MSWA Bulletin Magazine Winter 2017
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BULLETIN<br />
THE OFFICIAL MAGAZINE OF <strong>MSWA</strong> mswa.org.au<br />
WINTER <strong>2017</strong><br />
PROTECT YOURSELF AGAINST THE FLU<br />
THE RESILIENCE FORMULA<br />
NEWLY DIAGNOSED MEET AND GREET<br />
COMING TO GRIPS WITH MS
<strong>MSWA</strong>’S MAGAZINE FOR PEOPLE LIVING WITH MS<br />
NURSING Our MS nurses are usually the first point of contact after the neurologist’s<br />
diagnosis of MS. We’re committed to providing holistic supports; providing a greater<br />
understanding of what to expect.<br />
Lou Hatter, Manager: 9365 4809 or Community Nurse: 9365 4888<br />
WILSON CENTRE<br />
29 Parkhill Way (08) 9365 4888<br />
Fax (08) 9451 4453<br />
Freecall 1800 287 367<br />
See Health Team Dept contacts on this page<br />
PHYSIOTHERAPY Our team aims to provide treatment interventions to develop and<br />
maintain mobility and function. Our Physiotherapists are experts in movement and function,<br />
and work in partnership with you to attain the highest possible level of independence.<br />
Dave Hathorn, Manager: 9365 4837 or Physiotherapy Department: 9365 4834<br />
MEMBER SERVICES<br />
DIRECTORY<br />
GENERAL MANAGER – MEMBER SERVICES<br />
Sue Shapland: 9365 4840<br />
INDIVIDUAL OPTIONS<br />
Manager Community<br />
Care Programs 9365 4851<br />
NDIS TEAM 1800 287 367<br />
OUTREACH GROUPS<br />
Wilson Outreach (Mon-Thurs): 9365 4830<br />
Beechboro Lodge (Mon, Fri): 9377 7800<br />
Southside Outreach (Fri): 9592 9202<br />
Bunbury Outreach (Wed): 9791 2472<br />
Albany Outreach (Fri): 9841 6657<br />
BUNBURY OFFICE<br />
1 Mason Street, Davenport 6454 2800<br />
BUSSELTON OFFICE<br />
1/21 Cammilleri Street 9754 2320<br />
MARGARET DOODY RESPITE HOUSE<br />
Manager, Chris Rush: 9385 9574<br />
FERN RIVER ACCOMMODATION<br />
Manager, Liz Stewart: 9356 2747<br />
HAMILTON HILL ACCOMMODATION<br />
Manager, Jayne O’Sullivan: 9331 5780<br />
TREENDALE GARDENS RESPITE &<br />
ACCOMMODATION<br />
Manager, Linda Kidd: 9725 9209<br />
CONTACT US<br />
If you would like to comment<br />
on anything you read in this<br />
<strong>Bulletin</strong> please email<br />
bulletin@mswa.org.au<br />
or write to<br />
<strong>MSWA</strong>, Locked Bag 2,<br />
Bentley DC WA 6983<br />
The <strong>Bulletin</strong> can also be viewed at<br />
mswa.org.au/bulletin<br />
EDITORIAL COMMITTEE<br />
Greg Brotherson (Editor), Marcus Stafford (CEO),<br />
David Bugden, Sue Shapland, Ros Harman,<br />
Libby Cassidy, Sandra Wallace, Narelle Taylor,<br />
Leonie Wellington, Sarah Lorrimar, and Dawn Burke.<br />
The Editor welcomes unsolicited submissions.<br />
All articles are subject to a reviewing process.<br />
The views expressed are those of the Authors<br />
and do not necessarily reflect the view of the<br />
Society’s staff, advisors, Directors or officers.<br />
OCCUPATIONAL THERAPY Occupational Therapists enable Members, and Clients,<br />
to continue their work and other interests for as long as possible through advice, aids<br />
and equipment.<br />
Rosemarie Dravnieks, Manager: 9365 4804 or OT Department: 9365 4888<br />
SPEECH PATHOLOGY Our Speech Pathologists provide support by assessing,<br />
diagnosing and creating individualised treatment programs for Members who experience<br />
swallowing and/or communication difficulties. We equip Members with information and<br />
strategies to promote better communication and safe swallowing.<br />
Jamaica Grantis, Speech Pathologist: 6454 3140<br />
COUNSELLING Talking with a Counsellor creates a safe, respectful and confidential<br />
environment for you and those close to you to explore options, create change or<br />
gain understanding about your life. Attending counselling with our tertiary qualified<br />
practitioners enables opportunity for personal growth and exploration in a nonjudgemental<br />
environment. To make an appointment please call:<br />
Lisa Papas, Manager: 9365 4836 or Main Counselling line: 9365 4811<br />
SOCIAL WELFARE Social Welfare Officers assist people living with MS and their<br />
families to access services and supports to remain living independently at home.<br />
They specialise in case management, advocacy and sourcing funding options.<br />
They provide information on benefits and entitlements through Centrelink and other<br />
government departments.<br />
Irene Gallagher, Senior Social Welfare Officer: 9365 4835<br />
INDIVIDUAL OPTIONS We provide long-term and time limited in-home supports<br />
including assistance with personal care for people with MS, to help them remain in their<br />
homes. Care and supports are provided through a combination of funding from the<br />
Disability Services Commission (DSC) and our own fundraising efforts. We manage both<br />
DSC and NDIS individually funded care packages.<br />
Contact us on 9365 4851 for more information.<br />
THE NDIS TEAM We provide a convenient and fast one stop shop to enable you to<br />
easily transition to the NDIS as it becomes available in your area. We help you determine<br />
whether you are eligible for assistance under the NDIS; we guide you through the<br />
application process and then we help you develop a comprehensive NDIS plan to<br />
maximize your entitlements. We support people with all neurological conditions.<br />
Mark Douglas, NDIS Operations Manager: 9365 4824<br />
CAMPS & RECREATION <strong>MSWA</strong> provides separate recreation camps for Members,<br />
carers, and families, primarily funded by Lotterywest, and for a nominal cost to participants.<br />
These camps provide a break from daily routines, and strengthen friendships and<br />
support networks.<br />
Coordinator for Camps & Recreation: 9365 4843<br />
2 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>
Letter from the <strong>MSWA</strong> President<br />
GEORGE PAMPACOS<br />
It is with great sadness I advise that after 15 years as CEO,<br />
Marcus Stafford has decided to resign from <strong>MSWA</strong>.<br />
Although this may come as a surprise to many, to ensure<br />
preparedness and continuity, Marcus flagged his plans to the<br />
Board and members of management some time ago.<br />
In the time that Marcus has been at the management helm,<br />
<strong>MSWA</strong> has gone from strength to strength. This year <strong>MSWA</strong><br />
will post record revenues, record levels of Member and<br />
Client services and a record contribution to research. Our<br />
foundations for a successful future have never been stronger.<br />
Marcus also spearheaded the rescue and turnaround of the<br />
MS Society of South Australia and the Northern Territory.<br />
Although incredibly sorry to see Marcus go, I respect and<br />
understand his wish to pursue some of his other career<br />
interests, including management consulting, public speaking<br />
and Board directorships. I am confident his experience and<br />
leadership will allow him to make a broader, positive difference<br />
to Western Australia’s business and social community.<br />
It is critical <strong>MSWA</strong> doesn’t lose momentum and Marcus has<br />
confirmed that he will remain as CEO until his successor<br />
is appointed and an appropriate handover period has<br />
taken place. Timings are always difficult to forecast with<br />
senior roles, but it is likely Marcus will continue as CEO for<br />
most, if not all of <strong>2017</strong>, so there will be plenty of time for a<br />
proper farewell.<br />
Regards,<br />
George Pampacos<br />
<strong>MSWA</strong> President<br />
Inside | <strong>Winter</strong> <strong>2017</strong><br />
Letter from the <strong>MSWA</strong> President 3<br />
Letter from the Editor 4<br />
From the desk of the CEO 5<br />
A message from the General Manager<br />
– Member Services 6<br />
Marcus honoured with Order of Australia 7<br />
Our Core Values 7<br />
Round-up of research and other items of interest 8-9<br />
The NDIS continues to benefit more people in WA 10<br />
An overview of the Annual Member Survey – 2016 11<br />
Did you know that MS may affect your<br />
thinking and memory? 12<br />
The resilience formula 13<br />
It’s worth the effort 14-15<br />
Newly Diagnosed Meet and Greet 15<br />
Occupational therapy in persistent pain care 16<br />
Protect yourself against the flu 17<br />
That’s Life with Narelle 18<br />
Meet Ms Carer 19<br />
The present 19<br />
Auld Acquaintance, Not Forgot 20<br />
Mindfulness Meditation 21<br />
<strong>MSWA</strong> Volunteering News 22-23<br />
Coming to grips with MS 24<br />
South West regional round up 25<br />
Albany Outreach News 26<br />
Wilson Outreach news 26<br />
Geraldton Trip 27<br />
Northam morning tea 27<br />
<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 3
Letter from the Editor<br />
DR GREG BROTHERSON<br />
Welcome to the winter edition of your <strong>Bulletin</strong> and greetings<br />
from <strong>MSWA</strong>’s Treendale Gardens Respite in Bunbury where<br />
I’m currently a guest while my wife takes a well-earned<br />
break. I must say that the country looks dry and hopefully by<br />
the time this <strong>Bulletin</strong> reaches you the rain will have arrived<br />
and seeding will be underway. When asked about the need for<br />
rain one farmer told me, “We are a hopeful, hardy lot.” Now<br />
that’s something people with multiple sclerosis (MS) know all<br />
about - hope for the future.<br />
You will have read the letter from the President of <strong>MSWA</strong>,<br />
George Pampacos, notifying you of the resignation of <strong>MSWA</strong>’s<br />
CEO Marcus Stafford, after 15 years at the helm. I must say<br />
the news left me rather drained as it did with many other<br />
people I’ve spoken with. Fifteen years is a long time to be<br />
associated with such a pleasant, talented person with a<br />
seemingly endless appetite for work. People with MS have<br />
much to thank him for, and of course it is only natural that<br />
such a popular person who left his mark wherever he went<br />
will be missed by each and every one of us.<br />
In this issue of your <strong>Bulletin</strong>, Sue Shapland provides us with<br />
some insight as to what it has been like to be a senior manager<br />
and member of Marcus’ management team. Sue also talks<br />
about the roll out of the National Disability Insurance Scheme<br />
(NDIS), with all its benefits and challenges. Of particular<br />
interest to the 676 Members who are 65 years of age and<br />
older is that the aged care sector will have their revamped<br />
model commencing this year.<br />
Looking into the future, Nigel Carey, NDIS Business Manager,<br />
tells us about all the benefits the NDIS is bringing to the lives<br />
of people with MS and other neurological conditions who are<br />
Members and Clients of <strong>MSWA</strong>. Nigel discusses the rollout<br />
of the scheme and how you can get in touch with the <strong>MSWA</strong><br />
NDIS team. These experts are always available to advise you<br />
on the benefits you are entitled to and to help you develop<br />
plans which maximise the services you can receive.<br />
Sue Shapland brings you the latest research round-up and<br />
the exciting news that Ocrelizumab (Ocrevus), the first drug<br />
to show some promise for people with progressive MS, has<br />
received FDA approval in the U.S. We hope that approval of<br />
the drug will follow quickly here in Australia and be made<br />
available on the PBS.<br />
Counsellor Simon Rolph offers three solutions to any<br />
problematic situation no matter what it is. This is called the<br />
resilience formula. Sarah Lorrimar, Peer Support and Health<br />
Education Coordinator, tells us about mindfulness meditation<br />
to help clear our minds and become more aware of ourselves<br />
and our environment.<br />
In combination with mindfulness, Ian Cheok, <strong>MSWA</strong><br />
Occupational Therapist (OT), discusses how OT’s can help<br />
people cope with and manage their pain. An OT may be able<br />
to help you navigate the system and find the right resource<br />
to help you.<br />
Sue Shapland also brings you an overview of the results of the<br />
recent Member Survey. A big thank you also goes out to the<br />
783 Members who took the time to complete this survey. This<br />
is a significant contribution, and a great help in the planning<br />
of future services to the Membership. Your suggestions are<br />
also appreciated.<br />
Dawn Burke gives us the latest on volunteering focussing on<br />
National Volunteers Week and a delicious luncheon that was<br />
organised for our volunteers. This luncheon is <strong>MSWA</strong>’s way of<br />
acknowledging the efforts of our volunteers and the time they<br />
give to us, and to let them know how appreciated and valued<br />
they all are to all Members and <strong>MSWA</strong> staff.<br />
You will find our usual look at MS from different perspectives<br />
by Ros, Narelle and Dr Ong. We also have two biographical<br />
stories from Members, which are always welcome, and<br />
something really special and rather different from the<br />
perspective of a carer.<br />
Finally, there is some Outreach news, where you are<br />
always welcome. Stay warm, safe and from the team of<br />
writers who bring you this issue of your <strong>Bulletin</strong>, we look<br />
forward to you enjoying what we have for you.<br />
4 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>
From the desk of the CEO<br />
MARCUS STAFFORD<br />
I remember it like it was yesterday ... but it wasn’t! It was, in<br />
fact, a little over 15 years ago that I sat down to write my very<br />
first article for the <strong>Bulletin</strong>.<br />
For a range of reasons, I found it tricky to write. To start with,<br />
