MSWA Bulletin Magazine Winter 18
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
BULLETIN<br />
THE OFFICIAL MAGAZINE OF <strong>MSWA</strong> mswa.org.au<br />
WINTER 20<strong>18</strong><br />
<strong>MSWA</strong> Member Chloe Baker with <strong>MSWA</strong><br />
funded researcher, Professor Prue Hart<br />
ANNUAL MEMBER SURVEY<br />
DIGESTING SCIENCE<br />
CHLOE’S STORY<br />
YOUR VOICE MATTERS
<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 4888 or Community Nurse: 9365 4888<br />
LETTER FROM THE EDITOR<br />
DR GREG BROTHERSON<br />
WILSON CENTRE<br />
29 Parkhill Way (08) 9365 4888<br />
Fax (08) 9451 4453<br />
Freecall <strong>18</strong>00 287 367<br />
See Health Team Dept contacts on this page<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 9365 4824<br />
OUTREACH GROUPS<br />
Wilson Outreach (Mon-Thurs): 9365 4830<br />
Beechboro Lodge (Mon, Fri): 9377 7800<br />
Southside Outreach (Fri): 9592 9202<br />
Albany Outreach (Fri): 9841 6657<br />
BUNBURY (WED) HUB<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, Danuta Figurska: 9356 2747<br />
HAMILTON HILL ACCOMMODATION<br />
Manager, Jayne O’Sullivan: 9331 5780<br />
TREENDALE GARDENS RESPITE &<br />
ACCOMMODATION<br />
50 The Boulevard, Australind<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 />
Paul Cavanagh, Sue Shapland, Ros Harman,<br />
Libby Cassidy, Caitlin Skinner, Sandra Wallace,<br />
Narelle Taylor, Leonie Wellington,<br />
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<br />
<strong>MSWA</strong>’s staff, advisors, Directors or officers.<br />
PHYSIOTHERAPY Our team aims to provide treatment interventions to develop and maintain<br />
mobility and function. Our Physiotherapists are experts in movement and function, and work in<br />
partnership with you to attain the highest possible level of independence.<br />
Dave Hathorn, Manager: 9365 4837 or Physiotherapy Department: 9365 4834<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 and equipment.<br />
Rosemarie Dravnieks, Manager: 9365 4804 or OT Department: 9365 4888<br />
SPEECH PATHOLOGY Our Speech Pathologists provide support by assessing, diagnosing<br />
and creating individualised treatment programs for Members who experience swallowing and/or<br />
communication difficulties. We equip Members with information and strategies to promote better<br />
communication and safe swallowing.<br />
Jamaica Grantis, Manager: 6454 3140<br />
COUNSELLING, PEER SUPPORT & HEALTH EDUCATION<br />
Talking with a Counsellor creates a safe, respectful and confidential environment for you<br />
and those close to you to explore options, create change or gain understanding about your<br />
life. Attending counselling with our tertiary qualified practitioners enables opportunity<br />
for personal growth and exploration in a non-judgemental environment. We have a Peer<br />
Support & Health Education Coordinator who organises peer connection & events and<br />
supports health and wellness education services. She can be contacted on 9365 4858.<br />
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. Monitor NDIS/WANDIS Services.<br />
Irene Gallagher, Manager, Social Work: 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, Department of Communities and our own fundraising efforts.<br />
We manage both DSC and NDIS individually funded care packages.<br />
Contact Aileen Ward, Manager on 9365 4851 for more information.<br />
THE NDIS TEAM We can help answer all NDIS questions.<br />
Our experienced team can help determine whether you may be eligible for NDIS support<br />
and assist you with your application. This includes developing an individual plan that<br />
best suits your needs. We support people with all neurological conditions including<br />
MS, Stroke, Parkinson’s Disease, Huntington’s Disease, Acquired Brain Injury and<br />
Motor Neurone Disease, to name a few.<br />
Contact 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 />
DIETITIANS are university-qualified nutrition experts who promote general health and<br />
disease prevention/management through dietary changes. They provide evidence-based<br />
dietary counselling and education, empowering individuals, with practical strategies,<br />
to meet their goals and improve health, wellbeing and independence.<br />
Jamaica Grantis, Manager: 6454 3140<br />
The headline in The West Australian (April 30) was<br />
unmistakable. WA’s economy ‘in doghouse’. This negativity<br />
made little sense to me.<br />
Only a couple of days previously, I had been at a meeting<br />
which included an interstate visitor, where it was said with<br />
genuine feeling, that if a person received a diagnosis of<br />
multiple sclerosis, and that person also happened to be a<br />
Western Australian, then they are living in the best State at<br />
the best possible time. The reason behind this feeling is that<br />
<strong>MSWA</strong> is experiencing its best-ever year.<br />
If WA’s economy is in the ‘doghouse’, as the economic editor<br />
of The West would have us believe, historically not-for-profit<br />
charitable organisations like <strong>MSWA</strong>, catering for the needs<br />
of people with multiple sclerosis and similar neurological<br />
diseases, are the first to feel the effect of a cold breeze<br />
filtering through the economy. Such is not the case.<br />
While it is never easy fundraising (our CEO now has that telltale<br />
sprinkling of grey hair), <strong>MSWA</strong> will exceed all previous<br />
records. Beside a record donation for research into the cause<br />
of multiple sclerosis, with a generous amount set aside for<br />
similar neurological diseases, this year <strong>MSWA</strong> is also engaged<br />
in a massive update and refurbishment of its Wilson premises,<br />
has increased services to the membership, along with building<br />
a services, administration and supported-accommodation<br />
facility at Butler. This is a fantastic achievement.<br />
INSIDE WINTER 20<strong>18</strong><br />
LETTER FROM THE EDITOR 3<br />
FROM THE DESK OF THE CEO 4<br />
A MESSAGE FROM THE GENERAL MANAGER –<br />
MEMBER SERVICES 5<br />
MS RESEARCH ROUND UP 6-8<br />
PROTECT YOURSELF AGAINST THE FLU 9<br />
ANNUAL MEMBER SURVEY 2017 10-11<br />
CHLOE’S STORY 12<br />
DIETETICS 13<br />
NDIS UPDATE 14<br />
A WINNER AND INSPIRATION IN OUR EYES 15<br />
WHAT IS WELLNESS 16-17<br />
THE RHYTHM OF LIFE <strong>18</strong><br />
RENOVATIONS – WILSON PHYSIOTHERAPY DEPARTMENT <strong>18</strong><br />
THE FUNDING OF ESSENTIAL EQUIPMENT 19<br />
NURSES ARE THE HEARTBEAT OF HEALTHCARE 20<br />
None of this would be possible, however, without the continuing<br />
generous and wonderful support of our fundraising efforts by<br />
the people of Western Australia, Lotteries Commission and<br />
State Government. If economic activity could be measured<br />
instead by the empathy and generosity of the people here in<br />
WA, then there is only clear air below Western Australia and<br />
the rest of the States and Territories.<br />
You can read all about this success story right here and<br />
straight from the people who are responsible. Producing this<br />
edition of your <strong>Bulletin</strong> has been a real team effort, and has<br />
appeared out of all the builder’s rubble, the renovations and<br />
people working out of temporary make-shift quarters. The<br />
managers and staff have really pulled something special out<br />
of the box for you this time.<br />
On behalf of the Editorial Committee here at the <strong>Bulletin</strong><br />
treadmill, we would also like to thank you for your big<br />
tick of approval in Sue Shapland’s Annual Member<br />
Survey (included). Once again the <strong>Bulletin</strong> has come out<br />
on top and it is your support that fuels our enthusiasm.<br />
Thank you.<br />
SWALLOWING AWARENESS 22<br />
YOUR VOICE MATTERS 23<br />
SHAKESPEARE, BOB DYLAN AND NEUROPLASTICITY 24-25<br />
SPEAK EASY 25<br />
FUNDRAISING NEWS 26<br />
PERTH ENTERTAINMENT REVIEW 27<br />
A WINNING STRATEGY FOR LIVING 28<br />
CARERS RETREATS 29<br />
VOLUNTEERING 30-31<br />
THAT’S LIFE WITH NARELLE 31<br />
BEECHBORO OUTREACH NEWS 32<br />
SOUTHSIDE OUTREACH NEWS 32<br />
CENTRAL REGIONAL OUTREACH NEWS 33<br />
SOUTH WEST REGIONAL NEWS ROUNDUP 33<br />
GREAT SOUTHERN REGIONAL NEWS 34<br />
DIGESTING SCIENCE 21<br />
TAKE A BREAK IN THE SOUTH WEST 34<br />
2 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 3
From the desk of the CEO<br />
MARCUS STAFFORD<br />
A message from the General Manager –<br />
Member Services<br />
SUE SHAPLAND RN, BN<br />
In an ever-changing world, we are often faced with change and<br />
the challenges that accompany it. That’s when our minds toy<br />
with the concepts of time, complexity or even ‘gee … I really<br />
don’t need this!’ You can feel like you’re swimming against<br />
the tide. But let me reassure you that we are swimming with<br />
you and we will all arrive safely back on shore! Our 750+ staff<br />
at <strong>MSWA</strong> are here to help you ask the right questions and in<br />
turn, get the best answers that suit your own needs.<br />
I’m talking about the NDIS, which has been causing more<br />
than a few ripples in our community of late.<br />
The overarching concept of the NDIS, which is a customercentric<br />
model, allowing choice and control for people with a<br />
disability, remains critically important. However, the transition<br />
from a centralised model to a customer-centric process, is<br />
not without its challenges. Unfortunately, our brave new world<br />
has caught some organisations off guard. This has led to both<br />
financial and service stress. Indeed, some organisations are<br />
considering their ongoing viability. But, not us. I am delighted<br />
to advise that at <strong>MSWA</strong> we are really enjoying the overdue<br />
concept of customer choice, and we are delivering a range of<br />
engagement opportunities.<br />
So, how are we making sure that no one slips through the<br />
cracks? Our efficient and supportive NDIS team are here to<br />
