Older People’s Assembly - Hillingdon Council
Transcript of Older People’s Assembly - Hillingdon Council
Agenda
• 2:00pm - Welcome from the Chairperson
• 2:05pm – Update from the Older People’s Champion
• 2.15pm – Stroke Association
• 2.40pm – Diabetes Awareness
• 3.05pm – Talking Therapies - CNWL
• 3.30pm - CLOSE
Reporting issues
• Council Main Switchboard and out-of-hours
service 01895 250111
• Contact numbers – inside back cover of
Hillingdon People
• Do it online 24/7 at www.hillingdon.gov.uk
Podiatry Services
• Experiences of using services
• Contact Graham Hawkes at Healthwatch
Hillingdon
• 01895 272997
Stroke Helpline 0303 3033 100
stroke.org.uk
Stroke Association
We’re here for you and we are changing the
world for people affected by stroke
• Vision
We want a world where there are fewer strokes and all those touched
by stroke get the help they need.
• Mission
Our mission is to prevent strokes, and reduce their effect through
providing services, campaigning, education and research.
Stroke Helpline 0303 3033 100
stroke.org.uk
What is a stroke?
• A stroke is a brain attack. A stroke is what
happens when the blood supply to part of
the brain is cut off.
• Blood carries essential nutrients and
oxygen to the brain. Without a blood
supply, brain cells can be damaged or
destroyed.
Stroke Helpline 0303 3033 100
stroke.org.uk
Types of stroke
• Ischaemic Stroke
Most common type of stroke (approx 85%)
Caused by a blockage in the arteries or blood vessels
that supply blood to the brain
•Haemorrhagic Stroke
Caused by bleeding in or around the brain
A blood vessel bursts within or on the surface of the
brain
Stroke Helpline 0303 3033 100
stroke.org.uk
Risk Factors INACTIVITY
BINGE DRINKING &
SUBSTANCE MISUSE
PREVIOUS
STROKES & TIAs
ORAL CONTRACEPTION
& HRT OBESITY:
UNHEALTHY
EATING
SMOKING
DIABETES
HEART
DISEASE
HIGH BLOOD
PRESSURE
FAMILY HISTORY
AND ETHNICITY AGE
RISK
FACTORS
Stroke Helpline 0303 3033 100
stroke.org.uk
Common problems after a stroke •Physical
Weakness or paralysis of limbs (usually down one side)
Clumsiness
Difficulties with balance
Swallowing
Incontinence
Vision
Stroke Helpline 0303 3033 100
stroke.org.uk
Common problems after a stroke
•Communication
Speech and language
Forming words
Finding correct words
Understanding language
Concentration
Recognising objects and knowing how to use
Reading and writing
Stroke Helpline 0303 3033 100
stroke.org.uk
Common problems after a stroke
•Emotional Impact
Personality changes
Difficulty controlling emotions
Emotional upheaval
Feelings of grief
Low mood / depression
Loss of confidence
Anxiety
Stroke Helpline 0303 3033 100
stroke.org.uk
What do we do?
•Research
•Raise Awareness
•Fundraise
•Provide support locally
and nationally
Stroke Helpline 0303 3033 100
stroke.org.uk
Stroke is a medical emergency
If the person has failed any one of
these tests, call 999 immediately.
By calling 999 you can help
someone reach hospital quickly and
receive the early treatment they
need.
Prompt action can prevent further
damage to the brain and help
someone make a full recovery.
Stroke Helpline 0303 3033 100
stroke.org.uk
Not Just a Funny Turn Campaign.
• Transient ischaemic attack (TIA) is a
warning sign of a future stroke – about one
in four people who have had a TIA will go on
to have a full stroke in future
• 20,000 mini strokes every year
• Symptoms of TIAs are the same as stroke
• TIA symptoms can last up to 24 hours, but
will sometimes resolve within 5 to 20
minutes
• It is important that you should dial 999
urgently if you, or someone you know, have
any of the symptoms of a TIA
Stroke Helpline 0303 3033 100
stroke.org.uk
Know Your Blood Pressure Campaign (KYBP)
• High Blood Pressure is the
biggest risk factor for stroke
• 40% of all strokes could be
prevented if undiagnosed high
blood pressure is prevented
• The Campaign aims to raise
awareness through free blood
pressure readings and providing
advice and information
Stroke Helpline 0303 3033 100
stroke.org.uk
Ask First…To help prevent a
stroke later
• Atrial fibrillation (AF) is a type of
irregular heart beat.