I knew nothing! But I was aware that many were looking at<br />
their new CEO with a degree of expectation. The Board has<br />
hired this guy; let’s see what he has to say.<br />
The Multiple Sclerosis Society of Western Australia, as it<br />
was known then, had a rich and worthy history. It was a<br />
fine organisation, full of fine people. My job was to take us<br />
forward. Trouble was that I didn’t know where!<br />
My first article talked of exciting futures and a commitment<br />
to people with MS. As I write this <strong>Bulletin</strong> article, cognisant of<br />
the fact that it will be one of my last, those words ring as true<br />
today as they did then.<br />
After 15 years of leading this organisation, it is time for me to<br />
do some other things in my career. It is time for me to pass<br />
the baton to some lucky soul who will have that same feeling<br />
of honour that I have experienced. Without knowing who that<br />
person will be, I can only wish them every success and hope<br />
that they will enjoy the journey as much as I have.<br />
It has been a real pleasure, brimming with immense pride<br />
and satisfaction to watch our organisation grow year on year<br />
to the leader it is today. We always came from a good place,<br />
which makes the CEO’s job so much easier. ‘Back then’, I<br />
would look at our $5 million in revenue and 170 staff and<br />
dream about where I hoped we could be. It’s a good feeling to<br />
hang up my <strong>MSWA</strong> spurs, on a record breaking year, with an<br />
annual revenue of over $50 million and 700 staff. 700 staff<br />
who are doing amazing work to help people with MS and<br />
other neurological conditions. We’ve never been stronger and<br />
our future will be both safe and sparkling.<br />
Gracious CEO’s talk about ‘the great team effort’ because<br />
they’ve read in the CEO handbook that is the thing to do! Some<br />
mean it; some don’t! I really mean it. And I mean - really!<br />
In my time, I have been privileged to work with a Board of<br />
Directors that has shown the wisdom of knowing when to go<br />
conservative and when to support a more ambitious stance.<br />
A Board that has represented all stakeholders and people at<br />
all stages of MS.<br />
I have worked with the very best senior managers who have<br />
deployed commercial acumen, whilst never forgetting the<br />
people who we are here to serve. How lucky am I to have<br />
worked with them for just about all my 15 years? I applaud<br />
their loyalty!<br />
Long after I have become a distant memory of ‘that bloke who<br />
used to work here’, the broader team of Board, management,<br />
staff, Members and volunteers will continue to write us into<br />
the record books. I am totally confident that, until the cure<br />
is found, that broader team effort will lead to the ongoing<br />
improvement in the lives of people with MS and other<br />
neurological conditions.<br />
In many respects, this <strong>Bulletin</strong> article is somewhat premature!<br />
I’m going on to do things like management consulting, key<br />
note speaking and will be sitting on a couple of Boards, so<br />
there is no deadline attached to my resignation. I just feel that<br />
it’s the right time. In fact, to ensure that <strong>MSWA</strong>’s momentum<br />
isn’t lost, I’ll be your CEO until the budget year is formally<br />
closed out, my successor is found and we have worked<br />
through the handover process. That will be most, if not all of<br />
<strong>2017</strong>. Plenty of time to say proper goodbyes.<br />
When I sat down to write that first <strong>Bulletin</strong> article, all<br />
those years ago, my wildest dreams never imagined over<br />
15 satisfying years working in the best organisation in<br />
Western Australia. Neither did I expect to be the author<br />
of 60 articles in the <strong>Bulletin</strong>!<br />
Thank you for having me!<br />
Do you want to receive the <strong>Bulletin</strong> online?<br />
Want monthly information updates?<br />
Register your email address today to start receiving our<br />
monthly Vitality e-newsletter and the <strong>Bulletin</strong> magazine online.<br />
Just email donna.hill@mswa.org.au or call 9365 4869<br />
and let us know your current email address.<br />
<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 5
A message from the General Manager –<br />
Member Services<br />
SUE SHAPLAND RN, BN<br />
“When you can’t change the direction of the wind – adjust your sails,”<br />
H. Jackson Brown, Jr.<br />
I think this quote has relevance in many ways. People<br />
living with MS I am sure can relate to having to make some<br />
adjustments of their sails throughout their individual journey;<br />
some people probably more times than others.<br />
As you are aware, the winds of change continue to blow<br />
across the disability sector, with the roll out of the National<br />
Disability Insurance Scheme (NDIS) with all its benefits and<br />
challenges, and with the aged care sector commencing their<br />
revamped model this year.<br />
The NDIS in WA continues to roll out, although we are still<br />
unclear on the new Government’s review of the previous<br />
decision. Whilst increasingly we hear of challenges and issues<br />
with the NDIS in the Eastern States mainly due to the sheer<br />
volume and timeframes involved.<br />
Then of course there are the internal <strong>MSWA</strong> changes that<br />
have been recently announced which include the imminent<br />
retirement of Dave Bugden, General Manager of Brand,<br />
Marketing and Sales, and the resignation of Marcus, our<br />
CEO. These departures are huge for most of us at <strong>MSWA</strong> –<br />
Members, staff and volunteers included – as both have played<br />
pivotal roles in steering <strong>MSWA</strong> into the successful position we<br />
proudly hold today.<br />
For over 15 years now, Dave Bugden has been vital to our<br />
success in fundraising and raising our brand awareness.<br />
The Funds raised have allowed Member Services to continue<br />
to grow programs, staffing and build numerous facilities<br />
including Treendale Gardens, Hamilton Hill and the Bunbury<br />
Community and Health Services Hub. I would personally like<br />
to thank Dave for his hard work and untiring support of all<br />
things <strong>MSWA</strong>; enjoy your well-earned retirement!<br />
As for Marcus, where do I start? I was very fortunate to<br />
be recruited by Marcus in 2003 and feel privileged to have<br />
worked with him, and our Senior Management team, over the<br />
past 14 and a half years. <strong>MSWA</strong> today is almost a world away<br />
from when we started thanks to his commitment, business<br />
acumen, dedication and vision. Our success, and the very<br />
solid position in which he will leave us, has been as a result of<br />
hard work and innovation, the support of an excellent Board<br />
and our greatest asset – our staff and volunteers! We will all<br />
miss Marcus but thank him for his undying commitment over<br />
the past 15 years and wish him well on his future endeavours.<br />
We have recently had another MS treatment approved under<br />
the PBS, Zinbryta, and eagerly await approval for Ocrelizumab<br />
which is also the first product to have also shown promise for<br />
people with progressive MS.<br />
There are several positive changes imminent with our<br />
proposed re-location of the Wangara office to a larger, more<br />
suitable premises in Joondalup. We will also be seeking new<br />
premises in Armadale, Mandurah and Busselton to be more<br />
accessible for Members and NDIS Clients in those areas. Our<br />
Butler services hub and high support accommodation complex<br />
will also commence construction later this year. <strong>MSWA</strong> is<br />
very fortunate to be able to fund such expansions and bring<br />
services closer to home for our Members and Clients.<br />
Once again, we will be allocating a record amount of funds<br />
to MS Research this year. We will bring you updates on the<br />
allocation of the funds and outcomes from research already<br />
funded by <strong>MSWA</strong>.<br />
The Member Services team continues to grow and add new<br />
programs and MS resources for our Members. For example,<br />
we now have massage in several new regional areas including<br />
Geraldton, Northam, Manjimup and Margaret River.<br />
Our annual MS Awareness Week Members’ Forum was<br />
held on June 2 this year and I’ll provide an overview of the<br />
presentations in our next <strong>Bulletin</strong>.<br />
Please don’t forget our Member Services team is here<br />
to help you. Whether it’s for information on the latest<br />
treatments or lifestyle advice, research updates or<br />
a service you require please don’t hesitate to make<br />
contact. We are a phone call away and can be reached on<br />
08 9365 4888 or email us at get-in-touch@mswa.org.au<br />
Want to access research articles?<br />
Here are the places you can access up to date research<br />
articles relating to multiple sclerosis:<br />
• Vitality – Our monthly research focussed e-newsletter<br />
• Our website – https://mswa.org.au/news/latest-news<br />
• Right here as part of your Member magazine <strong>Bulletin</strong>.<br />
It includes great research articles and information every quarter.<br />
Just email communications@mswa.org.au if you would like any further information.<br />
6 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>
Marcus honoured with Order of Australia<br />
It was incredible to learn of our very own CEO, Marcus<br />
Stafford, being honoured with a Member of the Order of<br />
Australia in the General Division last month.<br />
In recognition of his significant services to people with a<br />
disability, and to community health, through support for those<br />
affected by multiple sclerosis, Mr Stafford has been awarded<br />
a Member of the Order of Australia in the General Division.<br />
Marcus started in his role as our leader over 15 years ago, and<br />
since then has turned <strong>MSWA</strong> into one of the most successful<br />
not-for-profit organisations in Western Australia.<br />
Our President, George Pampacos had this to say on learning<br />
of the Award, “Due to his amazing work Marcus has improved<br />
the lives of people living with MS and other neurological<br />
conditions not only in WA but nationwide. He has always had<br />
a long-term vision about where he wanted <strong>MSWA</strong> to be and<br />
most importantly how it could be achieved. He is a natural<br />
leader who has been able to rally and inspire the team at<br />
<strong>MSWA</strong> to achieve incredible things. There’s no doubt the<br />
organisation is as successful as it is because of his guidance.”<br />
Jayne O’Sullivan, the manager<br />
of <strong>MSWA</strong>’s Hamilton Hill high<br />
support accommodation facility<br />
said Marcus’s management style,<br />
compassion and drive filtered<br />
throughout the organisation.<br />
“Most of us base the way we work<br />
on what we see. The culture of<br />
<strong>MSWA</strong> is formed from what we see<br />
at the top. Care, compassion and hard work. We just want to<br />
do what’s best for our Members to make their lives better and<br />
that comes from Marcus,” said Jayne.<br />
“I’ve been at <strong>MSWA</strong> for 20 years and the organisation has<br />
come along in leaps and bounds since Marcus became<br />
CEO. In terms of the services being offered and funding for<br />
research, it just gets bigger and better every year.”<br />
Marcus, from everyone at <strong>MSWA</strong> we congratulate you on<br />
this very richly deserved recognition.<br />
In everything we do at <strong>MSWA</strong>, our Staff, Volunteers<br />
and Board proudly demonstrate our Core Values.<br />
OUR CORE VALUES<br />
We are proud to be part of <strong>MSWA</strong>.<br />
As a team, these are the values we strive for.<br />
PROFESSIONALISM<br />
We commit to fostering an environment<br />
of professionalism and excellence by:<br />
• Encouraging innovation<br />
• Supporting continuous improvement<br />
and professional development<br />
• Setting the highest standards<br />
in all that we do<br />
SERVICE<br />
We commit to providing the<br />
best possible service by:<br />
• Acting in a responsive and timely manner<br />
• Understanding, enabling and empowering others<br />
• Promoting awareness and shared<br />
knowledge, both internally and externally<br />
TEAMWORK<br />
We commit to working<br />
together as a team by:<br />
• Encouraging a unified<br />
approach to our shared goal<br />
• Communicating openly and honestly<br />
• Recognising the value of<br />
each other’s contribution<br />
RESPECT<br />
We commit to respecting<br />
and valuing one another by:<br />
• Encouraging and empowering each<br />
other to reach our full potential<br />
• Always maintaining our integrity and ethics<br />
• Honouring our commitments and promises<br />
<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 7
ROUND-UP OF RESEARCH<br />
AND OTHER ITEMS OF INTEREST<br />
SUE SHAPLAND RN, BN<br />
From the UK MS Trust site:<br />
Tracking daily fatigue fluctuations in multiple sclerosis:<br />
ecological momentary assessment provides unique insights<br />
Powell DJ 1,2 , Liossi C 3 , Schlotz W 3,4 , Moss-Morris R 3,5 .<br />
Studies investigating the prevalence, cause, and consequence<br />
of MS related fatigue use single measures that imply<br />
symptom-stability over time; not gaining information about if,<br />
when, and why severity fluctuates.<br />
This study sought to examine the extent of moment-to-moment<br />
and day-to-day variability in fatigue in relapsing-remitting<br />