help you navigate the process, through information sessions<br />
in your areas, and face to face meetings to outline what you<br />
will need for your NDIS plan. We are here to help and support<br />
you, every step of your journey.<br />
I’m proud that our core values (that the customer is at the<br />
heart of everything we do), are being reflected by the Sector,<br />
and more broadly across the State. We take our leadership<br />
responsibility very seriously. In my view, our customers are<br />
the most valuable and deserving of all.<br />
Do you want to receive<br />
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 damien.hill@mswa.org.au or call 9365 4814<br />
and let us know your current email address.<br />
How are we going as an organisation within this new<br />
environment? Really well. As we head closer to the end of the<br />
financial year, I’m pleased to say that we’ve had a record year<br />
in delivering Member and Client services, a record contribution<br />
to research, and are building the largest footprint in our history.<br />
All this bodes very well for our future and although I feel for<br />
those organisations who may be ‘doing it tough,’ the market<br />
is designed to allow the strongest organisations to deliver<br />
the best service to people with disabilities. Strength comes<br />
from both the number of things that we do, and the quality of<br />
the service provided by our staff. I would like to thank them<br />
and acknowledge their tremendous efforts, validated by the<br />
Member and Client service surveys that we have received.<br />
On recent events, our Members’ Forum was successful,<br />
providing updates on local research and other important<br />
matters. Sue Shapland will go into further detail in her<br />
<strong>Bulletin</strong> article.<br />
World MS Day was also a notable day, with the global theme<br />
of ‘Bringing Us Together,’ holding significant importance for<br />
<strong>MSWA</strong>, as it recognised our nationwide leadership status in<br />
funding research. That research commitment now covering<br />
Western Australia, Australia and international research, is<br />
dedicated to finding both a cause and cure for MS, and is also<br />
exploring important options around quality of life. For me, the<br />
day represents acknowledging our Members, their lives and<br />
everyone touched by MS. Feedback from both the media and the<br />
general population confirmed the achievement of our objectives.<br />
So, please be reassured. We understand the nature of our<br />
changing world and we appreciate the challenges that<br />
you are facing to navigate the complexities of the NDIS.<br />
We’re there for you. Together we will glide gracefully<br />
through the tide of change, determined to come out the<br />
other end better and stronger! Until next time.<br />
“Never tell me the sky’s limit when there are footprints on the moon”<br />
Unknown.<br />
It never ceases to amaze me how many quotes come up on<br />
Google you have never seen before, but I liked this one!<br />
True to form, the year is rolling by quite quickly and there<br />
is so much going on not only here at <strong>MSWA</strong>, but in WA and<br />
all around the world. The Royal Wedding was a welcome<br />
reprieve from much of the bad news that seems to be going<br />
on around the world, whilst my invitation didn’t arrive, I was<br />
able to watch it for days on all stations!<br />
We are so lucky to live in WA and indeed Australia – great<br />
weather, beautiful scenery, pretty good standard of living<br />
and quality health care; despite some challenges overall, it’s<br />
pretty good.<br />
Of course, the NDIS is another bonus. Whilst not fully rolled out<br />
yet, we know the difference it will make for so many people<br />
living with MS, who previously couldn’t access funding for<br />
necessary supports and/or equipment in a timely fashion. The<br />
NDIS will be expanding its cover in WA from July 1, covering<br />
the south metro area, Bunbury, Joondalup, and Wanneroo<br />
local government areas in October. Our experienced <strong>MSWA</strong><br />
NDIS team is dedicated to supporting our Members through<br />
the process, from educating about the Scheme to one-on-one<br />
support for pre-planning, all designed to help you navigate<br />
the system and get your best plan. See Nigel’s article in this<br />
edition. Our information sessions have already begun in the<br />
south metro area but please contact our staff for information<br />
and support.<br />
As you will know, we are currently building our new services<br />
hub and high support accommodation facility in Butler. This is<br />
coming along beautifully and will be a fantastic addition to our<br />
footprint. More importantly, it will provide high quality homes<br />
for the 10 residents who will live there, as well as fabulous<br />
resources including a large physio gym and consulting rooms.<br />
Under the guidance of Andrea Taylor and our interior designer,<br />
the décor will be amazing and innovative if the colour boards<br />
are an indication!<br />
World MS Day and MS Awareness Week were once again<br />
celebrated with special events and promotional activities in<br />
the City, which get better each year under the guidance of<br />
our Communications and Events Managers. We also held<br />
the Members’ Forum with guest speakers including local<br />
researchers Professor Prue Hart and Dr Lucinda Black.<br />
Raising awareness about MS is so important, and with this<br />
year’s focus on research, it’s only fitting to remind ourselves<br />
what a huge financial contribution <strong>MSWA</strong> has made to MS<br />
research over the years, and what a difference that money<br />
has made to so many researchers. There is so much ongoing<br />
research around the world as they still search for more<br />
answers on the cause, how and why progression occurs,<br />
better treatments and ultimately a cure. There are now over<br />
200 genes implicated in MS! <strong>MSWA</strong> also allocates part of our<br />
research funds to the very important work being done through<br />
the International Progressive MS Alliance; understanding why<br />
progression occurs and are there treatments to prevent this.<br />
As you may know we are also undergoing a refurbishment at<br />
Wilson; there has been much upheaval, but the results are<br />
looking amazing. With stage two of three now complete, the<br />
end is in sight and we can get Outreach back on site and<br />
resume normal services once more.<br />
We are undergoing a lot of change in many ways but<br />
what doesn’t change is our commitment to supporting<br />
our Members throughout their MS journey. If you<br />
would like to speak with an MS nurse or other health<br />
team members please call us on 9365 4840 or use<br />
get-in-touch@mswa.org.au. We are here to provide<br />
you with information and updates and advice, just give<br />
us a call.<br />
4 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 5
MS RESEARCH ROUND UP<br />
SHARING RESEARCH UPDATES FROM AROUND THE WORLD<br />
Read more at:<br />
mswa.org.au/researchupdate<br />
SUE SHAPLAND RN, BN<br />
From Barts MS Blog:<br />
Incidence of MS has increased markedly over six decades<br />
in Denmark particularly with late onset and in women.<br />
Koch-Henriksen N, Thygesen LC, Stenager E, Laursen B,<br />
Magyari M. Neurology 20<strong>18</strong> May.<br />
This study reviewed all data on all patients with MS diagnosed<br />
between 1950 and 2009, between 1950-59 and 2000-09<br />
the incidence in women has doubled whilst in men it has<br />
increased 24%. The female/male sex ratio increased over<br />
time and with age.<br />
CONCLUSION: The incidence of MS has doubled in women,<br />
most pronounced with late onset, whilst only modestly<br />
increased in men. Lifestyle changes in the female population<br />
that could include fewer childbirths, increased occurrence<br />
of obesity, and increased cigarette consumption may have<br />
a role.<br />
Early infectious exposures are not associated with increased<br />
risk of paediatric-onset multiple sclerosis. Suleiman L et al.<br />
The researchers sought to determine if early infectious<br />
exposures such as day care, early use of antibiotics,<br />
vaccinations and other germ exposures including pacifier use<br />
and playing on grass are associated with MS risk in children.<br />
Questionnaires from 326 eligible cases and 506 healthy<br />
paediatric subjects were analysed. They looked at the history<br />
of flu with high fever before age five, playing outside in grass<br />
and use of special products to treat head lice or scabies and<br />
association with increased risk of MS. These results were not<br />
statistically significant; notably, antibiotic use and regular day<br />
care attendance before age 6 were not associated with odds<br />
of developing MS.<br />
CONCLUSION: Early infectious factors investigated in this<br />
study were not associated with MS risk.<br />
From Journal of the Neurological Sciences:<br />
This WA research project has been supported by <strong>MSWA</strong><br />
Research Funding.<br />
Natural history of benign multiple sclerosis: Clinical and<br />
HLA correlates in a Western Australian cohort. Marzena J.<br />
Fabis-Pedrini, Allan Kermode et al.<br />
Background: Benign MS (BMS) is a controversial term used<br />
for MS patients with minimal disability decades after disease<br />
onset. We evaluated disease status after 20 years in a WA<br />
cohort defined as BMS based on an Expanded Disability<br />
Status Scale (EDSS) score≤3.0 at 10 years from onset.<br />
Methods: MS patients with an EDSS score≤3.0 at 10 years<br />
from onset and minimum of 20 years follow up were included<br />
in the study. The 20-year EDSS score was considered the<br />
primary outcome. Associations with demographic and clinical<br />
characteristics and HLA-DRB1 genotype were investigated.<br />
Results: Among 120 patients with a benign course at 10<br />
years, 78 (65%) remained benign at the 20-year follow up,<br />
