years later, when I was 69, it would lead to an Honours Degree in Fine Art, and I became a working artist. Hence Titian.

As my artistic training began, so also did my association with MS.

It was only natural, then, that when an artist friend in Yorkshire told me about the Secret Art Show that I would want to be a part of it.

At the time that my son was diagnosed, there was no successful treatment and little hope. Now there are both.

Though he now uses a wheelchair, my son holds down good jobs, travels widely, has fun, and is in trials with a new drug at London’s Hospital for Nervous Diseases in Queens Square. I can’t think of a better cause to support than the MS Trust.

Here is some of my work. Can you guess my picture in the Secret Art Show?

Brian Palmer

 

The Secret Art Show has now raised over £66,000 to support the work of the MS Trust, funding vital education and support for MS nurses and therapists, the most up-to-date and reliable information for people affected by MS and practical research that benefits those living with MS now.Our next show launches for viewing on 24 June with all art being displayed on the MS Trust’s website. The sale commences at 9:00 am on 1 July when the art will be available for people to purchase for £45 plus P&P.

How the MS Trust is working to safeguard the future of MS nurses

2nd May 2013 by stephen.trousse

As you may have noticed, for this year’s MS Awareness Week we have been focusing on the work of MS specialist nurses. Yesterday we announced the winners of our ‘My Super Nurse’ campaign and all week we’ve been highlighting the impact MS nurses can have on everyone affected by MS.

At the MS Trust we believe that one of the best ways to help people with MS is to support their specialist nurses. Since 1996 we’ve been leading the way in campaigning for and supporting their work. We funded the only research project which shows that, as well as being vital to people with MS, MS specialist nurses also save money for the NHS by keeping people out of hospital. We estimate that a single MS specialist nurse, with an average caseload of around 250 patients, can save the NHS around £65,000 a year.

However, in recent years we’ve had to step up our work. As health budgets grow tighter, specialist MS nurses are under increasing pressure to demonstrate the impact of their work or risk having their funding removed. Some nurses have been asked to return to ward work, while some positions have become vacant (due to leave or retirement) and not been filled.

This is why we’ve been working to help MS nurses demonstrate the impact of their work, so they can make the strongest case possible to managers and commissioners about the importance of their role.

Over the past year we’ve been piloting a project called GEMSS: Generating Evidence in Multiple Sclerosis Services. We recruited MS teams from Northumbria, Dorset, Dudley and Sheffield and worked with them to develop tools to enable them to collect and analyse data on their service.

The pilot was a huge success, and has already been instrumental in keeping at least one nurse in post. Last month we spoke to Michelle Strode and Caroline Chandler from Dorset about their experience of the GEMSS project and the difference it’s made to them. You can watch the interview below.

We’d like to roll out this project so that all MS nurses have access to the tools we’ve helped to develop. But we need your help. That’s why all funds raised from this year’s MS Awareness Week Be Bold in Blue events will go towards our nurse support programme, helping us to safeguard MS nurses now and for the future, to make life better for everyone affected by MS.

Being Bold in Blue for MS Awareness Week

30th April 2013 by laura.percival

This MS Awareness Week, we are encouraging our supporters to Be Bold in Blue to help us raise awareness and vital funds. What are you doing to Be Bold in Blue this week? Please let us know and send in your photos so that we can share them at the end of the week.

The money raised through this year’s campaign will go towards funding our work supporting MS specialist nurses. During MS Awareness Week we want to shine a light on the work MS nurses do to support people with MS across the UK. Their role is vital to ensure people with MS and their families get access to the support and services they need. Every penny raised will help us provide essential training and support for MS nurses, helping them to stand strong in the face of NHS cutbacks.

Be Bold in Blue is a really fun way to get involved and make a difference this week. It can be as simple as wearing a blue wristband to show your support or you could hold a fundraising event like many of our supporters are doing. During the week people are holding quiz nights and dress down days at work and in schools; we have someone fundraising with their car club, another person pedalling away on a static bike, and various happenings that revolve around tea and cake. If you haven’t planned anything yet don’t worry, you can always help by organising something later in the year – find out how you can Be Bold in Blue.

At the MS Trust office yesterday we had a visit from Bob – the official Be Bold in Blue mascot! He was getting up to mischief during our Be Bold in Blue lunch. You can see some photos on our Flickr page.

Please send any photos of your own Bold in Blue efforts to fundraising@mstrust.org.uk. We’d love to post a round up on Friday of all the fantastic things our supporters have been doing to raise awareness of MS and the work of MS nurses. We look forward to hearing from you.

 

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MS Trust staff and ‘Bob’ being Bold in Blue on Monday

“In a word, amazing”: Miranda Olding on being nominated as Super Nurse

29th April 2013 by stephen.trousse

Today is the final day for nominations in our ‘My Super Nurse’ campaign. This has been already been a record-breaking year for the campaign but you have until midnight tonight, 29 April, to nominate an MS nurse who’s gone the extra mile for you. To find more and tell the world about your Super Nurse visit the MS Awareness Week site.