MS (RRMS) and healthy individuals, and identify daily life<br />
determinants of fluctuations.<br />
Seventy six participants (38 RRMS and 38 controls) provided<br />
real-time self-reports six times daily. 1,661 reports were<br />
analysed measuring fatigue severity, stressors, mood, and<br />
physical exertion, and daily self-reports of sleep quality. Fatigue<br />
fluctuations were evident in both groups; however, fatigue was<br />
highest in RRMS, typically peaking in late-afternoon.<br />
Many of the factors in daily life that influence fatigue were<br />
similar for both people with and without MS, but physical<br />
activity seemed to have a greater effect on people with<br />
MS, and a poor night’s sleep had a greater effect on people<br />
without MS.<br />
The researchers concluded that a better understanding of<br />
the changing levels of fatigue experienced by each person<br />
provides opportunities to develop personalised strategies for<br />
managing fatigue.<br />
When can you safely stop taking disease modifying drugs?<br />
There is very little evidence to suggest<br />
who can safely stop taking disease<br />
modifying drugs (DMDs). An American<br />
study has compared the experiences<br />
of people who stopped taking DMDs -<br />
those advised to stop and those who<br />
chose to stop.<br />
The first group consisted of 77 people with secondary<br />
progressive MS with no clinical or MRI signs of MS activity for<br />
at least two years. They had been advised to stop treatment<br />
(advised group). The second group consisted of 17 people<br />
with RRMS who chose to stop taking their treatment (chose<br />
group). People in both groups were assessed at the time of<br />
stopping DMDs and monitored for recurrence of MS activity<br />
(relapse or MRI lesions) for at least one year after.<br />
Twelve per cent of those in the advised to stop group and<br />
59% of those in chose to stop group had recurrence of MS<br />
activity, within two years of stopping treatment.<br />
The investigator reported that it may be safe to stop DMDs<br />
in older people (70 years or older) who have been free of<br />
MS activity for at least two years, although monitoring for<br />
recurrence of MS activity is warranted.<br />
However, younger people with relapsing-remitting MS<br />
choosing to stop their DMD have a 60% likelihood of further<br />
MS activity, underlining the importance of continuing with<br />
treatment for this group.<br />
Promising results from long term studies of stem cell transplants<br />
Two recently published studies reported data on levels of<br />
disability in people with MS five years after receiving stem<br />
cell transplants.<br />
In one study, researchers sought data from 25 centres which<br />
had used a range of stem cell treatment methods to treat<br />
people with either relapsing or progressive MS between<br />
January 1995 and December 2006. They reported that five<br />
years after treatment, just under half of the 281 people for<br />
whom data was available had not experienced an increase in<br />
their disability.<br />
A second study reported long-term results of stem cell therapy<br />
in 24 people with highly active RRMS. After five years, about<br />
two thirds continued to show no relapses, no progression and<br />
no new lesions.<br />
Both studies acknowledged that to fully assess the risks<br />
and benefits of stem cell treatments and understand where<br />
they fit into current MS treatment options, we really need<br />
evidence from controlled, randomised clinical trials directly<br />
comparing stem cell treatments against other treatments in<br />
both relapsing-remitting and progressive MS.<br />
Read more at:<br />
mswa.org.au/researchupdate<br />
8 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>
From the International Progressive MS Alliance site:<br />
Ocrelizumab (Ocrevus)<br />
The first disease modifying therapy for primary progressive<br />
MS, Ocrelizumab, has received FDA approval in the U.S.<br />
Prof. Alan Thompson, Chair of the Alliance’s Scientific<br />
Steering Committee and Dean of University College London<br />
Faculty of Brain Sciences said, “One cannot underestimate the<br />
importance and impact of the very first treatment for primary<br />
progressive MS. This is the crucial first step in finding ever<br />
more effective treatments for everyone with progressive MS.”<br />
From the newly revamped MS Research Australia (MSRA) site:<br />
Re-purposing for progressive MS - a new trial on Simvastatin<br />
A large-scale phase 3 trial will soon begin in the UK. The trial<br />
will investigate whether the commonly used and inexpensive<br />
cholesterol-lowering drug Simvastatin, could potentially<br />
become a treatment for Secondary Progressive MS. This is<br />
a global collaboration costing more than A$10.4 million, with<br />
over 1,000 people with MS around the world involved.<br />
Can cognitive therapy treat depression?<br />
People with MS are more likely to suffer from depression than<br />
the general community, especially when newly diagnosed. Whilst<br />
there are a number of psychological treatments available, only a<br />
few are designed specifically for depression in people with MS.<br />
Researchers at the University of Melbourne are conducting<br />
a trial directly comparing two different therapies, a cognitive<br />
behavioural therapy, which is a talk therapy that helps<br />
individuals learn skills about thinking and behaviour, and a<br />
supportive listening therapy, which is another type of talk<br />
therapy that involves talking about your problems.<br />
The community knowledge gap about MS<br />
People with MS commonly report that the general public don’t<br />
understand their disease. A recent survey of 1,000 people,<br />
commissioned by MSRA has shown that:<br />
• Whilst approximately 7.3 million Australians know someone<br />
with MS, only half of all Australians actually know what MS is.<br />
• Four in ten of those knowing someone with MS were unable<br />
to describe what the disease is.<br />
• More than 50% didn’t realise MS is predominantly diagnosed<br />
in young adults (average age of diagnosis being 30)<br />
• They weren’t aware that MS largely affects women.<br />
• They have the perception that all people affected by MS<br />
could not remain employed.<br />
These results reaffirm what the MS community already<br />
knows; greater awareness is desperately needed.<br />
From the National MS Society<br />
Study finds links between risk of MS in<br />
children and low vitamin D and obesity<br />
New research, partly funded by the<br />
National MS Society, found that being<br />
overweight and having low blood<br />
levels of vitamin D increased the risk<br />
for children to develop pediatric onset MS.<br />
The study examined blood samples from 569 non-Hispanic<br />
whites with MS from pediatric MS centers around the U.S. and<br />
Sweden, and matched them with 16,251 people without MS.<br />
The report states that approximately 5% of people with MS<br />
experience symptoms before the age of 18. Whilst there is<br />
strong evidence of the relationship between low vitamin D<br />
levels and increased risk of adult MS, few studies have looked<br />
at whether this applies in pediatric MS.<br />
Scientists from several institutions used genetic risk scores<br />
(GRS), based on DNA information, to confirm these links.<br />
These results add to the growing evidence of genetic and<br />
environmental factors in the risk of developing pediatriconset<br />
MS. Knowing that both low vitamin D levels and obesity<br />
are risk factors has potential implications for preventing MS<br />
in children and adults.<br />
From News Medical Life Science’s web site:<br />
Skimpy sleep followed by ‘catch<br />
up’ tied to worse cognition in<br />
young adults<br />
Baylor University researchers<br />
have found that skimping on<br />
sleep, followed by ‘catch-up’<br />
days with long snoozes, is<br />
linked to worse cognition – both<br />
in attention and creativity – in<br />
young adults, particularly, those tackling major projects.<br />
The study, involving interior design students, also challenges<br />
a common myth that “the best design ideas only come in<br />
the middle of the night”, as researchers found the opposite.<br />
“Consistent habits are at least as important as total length of<br />
sleep,” study co-author Michael Scullin, Ph.D said.<br />
The National Sleep Foundation recommends that young adults<br />
have seven to nine hours of sleep each day.<br />
<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 9
THE NDIS CONTINUES TO<br />
BENEFIT MORE PEOPLE IN WA<br />
NIGEL CAREY, NDIS BUSINESS MANAGER<br />
The NDIS continues to grow rapidly and attract new<br />
participants across all of the WA trial site areas.<br />
The full list of the trial sites is as follows:<br />
• Lower South West<br />
• Cockburn and Kwinana<br />
• Armadale, Serpentine - Jarrahdale and Murray<br />
• City of Swan, Kalamunda and Mundaring<br />
• Bayswater, Bassendean, Toodyay, Chittering, Northam<br />
and York<br />
These sites were joined on July 1 by the new WA NDIS areas of<br />
Mandurah and Rockingham. We will be contacting all <strong>MSWA</strong><br />
Members, living in these two areas, to discuss the benefits of<br />
the scheme and guide them through the application process<br />
if they are interested.<br />
In the interim, do contact our friendly NDIS team at <strong>MSWA</strong> if<br />
you have any immediate questions about the NDIS, eligibility<br />
or what it can offer. This is particularly relevant if you are<br />
nearing the age of 65 as this is the ‘cut off age’ for you to be<br />
eligible to enrol.<br />
We are also holding a series of NDIS information sessions,<br />
which started in June, in both Mandurah and Rockingham.<br />
Details on upcoming information sessions can be found on<br />
our website – mswa.org.au<br />
It should be noted that there will be no further expansion of<br />
the NDIS in <strong>2017</strong> after Mandurah and Rockingham. The next<br />
trial sites will commence in July 2018 in the following areas:<br />
• Fremantle, Melville, South Perth<br />
• Goldfields Esperance<br />
• Joondalup, Wanneroo<br />
We are often asked to provide actual examples of how the<br />
NDIS can help you.<br />
The following examples illustrate how comprehensive the<br />
NDIS can be in helping people to more fully participate in<br />
everyday life.<br />
1) Maintaining your independence in the home<br />
The NDIS funding actively supports people to continue to live<br />
in their own homes.<br />
Did you know <strong>MSWA</strong> provides a wide range of personal care<br />
services such as helping with dressing and taking a shower?<br />
We also help with preparing meals, shopping and cleaning<br />
homes. <strong>MSWA</strong> also ensures Clients remain safe and mobile<br />
by installing ramps and rails throughout the house all of which<br />
can be funded through your plan.<br />
2) Keeping in touch with your family and community<br />
We have Members and Clients who may feel rather isolated<br />
and wish to participate more fully in the community. The NDIS<br />
helps fund transport to and from community events, children’s<br />
sporting events and social occasions. The NDIS also provides<br />
physiotherapy to increase mobility and counselling and<br />
speech therapy to increase social confidence.<br />
3) Maintaining employment<br />
The NDIS supports people who want to remain in employment<br />
once they have been diagnosed with a neurological condition.<br />
For example, you may run your own business but fatigue<br />
issues may be affecting your ability to effectively manage<br />
both your work and home life. The NDIS can provide funding<br />
that will allow you to manage your fatigue and cognitive<br />
issues, including occupational therapy assessments of your<br />
work place and transport to work on days you can’t drive.<br />
Our <strong>MSWA</strong> NDIS team is always available to advise you<br />
on the benefits you are entitled to and to help you develop<br />
plans which maximise the services you can receive. Our<br />
key objective is to deliver a very smooth and easy customer<br />
journey for our Members and Clients.<br />
To this end we have recently added a new Client Relationship<br />
Coordinator, Annabel Vasquez, to our team to further enhance<br />
our customer service.<br />
Please contact any of the following <strong>MSWA</strong> NDIS team<br />
members for more information on the NDIS:<br />
Christine Richards: Client Relationship Coordinator<br />
Email:<br />
christine.richards@mswa.org.au<br />
Phone: 9365 4867<br />
Pranjal Pawar: Client Relationship Coordinator<br />
Email:<br />
pranjal.pawar@mswa.org.au<br />
Phone: 9365 4810<br />
Annabel Vasquez: Client Relationship Coordinator<br />
Email:<br />
annabel.vasquez@mswa.org.au<br />
Phone: 9365 4806<br />
Finally, your chance to win a $100 shopping voucher!<br />
All you need to do is answer the following three questions:<br />
• Which two new NDIS areas started on July 1?<br />
• Name three services that <strong>MSWA</strong> provides under the NDIS.<br />
• Name one of the people you can contact at <strong>MSWA</strong> to learn<br />
more about the NDIS.<br />
Email your answers to nigel.carey@mswa.org.au now<br />
with ‘<strong>Bulletin</strong> Quiz’ in the subject header.<br />
However, be quick! Only the first three correct responses<br />
will win a $100 shopping voucher!<br />
10 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>
AN OVERVIEW OF THE ANNUAL<br />
MEMBER SURVEY – 2016<br />
SUE SHAPLAND RN, BN<br />
Firstly, I would sincerely like to thank the 783 Members<br />