but patients with an EDSS≥2.5 were more likely to go on<br />
to develop more severe disability in the next decade. When<br />
considering factors associated with an increase in EDSS<br />
score≤1 from 10 to 20 years, indicating limited progression,<br />
apart from the EDSS score at 10 years, poly-symptom<br />
presentation and cerebellar/brainstem mono-symptomatic<br />
presentation were independently associated with more<br />
rapid progression compared with other mono-symptomatic<br />
presentations. Carriage of the high risk HLADRB1* 1501<br />
allele, a genetic marker, was marginally associated with<br />
slower progression.<br />
Conclusions: In this WA MS cohort, of predominantly Anglo-<br />
Celtic origin, clinical progression in the benign MS group was<br />
similar to other Western countries.<br />
These results are in keeping with the view that patients<br />
labelled as benign MS are part of a heterogeneous continuum<br />
of disease progression and do not possess unique clinical<br />
characteristics. Possible genetic determinants of a benign<br />
course warrant further investigation.<br />
From UK MS Trust:<br />
Stigma caused by MS contributes to depression<br />
Stigma is the perception of being judged as different and<br />
being disapproved of by others. Most people living with<br />
MS experience some stigma, but little is known about its<br />
psychological impact. This study investigated the association<br />
between levels of stigma and depression in people with MS.<br />
5369 participants of the North American Research Committee<br />
on Multiple Sclerosis (NARCOMS) register completed two<br />
surveys, one measuring stigma and the other depression.<br />
Participants were asked to repeat the depression survey 12<br />
months later.<br />
People experiencing greater levels of stigma reported more<br />
symptoms of depression and were more likely to be clinically<br />
depressed. Higher levels of stigma also predicted later<br />
depression, suggesting that for people living with MS, stigma<br />
may partly cause depression.<br />
People with strong social connections, with family and friends,<br />
and sense of independence and control over their lives were<br />
less likely to be depressed even if they experienced stigma.<br />
The researchers concluded that a better understanding of<br />
the ways in which stigma contributes to depression would be<br />
helpful in developing strategies to reduce its effect on health.<br />
About 50% of people with MS will have depression in their<br />
lifetime, however, research has shown MS depression isn’t<br />
clearly related to disability or length of time since diagnosis,<br />
in fact it may be more common earlier in the disease.<br />
From Neurolgy.org:<br />
Sun exposure over the life course and associations with<br />
multiple sclerosis. Helen Tremlett et al. First published March<br />
7, 20<strong>18</strong>.<br />
This study examined sun exposure and MS over the life course<br />
(ages 5–15 and 16–20 years, every 10 years thereafter). 151<br />
people with MS and 235 age-matched controls from the<br />
Nurses’ Health Study completed summer, winter, and lifetime<br />
sun exposure history questionnaires. Cumulative ambient<br />
ultraviolet (UV)-B (based on latitude, altitude, cloud cover)<br />
exposure before MS onset was expressed and defined as<br />
low vs high hours per week for summer or winter. Relative<br />
risks were estimated with adjustment for body mass index,<br />
ancestry, smoking, and vitamin D supplementation.<br />
Results Most participants were white (98%); the mean age<br />
at MS onset was 39.5 years. Living in high (vs low) UV-B<br />
areas before MS onset was associated with a 45% lower MS<br />
risk. Similar reduced risks (51%–52%) for medium or high<br />
exposure were observed at ages 5 to 15 years and at 5 to<br />
15 years before MS onset. At age 5 to 15 years, living in a<br />
high (vs low) UV-B area and having high (vs low) summer sun<br />
exposure were associated with a lower MS risk.<br />
Conclusion Living in high ambient UV-B areas during childhood<br />
and the years leading up to MS onset was associated with a<br />
lower MS risk. High summer sun exposure in high ambient<br />
UV-B areas was also associated with a reduced risk.<br />
Siponimod versus placebo in secondary progressive multiple<br />
sclerosis (EXPAND): a double-blind, randomized, phase 3<br />
study. Prof Ludwig Kappos et al.<br />
This Phase 3 clinical trial, involving 1651 MS patients with<br />
Secondary Progressive MS, was conducted at 292 hospital<br />
clinics and MS Centers in 31 countries. 1099 received<br />
siponimod and 546 placebo.<br />
At baseline, the mean time since first MS symptoms was 16·8<br />
years, and the mean time since conversion to SPMS was 3·8<br />
years; 1055 (64%) patients had not relapsed in the previous<br />
2 years, and 9<strong>18</strong> (56%) of 1651 needed walking assistance.<br />
903 (82%) patients receiving siponimod and 424 (78%)<br />
patients receiving placebo completed the study. Adverse<br />
events occurred in 975 (89%) of 1099 patients receiving<br />
siponimod versus 445 (82%) of 546 patients receiving<br />
placebo; serious adverse events were reported for 197 (<strong>18</strong>%)<br />
patients in the siponimod group versus 83 (15%) patients in<br />
the placebo group.<br />
Lymphopenia, increased liver enzymes, bradycardia and<br />
bradyarrhythmia at treatment initiation, macular oedema,<br />
hypertension, varicella zoster reactivation, and convulsions<br />
occurred more frequently with siponimod than with placebo.<br />
Initial dose titration mitigated cardiac first-dose effects.<br />
Frequencies of infections, malignancies, and fatalities did not<br />
differ between groups.<br />
continued over<br />
6 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 7
Interpretation: Siponimod reduced the risk of disability<br />
progression with a safety profile similar to that of other S1P<br />
modulators and is likely to be a useful treatment for SPMS.<br />
From MSIF:<br />
Japanese study could improve understanding of autoimmune<br />
process in MS<br />
New research indicates that miRNA, a genetic switch in<br />
the blood of people with MS, could help to explain how and<br />
why cells that suppress the immune system do not function<br />
correctly in MS.<br />
There are two ways that the immune system responds<br />
differently in MS. Firstly the T helper immune cells (Th1 and<br />
Th17), which normally respond to the presence of an infection<br />
in the body, begin to attack healthy cells. The second is that<br />
another type of immune cell, known as regulatory T cells,<br />
which normally suppress the actions of the T helper cells, are<br />
different in people with MS. The regulatory T cells are fewer in<br />
number and don’t work as well in MS. However, exactly how<br />
and why regulatory T cells are lower and behave differently<br />
in MS is not clear.<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 />
Researchers from the National Centre of Neurology and<br />
Psychiatry in Japan examined the role of specific molecules –<br />
microRNAs – in MS. MicroRNAs are short sections of RNA, a<br />
DNA-like material which regulates the activity of genes within<br />
cells. They can act as gene switches, telling cells whether<br />
to use specific genes at any given time. Cells can excrete<br />
microRNAs in small packages known as exosomes, as a<br />
method of communication between cells.<br />
The researchers looked at the circulating exosomes in the<br />
blood of people with MS and compared these with samples<br />
taken from people without MS. They found that the exosomes<br />
taken from people with MS reduced the growth of regulatory<br />
T cells in a dish in the laboratory, whereas exosomes from<br />
people without MS had no effect.<br />
This important work identified that the let-7i microRNA,<br />
as well as these two molecules, act together to set up the<br />
differences seen in regulatory T cells in MS – one of the key<br />
autoimmune processes that leads to MS.<br />
This work offers valuable insights into an important<br />
mechanism that helps to keep autoimmune cells in check and<br />
how this mechanism can function incorrectly in MS.<br />
How to become involved in Multiple Sclerosis Research<br />
– the Australian MS Longitudinal Study<br />
The Australian MS Longitudinal Study started in 2001, and currently around 13% of people diagnosed<br />
with MS in Australia participate. The study involves research surveys conducted to help improve services,<br />
treatments and advocacy to increase the quality of life for people living with MS.<br />
To join in and include your voice in MS research, visit www.MSRA.org.au/AMSLS and download the<br />
information and consent forms, then email the completed form to AMSLS.info@utas.edu.au.<br />
To join, you must be at least <strong>18</strong> years old, living in Australia and be diagnosed with MS.<br />
PROTECT YOURSELF<br />
AGAINST THE FLU<br />
SUE SHAPLAND RN, BN<br />
Protect yourselves and others<br />
An annual flu vaccination is recommended to reduce the<br />
chances of both catching and transmitting the flu. This is<br />
especially important for those at risk of complications arising<br />
from influenza, and those in close contact with at-risk people.<br />
Influenza is highly contagious and spreads through coughing<br />
or sneezing virus droplets into the air. Others then breathe<br />
them in and become infected. It’s important to remember that<br />
touching contaminated surfaces (including hands) and then<br />
touching your mouth, nose or eyes can also lead to infection.<br />
You can reduce the spread of the virus during flu season by<br />
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 />
1. 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 />
2. Even before we show symptoms, we can be shedding the<br />
flu viruses, infecting others around us.<br />
3. Flu viruses are characterised by constant evolution, this<br />