Today’s nominee is Miranda Olding who’s the MS nurse at the MS Therapy Centre in Bedford. Because the centre is quite close to the MS Trust’s offices in Letchworth, we hopped on a train and chatted to Miranda in person. To find out more about her work click on the video below or watch it on youtube.

Sensitivity, compassion and empathy: Shona Flucker on being nominated as an MS Super Nurse

25th April 2013 by stephen.trousse

In the final days of voting in our My Super Nurse campaign we’re still receiving nominations for MS nurses from around the country. You have until Monday 29 April to nominate your nurse – visit our MS Awareness Week site for more details.

Shona FluckerToday’s nominee is Shona Flucker, lead MS specialist nurse at NHS Tayside. One of the people who nominated Shona explained just how she makes a difference:

When I was diagnosed Shona was there to explain everything to me about medication treatment and therapies. She is always only ever a phone call away and is such a good listener. She has supported my family through what was initially a difficult time. Shona is such a great person and I am very lucky to have her as my nurse.

How does it feel to be nominated as an MS Super Nurse?

I am delighted to be appreciated – especially around someone’s diagnosis of MS. I have been an MS specialist nurse for 13 years and I hope I never become complacent about delivering information with sensitivity, compassion and empathy.

How did you come to be an MS nurse?

When I was a student nurse in 1990 one of my placements involved neuromedical nursing, which was in Ward 10 of Dundee Royal Infirmary. I enjoyed this placement so much, I requested to return in my third year in order to complete my management placement. I enjoyed learning about all of the main neurological conditions, but at that time almost 50 per cent of the work load was dedicated to patients with MS, who were either in-patients or day cases for neurological investigation.

We cared for patients with MS who were at differing stages of the disease trajectory, which meant that you had to be accessible, visible and responsive to many and varied needs. When I finished my nurse training I was fortunate to be able to apply for my first nursing post in Ward 10. I worked as D and E grade and, when the Neurology Ward moved to Ninewells Hospital in Dundee, I was able to apply for the role of the MS specialist nurse in 1999.

How many people with MS do you work with?

Our geographical area covers Tayside and North Fife, which includes Angus, Dundee and Perth and Kinross. Our MS register records around 1,200 patients with MS. We have three MS nurses in our MS Team. I lead the MS nursing service and cover patients with MS living in Dundee and Angus. I have an excellent MS nurse practitioner who is responsible for all our patients on disease-modifying therapies and patients with lower urinary tract dysfunction and a newly appointed MS specialist nurse who covers Perth and Kinross. As a team we are responsive to any patient from any of our geographical areas.

How do you help people with MS ?

My aim is to respond to my patients’ needs, whatever their situation is. When I am with them I provide emotional support, good listening skills, empathy, understanding and communicate evidence-based research/knowledge of MS-related literature. At the time of diagnosis, for example, when someone has experienced an unexpected acute exacerbation of their condition, or when they realise that treatment is now ineffective and they may have to face the possibility of increasing disability, or, for some, how to manage advancing MS. My role is so varied, but the importance of being aware of not just what you say but how you say it, cannot be emphasised enough. You really only get one chance to make a good impression when dealing with people who are often at their most vulnerable and who are looking for advice and assistance to cope with an uncertain future. Overall, I aim to treat people with respect in a manner which reflects how I would hope to be cared for.

Has your role changed since you started?

Oh yes, quite considerably. When I was appointed in 1999, with our Consultant Neurologist, Dr Jonathan O’Riordan, we were responsible for developing the MS Service in Tayside and North Fife. The MS nursing service has evolved considerably over the years. I worked independently, developing a nurse-led service until 2003, when my additional two nurses were appointed. Before their support I made a huge effort to link with as many health and social care professionals to enable recognition of the MS service so that we would reach as many patients with MS as we could. There were many patients living in the community who had little access to the wide range of MS services that we now have in place. Networking and raising our profile is an ongoing objective to enable patients, health and social care professionals to contact us for advice, information and support. With the ever-changing choices of treatments, and new treatments for the future, it is important that we keep up to date in order to promote and provide the best possible options for our patients.

What difference has the MS Trust made to you?

The MS Trust has helped me to find out everything I wanted to ask or know about MS! The books, assistance with enquiries about the role of the MS nurse, care issues, standards of care, educational needs, presentation skills and slides, advice, support, access to research updates, the UK MS Specialist Nurse Association – well the list could go on and on! Their support is enormous and always available in abundance. When I was appointed to my post I really wanted to attend the MS Trust Nursing Conference which was in York in 1999. I was unable to access NHS funding to support my attendance but Christine Jones [co-founder of the MS Trust] had no hesitation in enabling my attendance, which I have always remembered. This was the first time that I had ever attended a Nursing Conference, and on such a grand scale!

What inspires you?

In terms of my role, what inspires me is that there are no two days the same. I hope that I remain as enthusiastic about my role as when I first started. Yes, it is incredibly busy, with not enough hours in the day, but I gain satisfaction from meeting many people and enabling patients to “move on” from what is often a devastating situation. It never fails to amaze me some of the situations that we encounter and how privileged we are when patients entrust us with their fears and anxieties.