who responded to our annual survey! This survey is an<br />
important feedback mechanism for determining satisfaction<br />
levels and unmet needs, whilst also providing an insight into<br />
demographics such as age and location.<br />
Survey Responses by Age Group<br />
800<br />
600<br />
400<br />
393<br />
624<br />
How much does your MS affect you?<br />
612<br />
215<br />
523<br />
225<br />
172 196<br />
173 153<br />
200<br />
97<br />
3 30 34<br />
47<br />
0<br />
18-24 25-34 35-44 45-54 55-64 65-74 75Yrs<br />
+<br />
2016 responses by age Ages of Members on MSWIMS<br />
• 80% of respondents were female and 20% male<br />
• 73% live in the metro area<br />
• 95% told us they read the <strong>Bulletin</strong>!<br />
30%<br />
32%<br />
9%<br />
30%<br />
Not at all<br />
A little<br />
More than a little,<br />
but not a lot<br />
A lot<br />
Do you currently use any mobility aids?<br />
44% responded yes 56% responded no<br />
Are you always treated with care and respect<br />
when you contact <strong>MSWA</strong> staff?<br />
99.55% responded yes 0.45% responded no<br />
Overall how would you rate our services? 727 responses<br />
97.4% said satisfied or very satisfied<br />
2.6% said dissatisfied or very dissatisfied<br />
Do you know about the NDIS? 738 responded<br />
76.4% responded yes 24% responded no<br />
How likely are you to recommend <strong>MSWA</strong> as a service<br />
provider to others?<br />
Likely / very likely 96.6%<br />
Unlikely / very unlikely 3.4%<br />
Whilst we received some great feedback and congratulations<br />
on our services, we also received many useful comments<br />
regarding gaps in services and also letting us know that<br />
we don’t always get it right. This helps us to reflect and<br />
encourages us to always strive for improvement.<br />
Top 10 reported MS symptoms/problems experienced.<br />
Fatigue 82% 605<br />
Heat intolerance 72% 537<br />
Balance 67% 497<br />
Weak legs 58% 427<br />
Muscle weakness 56% 415<br />
Numbness 46% 343<br />
Pins and needles 44% 326<br />
Incontinence; bladder/bowel 43% 316<br />
Muscle spasms 42% 308<br />
Muscle stiffness 42% 308<br />
Some comments from Members<br />
“A comforting and helpful environment that is a pleasure to<br />
be part of.”<br />
“Fortunately, I can manage my symptoms at present so do<br />
not require assistance. Very satisfied with support that is<br />
available should I need it.”<br />
“For me <strong>MSWA</strong> plays an important role in my life by giving<br />
me peace of mind in knowing work is being done to find<br />
a cure for MS, and that if my condition progresses in the<br />
meantime I will have support services at the ready.”<br />
“I am happy to know that if the time comes, the service is<br />
available when I will be in need. Thank you.”<br />
“For Members in full time employment, it would be useful<br />
to have more seminars/services available outside working<br />
hours. This would truly support people with MS who are<br />
working. Thanks for all the services and support.”<br />
“I am happy with what you provide. I am not as bad as a<br />
lot of people. If and when I get worse I will call on your<br />
assistance. Thank you.”<br />
“I find there is little to no support outside the Metro areas.<br />
Also having very mild/little disability there will be even less<br />
under NDIS.”<br />
“I used to live down South where there wasn’t support, now<br />
after moving to Rockingham I’ve got all the support I need.”<br />
<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 11
DID YOU KNOW THAT MS<br />
MAY AFFECT YOUR<br />
THINKING AND MEMORY?<br />
<strong>MSWA</strong> OTs with the postcards.<br />
Some people living with MS may experience some form<br />
of change in their cognitive function. However generally<br />
these changes are often mild and can be referred to as a<br />
hidden symptom.<br />
Only a small percentage of people with MS will experience<br />
a significant impact on their thinking abilities. Maintaining a<br />
healthy lifestyle, accessing support and adopting practical<br />
strategies can help to manage these changes.<br />
Common symptoms of cognitive changes include being easily<br />
distracted, taking longer to respond to a question, forgetting<br />
names or planned tasks, difficulty following a conversation,<br />
difficulty multi-tasking and being unable to think quickly.<br />
Some cognitive changes are temporary whilst others may be<br />
more permanent.<br />
It is important to identify any changes to your cognition<br />
when the issue arises and to seek the appropriate support to<br />
manage these changes. MS experienced health professionals<br />
such as neurologists, MS nurses and <strong>MSWA</strong> Occupational<br />
Therapists can provide advice and practical information to<br />
help reduce the impact of changes to your cognition.<br />
The following strategies can be undertaken by you, and your<br />
friends and family, to help with everyday tasks!<br />
For the person with MS<br />
• Be organised, have a place for everything.<br />
• Use a note book, or your smart phone, to write lists.<br />
• Have a calendar for you and your family.<br />
• Let your support people know about your thinking changes<br />
or challenges.<br />
• Use alarms on your smart phone when cooking or for your<br />
medication prompts.<br />
For friends and family<br />
• Discuss one topic at a time.<br />
• Allow time for the person to respond.<br />
• Make sure you have their attention.<br />
• Put things back where they belong.<br />
• Add your appointments to the family calendar.<br />
It’s not just brain lesions that can cause cognitive changes.<br />
Lack of sleep, fatigue, stress and some medications, for<br />
example, can all impact on thinking.<br />
Developing a healthy lifestyle which incorporates the following<br />
brain health tips can be helpful:<br />
Get regular sleep<br />
Sleep helps restore the brain by flushing out toxins that build<br />
up during waking hours. Sleep is also helpful for storing our<br />
memories. A good goal is to aim for seven to eight hours sleep<br />
per night.<br />
Keep active<br />
Whatever is good for your heart is good for your brain! Physical<br />
activity increases blood flow to the brain which helps with<br />
growth of brain cells.<br />
Challenge your brain<br />
Your brain is a muscle, it needs exercise too! Challenging<br />
the brain helps strengthen and build new brain cells. Learn<br />
something new every day, pick up a book, take up a hobby or<br />
research something you’re interested in.<br />
Rest and relax<br />
Fatigue can affect the way we think. When we are more alert,<br />
we are more able to manage our day to day lives. Regular rest<br />
and relaxation can help you achieve a clearer mind.<br />
Socialise<br />
Social activities that involve mental and physical stimulation,<br />
like singing or team sports, benefit our brain health. Catch<br />
up with family or friends, or get to know your neighbours to<br />
stimulate your brain!<br />
Eat well<br />
A balanced diet helps our brains function properly. Enjoy a<br />
variety of foods and cut back on saturated fats. Follow the<br />
Australian Dietary Guidelines or liaise with your GP or dietitian.<br />
<strong>MSWA</strong> has developed a series of postcards which feature<br />
information on cognition and brain health. If you would<br />
like a copy or for any other queries, please contact the<br />
<strong>MSWA</strong> Occupational Therapy or <strong>MSWA</strong> Nursing team<br />
on 9365 4888.<br />
References: MS Australia<br />
12 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>
THE RESILIENCE<br />
FORMULA<br />
SIMON ROLPH, <strong>MSWA</strong> COUNSELLOR<br />
When people come to counselling, a common request I hear<br />
is, “Just tell me, what should I do?” Counsellors cannot<br />
directly answer this question. Lives are complex, we are all<br />
unique individuals and it is impossible to offer a one size fits<br />
all solution to everyone. Counselling is not a mathematical<br />
formula; people are not numbers.<br />
Having said that, there is one formula that I regularly use<br />
with the people I work with, that offers three solutions to any<br />
problematic situation no matter what it is. It’s called - the<br />
resilience formula.<br />
Option One – Leave<br />
Whenever we are in a problematic situation, the first option<br />
is to leave.<br />
For example:<br />
• If in an unhappy relationship, leave the relationship.<br />
• If in an unsatisfying job, find a different job.<br />
• If living in an area with undesirable employment/social/<br />
weather options, move to a more desirable area.<br />
There is no guarantee that the consequence of leaving will be<br />
an improvement, but based on the information available, you<br />
need to decide if there is a greater chance of improving your<br />
life if you do leave. However, leaving isn’t always an option.<br />
There are times when the reality of our situation prevents<br />
us from leaving. This might be due to financial reasons,<br />
emotional reasons or even physical restrictions. If leaving is<br />
not possible there are still two more options available.<br />
Option Two – Stay and change what can be changed.<br />
Accept what can’t be changed. Live by our values.<br />
If we can’t leave, we stay. But staying in a problematic situation<br />
doesn’t mean we passively accept the situation. We identify<br />
what we have control over and try and influence change to<br />
improve our lives as much as possible. Even if changes are<br />
small, they can still lead us towards a more purposeful and<br />
fulfilling life.<br />
There will always be aspects of our lives that we cannot<br />
change. Other people, the weather, a chronic diagnosis such<br />
as multiple sclerosis. As much as we want other people to<br />
be different, as much as we wish the weather to be hotter/<br />
colder/wetter/dryer (select personal preference), as much as<br />
we wish we didn’t have to live with a chronic diagnosis, some<br />
things are unchangeable. So, we accept certain realities, offer<br />
ourselves compassion in the face of these painful realities,<br />
continue to change what can be changed and be guided by<br />
our values to live a meaningful and vital life.<br />
Option Three – Stay, give up and do things that make<br />
life worse.<br />
We have all done option three. We have all stayed in a<br />
relationship too long, a job too long, lost any hope for change<br />
and made the situation worse through our own behaviour.<br />
Whilst many of us do not actively chose option three (some<br />
do), through a sense of hopelessness we can all give up at<br />
times and fall into self-defeating patterns of behaviour that<br />
contribute to our own suffering.<br />
If we are aware of these options, this knowledge prevents<br />
us from passively falling into option three. We can still<br />
actively choose option three but it then becomes a choice<br />
with the opportunity to also choose alternative options. Whilst<br />
counselling cannot offer precise one size fits all solutions,<br />
it can raise awareness and with it choice of options and<br />
actions available.<br />
The World Health Organisation have, with the aid of Russ<br />
Harris, introduced the resilience formula to refugee camps<br />
throughout the world. For many people living in such camps,<br />
the option of leaving is just not possible, but options two<br />
or three are still available. People can be trapped in the<br />
most awful conditions sometimes for their entire lives. It<br />
is still possible though to initiate positive change, accept<br />
what cannot be changed and live by values of how to treat<br />
others, how to treat ourselves and live as meaningful a life<br />
as possible despite all the restrictions faced and the painful<br />
realities of day to day life. The alternative is option three. This<br />
is the choice we all have.<br />
If you would like to discuss any of the topics found<br />
in this article with a counsellor, you can contact<br />
the <strong>MSWA</strong> Counselling team on 9365 4811 to organise<br />
an appointment.<br />
Further reading: The Reality Slap by Russ Harris<br />
<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 13
IT’S WORTH<br />
THE EFFORT<br />
JENNIFER FOWLER<br />
For 23 years I was a primary school teacher, dedicated and<br />
devoted to my career. I loved my children and a significant<br />
number of them remain in contact with me to this day which<br />
indicates that many of them also loved me.<br />
I contracted polio early in my childhood years and have lived<br />
with disability in various forms for most of my life but largely<br />
thanks to the support of my mother, I was able to do almost<br />
everything I set out to do including teacher training. Being<br />
different can sometimes be a challenge in itself, but we are<br />
all different in some way - that’s what makes us individual,<br />
interesting and loveable.<br />
During 1989 and 1990 I began to experience fatigue in a new<br />
kind of way. Believing it to be part of post-polio syndrome,<br />
I fought against it with all the reserve I had. My emotional<br />
well-being was a little shaky and I put that down to the fact<br />
that my precious mother had died of cancer in 1988 at age<br />
65. Coping with that was not my strong point. Then, at the<br />
end of March in 1991, I had a cold. Simple enough really but<br />
because I thought it might get worse and cause me to have<br />
to take days off from school, I took myself off to my GP for a<br />
quick fix. While I was with the GP I said to her that the vision<br />
in my left eye was a bit fuzzy and asked her to check it out.<br />