means they can pose a new threat every year.<br />
The good news:<br />
Protect yourself and others through cough and sneeze<br />
etiquette<br />
• turn away from others<br />
• cover your mouth and nose with a tissue or your sleeve<br />
• use tissues rather than a hankie<br />
• put used tissues in the nearest bin<br />
• wash your hands or use 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 use alcoholbased<br />
products (gels, rinses, foams) that don’t require water,<br />
especially after coughing, sneezing or blowing your nose and<br />
before preparing food and eating.<br />
Stop the spread in your house:<br />
Flu viruses can survive more than eight hours on hard<br />
surfaces, clean frequently touched surfaces such as door<br />
handles and benches regularly.<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, the throat, and upper airways, and<br />
common symptoms include coughing, fever, sore throat,<br />
sneezing, blocked or runny nose and general congestion.<br />
They are caused by about 200 different viruses and there is<br />
no vaccine 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 Health Direct website: https://www.healthdirect.<br />
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 a locum<br />
after hours.<br />
Call Health Direct on <strong>18</strong>00 022 222, to speak to a<br />
registered nurse; available 24 hrs a day, 7 days a week.<br />
8 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 9
ANNUAL MEMBER<br />
SURVEY 2017<br />
SUE SHAPLAND RN, BN<br />
A HUGE thank you to all Members who responded to our 2017 Survey, we really appreciate the feedback and read all the<br />
comments thoroughly and follow up where individuals have requested. Here is a summary of the results.<br />
This year we had 753 responses. 77% were female and 23% male.<br />
Age group: Database vs Survey responses<br />
700<br />
600<br />
500<br />
400<br />
300<br />
200<br />
100<br />
0<br />
26<br />
3<br />
1 2<br />
173<br />
26<br />
396<br />
Under <strong>18</strong>yrs <strong>18</strong>-24yrs 25-34yrs 35-44yrs<br />
71<br />
215<br />
622 615<br />
225<br />
171 <strong>18</strong>2<br />
451<br />
45-54yrs 55-64yrs 65-74yrs 75+yrs<br />
75<br />
156<br />
Which MS symptoms/problems, if any, do you<br />
most experience?<br />
Balance 485 67%<br />
Weak legs 425 59%<br />
Muscle weakness 414 57%<br />
Numbness 328 45%<br />
Incontinence; bladder/bowel 3<strong>18</strong> 44%<br />
Pins & needles 294 41%<br />
Muscle stiffness 289 40%<br />
Muscle spasms 286 40%<br />
Memory 279 39%<br />
Concentration 263 36%<br />
Do you currently use any mobility aids?<br />
697 responded.<br />
381<br />
(55%)<br />
316<br />
(45%)<br />
Yes<br />
No<br />
How likely are you to recommend <strong>MSWA</strong>, to others, as<br />
service provider?<br />
681 responses<br />
37 (5%)<br />
Satisfaction with <strong>MSWA</strong> Services<br />
<strong>18</strong> (3%)<br />
644<br />
(95%)<br />
622<br />
(97%)<br />
Likely<br />
Unlikely<br />
Satisfied/<br />
Very Satisfied<br />
Dissatisfied/<br />
Very Dissatisfied<br />
• 72% live in the metro area and 28% in regional areas.<br />
• 55% indicated they’re working and of the 205 not working currently only 10 stated they are seeking work.<br />
• 95% indicated they read the <strong>Bulletin</strong>!! Fantastic news for us!<br />
How much does MS affect your everyday activities?<br />
250<br />
200<br />
150<br />
100<br />
50<br />
0<br />
Survey<br />
69<br />
(9%)<br />
Not at all<br />
Database<br />
208<br />
(28%)<br />
A little<br />
224<br />
(31%)<br />
More than a little, but not a lot<br />
231<br />
(32%)<br />
A lot<br />
Are you always treated with care and respect by staff<br />
when you contact <strong>MSWA</strong>?<br />
Responses: 679<br />
4 (1%)<br />
675<br />
(99%)<br />
Yes<br />
No<br />
Do you feel you know enough about the NDIS?<br />
50% said NO.<br />
Need to know more?<br />
Contact the dedicated <strong>MSWA</strong> NDIS Team<br />
Here are some comments and ideas, which we are<br />
taking on board<br />
• Don’t completely understand the NDIS because I don’t<br />
currently require any services, but if I do in the future I’m<br />
sure <strong>MSWA</strong> will assist me in my questions.<br />
• <strong>MSWA</strong> is a wonderful service provider and do a wonderful job.<br />
• Keep up the good work - much appreciated.<br />
• I don’t need <strong>MSWA</strong> services at present but have been<br />
grateful for advice I have received when I have occasionally<br />
called with questions. It is reassuring to know so many<br />
services are available should I ever need them.<br />
• MuMs group should be more frequent.<br />
• More time slots for massage & OT.<br />
• There are limited community groups that include men. Most<br />
are for women or people with high level of disability.<br />
• Great to have a centre in Joondalup at last! Thank you!<br />
10 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 11
CHLOE’S<br />
STORY<br />
DIETETICS<br />
<strong>MSWA</strong> MEMBER<br />
KAREN HUMPHRIES, <strong>MSWA</strong> DIETIAN<br />
“An eye test that changed my life”<br />
Chloe Baker is a bright and hardworking 31-year-old who has<br />
built her life based on a positive attitude and determination.<br />
She was living in New Zealand in 2017, running a cosmetic<br />
business with her partner Shaun, when her vision became<br />
impaired and she started feeling fatigued.<br />
Wrapping up the business in New Zealand and coming home<br />
to her family, meant Chloe could focus on her health, and<br />
after an eye test that led to an MRI, Chloe was diagnosed with<br />
multiple sclerosis (MS).<br />
“The biggest shock was seeing the lesions on my brain and<br />
spine, I wasn’t prepared for that, it was the one time I cried,”<br />
said Chloe.<br />
Telling her family about the diagnosis was difficult and Chloe’s<br />
sister, who is a nurse, was extremely upset. “This was one of<br />
the hardest things I’ve had to do, you have to be strong and<br />
calm when telling your family, but on the inside, you’re still<br />
processing what it means for you. My sister and I are very<br />
close and naturally she had a lot of questions, some of which I<br />
couldn’t answer,” said Chloe.<br />
After adjusting to her diagnosis, Chloe’s mum reached out to<br />
<strong>MSWA</strong> on her behalf. That first phone call from the <strong>MSWA</strong><br />
team was very impactful. To hear a reassuring voice that could<br />
answer her questions helped her to not feel so alone.<br />
Chloe said, “lucky for me, I have an amazing network of family<br />
and friends supporting me, and a dedicated team at <strong>MSWA</strong><br />
who contribute to ground-breaking research every year.”<br />
Life for Chloe is a little different since her diagnosis, monthly<br />
infusions can be exhausting but her body is responding<br />
positively. Heat intolerance, double vision, fatigue and anxiety<br />
are her daily battles, but living a healthy lifestyle is something<br />
she now takes seriously, including no alcohol and in bed before<br />
9 o’clock.<br />
“If I don’t get a good night’s sleep, the next day can be a<br />
struggle. If my body gets hot, it’s ten times worse and I need<br />
to close one eye to see where I’m going,” said Chloe.<br />
Embracing the everyday challenges, Chloe has started her<br />
own blog aptly titled ‘My MS blog’ to help others living with<br />
MS to tackle the condition with a positive attitude.<br />
Chloe said, “I’m really passionate about promoting my journey<br />
with MS in a relatable way. I hope my story can create<br />
awareness and encourage people to donate towards funding<br />
research.<br />
“Life can throw you challenges but with your support I’m<br />
ready for them.”<br />
<strong>MSWA</strong> has welcomed two part-time Dietitians to the team.<br />
Katie and Karen are excited to join us and are very much<br />
looking forward to setting up the Dietetic service and getting<br />
out and meeting <strong>MSWA</strong> Members and staff.<br />
Dietitians are university-qualified nutrition experts who<br />
promote general health and disease prevention/management<br />
through dietary changes. They will work with our Members by<br />
assessing nutritional status and dietary intake. They provide<br />
dietary counselling, education and advice that is evidencebased<br />
and individualised, empowering Members with<br />
practical strategies to meet their goals, improve their health,<br />
wellbeing and independence.<br />
The <strong>MSWA</strong> Dietitians can assist Members with malnutrition<br />
assessments and management, as well as tube feeding<br />
support and medical nutrition therapy for chronic diseases<br />
(eg Diabetes). Many people with neurological conditions have<br />
difficulty receiving adequate nutrition through eating and<br />
drinking normally and may therefore need special nutritional<br />
supplements or even be fed via a tube (eg PEG/RIG/NGT)<br />
using a specially formulated nutritional liquid feed. Dietitians<br />
are able to determine how much feed an individual requires<br />
and can assist in trouble-shooting any issues that may occur.<br />
Did you know – your nutrition can impact a wide range of<br />
things from your concentration and food, to your energy levels<br />
and immune system? Making sure that you are well nourished<br />
will help you to maximise your overall health and strength so<br />
that you are better able to perform your daily activities and<br />
meet your goals.<br />
Meet the Dietitians!<br />
Karen<br />
Karen graduated from Curtin University with a Masters of<br />
Dietetics in 2016. Karen has previously worked with NDIS<br />
participants when she worked at Senses Australia. She is<br />
a strong advocate for individuals with disability and enjoys<br />
working with them to optimise their health and ability to<br />
participate in everyday life. She has recently taken six months’<br />
maternity leave and is a mum to two joyful and energetic<br />
young boys. She has a love of all things food and health,<br />