• Pulse reading will be irregular
• AF can increase your risk of stroke by
up to five times.
• 750,000 people in the UK living with
AF.
• Important to Ask First – if you have
AF ask your GP about ways you can
reduce your risk of stroke
Stroke Helpline 0303 3033 100
stroke.org.uk
How we help • National Helpline
• Language line
• Produce 6 core leaflets
• Produce more than 70
Factsheets
• Website and accessible
information
• Facebook and Twitter
• Stroke Association News
Magazine
• Welfare grants for those with
practical needs
Stroke Helpline 0303 3033 100
stroke.org.uk
Our Life After Stroke Services Communication Support
offers a lifeline to people left with
speech and communication
problems through:
• 1-2-1 home visits
• Long term support groups
• Providing social opportunities
and outing
Stroke Helpline 0303 3033 100
stroke.org.uk
Services continued …
Information and Advice
Support Service
Helps those recently affected by
stroke, both survivours and
family/carers, to adjust to the
changes through:
• 1-2-1 home visits
• Needs assessment
• Guided goal setting
• Referral/signposting to
appropriate support
Stroke Helpline 0303 3033 100
stroke.org.uk
Stroke Association • National Helpline 0303 3033 100
• Website www.stroke.org.uk
• Jacqui Guyett – Communication Support, Hillingdon
• 07515 596959
• Caroline Humphrey – Information, Advice & Support, Hillingdon
• 07515 596961
Topics for Today
Any Questions
What is Diabetes?
Why is there so much fuss
about it?
If I have it what can I do
about it?
Can I stop my self from
getting it?
What is Diabetes?
• Diabetes Mellitus – “Honey Sweet Urine”
• “ Diabetes is an error in carbohydrate, lipid and protein metabolism” (World Health Organisation)
Type 1 Diabetes
• Autoimmune condition
• No insulin at all
• Can only be treated with insulin injections
• Usually starts under the age of 50 – often in childhood
Type 1 diabetes - Symptoms
• Quick onset
• Severe thirst
• Passing urine +++
• Weight loss +++
• Ketosis
Type 2 Diabetes
• Is a mixture of insulin resistance
• Lack of insulin
• Progressive – needs more treatment over time
Why all the fuss? – to the state
• Costs £23Billion overall including NHS £10 BILLION and growing
• 10% of the NHS annual drugs bill is on diabetes
• £2.3 Billion on in hospital care
Why all the fuss? – to the individual
• Impact on self
– Loss of identity
– Loss of time e.g. Work/life
– powerlessness
• Impact on others
– Changing diets
– How others perceive you
If I have it, what can I do about it?
YOU
Blood
Pressure
Cholesterol
Weight
Exercise
Blood
Glucose
Know your Targets
Foot problem prevention
Don’t walk bare foot Do wear well fitting shoes/trainers.
Check your feet daily. Seek help if worried
Smoking and Diabetes
• Smoking and having diabetes does not mix
• Increases the risks of
• Heart attack
• Stroke
• Neuropathy + kidney problems
• Increases blood glucose.
Why we’re here:
Mental Health Difficulties are Common • Anxiety, stress, low mood, are all natural human feelings
we will all have at some point.
• 1 in 5 people over 65 experience depression (2 in 5 if living in care homes).
• Physical ill health, e.g. diabetes, heart problems, make you more at risk of depression.
• 3 million people over 65 experience mental health problems that significantly impact on their life.
• Emotional wellbeing is important at all ages.
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Stresses of later life:
• Social Isolation – changes in relationships.
• Life changes and changes in identity – no longer working, not feeling needed or wanted.
• Loss – death of peers and family, and facing our own mortality.
• Loss of independence.
• Physical changes – letting go of activities.
• Ill health – less able, needing support.
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Demands Resources
CBT Background • CBT was developed in America in 1950s – widely
used.
• It is based on the idea that when we feel low or anxious we tend to think negatively about ourselves, our situation and our ability to cope. It can also impact our behaviour and how we relate to others.