She peered into it, as they do, frowned, as they do, and said<br />
she wanted me to see a specialist - that day. She made the<br />
appointment. My sister took me to see Dr Tim Day.<br />
I was admitted to hospital that day and went through numerous<br />
tests. At the end of the week I had an MRI scan. Dr Day (how I<br />
miss him) came to my room (on April Fool’s day!) at St John’s,<br />
sat on my bed and told me the results of all the tests pointed<br />
in one direction and that was that I had multiple sclerosis. I<br />
didn’t know much about MS and treated his diagnosis with<br />
some flippancy wanting to know when I would get better and<br />
when could I go back to school.<br />
I had some serious learning to do. By this time I had no vision<br />
at all in my left eye and fatigue was a major problem. I had<br />
begun to spasm at the most inconvenient times and I lost<br />
control of my waterworks. Emotionally, I was a wreck.<br />
At home I lived alone in the house of my dreams in the hills<br />
on the east side of Perth. I had all that I needed and was<br />
very happy. But my house was up on stumps and not at all<br />
wheelchair friendly. Guess what I had to do first. Yes, I sold my<br />
house in favour of a flat one down in the flats. I persevered in<br />
my teaching but in a tandem arrangement in which I worked<br />
four days and my partner worked one day. Then, my full time<br />
teaching days were over.<br />
Depression set in big time. I was finished. I was scrap heap<br />
material. I was of no further use. I stayed that way, allowing<br />
everyone to do everything for me until September of that year.<br />
Then one day a colleague of mine visited me to deliver an<br />
Education Department publication which he thought may<br />
be of interest to me. It proved to be the catalyst of a huge<br />
turn around in my attitude. There was a small advertisement<br />
in the publication giving notice of a Master of Education<br />
Degree course offered at summer school in the University<br />
of Tasmania. I had a Diploma of Teaching and a Bachelor of<br />
Education so was qualified to apply for this course which I<br />
did. I was accepted and for the next three summers I went<br />
to Tassie and studied like crazy. The fourth year I went over<br />
to graduate as a Master of Education. Oh, what a feeling. My<br />
sister and her husband came over to share the occasion with<br />
me and there was much celebration. I thought this would lead<br />
me into further gainful employment.<br />
It didn’t.<br />
My MS was still pretty angry and before long, I slipped back<br />
into my own little pity party. By now I had lost the ability to<br />
swallow properly and I had several bouts of being unable<br />
to speak. I was no longer allowed to drive and did not have<br />
permission to do relief teaching.<br />
In 1998 I decided that I could, despite everything being against<br />
me, drive again and teach again. The red tape abounded and<br />
most of my friends thought I was setting myself up for failure.<br />
It’s a long story, but by the end of the year I was driving again<br />
and had written permission to do relief teaching in State<br />
Government schools. Life began again. But it was slow. I was<br />
not getting enough work and there is a wide gulf financially<br />
between teaching and living on a pension.<br />
14 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>
So, in 1999 with a courage that was not really my own, I<br />
enrolled in the Bachelor of Social Science Course at Edith<br />
Cowan University believing that if I couldn’t get a job in<br />
education, I could get one in some aspect of human service.<br />
On 21 April, 2002, I graduated and was awarded the degree<br />
of Bachelor in Social Science. It had been a long haul.<br />
I had a heart attack in August of 2001 followed by triple bypass<br />
surgery in October. Having been discharged from that operation<br />
I had three weeks to do three major assignments and complete<br />
two major exams. That’s where the support network really came<br />
into play. I was one very sick chick and one friend in particular<br />
plastered the walls of my house with notes and I just sat and<br />
studied those notes for many hours each day. Thanks Liz. The<br />
exams came and went and I was not at all confident. I was back<br />
in hospital when friend Liz rang and told me the results were<br />
online and I had passed! The joy was immeasurable.<br />
For 11 years I had a job and I felt like a real person again.<br />
I worked for a specialised tutoring company on a part time<br />
basis and it gave me more pleasure than I can describe. One<br />
day I will get a job in some human service capacity and I know<br />
I will have deserved it and I know I will do it well. I have proved<br />
to myself that if something is worth fighting for it is worth<br />
fighting hard for. I wanted this degree and I was going to get it<br />
in my own time frame no matter what. It has been truly worth<br />
the effort. It has been truly worth the stress. I have forged<br />
some lifelong friendships with people who value me for who I<br />
am and not because I have MS.<br />
My final word is to people who have MS who may feel<br />
that life is passing them by. Don’t let it. There is so much<br />
one can do and every achievement, no matter how big<br />
or small, gives so much pleasure. Don’t allow yourself to<br />
have everything done for you. If you can do some things<br />
for yourself then do them - don’t just sit there and let the<br />
world pass you by. The world is full of opportunities for<br />
everyone. Go for it.<br />
NEWLY DIAGNOSED MEET AND GREET<br />
SARAH LORRIMAR, <strong>MSWA</strong> PEER SUPPORT AND HEALTH EDUCATION COORDINATOR<br />
Recently, the Newly Diagnosed Meet and Greet made a<br />
welcome return. Our newly diagnosed Members were invited<br />
to bring their friends and family for an informal opportunity<br />
to meet with others in a similar situation. The group had a<br />
wonderful turn out, with 18 people in attendance as well<br />
as four <strong>MSWA</strong> staff including, Social Welfare Manager Lisa<br />
Papas, Counsellor Cherry Chapman, Community Access<br />
Nurse Rosie Hunt and myself.<br />
The focus of the meet and greet was to create a safe place<br />
for Members and their support persons, to listen to and<br />
share experiences of their new lives with MS. The group<br />
also provided a place to seek support from those with a lived<br />
understanding and <strong>MSWA</strong> staff.<br />
Feedback from attendees reported that the group was a way<br />
for them to gain new information about MS, listen to other’s<br />
experiences and to participate in the support system.<br />
Our peer volunteer, Tom Lerner was in attendance to share<br />
his personal story of being diagnosed with MS and his journey<br />
so far. Tom spoke about how he has maintained his wellbeing<br />
and a positive outlook on life with MS over the years.<br />
With very positive feedback from the group, we hope to hold<br />
another meet and greet soon.<br />
Some feedback included:<br />
“The evening exceeded my expectations, I learned more about<br />
my partner and MS.”<br />
“This was beyond my expectations! Definitely worthwhile.”<br />
“A nice and relaxed environment. The meeting exceeded my<br />
expectations.”<br />
If you are interested in attending or would like to<br />
provide any feedback, please phone Sarah Lorrimar on<br />
9365 4858 or email Sarah.Lorrimar@mswa.org.au<br />
<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 15
OCCUPATIONAL THERAPY<br />
IN PERSISTENT PAIN CARE<br />
IAN CHEOK, <strong>MSWA</strong> OCCUPATIONAL THERAPIST<br />
If you suffer from persistent pain, you are enduring more<br />
than your fair share of obstacles. In addition to continual<br />
discomfort, you may also experience a lot of frustration.<br />
Persistent pain takes a major toll on your ability to do the<br />
things that are important to you daily, such as cooking a<br />
meal, having a shower, looking after your family, going to<br />
work and going out with your friends. Left unaddressed, it<br />
can cause you to lose your independence, leaving you little or<br />
no alternative but to rely on others to do the things you used<br />
to be able to do on your own.<br />
Medical researchers now understand that various elements<br />
are simultaneously at play in someone with persistent pain.<br />
These elements can be physical (e.g. your body, issues in<br />
your tissues, infection, inflammation), mental (e.g. beliefs,<br />
fears, worries, anxieties) and environmental (e.g. heat/cold,<br />
pressure, chemical exposure, pathogens). Researchers have<br />
even discovered that our social and cultural environment can<br />
affect how we experience and cope with pain. Pain is complex,<br />
and to manage it successfully, we will have to understand its<br />
many elements.<br />
Occupational therapy is the use of purposeful activities<br />
to help people improve their function and independence.<br />
Occupational Therapists (OTs) are qualified health professionals<br />
who help people achieve good health and wellbeing using<br />
specific activities. OTs have a detailed understanding of the<br />
interrelationship between the complex systems of the human<br />
body and the external environment. This is helpful when<br />
dealing with persistent pain.<br />
OTs can help people cope with and manage their pain, so<br />
they can continue to carry out the activities most important<br />
to them. For instance, some activities can stimulate pain,<br />
especially if they require more effort or range of motion than<br />
you have available. OTs can help to find strategies to make the<br />
activity less taxing, or find ways to modify the environment<br />
to make the activity more doable. As OTs are very familiar<br />
with all kinds of adaptive devices, they may suggest a device<br />
that will make the activity easier. Sometimes it’s also a<br />
question of breaking down the activity into manageable bits,<br />
with rest breaks in between, that will allow the activity to be<br />
accomplished without triggering pain.<br />
When you have persistent pain, you often experience a great<br />
deal of fatigue because of constantly tolerating the pain,<br />
difficulty sleeping, or being less active. OTs can suggest ways<br />
of structuring your day to manage fatigue. Alternatively, they<br />
may be able to suggest sleeping positions that will allow you<br />
to get a better night’s rest. In addition, an OT may also be<br />
able to help you find the right activities in your community<br />
that meets your needs to overcome fatigue and feel more<br />
refreshed. Helping you engage in such activities is also a<br />
wonderful way to make sure your family and friends can<br />
participate along with you.<br />
Persistent pain also causes stress, which can affect your<br />
emotional and mental wellbeing. OTs can show clients how to<br />
redirect their pain so that it interferes less in their daily lives.<br />
They may achieve this by teaching relaxation and visualisation<br />
activities that will make it easier for you to cope with the<br />
feelings of loss, anger and other emotional challenges of<br />
dealing with pain every day.<br />
Finally, there is still a lot of stigma associated with having<br />
persistent pain. It’s an invisible disability and, as such, the<br />
public may have difficulty understanding and empathising.<br />
OTs pride themselves on their role as advocates. As such,<br />
OTs usually have good knowledge of community resources as<br />
well as an understanding of the way the healthcare system<br />
works. An OT may be able to help you navigate the system<br />
and find the right resource to help you. If you have a question<br />
about how to get more support, you can talk to an OT to get<br />
some clever ideas.<br />
In addition to the <strong>MSWA</strong> Occupational Therapy team, the<br />
<strong>MSWA</strong> Counselling team also offer mindfulness meditation<br />
workshops which can assist some people with managing<br />
persistent pain.<br />
If you are interested in finding out more about this<br />
service please contact the <strong>MSWA</strong> Occupational Therapy<br />
team on 9365 4854.<br />
16 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>
PROTECT YOURSELF<br />
AGAINST THE FLU<br />
Protect yourselves and others<br />
An annual flu vaccination is recommended as the first step<br />
in protection against the flu. It reduces the chances of both<br />
catching and transmitting the flu. This is especially important<br />
for those at risk of complications arising from influenza and<br />
those in close contact with at risk people.<br />
Influenza, also known as the flu, is highly contagious and<br />
spread through coughing or sneezing virus droplets into the<br />
air. Others then breathe them in and become infected. It’s<br />
important to remember that touching contaminated surfaces<br />
(including hands) and then touching your mouth, nose or eyes<br />
can also lead to infection.<br />
You can minimise the spread of the virus during flu season<br />
by practicing good household and personal hygiene, avoiding<br />
close contact with others if you or they are ill, and covering<br />
your mouth and nose when coughing or sneezing.<br />
The bad news<br />
• Flu viruses can survive an hour or more in enclosed<br />
environments, meaning contaminated respiratory secretions,<br />
can be picked up even without someone coughing or<br />
sneezing near us.<br />
• Even before we show symptoms, we can be shedding the<br />
flu viruses; infecting others around us.<br />
• Flu viruses are characterised by constant evolution; this<br />