you will often find her eating or in the kitchen preparing the<br />
next meal.<br />
Karen (R) and Katie (L)<br />
Katie<br />
Katie also graduated from Curtin University with a Master<br />
of Dietetics in 2016. Prior to joining the team at <strong>MSWA</strong> she<br />
worked in a range of different medical areas at Sir Charles<br />
Gairdner Hospital. She has a strong passion for neurology,<br />
which began while she was running the neurology dietetics<br />
clinic at the Hospital. She grew up in the South West on her<br />
family’s farm surrounded by avocados, vines, cows, sheep,<br />
goats and chickens and moved to the City to pursue her<br />
interest in human biology and nutrition. She is a big foodie<br />
and believer in enjoyment and balance when it comes to<br />
eating – food is so much more than a collection of nutrients!<br />
12 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 13
NDIS UPDATE<br />
NIGEL CAREY, <strong>MSWA</strong> MANAGER NDIS BUSINESS UNIT<br />
A WINNER AND<br />
INSPIRATION IN OUR EYES<br />
LIZ STEWART, <strong>MSWA</strong> MANAGER QUALITY AND SAFETY<br />
Exciting news! The NDIS continues to roll out across the State<br />
and is coming to the areas of Fremantle, the City of Melville<br />
and the City of South Perth on July 1.<br />
The <strong>MSWA</strong> NDIS team have already been busy talking to our<br />
Members and putting on a series of information sessions to<br />
explain what it all means, and how the NDIS could benefit<br />
them. We have started early as we are keen to submit NDIS<br />
application forms before July 1 to beat the rush.<br />
We are running more information sessions in June, July and<br />
August in the City of South Perth, City of Melville and City of<br />
Fremantle. Please contact the <strong>MSWA</strong> NDIS Team and we will<br />
register you for a date and location which is convenient for<br />
you or will chat with you one-on-one.<br />
These sessions are open to anyone with a neurological<br />
condition such as Stroke, Parkinson’s Disease, Huntington’s<br />
Disease, Motor Neurone Disease, and acquired Brain Injury to<br />
name a few.<br />
If you can’t make any of the dates, then please phone the<br />
team and we can arrange an individual meeting.<br />
We are also assisting our Members who currently have a<br />
State WA NDIS plan to smoothly transition to the Federal NDIS<br />
Scheme. This is mandatory now that WA is joining the Federal<br />
NDIS. We strongly recommend that you get in touch with<br />
the <strong>MSWA</strong> team when you are advised that your plan is<br />
about to transfer to the NDIS: we are here to help you.<br />
We can assist you to ensure the value of your current plan is<br />
maintained. Otherwise key supports in your current plan may<br />
not be included in your new Federal NDIS plan.<br />
A quick reminder of the transfer dates:<br />
April – July: WA NDIS clients living in Perth Hills, Bayswater,<br />
Bassendean, Chittering, Northam, Toodyay and York will be<br />
asked to transfer to the NDIS<br />
July – November: WA NDIS clients living in Rockingham,<br />
Mandurah, Armadale, Murray and Serpentine-Jarrahdale will<br />
be asked to transfer to the NDIS<br />
August – October: WA NDIS clients living in Cockburn and<br />
Kwinana will be asked to transfer to the NDIS<br />
For those living in the Joondalup, Wanneroo, and Bunbury<br />
surrounds, you will be entering the NDIS from October 1,<br />
20<strong>18</strong>. We will be contacting you and offering the information<br />
sessions and supports closer to that date.<br />
The NDIS team at <strong>MSWA</strong> are always available if you have<br />
any questions or if you require further information about<br />
the NDIS. We are here to help you understand eligibility,<br />
what could be possible and to get your best plan.<br />
Our <strong>MSWA</strong> NDIS team members are:<br />
Christine Richards: Client Relationship Coordinator<br />
Email: christine.richards@mswa.org.au<br />
Phone: 9365 4867<br />
Pranjal Pawar: Client Relationship Coordinator<br />
Email: pranjal.pawar@mswa.org.au<br />
Phone: 9365 4810<br />
Annabel Vasquez: Client Relationship Coordinator<br />
Email: annabel.vasquez@mswa.org.au<br />
Phone: 9365 4806<br />
Nominated for Excellence in Leadership 20<strong>18</strong><br />
WA Disability Support Awards<br />
Jayne O’Sullivan Hamilton Hill Manager<br />
“A WINNER AND INSPIRATION IN OUR EYES”<br />
Several Managers along with Jo Nouwland (Coordinator<br />
Hamilton Hill), Haylie Anderson (Coordinator Hamilton Hill),<br />
Deborah Banbury (EN Hamilton Hill), Yolande Maguire (Care<br />
Support Worker Hamilton Hill), Michael O’Sullivan (Jayne’s<br />
Husband) and myself, were honoured to attend the NDS<br />
WA Disability Support Awards night alongside Jayne who<br />
had been nominated for an Excellence in Leadership award.<br />
Although Jayne was not a finalist in her category, in our eyes,<br />
she most certainly is a winner and a leader in her field!<br />
I would like to share part of the submission:<br />
Jayne’s <strong>MSWA</strong> Career commenced in September 1997,<br />
she had been working as an enrolled nurse at Mount Henry<br />
Hospital, and when it was being closed, six patients with MS<br />
chose to relocate to the new <strong>MSWA</strong> Fern River supported<br />
accommodation facility. Jayne was offered work at another<br />
hospital but chose to apply for a position as a care support<br />
worker with <strong>MSWA</strong>.<br />
Colleagues at the time stated Jayne was a strong advocate<br />
for the six residents and worked hard to meet their needs<br />
and enable them to live a life that they chose. The residents<br />
were all happy to move from a hospital environment to<br />
their community based new home. Within a short period of<br />
time Jayne was offered a position as an enrolled nurse,<br />
her career in mentoring and leading a team of care support<br />
workers began.<br />
Now manager at our Hamilton Hill facility, Jayne exemplifies<br />
what is a leader in the field. She is truly inspirational. Jayne<br />
leads by example, getting involved in all aspects of the facility<br />
and those working or living under her care. She listens to<br />
all perspectives. The accommodation support facility is well<br />
kept and well maintained. The residents, staff and volunteers<br />
work well together, setting a vision of what a model quality<br />
supported accommodation facility should look like inside and<br />
out. Hamilton Hill is the benchmark.<br />
Jayne mentored me when I started as a care support worker<br />
and continued to support and encourage me as I took on<br />
more senior roles. She’s not scared to get her hands dirty.<br />
Jayne will complete personal care tasks by working side by<br />
side with the support workers, explaining the importance of<br />
personal hygiene, leading by example. She actively promotes<br />
individual rights and ensures all staff adhere to the six<br />
Disability Standards.<br />
This clearly stands out as you pull up outside the Hamilton Hill<br />
facility. You see two beautiful buildings, with a small parking<br />
lot, in a community setting, you instinctively know that there<br />
is something special happening inside. Ringing the doorbell<br />
at number 59 you can hear laughter coming from within, and<br />
when they open the door you are greeted with warm smiles<br />
and welcomed into this vibrant home. You may be greeted by<br />
a resident or a staff member.<br />
The team are smartly dressed, no uniforms here. Beyond<br />
the entrance is laughter and a lot of banter going on, it’s<br />
all happening in the large communal area! The vibe is second<br />
to none. There is great excitement amongst the residents<br />
and staff.<br />
When you talk to Jayne’s staff, they all say she is great to<br />
work for, a real advocate for people living with a disability<br />
and a great mentor. She embraces all our core values of<br />
professionalism, teamwork, service and respect. As manager,<br />
Jayne has created a positive environment which demonstrates<br />
how coordinators and care support workers should work.<br />
When I was appointed manager of Fern River, Jayne once<br />
again became a mentor, teaching me all angles of the<br />
business of managing a facility. Most importantly she showed<br />
me how to become a leader and mentor to my own team<br />
to ensure residents were living in a homely environment that<br />
they chose, in the way they choose to live<br />
Because of Jayne’s leadership skills and experience,<br />
gained over a period of 20 years, <strong>MSWA</strong> sees Hamilton Hill<br />
as a shining of our supported accommodation facilities.<br />
September – December: WA NDIS clients living in the Lower<br />
South West will be asked to transfer to the NDIS<br />
14 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 15
WHAT IS WELLNESS?<br />
SARAH LORRIMAR, <strong>MSWA</strong> COORDINATOR OF HEALTH EDUCATION AND PEER SUPPORT<br />
Living with MS often means changes and new perspectives<br />
on the way you see yourself, your expectations in life, as well<br />
as your values and beliefs. Although there are a number of<br />
things out of your control when living with MS, it is important<br />
to take control of what you can influence.<br />
Wellness encompasses a proactive lifestyle which involves<br />
taking steps to achieve your best possible mental and<br />
physical health. This includes accessing information and<br />
resources to make informed choices about your health and<br />
wellbeing, as well as acting on them. Taking steps such as<br />
stress management, incorporating healthy lifestyle choices<br />
into your daily life and finding ways you, yourself can best<br />
manage your health are all aspects of wellness.<br />
In this new section of the <strong>Bulletin</strong> we will be including<br />
information to help you keep physically and mentally active –<br />
expect tips on managing stress, brain health, physical activity,<br />