• CBT was developed as a self-help form of psychotherapy : To empower individuals to make practical changes in their thoughts and actions in order to improve how they feel.
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Thought – ‘Something is wrong’
Anxiety
Misinterpretation – ‘I’m going to collapse’
Physical sensations – palpitations, dizzy
Vicious cycle of anxiety
Behaviour – escape, avoidance, seek
reassurance
Trigger – feel breathless
Understanding Depression
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• Triggers - life events and changes, such as losing partner • Out of the blue – there may be no one ‘cause’
• Some of us may be more vulnerable - If we have had depression before, if it is in the family, if we have had difficult life experiences such as many losses.
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Symptoms of Depression Emotions/Feeling Sad Guilty Alone Upset Overwhelmed
Physical/Bodily Sensations Tired Restless Lack of Energy Poor Sleep Fluctuating
Thoughts Loosing Confidence in self Thinking the worse will happen Thinking that things seem hopeless Thinking badly of yourself Thoughts that life is not worth living
Behaviours Difficulties in making decisions Avoiding people and activities Not doing things you used to enjoy Using drugs or alcohol to cope Can’t be bothered to do everyday tasks
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Feeling Low/ Stressed
Negative thinking Loss of Pleasure/
Achievement
Reduced Activity
•I cannot cope •What is the point? •I have nothing to give •I am too tired
Vicious cycle of depression
What do we offer?
Guided Self help – Telephone guided self help based on CBT interventions-techniques to change thinking and behaviours to break out of vicious cycles
Face to face Cognitive Behaviour Therapy (CBT) – more in depth
Workshops and Groups-tailored to specific groups
Counselling – space to talk through what is happening such as difficult life events like loss, or relationship issues. Or to talk through a past life event. To gain insight, explore feelings.
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CBT Techniques:
Changing Behaviour
When we’re stressed, anxious or depression we get into vicious cycles and behave in ways that keep the problem going.
What might you be doing that is keeping you stuck, stopping you from moving forward and feeling better?
What have you stopped doing that you used to enjoy?
What are you not doing because of fear/anxiety/worry?
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Getting Active
We all need a balance of activities: • Routine activities – e.g. self care • Necessary activities – e.g. tasks and chores • Pleasurable activities – e.g. hobbies, leisure Ways to maintain balance: • Break down activities into smaller tasks • Ensure you have time for rest • Be aware of your limits – you don’t have to get everything done all at once
Changing the way we think
• ‘Negative’ and ‘Unrealistic’ thinking vs. BALANCED thinking
• Blinkered thinking vs. Seeing other options
• Making emotional decisions vs. Pausing for thought
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Unhelpful thoughts can raise adrenaline levels, and in turn increase stress. BUT: we can try to question unhelpful thoughts. Ask yourself:
– Am I considering all the evidence?
– Am I ignoring any strengths or positives?
– Am I jumping to conclusions?
– Is this thought really true/true all the time?
– What might I say to a friend if they were in this situation?
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Negative Thought: There’s no point in going to the walking group, I won’t be able to keep up anyway
– Am I considering all the evidence? – I don’t know unless I go.
– Am I ignoring any strengths or positives? – I’ve been walking before with other people so I know I can do it.
– Am I jumping to conclusions? – I might be exaggerating how bad it will be. I’m making assumptions.
– Is this thought really true/true all the time? – I know it’s not always true, I sometimes feel like going and enjoy it.
– What might I say to a friend if they were in this situation? – I know you don’t feel like it now, but it will be good for you and there will be people of all abilities. Why don’t you go with someone first.
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Learning to relax
• Breathing techniques, Progressive Muscle Relaxation, Visualisation
• Time for yourself
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Photograph: Michelle Cazares
Resources www.llttf.com – Living Life to the Full
www.ntw.nhs.uk/pic/selfhelp - Mental Health Self Help Guides
Books – The ‘Overcoming’ Series, e.g. ‘Overcoming Depression’ by Paul Gilbert
www.getselfhelp.co.uk
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Assembly dates 2016
Tuesday 2 to 3.30 pm
• 29 March
• 28 June
• 27 September
• 6 December
Registration and refreshments from 1.30 to 2 pm