means they can pose a new threat every year.<br />
The good news – you can protect yourself and others<br />
through good cough and sneeze etiquette including:<br />
• turning away from others;<br />
• covering your mouth and nose with a tissue or your sleeve;<br />
• using tissues rather than a hankie;<br />
• disposing of used tissues in the nearest bin; and<br />
• washing your hands or using alcohol hand rub as soon as<br />
possible afterwards.<br />
Hand washing is the single most effective way of killing<br />
the flu virus and limits the spread of the flu and other<br />
respiratory infections.<br />
Always wash your hands with soap and water or alcoholbased<br />
product (gels, rinses, foams) that don’t require water:<br />
• after coughing, sneezing or blowing your nose;<br />
• after being in contact with someone who has a cold or flu;<br />
• before touching your eyes, nose or mouth; and<br />
• before preparing food and eating.<br />
Stop the spread in your house<br />
Flu viruses can survive for more than eight hours on hard<br />
surfaces; you should regularly clean frequently touched<br />
surfaces such as door handles and benches.<br />
Flu viruses can be inactivated and removed with normal<br />
household detergents. Keep personal items such as towels,<br />
bedding and toothbrushes separate. Don’t share cutlery and<br />
crockery, food or drinks.<br />
Is it the flu or a cold?<br />
Colds affect the nose, throat and upper airways, and common<br />
symptoms include coughing, fever, sore throat, sneezing,<br />
blocked or runny nose and general congestion. They are<br />
caused by about 200 different viruses and there is no vaccine<br />
for a cold.<br />
Symptoms of a cold tend to be mild to moderately severe.<br />
The flu is a viral infection affecting your nose, throat and<br />
sometimes your lungs. Typical symptoms of flu include fever,<br />
sore throat and muscle aches.<br />
Both colds and flu can also lead to complications, such as<br />
pneumonia, which can sometimes lead to death.<br />
Check out the healthdirect website for more information:<br />
healthdirect.gov.au/cold-or-flu-infographic<br />
If you are feeling concerned about any symptoms<br />
of a cold or flu then see your doctor or call an<br />
after hours doctor.<br />
If you would like to speak to a registered nurse, call<br />
healthdirect on 1800 022 222, available 24 hours a day,<br />
seven days a week.<br />
<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 17
THAT’S LIFE<br />
WITH NARELLE<br />
NARELLE TAYLOR<br />
It has been 25 years almost to the day since I went to a<br />
seminar for the newly diagnosed at <strong>MSWA</strong> in Wilson. To me<br />
at the time, it could have just as easily been for the newly<br />
condemned. I went anyway, with my family.<br />
I was deep in denial so everything they told us seemed so<br />
horrific. I recall my late husband Greg got up in the middle of<br />
it and went to the races. I don’t blame him.<br />
When Dr Alan Kermode addressed a large group of us, he<br />
focussed on what the research had established so far. He was<br />
kind without giving false hope. He spoke about the dedicated<br />
work towards finding a cure.<br />
I remember he said some research had found MS is more<br />
common in areas farthest from the equator, such as in<br />
Scotland, but virtually unheard of among the Inuit of the Arctic.<br />
How often an Eskimo encounters a neurologist, I wondered.<br />
Next, the people around me began to ask questions and share<br />
anecdotes. Some of their stories were very moving and all<br />
of them were sad. The indignity of the disabilities that MS<br />
inflicts seemed to be a theme. I wanted to say something<br />
positive so I stood (I could then), and told the seminar I did not<br />
care how my disability appeared to others.<br />
“I still have things to do,” I said. “I will keep doing them, even<br />
if I have to drag my back legs.”<br />
Everyone laughed and so did I. But I was actually serious, and<br />
I still am.<br />
I have had MS for such a long time now. I no longer wait around<br />
for a miracle cure and instead get on with this business of<br />
living my life. On and on. As John Lennon once sang, “Life is<br />
what happens to you when you are busy making other plans”.<br />
As it turns out, I have literally had to drag my legs sometimes,<br />
most recently when I was stranded on my bed. It was just<br />
on dawn and my powerchair was parked on the other side of<br />
the bedroom. It was an especially busy time of the day at the<br />
aged care facility where I live, and the conversation I already<br />
had with my shower lady told me she considered it far too<br />
early for me to get up.<br />
I did not agree. After she left the room, I slid down the side<br />
of my bed like a teenager escaping to a party without their<br />
parents’ knowledge. I did my best impression of an SAS<br />
soldier to pull myself across the carpet on my belly towards<br />
my mobility device. I impressed myself. When I reached my<br />
powerchair, I spent a good 40 minutes climbing up to sit on<br />
it. Part way through this massive effort, I was grateful for<br />
physiotherapy. I don’t suggest it was pretty though.<br />
Triumphantly positioned in my powerchair, I moved my hand<br />
to the throttle and smiled. Thunder Road. I drove into the<br />
common area and looked smug. I think we’ve all got stories<br />
like this.<br />
All of us with MS are getting on with it every day. A decade<br />
after I had been dealt what Greg used to so succinctly call<br />
“the s…t cards” of MS, I went to another seminar for the<br />
newly diagnosed, this time as a speaker. The people I saw<br />
reminded me what a shock it all had been. A young woman<br />
came up to me after I gave my “keep going” speech and said<br />
she was relieved. She told me, “I figure that’s the way to do<br />
it.”<br />
Here I am getting on with it, and pragmatic about some of<br />
the collateral damage. Last week I shattered a floor-to-ceiling<br />
window with the footplate of my powerchair. I was unharmed,<br />
and since MS made me do it, I was also not to blame. I did<br />
feel bad but these things can happen when you need a 200kg<br />
machine to move around a room.<br />
The footplate has form. Last year it reduced a ceramic toilet<br />
to a pile of shards. I also felt bad about this. Fortunately, the<br />
staff at my aged care facility believe that my independence<br />
is worth more than a Caroma toilet bowl or a sheet of glass.<br />
They also get on with it and call a tradie.<br />
18 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>
MEET<br />
Ms CARER<br />
Meet Ms Carer, a fit and active lady enjoying her retirement<br />
years with a beloved partner. But, alas, her marriage is<br />
somewhat of a triangular affair with the third party being MS.<br />
Recently this interloper (MS) has not been content with playing<br />
second fiddle and is trying to dominate the relationship.<br />
Consequently Ms Carer feels overloaded with the work and<br />
effort needed to maintain a loving and elegant lifestyle with<br />
her partner of 40 years.<br />
Ms Carer is reeling over the loss of free time with so much of<br />
her day and night taken up with the tedious and often hard<br />
tasks of caring. The greater emphasis now placed on her role<br />
as carer also dulls her usually positive outlook and lessens<br />
the time and energy for feelings of love and friendship. Her<br />
rose coloured glasses are cracked and cloudy but true to<br />
her personality she keeps them nearby, hoping they can<br />
be repaired. And she also copes by making a practical<br />
assessment of immediate needs and devises a plan of action.<br />
Ms Carer is just waiting to let her hair down but for now she<br />
has it tied up underneath her sponge hat, a hat so useful for<br />
absorbing burdens and soaking up tears. The hat carries her<br />
busy bee moniker and a useful bell now that she feels like she<br />
is at everybody’s beck and call. Always enjoying fashion, Ms<br />
Carer still tries to dress nicely with practical but stylish black<br />
slacks and a colourful top.<br />
Her amethyst necklace is worn because traditionally it was<br />
thought to heal and keep the owner cool headed and it holds<br />
other symbolic meanings dear to Ms Carer.<br />
An added vest with useful pockets holds her dreams and<br />
interests close to her heart as she does the more mundane<br />
chores but more about the vest later.<br />
Ms Carer is weighted down with her red bag chock full of<br />
MS carer paraphernalia: a notebook full of medical notes,<br />
prescription refills, various medications, printed instructions<br />
from the chemist, a water bottle to ensure her spouse drinks<br />
his two litres daily, tools to fix wheelchairs, catheter supplies,<br />
cleaning products and a rock or two to signify the weight of<br />
responsibility and workload – this is adjustable. Her arms and<br />
hands seem to have grown oversize to cope with her load.<br />
Ms Carer’s vest is worn in anticipation of the interests close<br />
to her heart which seem to be a bit forgotten in the recent<br />
workload of care. The busy bee pocket holds a sewing<br />
machine for her much loved hobby time. The flower pocket<br />
reminds her of her love of beauty and her childhood love of<br />
picking every flower she saw! There is a pocket for love, the<br />
attached key opens her heart. The star pocket looks empty<br />
but it is full of pride at being a star at coping and managing<br />
life’s dramas.<br />
Ms Carer keeps checking her well-worn rose coloured<br />
glasses because one day, just maybe, she will look<br />
through them and detect a silver lining.<br />
THE PRESENT<br />
DR ANDREW E. ONG<br />
Each of us has a bank which credits our account every<br />
morning. However, if we do not draw or utilise this account<br />
the credit cannot be either carried forward or accumulated,<br />
but is lost forever.<br />
This bank is called time. Each day we are credited with a<br />
day’s worth of 86,400 seconds, but none can be carried over<br />
to the next day. If we waste a second, it is lost forever. We<br />
must therefore invest this time as best we can in maintaining<br />
our health, happiness, peace of mind, and in trying to make<br />
the world a better place to live in. This is the value of time, but<br />
how do we spend it?<br />
Time is the most valuable gift we have been given, but the<br />
least appreciated until it is brought suddenly to our notice.<br />
A student who has failed an exam all of a sudden knows the<br />
value of a year wasted. Mothers of premature babies know<br />
the value of a month. Politicians know the value of a week.<br />
Lovers in a private romantic rendezvous know the value of<br />
an hour. Miss a bus or train and you will know the value of<br />
a minute. Witness an accident and you will realise the value<br />
of a second. Perhaps ask an athlete about the value of a<br />
millisecond?<br />
Therefore, treasure every moment that you have to<br />
spend. Ensure that a second spent counts for something,<br />
for time, it is well said, “waits for no person”. Share a<br />
moment with a friend, a lover or someone special.<br />
Yesterday is history, tomorrow is a mystery, but today is<br />
a special gift. That is why it is called ‘The Present’.<br />
<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 19
AULD ACQUAINTANCE,<br />
NOT FORGOT<br />
ROS HARMAN<br />
I first bumped into Helen when I was seven months pregnant.<br />
She was pregnant too, and we struck up a friendship<br />
immediately, comparing notes about stretch marks and<br />
morning sickness and other baby paraphernalia. This was<br />
1991 and everything was exciting and new for me, as it was<br />
my first (and only) pregnancy. It was Helen’s fourth, so she<br />
had lots more experience in the natal arena.<br />
We remained friends for a number of years. Our children played<br />
together and Helen and I played together too, taking a break<br />
from parenting duties occasionally to go clothes shopping or<br />
see a film. I went to my first ever opera with Helen as she<br />
was a passionate fan. MS was playing havoc in my life in<br />
those years, like some nasty practical joker launching sudden<br />
surprise attacks on me, with frequent and irregular relapses,<br />
which usually left me unable to walk, and then gradual<br />
remissions. Helen was a good friend to me, helping out with<br />
my child and keeping me company throughout it all.<br />
About four years into our friendship, Helen’s father was<br />
diagnosed with Huntington’s Disease, a neurological condition<br />
that affects movement, thinking and emotion. It is a genetic<br />
condition so if your parent has it, you have a 50% chance of<br />
inheriting it. There is no cure for Huntington’s Disease and<br />
limited treatment. After genetic testing, Helen discovered that<br />
she had the gene and from then on knew that sometime in<br />
the next decade or two she would begin to have symptoms.<br />
I lost contact with Helen after a few years when I moved house<br />
to a distant suburb. I don’t know why I let the relationship<br />
lapse – I was busy I suppose, and I let the little effort<br />
required loom larger than it really was. Years passed, and I<br />
often thought of her. I wondered how she was coping, and<br />
how her family were dealing with Huntington’s, which must<br />
surely have manifested itself by now. Then one day recently,<br />
I discovered her on a social media site and we renewed our<br />
contact. She and her husband had moved and now live only<br />
10 minutes away from me, and I was invited for afternoon tea.<br />