healthy eating, and updates on what’s on at <strong>MSWA</strong>!<br />
What’s been happening<br />
At <strong>MSWA</strong> we have a variety of workshops and sessions<br />
available to our Members and those supporting them. These<br />
sessions focus on providing people with experiences and<br />
strategies to improve their wellbeing, as well as an opportunity<br />
to engage with <strong>MSWA</strong> staff, and others living with MS. Some<br />
of our recent sessions include wellness days, sound healing<br />
and mindfulness meditation.<br />
Wellness Days<br />
The Wellness Days are a restorative day of deeper listening, to<br />
gain a better awareness to the mind/body connection through<br />
meditation, mindfulness, gentle yoga and sound healing. Each<br />
of these experiences are facilitated by different members of<br />
the <strong>MSWA</strong> Counselling team and hope to provide attendees<br />
with a day of nourishment, restoration and learning.<br />
Two days have been held so far, with 15 attendees in Bunbury<br />
and 16 in Rockingham. The spaces at each location were<br />
thoughtfully prepared with essential oils, fabrics, flowers,<br />
cushions, salt lamps, music and sound instruments. The<br />
sessions began with Jeorge and a meditation exercise aimed<br />
to deepen awareness and allow people to connect to their<br />
inner resources. Following this, Simon explored mindfulnessbased<br />
skills to assist people in making choices and acting<br />
more effectively. After a delicious vegetarian lunch, Monique<br />
in Bunbury and Cathy in Rockingham led the group through<br />
gentle yoga with movement to soothe, restore and gently<br />
move the body. Closing the session was Cherry’s sound<br />
healing which uses sound waves to help restore one’s mind,<br />
body and spirit back to a state of balance. Whilst sharing tea,<br />
the groups closed with reflections on their experiences. There<br />
was some lovely feedback including;<br />
“The day in general was superb and the lead up to Cherry’s<br />
sound meditation session was essential to the total ‘out of<br />
body’ experience which she provided - thank you so much to<br />
all the counsellors and organisers for this event.”<br />
“Each session provided something that I can use in my daily<br />
life. I had the best sleep last night that I have had in many<br />
months.”<br />
“The thought that went into making it special, the decorations<br />
in the room, the lunch and all the staff made everything come<br />
together for a very relaxing, health improving day. I look<br />
forward to our next one. I can’t speak highly enough of it all.”<br />
“I got to experience new things and learnt new techniques<br />
that I can benefit from on a day to day basis.”<br />
“It was a truly wonderful mind/body experience.”<br />
There are two more sessions scheduled for later in<br />
the year at Mundaring and Currambine. Although<br />
registrations for these sessions are full, please get in<br />
touch if you would like to attend and we can place you<br />
on a waitlist.<br />
Sound Healing<br />
Cherry Chapman,<br />
<strong>MSWA</strong> Counsellor<br />
The first stand-alone sound<br />
session took place on an early<br />
Thursday evening in Bentley.<br />
The meeting room at Catherine<br />
Street was quickly converted<br />
with the aroma of lavender,<br />
percussion instruments, yoga mats, colourful materials,<br />
pillows and warm lights. There was not an inch to spare!<br />
Quiet descended upon the room as Cherry weaved a narrative<br />
with the Tibetan and crystal bowls. A guided, deep relaxation<br />
ensured the sounds and vibrations resonated through the<br />
body, bringing about a deeper relaxation, calm and moment<br />
of stillness. Keep posted for the next sound experience, by<br />
the ocean.<br />
Mindfulness Meditation<br />
Jeorge Chambers and Simon Rolph, <strong>MSWA</strong> Counsellors<br />
In April, facilitators from the Counselling Team held a workshop<br />
on mindfulness skills. This was held in the lovely setting<br />
of a yoga studio in Wangara. Members who attended were<br />
both new to mindfulness as well as experienced meditators.<br />
The workshop focused on developing and deepening selfawareness<br />
through guided mindfulness skills and how to<br />
integrate them into daily life.<br />
What’s on next...<br />
• Yoga<br />
Bunbury | June - July<br />
Our popular yoga classes are back with new techniques<br />
from yoga instructor Mo Ramsay<br />
• Fatigue Management Program<br />
Beechboro | August<br />
Wilson | October<br />
• Wellness Day<br />
Mundaring | August<br />
Currambine | October<br />
Experience a restorative day of deeper listening. Gain a<br />
greater awareness to your mind/body connection through<br />
mindfulness, meditation, gentle yoga and sound healing<br />
• Sound Healing by the Ocean<br />
September<br />
Cherry invites you to experience a moment of stillness by<br />
the ocean.Tibetan and crystal bowls will weave a narrative<br />
to help rebalance the body’s energy, increase feelings of<br />
calm and quieten a busy mind<br />
• Mindfulness Meditation<br />
Nedlands | September<br />
A session of guided meditations, relaxation and<br />
mindfulness techniques<br />
For more information, please contact Sarah Lorrimar<br />
Coordinator of Health Education and Peer Support on<br />
9365 4858 or sarah.lorrimar@mswa.org.au<br />
Keeping Your Brain Active<br />
Maintaining brain health is important for everyone but<br />
particularly so for people living with MS. Good brain health<br />
means greater ability of the brain to compensate for damage<br />
which may occur from MS. The brain does this by adapting<br />
healthy areas of the brain to take on new functions.<br />
Research shows that keeping your brain active strengthens<br />
and builds new brain cells, helping maintain and improve<br />
brain health. Learn new things, read, be creative or take up<br />
a new hobby – all these activities can improve your memory<br />
and boost brain activity.<br />
Did you know? Challenging your brain with games and puzzles<br />
is a simple way to exercise your brain and thought processes.<br />
Try out this word puzzle!<br />
Eating Well<br />
Eating a balanced and nutrient-rich diet is an important<br />
element of general wellbeing, maintaining health and reducing<br />
risk of chronic diseases. Achieving and maintaining long-term<br />
healthy eating habits can have a positive impact on a number<br />
of things including self-esteem, energy levels, immune health,<br />
reduced risk of falls, strength and concentration.<br />
A nourishing, healthy diet includes a variety of foods from the five<br />
food groups: vegetables, fruits, grain/cereal foods (particularly<br />
wholegrains), lean meat/poultry/fish and alternatives such as<br />
eggs/tofu/nuts/seeds/beans/legumes, and dairy foods and<br />
calcium-fortified alternatives such as soy and milk.<br />
For a healthy diet it is also recommended to reduce<br />
consumption of foods and drinks high in saturated fat, salt<br />
and added sugar, and to limit alcoholic beverages to no more<br />
than two standard drinks per day.<br />
Easy risotto recipe<br />
Ingredients<br />
• 1 brown onion, chopped<br />
• 2 tsp olive oil<br />
• 1 cup Arborio rice<br />
• 2 ½ cups chicken or vegetable stock<br />
• 1 cup reduced salt corn kernels, fresh or canned<br />
• 1 cup frozen peas<br />
• 1 cup skinless chicken breast – cooked and diced<br />
• 1 tbs grated Parmesan cheese<br />
Variation: Substitute 2 cups cooked, cubed butternut pumpkin<br />
for corn<br />
Prep: 10 mins | Cook: 25 mins | Serves: 4<br />
Method<br />
1. Combine onion and oil in a microwave-safe container.<br />
Microwave on HIGH (100%) for 3 minutes.<br />
2. Add rice and stock, and microwave, covered, for 12<br />
minutes on HIGH (100%). Stir well then add corn, peas and<br />
cooked chicken.<br />
3. Cover and microwave on HIGH (100%) for 8 minutes.<br />
4. Allow to stand for 2 minutes.<br />
5. Stir and sprinkle with cheese.<br />
Recipe from Livelighter.com<br />
Find as many words as possible using the letters in the<br />
wheel. Each word must use the letter R in the centre and<br />
be at least four letters long. Letters may only be used<br />
once. You may not use proper nouns.<br />
16 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 17
THE RHYTHM<br />
OF LIFE<br />
LEONIE WELLINGTON, <strong>MSWA</strong> SENIOR COUNSELLOR<br />
THE FUNDING OF<br />
ESSENTIAL EQUIPMENT<br />
SUE SHAPLAND RN, BN<br />
Life has a rhythm. The rhythm of your life may be different<br />
to mine but we both have patterns. Patterns determined by<br />
nature, our family of origin, work, health, past experiences,<br />
new experiences, the list is endless. Patterns provide us with<br />
a sense of predictability and safety. Even those that may not<br />
be helping us get where we aspire to be. You may have heard<br />
the saying ‘better the devil you know rather than the devil you<br />
don’t.’ Making change can be difficult because we often need<br />
to break patterns of behaviour we have known, and been<br />
familiar with, for possibly our lifetime.<br />
Drumming is a universal nonverbal rhythmic form of<br />
communication. It is used in many cultures to bring people<br />
together, celebrate, mourn. Drumming creates an immediate<br />
shared experience that anyone can participate in. You don’t<br />
need to be a musician, in fact, you don’t even need a drum<br />
to participate. How often do you find yourself clapping or<br />
tapping your feet to a rhythm?<br />
There is more and more science looking into the benefits<br />
of rhythm and drumming on the brain and body. Drumming<br />
allows us to use both sides of the brain at the same time,<br />
creating a synchronisation that is not often achieved in daily<br />
life and opening the way for greater insight and creativity.<br />
It can also increase alpha waves in the brain which helps<br />
alleviate stress responses and can calm a busy mind.<br />
BEN MATTHEWS, <strong>MSWA</strong> PHYSIOTHERAPIST<br />