Meeting Helen again after so long was both lovely and sad.<br />
She greeted me with a big hug and it felt great to be with her<br />
again, but it was impossible to ignore the insidious effect of the<br />
monster in her life. Her speech was affected, though I could<br />
still understand her, and she made constant, uncontrollable<br />
jerky movements with her arms and legs. Nevertheless, she<br />
was still the same person that had been my friend before, and<br />
we spent a wonderful couple of hours together sharing news<br />
of the children and of our lives.<br />
<strong>MSWA</strong> has for some years supported a handful of people with<br />
conditions other than multiple sclerosis, but with the coming<br />
of the NDIS has officially placed itself to offer services to<br />
many neurological conditions. Meeting Helen again really put<br />
a face to what that will mean. I feel so grateful that <strong>MSWA</strong> has<br />
been there for me over the 29 years that I have lived with MS.<br />
Having a neurological condition is no bowl of cherries and<br />
there is no magic bullet for Huntington’s Disease or for MS.<br />
There is help available though that makes life easier. I am<br />
so glad that I could offer Helen some information about the<br />
support that <strong>MSWA</strong> will be able to give her in the next few<br />
years, and I know that it will really make a difference for<br />
Helen and her family.<br />
I am so glad that we are friends again.<br />
20 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>
MINDFULNESS<br />
MEDITATION<br />
SARAH LORRIMAR,<br />
<strong>MSWA</strong> PEER SUPPORT AND HEALTH EDUCATION COORDINATOR<br />
What is mindfulness?<br />
We spend so much time thinking about things from the past,<br />
or worrying about what may happen in the future that we<br />
often forget to appreciate the present moment. Mindfulness is<br />
a practice which involves consciously bringing awareness to<br />
our current experience. In mindfulness meditation, the aim is<br />
not to change or control our thoughts and feelings but instead<br />
observe them without judgment.<br />
Being mindful allows us to be aware of our surroundings, pay<br />
attention to what we’re doing and the things around us. How<br />
many times have you walked into a room and forgotten why<br />
you were there? Or checked your watch only to look back up<br />
and forget the time? These are some examples of when we are<br />
being mindless. When we are not being mindful, it’s difficult<br />
for us to move away from the automatic and unhelpful ways<br />
of thinking and responding that we’ve been conditioned to.<br />
Mindfulness helps us separate ourselves from our reactions,<br />
allowing us to have a more conscious awareness of how we<br />
feel and what is around us.<br />
Why practice mindfulness?<br />
Practicing mindfulness helps us clear our minds so we can<br />
become more aware of ourselves and our environment. By<br />
slowing down our thoughts, we can better understand how<br />
we feel and consequently this can help us manage things<br />
such as illness.<br />
Mindfulness is useful for a variety of reasons and has been<br />
known to reduce stress, improve self-awareness as well<br />
as enhance emotional intelligence. When we are not being<br />
mindful, our vulnerability to stress and poor mental health is<br />
increased. Mindfulness provides us with perspective, reducing<br />
any tendencies to overthink and act with an emotional charge.<br />
If we focus on present sensations and disengage from habitual<br />
thoughts, then automatically we relax and can be brought out<br />
of moments of stress and anxiety.<br />
Mindfulness gives us an opportunity to understand and be<br />
aware of our autopilot reaction, so that we can alter and<br />
improve the way we think and feel about our lives.<br />
Other benefits of mindfulness include:<br />
• Being present<br />
• Safe exploration of unpleasant thoughts<br />
• Becoming aware of what you’re avoiding<br />
• Being more connected to self and others<br />
• Being less reactive to unpleasant experiences<br />
• More calmness and peacefulness<br />
• Understanding that everything changes<br />
(e.g. thoughts and feelings)<br />
• Developing self-compassion<br />
Anyone can practice mindfulness and it’s available to us in<br />
every moment. Although it seems like a simple concept, it is<br />
not necessarily easy. For many of us, we have spent our lives<br />
learning to shift our focus away from how we presently feel.<br />
Mindfulness is a skill which takes time and practice.<br />
Where can I practice mindfulness?<br />
Our <strong>MSWA</strong> Counsellors run mindfulness meditation workshops<br />
throughout the year. These workshops are for both beginners<br />
and those wishing to deepen their practice. The sessions<br />
include guided meditations and provide attendees with skills<br />
for relaxation and mindfulness. Our classes aim to empower<br />
people to respond more effectively to life challenges.<br />
There are several sessions run throughout the year in<br />
four locations – Rockingham, Armadale, Currambine and<br />
Mirrabooka. Classes are held from 10am to 12pm and are<br />
just a gold coin donation. For more information, please<br />
contact Sarah Lorrimar at Sarah.Lorrimar@mswa.org.au<br />
or on 9365 4858.<br />
References<br />
perthmeditationcentre.com.au<br />
beyondblue.com.au<br />
McKenzie, S., and Hassed, C. (2012). Mindfulness for Life.<br />
Wollombi, NSW: Exisle Publishing.<br />
<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 21
<strong>MSWA</strong> VOLUNTEERING<br />
NEWS<br />
DAWN BURKE, <strong>MSWA</strong> COORDINATOR OF VOLUNTEERS<br />
Hello again and welcome to the winter edition of the <strong>Bulletin</strong>.<br />
I can’t believe we are halfway through the year and so much<br />
has happened - as always is the case at <strong>MSWA</strong>.<br />
The first part of my year is spent focussing on National<br />
Volunteers Week and organising a beautiful luncheon to invite<br />
our volunteers along to. What a great way for us to celebrate<br />
together and to say, “Thank you for all you do.” This luncheon<br />
is <strong>MSWA</strong>’s way of acknowledging their efforts and the time<br />
they give to us, and to let them know how appreciated<br />
and valued they all are to all <strong>MSWA</strong> staff. Without you, our<br />
volunteers, we wouldn’t be able to do all that we do for our<br />
Members. I’d like all volunteers to take a moment and pat<br />
yourselves on the back, and say well done. I would also like to<br />
take this opportunity to send out my own personal heartfelt<br />
thanks to you all.<br />
The luncheon was a beautiful affair, and again held at<br />
Burswood on Swan. As per previous years we had the most<br />
amazing food and none of us went home hungry. I’m sure<br />
some of us felt we could roll home, we felt so full. If you didn’t<br />
try the hummus you missed out on a mouth-watering treat. I<br />
have tried many but this was without a doubt the best I have<br />
ever tasted. Many of the volunteers thought the same and<br />
even had the chef write out the recipe, which he happily did.<br />
I took a photo of the recipe he gave the volunteers. Aren’t<br />
mobile phones convenient little devices at times? The staff at<br />
Burswood on Swan are the most helpful staff I have ever come<br />
across. They make the organising of this event incredibly easy<br />
and on the day, are happy to lend a hand in any way to make<br />
it run as smoothly as possible.<br />
The view from the venue is just glorious, sitting right on the<br />
river overlooking Perth. You couldn’t ask for more, but more<br />
we got! We had a couple of seagulls floating around, who<br />
thought they would come inside every now and then to have<br />
a chat. There was another bird, which I believe is the Great<br />
Egret, strutting its stuff in all its finery for all to see and a<br />
friendly spider sitting in a tea cup hoping to enjoy the soothing<br />
aroma of a hot cup of tea. The table centrepieces were again<br />
designed and made by two of our volunteers, Lesley Pitt and<br />
Lynn Hoonhout. They looked fantastic - I would like to say<br />
thank you for creating such lovely centrepieces. They gave<br />
the tables such a personal touch. The feedback from the<br />
luncheon is always fantastic and everyone comments on how<br />
much they enjoy the venue. Hopefully we can go there again<br />
next year.<br />
During the Volunteer Luncheon our President, George<br />
Pampacos, brought forward a few volunteers that were<br />
nominated by their Department Supervisors for a Certificate<br />
of Appreciation Award. The recipients for <strong>2017</strong> were Pam<br />
Stupples, Callum Begg, Priya Rath, Lesley Pitt, Robert<br />
York, Lynn Hoonhout, Bee Lean Kim, and Rosalind Beatty.<br />
Congratulations to you all, thank you for your ongoing efforts<br />
and I’m sure you will be with us for many more years to come.<br />
I have been fortunate to attend two camps already this year.<br />
The first was a last-minute inclusion for me in April. I attended<br />
the Carers Retreat on Rottnest and took a volunteer, Rosalind,<br />
to assist myself and one of the counsellors, Karen Brown<br />
throughout the three days. The weather was amazing and<br />
the view from the unit I stayed in was second to none. The<br />
carers who were fortunate to share a unit with Rosalind were<br />
very spoilt and enjoyed being fussed after. It is important for<br />
our carers to have rest from their caring role with their loved<br />
ones. To have someone available to care and nurture them<br />
for a short period is worth its weight in gold. It is extremely<br />
important to care for the carer, as the role can be extremely<br />
demanding and sometimes thankless. The carers had a great<br />
time and enjoyed soaking up the sun rays.<br />
22 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>
In May, I attended the first Members camp for <strong>2017</strong>. As usual<br />
it was in Guilderton, or more affectionately known as Moore<br />
River. The weather was mixed with rain, clouds and sun, but<br />
the weather gods were doing their job on the day of the river<br />
cruise and our BBQ lunch and kept the sun out while keeping<br />
the rain and clouds away. This was the biggest camp I have<br />
attended in my years here at <strong>MSWA</strong> and it was great to see<br />
quite a few new Members come along.<br />
We were very fortunate to have three volunteers attend this<br />
camp, Rosalind, Jacqui and Mike. You have no idea how hard<br />
these volunteers worked over the three days. The Member<br />
camps are so much more involved than the Carers Retreat,<br />
and require a much more hands on approach. The volunteers,<br />
as well as staff, most of whom volunteer outside of their<br />
regular work hours on camp, must load and unload equipment<br />
and belongings, drive to the venue, help set up and pack up<br />
Members beds, constantly wash and dry dishes (it is such a<br />
food fest), help in the kitchen, help with activities and provide<br />
general support to Members throughout the day. This camp<br />
would not run as well as it does or be as enjoyable as it is<br />
without the volunteers.<br />
Our volunteers give the staff the space to organise activities<br />
for the Members. This year we focused on Warrior games<br />
and groups were formed, shields were made and chants<br />
were roared. As always, we had many laughs, rekindled old<br />
friendships while making some new ones, shared stories and<br />
generally had a good time. Thank you to all my volunteers and<br />
to all the staff who attended. For me to make a difference in<br />
others’ lives is important, and these camps make a difference<br />
to many, and for that I am truly grateful.<br />
When I started in this position, over four years ago, Member<br />
Services volunteer numbers were fluctuating around<br />
100-105. The volunteer numbers have since grown in this<br />
area and numbers are now fluctuating between 125-130.<br />
This is amazing and shows that <strong>MSWA</strong> is a great organisation<br />
for volunteering.<br />
We are also very fortunate to have many long-term volunteers.<br />
<strong>MSWA</strong>’s Events team are always looking for volunteers for<br />
the <strong>MSWA</strong> events that are held throughout the year. Trish<br />
Watson, the Events Coordinator is at the helm of recruiting<br />
volunteers for upcoming events, so if you have a spare few<br />
hours throughout the year, or you know someone who would<br />
like to assist with the events, pass on Trish’s contact number<br />
6454 3116.<br />
Once again it has been a pleasure talking with you all. I<br />
look forward to catching up with you whether it is around<br />
the hallways at Wilson, out and about in the community or<br />
by phone and email. Please do not hesitate to contact me to<br />
discuss anything or just to say hi. My door is always open, if<br />
you can find me, and I’m happy to have a chat. Welcome to<br />
all our new volunteers, welcome into the <strong>MSWA</strong> family, and I<br />
look forward in getting to know you better.<br />
Until next time, it’s bye for now.<br />
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<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 23
COMING TO GRIPS<br />
WITH MS<br />
TERRY YOUNG<br />
I was diagnosed with MS in December of 2000. I had moved<br />
back to Perth a few years earlier with my wife at the time<br />
and two children. We had recently bought a house and I<br />
had just taken on the ownership of a new marine trimming<br />