Neuro imaging has shown the areas of the brain triggered<br />
using rhythmic music to be connected to impulse control,<br />
movement and emotional memory.<br />
A drum can be a safe vessel to express past traumas, current<br />
fears and new goals by communicating beyond words and<br />
having the immediate feedback of the sound and vibration<br />
from the drum. When used in a group it can help connect<br />
people by promoting cooperation, encouragement, creativity,<br />
self-expression and shared achievement. People can hear<br />
and be heard. It is a way to practice and experience change.<br />
In many ways it is a metaphor for life.<br />
As a counsellor, I have found a freedom in using drumming<br />
groups that allow everyone self-expression, as well as a<br />
collective expression. The feedback from participants include<br />
feeling relaxed, enjoying socially connecting with others,<br />
learning to link the body and brain in movement and that it is<br />
fun. There is no right or wrong way to express rhythm, as it is<br />
ever evolving and changing in the here and now with benefits<br />
that can be used long after it has finished.<br />
I am currently running a drumming group on the first<br />
and third Fridays of the month at the <strong>MSWA</strong> Community<br />
and Health Services Centre in Bunbury. Please contact<br />
Leonie on 6454 2804 or leonie.wellington@mswa.org.au<br />
if you would like more information.<br />
RENOVATIONS –<br />
WILSON PHYSIOTHERAPY DEPARTMENT<br />
Derived from the Latin Renovatus; to improve a home, or<br />
house, or building, with or without argumentative couples,<br />
film crews, and a show on Channel 7.<br />
It is with great pleasure to announce that <strong>MSWA</strong> Wilson is<br />
now into the third phase of renovations, with all renovations<br />
scheduled to be completed by the end of July. We would like<br />
to extend a warm and heartfelt thank you to all our Members<br />
for their patience whilst the physiotherapy gym and surrounds<br />
have been shifted about, and especially for putting up with all<br />
the noise and the fragrant smell of paint and gloss (the ghost<br />
of which still haunts the halls) over the past couple of months.<br />
I think everyone will agree that the renovations are worthwhile.<br />
Our beloved physio gym has been extended, and now fits<br />
even more torturous…er…motivational exercise equipment.<br />
The bright colour scheme lifts the room, and we invite<br />
speculation as to the name of the colour of white that has<br />
gone on the walls. Some say “Rottnest Island white”, others<br />
favour a “burnt cream”, or “I don’t know I forgot to bring my<br />
glasses today.”<br />
The hydrotherapy pool has also had a facelift, and, unlike a<br />
number of Hollywood heiresses, the pool looks better for it.<br />
The renovations haven’t all been for looks, however. Our aim<br />
was to update the gym and the hydro pool so that we can<br />
continue to offer the best physiotherapy services to all of our<br />
Members. Please feel free to have a look when you are next<br />
in Wilson, we hope it motivates you to join a group or two.<br />
We often get asked by Members how equipment is funded<br />
and where they can go for information and assistance. We<br />
recommend that you speak with one of our Occupational<br />
Therapy Team who know all about the funding sources and<br />
eligibility and can also recommend what may suit your needs<br />
and where to go and try it. Our OTs apply for grants on behalf<br />
of our Members.<br />
How can equipment be funded?<br />
1. Community Aids and Equipment Program (CAEP)<br />
– funded by DSC and administered by the Health<br />
Department<br />
CAEP has generally been adequate for meeting equipment<br />
needs in the home and is responsive to change in equipment<br />
needs over time.<br />
• Managed through the local hospitals<br />
• Basic essential equipment for in the home<br />
• Does not consider community access needs or quality of life<br />
• Is income assessed, you need a Health Care Card or pension<br />
and has some restrictions<br />
• CAEP owns the equipment and are responsible for<br />
maintenance and repairs<br />
2. Equipment for Living Grants (EFL)<br />
Additional/alternative funding to CAEP is the EFL Grant (DSC<br />
funding, administered through the Independent Living Centre).<br />
Beds, scooters etc have been funded by the EFL grant.<br />
• You must be CAEP eligible<br />
• There is some consideration for quality of life where the<br />
equipment enables community access<br />
• Funded items are the responsibility of the applicant,<br />
including the cost of maintenance and repairs<br />
3. NDIA and WANDIS<br />
• No means test, must be eligible for NDIS. People who did not<br />
qualify for funding are now eligible for funding of equipment<br />
• Funds ongoing maintenance and repair costs of equipment<br />
in your package<br />
• Although equipment is basic and essential, it also considers<br />
life goals and quality of life to meet your goals<br />
• Requested equipment must be related to the disability<br />
• Normal household items are generally not funded e.g. air<br />
conditioning will not be funded by NDIA or My Way<br />
• Home modifications will also be funded if required for the<br />
disability<br />
4. Lotterywest Grants<br />
Lotterywest provide funding through the DEG grants and EIE<br />
grant programs.<br />
These grants have assisted with vehicle modifications, driving<br />
assessments, some communication aids, and funding of items<br />
if you aren’t CAEP eligible due to having a care package that<br />
is Commonwealth funded not State funded, e.g. Aged Care.<br />
There can be a gap between the funding limits and the cost<br />
of the request, which is generally met by the applicant or their<br />
families.<br />
5. Community Living Participation Grants<br />
Funded by National Disability Services, the CLPG grant is<br />
about community access, not equipment in the home.<br />
• Not means tested, but need to demonstrate the need for<br />
funding support<br />
• Includes items for community access<br />
• The applicant is responsible for the maintenance and repairs<br />
of equipment<br />
• Includes holidays in WA<br />
We can combine some grants to fund more expensive items<br />
e.g. $15,000 powered wheelchairs have been funded using<br />
the EIE grant and CLPG grants combined.<br />
6. Aged Care Packages<br />
For those with packages there is some limited ability to<br />
purchase equipment within the package.<br />
If you need some assistance with accessing equipment<br />
contact the OT Team on 9365 4888.<br />
<strong>18</strong> | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 19
NURSES ARE THE<br />
HEARTBEAT OF HEALTHCARE<br />
<strong>MSWA</strong> BRAND AND COMMUNICATIONS TEAM<br />
DIGESTING SCIENCE<br />
LOU HATTER, <strong>MSWA</strong> NURSE MANAGER AND HOSPITAL LIAISON NURSE<br />
Denise Menzies is one the first faces a newly diagnosed MS<br />
patient will see, so it’s great that she has a soft and reassuring<br />
voice, and a warm smile that would calm most people! Dee,<br />
as she’s known to her colleagues, has been working at <strong>MSWA</strong><br />
for eight years and says it was pure luck that she started<br />
working for the organisation after ten years in the British<br />
healthcare system.<br />
Dee is an <strong>MSWA</strong> Hospital Liaison Nurse and is highly<br />
knowledgeable and experienced with MS. Her role is an<br />
essential part of the MS journey and she provides invaluable<br />
support and specialist clinical advice to people with MS.<br />
Dee sees <strong>MSWA</strong> Members as patients in hospitals, outpatient<br />
clinics and in community settings. She acts as a primary<br />
contact for people presenting with MS and provides support<br />
on hospital wards and in MS clinics. She is passionate about<br />
improving quality of life, educating and empowering people<br />
with neurological conditions.<br />
“Being diagnosed with MS can be an emotional and<br />
overwhelming experience, usually followed by shock. My role<br />
is to support them on this long journey, answer their questions<br />
and teach them how to live well with their condition,” Dee<br />
said.<br />
The treatments for MS have seen many new developments<br />
over the past 10 years and MS Nurses have also evolved over<br />
this time.<br />
Dee said “working for <strong>MSWA</strong> means you’re a part of a<br />
multidisciplinary team, with access to a wide range of allied<br />
health services, and this supports us to provide holistic care.<br />
We try to keep Members out of hospital if possible because<br />
many aspects of MS can be managed in the community which<br />
prevents both unnecessary admissions and ensures that any<br />
additional stress is reduced.”<br />
Dee explains that every person’s journey with MS is different<br />
and being able to build a rapport with someone after they<br />
receive their diagnosis is her first priority. “I explain what MS<br />
is, what the diagnosis means for them and focus on what<br />
they’re feeling. We’re there to support them and they’re<br />
usually concerned with how it’s going to affect them on a day<br />
to day basis, and the future.”<br />
“Nurses are a vital contributor to improving the physical<br />
and mental health and overall wellbeing of our community.<br />
It’s important to acknowlege and recognise the time we as<br />
nurses dedicate to supporting people who are going through<br />
an extrmely vulnerbale time in their lives,” she said. Dee is<br />
just one of 32 <strong>MSWA</strong> Nurses who are supporting people with<br />
MS and other neurological conditions.<br />
Digesting Science is an award-winning UK program teaching<br />
young children about multiple sclerosis. The Queen Mary<br />
University of London (QMUL) Engagement and Enterprise<br />
Awards 2017 recognize outstanding achievements in public<br />
engagement, academic enterprise, student enterprise and<br />
public relations across Queen Mary University of London.<br />