factory. The business was involved in boat upholstery and it<br />
was wonderful, creative work and I felt I could really express<br />
myself. However, I was working seven days a week and was<br />
experiencing some relationship issues – so I was under a lot<br />
of stress and I didn’t allow myself the time to rest.<br />
I first noticed my symptoms at work, leaning on a work bench<br />
feeling overcome with fatigue and having blurred vision. My<br />
running was affected and one night lying in bed, I noticed that<br />
one of my legs was a completely different temperature to the<br />
other. It took three months of going and back and forth with<br />
my GP to finally come to a diagnosis.<br />
Initially, I had no idea about MS apart from my daughter having<br />
participated in the MS Readathon. It was a strange experience<br />
after I had been diagnosed. I didn’t understand what MS was<br />
and when I came to <strong>MSWA</strong> to speak to one of the nurses,<br />
I saw people in wheelchairs and that was confronting. The<br />
thought of being in a wheelchair was the scariest expectation<br />
I had. I refused to believe that it could be me. It took me two<br />
years before I accepted the disability pension, not accepting<br />
of the word disability. I think when you’re initially diagnosed<br />
and you know nothing about MS, particularly 17 years ago<br />
when there wasn’t much available, you are not given much<br />
hope. Thankfully, I have since learnt that there is a lot you can<br />
do to feel better and I can do things to help myself.<br />
I continued to drive after my diagnosis, after a while I used a<br />
car with hand controls as I had to leave my foot off the brake.<br />
I used a walker to help me do things and then I began to use<br />
a wheelchair to help me when travelling long distances and<br />
for activities like shopping. In 2010, I was in a car accident<br />
which left me permanently in a wheelchair and it was after<br />
this when things became harder. I couldn’t use the sewing<br />
machine for work anymore and my body felt weaker. Even<br />
though life has changed now that I’m in a wheelchair, I have<br />
not lost my passion for life. As I’m sure we all know, life can<br />
deal us many and varied hands, and it is how we deal with<br />
that which makes the difference.<br />
My MS is stable at the moment. Having progressive MS, I<br />
know there is a slight decline. My writing is not very good<br />
anymore and my arms can become very fatigued. Fatigue<br />
can affect me out of the blue sometimes, often it’s due to<br />
changes in the weather. My legs and my muscles is where I<br />
feel pain. I also have some nerve issues, like a little electrical<br />
shock when I’m in the pool. I try not to focus on this though.<br />
Working with different people has helped me understand why<br />
these things are happening to my body and has helped me to<br />
manage these changes. Listen to your physiotherapists and<br />
your OTs - pick their brains because you need them.<br />
Before I was diagnosed, I wasn’t eating healthy and I was<br />
smoking. These days I have quit smoking, my diet has<br />
improved immensely and I am regularly exercising. I go<br />
swimming at my local pool and I have an exercise program at<br />
home with assistance from a physiotherapist. Each morning<br />
I wake up at 5am and meditate for half an hour before my<br />
morning coffee. Meditating allows me to get a sense of how<br />
my body feels - I notice where my body is holding tension<br />
and which muscles are tight. Meditation also allows me to<br />
be mindful which I find helpful. Of course, I’m tired at the<br />
end of the day but these activities make me feel like my days<br />
are fulfilled. My relationships with people have helped me<br />
so much. Social connection is extremely valuable for your<br />
wellness. I’m conscious of positive self-talk and I value my<br />
independence, so I do as much as possible on my own.<br />
In the past few years, I have come to realise all the services<br />
<strong>MSWA</strong> offers. I have met some great friends through <strong>MSWA</strong><br />
and have accessed counselling, occupational therapy,<br />
physiotherapy and nursing services for about 10 years now.<br />
About a year ago, I struggled to get in and out of bed. I found<br />
it hard to reposition myself and get comfortable. It was then I<br />
learnt that <strong>MSWA</strong> offers services which could help me out at<br />
home. <strong>MSWA</strong> care support workers now visit during the week<br />
to help me get ready for the day and into bed. I have always<br />
felt that acknowledging you need help does not take away<br />
from yourself or make you more disabled – it helps make you<br />
more independent.<br />
I don’t deny that I have MS. It makes things tough but I have<br />
accepted that I have it and try not to focus on the negative.<br />
Having MS has opened a lot of possibilities for me. I have<br />
made new friendships, recognised the passions in my life and<br />
its inspired me to help others.<br />
My advice to others is to be kind to yourself. It’s important<br />
to recognise that there are challenges and it will take<br />
time to do things, but you will get it done.<br />
24 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>
SOUTH WEST<br />
Regional Round Up<br />
The latest<br />
news from<br />
the South<br />
West<br />
BUNBURY OUTREACH NEWS<br />
SUZY BARKER<br />
A big warm “hello” from all the Members and staff at Bunbury<br />
Outreach Group, situated inside the fabulous new Bunbury<br />
Community and Health Services Hub.<br />
We are all ecstatic with our wonderfully spacious Outreach<br />
areas, atrium one and two (when we draw the room-divider),<br />
enabling us to comfortably move around and enjoy our social<br />
gatherings every Wednesday. We now can set up tables to<br />
create craft activities, play board and floor games and do<br />
the word quizzes on the shiny new white board! We have<br />
completed our first art activity, a colourfully painted ‘Outreach’<br />
plaque to be proudly mounted on the wall in our social area.<br />
In early April we held our first big event – a Hawaii Vacation<br />
themed morning tea! It was a hoot to say the least with<br />
everyone getting into the spirit of being colourfully dressed.<br />
We all attempted a quite comical hula dance around the<br />
room before enjoying a morning tea of Hawaiian pizza, fruit<br />
salad and tropical punch. We had such a great morning with<br />
many laughs, so thanks to Wilson Outreach for the loan of the<br />
Hawaiian box of goodies.<br />
We are now planning our next holiday adventure to Paris,<br />
France in mid-July! We are aiming to recreate a typical<br />
Parisienne café ambience, with rustic French decorations,<br />
music and memorabilia of famous icons and places in Paris.<br />
We even may dare to attempt the Can Can dance! Our project<br />
now is to create our ‘French Connection’ box with handmade<br />
costumes, crafty flags and all things French so we can pass<br />
the box onto the other outreach groups. So until next time,<br />
watch this space, Viva La France!<br />
<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 25
ALBANY OUTREACH NEWS<br />
CAROLINE CLARKE-SMITH, <strong>MSWA</strong> RESOURCE COORDINATOR<br />
In May we enjoyed a lovely morning tea with 10 of our Members<br />
at The Three Anchors restaurant at Middleton Beach. It was a<br />
great social outing and we look forward to the next one.<br />
Our next outing will be a lunch on Wednesday 19 July, at the<br />
Emu Point Café. We look forward to seeing everyone there.<br />
Please contact us to register your interest.<br />
Physiotherapy exercise classes commenced May 31 and ran<br />
on Wednesdays for six weeks. These classes may continue<br />
depending on interest. For more information or to register<br />
your interest, please contact our office.<br />
We enjoyed a visit from <strong>MSWA</strong> Senior Counsellor Leonie<br />
Wellington, Social Welfare Officer Gerald O’Sullivan and<br />
Senior Nurse Nimisha Baird. It was great to have them here<br />
and we received some input from their fields.<br />
The <strong>MSWA</strong> Albany Swim on March 18 was a great success.<br />
Thank you to all those who contributed. Your time and effort<br />
assisted in raising more than $20,000.<br />
Please be sure we have the correct contact details for you<br />
so we can keep you up to date. To update your details or<br />
for any other enquiries please contact us on 9377 7800.<br />
WILSON OUTREACH NEWS<br />
NICOLA RYAN, <strong>MSWA</strong> SENIOR OUTREACH COORDINATOR<br />
Our first half of the year at Wilson Outreach has been<br />
extremely busy and a whole lot of fun! Members often say<br />
when they are here that “the place just doesn’t stop”. That’s<br />
of course what we like to hear as ultimately everything we do<br />
is for the good of our Members!<br />
Many have enjoyed going on outings in the community and<br />
with the beautiful weather we have had in the first half of<br />
the year this was always going to be a winner! Sculptures<br />
by the Sea, a yearly event at Cottesloe beach, proved to be<br />
very popular amongst our Members with more going this year<br />
than ever.<br />
For the first time a visit was arranged to the Scented Garden<br />
in South Perth. Our Members from the ‘Embrace the Shake’<br />
group thoroughly enjoyed their time wandering around the<br />
beauty on the foreshore and have come back with lots of<br />
ideas to have something similar reproduced here, so watch<br />
this space!<br />
Movies are always a popular outing as many Members find<br />
it difficult to get there on their own. With the buses that we<br />
have on hand at Outreach this is easily arranged and after the<br />
movie there’s always time to get back to the centre for lunch!<br />
We are very lucky here in Perth to have such fantastic parks<br />
available literally on our doorstep at Wilson so a favourite<br />
outing for both Members and staff alike is a stroll along the<br />
Shelley foreshore and the beautiful Kent Street Weir!<br />
From outside outings to inside ones, we are again travelling<br />
the world and so far, this year have been to Italy and<br />
Las Vegas. Just like our previous two years of travel we<br />
manage to bring the places alive in the atrium where our<br />
Outreach meets.<br />
From different props, many pictures, great music, items<br />
brought in for show and our awesome staff arranging activities<br />
we soon find ourselves feeling that we are right there in the<br />
moment! Lunches while we travel are also an important part<br />
of our journey and we have had some amazing meals with<br />
all the fantastic aromas throughout the building helping with<br />
the atmosphere!<br />
In the times in between, when we are not travelling inside or<br />
outside, we always have activities that Members can join in on<br />
as well as some great places to sit and chat with others. Our<br />
volunteer pianists are here three days per week entertaining<br />
us so really there is never a dull moment! Members often<br />
pass through after other appointments and everyone is more<br />
than welcome to stay for a cuppa and chat.<br />
Outreach is a place to do exactly that! So please come<br />
and join us.<br />
26 | <strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong>
GERALDTON TRIP<br />
There were many activities happening as part of this year’s<br />
annual visit to Geraldton!<br />
Visiting <strong>MSWA</strong> staff included Senior Community Access<br />
Nurse Jill Crombie, Social Welfare Officer June Brown, and<br />
Physiotherapy Manager Dave Hathorn. Together, they made<br />
visits to Members at home and attended a local hospital,<br />
nursing home and the Disability Service Commission to<br />
update them on the recent growth of <strong>MSWA</strong>. They also met<br />
with the local <strong>MSWA</strong> Physiotherapists and masseur and joined<br />
the Geraldton peer support group which meets each month.<br />
On the first day of their three day visit, a Bunnings sausage<br />
sizzle fundraiser was organised by the wonderful Members in<br />
Geraldton which raised an impressive $800!<br />
The visit was a great way to connect with local Members<br />
and staff. <strong>MSWA</strong> are looking forward to next year’s visit<br />
– which thanks to the suggestion of one of our Members,<br />
could involve a fishing expedition!<br />
<strong>MSWA</strong> staff and Members at the Bunnings fundraiser.<br />
NORTHAM MORNING TEA<br />
On June 1, a group of <strong>MSWA</strong> Members from Northam<br />
and surrounds came together for a peer morning<br />
tea at the Bridgeley Community Centre. With people<br />
travelling from areas such as Bolgart and Toodyay,<br />
there was a great turnout of 15 people! This included<br />
people living with MS, their support persons and two<br />
staff members from Northam Hospital.<br />
Joining the group were <strong>MSWA</strong> staff members,<br />
Peer Support and Health Education Coordinator<br />
Sarah Lorrimar, Counsellor Cherry Chapman, NDIS<br />
Client Relationship Coordinator Pranjal Pawar and<br />
MS Nurse Dee Menzies.<br />
Following introductions, the group quickly warmed to<br />
each other and the session was spent sharing stories<br />
of life with MS as well as discussion on topics such<br />
as medication, neurologists, accessing supports,<br />
wellness and the NDIS. With such a successful first<br />
meeting, the group has already put in the motions to<br />
continue a regular meeting in Northam!<br />
<strong>MSWA</strong> BULLETIN WINTER <strong>2017</strong> | 27
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