Digesting Science is an educational service that provides<br />
a set of activities that teach children aged 6-12 years old,<br />
who have a parent with multiple sclerosis, about the science<br />
behind this chronic disease.<br />
The activities were co-designed with Bart’s Hospital MS<br />
researchers, clinicians and nurses, families with MS,<br />
designers and a drama teacher.<br />
The Bart’s MS team have been running Digesting Science<br />
events in and around London since 2013; communicating<br />
their research through practical activities involving modelling<br />
clay, food modelling and games to their patients and their<br />
families.<br />
This year they have been able to run training programs for<br />
ambassadors to take this award-winning program further<br />
afield. I was lucky enough to be able to join the first training<br />
course in May of this year. The course is very inventive, looking<br />
at different symptoms in MS, treatments and prevention in a<br />
fun and informative way. For more information on the program<br />
and how it is set up visit the Digesting Science website at:<br />
http://digestingscience.co.uk/<br />
I would now like to run a pilot program in WA to see how well<br />
it is received by our Members and their children.<br />
The workshop for Parents with MS and their child(ren) lasts<br />
for three hours. It will be held in the July school holidays,<br />
venue to be confirmed, spaces are limited so if you would<br />
like more information please contact me via email on louise.<br />
hatter@mswa.org.au<br />
From the latest Bart’s newsletter:<br />
our first Digesting Science ambassadors graduate<br />
Lou Hatter pictured bottom left<br />
We had a fantastic time earlier this month training up our first<br />
set of ambassadors. Digesting Science ambassadors will be<br />
working to spread the word about Digesting Science. They’ll<br />
encourage more events in their area and let others know just<br />
how easy it is to run an event.<br />
Over two days, ambassadors learned how the kits were<br />
developed and some of the latest scientific research behind<br />
each of the activities. They met members of the Bart’s-MS<br />
team, as well as people who had attended events themselves,<br />
and the Digesting Science team. We were lucky to have a<br />
creative and enthusiastic group for our first ambassadors,<br />
and we look forward to seeing how they can move the project<br />
forward in their area.<br />
Special thanks to ALL our ambassadors from far and<br />
wide (Australia, Turkey, Israel, America, Western Isles,<br />
London, Southampton, Derby and Sussex). And to our<br />
lovely mums who came along to share their experiences<br />
with the trainees.<br />
20 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 21
SWALLOWING<br />
AWARENESS<br />
GEORGINA HETT, <strong>MSWA</strong> SPEECH PATHOLOGIST<br />
YOUR VOICE MATTERS<br />
STEPHANIE PERKOV, <strong>MSWA</strong> SPEECH PATHOLOGIST<br />
If you were to search the date March 14 on Google, you would<br />
find that it is the 73rd day of the Gregorian calendar, the<br />
birthday of Sir Michael Caine, and a global day of celebration<br />
of the Greek letter and mathematical constant ‘Pi’. Keep<br />
scrolling, and you will read that March 14 was also Swallowing<br />
Awareness Day – an annual event created to bring greater<br />
attention to the significant impact that swallowing difficulties<br />
can have on an individual’s health and wellbeing.<br />
Each year, Swallowing Awareness Day has a new theme, 20<strong>18</strong><br />
reminded us that “Swallowing is Ageless.” This sentiment<br />
emphasised that dysphagia (disordered swallowing) can<br />
affect everyone from the youngest babies through to older<br />
adults and offered us a chance to reflect that swallowing<br />
difficulties do not discriminate – they can impact people at all<br />
ages and in all walks of life.<br />
Although changes to swallowing are common for people living<br />
with neurological conditions, they can be associated with a<br />
broad variety of other medical causes. Dysphagia frequently<br />
impacts people living with head and neck cancers but can just<br />
as easily be an unwanted side-effect of a urinary tract infection.<br />
A day of awareness offers the opportunity to acknowledge<br />
the impacts disordered swallowing can have on ‘getting on<br />
with life.’ Chest infections, choking, and reduced nutrition and<br />
hydration are some of the many indications that dysphagia is<br />
influencing a person’s quality of life.<br />
Increasing awareness can help people recognise that<br />
dysphagia can vary significantly in terms of appearance,<br />
severity and duration – it truly looks and feels different for<br />
everyone. One person living with dysphagia may experience<br />
difficulty managing their saliva throughout the day. Another<br />
may have difficulty swallowing effectively during times of<br />
fatigue. Some people may have difficulty breaking down food<br />
to swallow, while others may be at significant risk of choking<br />
and aspiration.<br />
From a positive viewpoint, increasing awareness of swallowing<br />
difficulties means we can also increase awareness about<br />
swallowing interventions, and those who work to lessen the<br />
effects of dysphagia on a person’s daily life.<br />
Intervention for swallowing difficulties forms a spectrum,<br />
incorporating approaches such as education, rehabilitation,<br />
compensation, caregiver support and the use of adaptive<br />
equipment. Approaches to interventions can focus on the<br />
person, their food and drink, or their environment. As part of a<br />
healthcare team, speech pathologists, dietitians, occupational<br />
therapists, nurses, and physios all have a role to play in lessening<br />
the impacts of swallowing difficulties on quality of life.<br />
Finally, to add a bit of fun to what can often be a serious topic,<br />
here are a few fun facts about swallowing that you might use<br />
to spread the word about swallowing awareness:<br />
1 The word ‘dysphagia’ comes from the Greek root phagia,<br />
which means ‘eating.’ Other words that share this root<br />
include ‘phagocytes’ – cells that ingest bacteria, small<br />
cells and other particles, ‘phagomania’ – an insatiable<br />
craving for (or preoccupation with) food.<br />
2 The average person swallows about once per minute<br />
while awake (more when eating), but only around 3 times<br />
per hour while asleep.<br />
3 Swallowing requires the use and coordination of 26<br />
muscles!<br />
4 The average human tongue is about 3 inches long – that’s<br />
7.62cm – measured from the epiglottis to the tip. The record<br />
for the world’s longest tongue is 3.97 inches, or 10.1cm.<br />
5 Botox isn’t just for beauty – it can be used to help with<br />
excessive salivation, disorders of the oesophageal<br />
sphincters, and some voice disorders.<br />
6 Although we often associate peppermint and spearmint<br />
flavours with relaxation and digestion, these flavours can<br />
trigger gastro-oesophageal reflux. Other ‘triggers’ may<br />
include: coffee, tea, chocolate, red wine, spicy and fatty<br />
foods as well as acidic foods and drinks such as citrus<br />
fruit and soft drink.<br />
7 Saliva production varies from person to person. However,<br />
on average, a person produces 700ml of saliva daily. Also,<br />
saliva production lessens in response to a fight or flight<br />
response – that’s why people associate a dry mouth with<br />
feeling nervous.<br />
8 Saliva is multi-talented – it protects teeth, allows us to<br />
taste, begins food breakdown, helps to suppress reflux<br />
and works to control lubrication and bacterial balance in<br />
the mouth.<br />
9 Does my tongue look big in this? If you gain weight, so<br />
can your tongue. A high percentage of fatty tissue within<br />
the tongue can increase your likelihood of obstructive<br />
sleep apnoea.<br />
10 Sword swallowing is one of the world’s rarest hobbies,<br />
which only a few dozen practice in the world. To complete<br />
this amazing feat, the swallowers must repress their gag<br />
reflex, slide the sword through the upper oesophageal<br />
sphincter, avoid the airway, repress peristalsis (the motion<br />
of the oesophagus), relax the lower oesophageal sphincter<br />
and allow the sword into the stomach!<br />
We exercise and choose to have a healthy diet to take care<br />
of our bodies, but what do we do to take care of our voices?<br />
For most us, we use our voice to communicate with loved<br />
ones, at work, and out in the community. We rely on our<br />
voice to assist us with socialising with others, asking for<br />
help, teaching or learning, and to participate in activities such<br />
as singing.<br />
People living with MS and other neurological conditions can<br />
find that the way their voice sounds and feels can change<br />
over time. This can depend on your health, how much you<br />
use your voice each day, and how you use your voice. For<br />
example, someone who needs to speak on the phone all day<br />
for their job uses their voice much more than someone who<br />
might only speak to friends and family for small amounts of<br />
time over the day.<br />
So how do we know that our voice has changed? You might<br />
find that your voice is sounding hoarse or strained, it hurts to<br />
speak, it’s harder to speak more loudly, or you might lose your<br />
voice with overuse. This may then make communicating with<br />
others more difficult or frustrating.<br />
So, what can we do to care for our voice, and help to preserve<br />
it? Just like we take care of our bodies, it is important for<br />
us to take care of our voice. Vocal hygiene is a term used<br />
to describe the habits used to support a healthy and strong<br />
voice throughout our life. Even if you are not having trouble<br />
using your voice at the moment, it is important to start using<br />
habits to care for your voice for now and for the future.<br />
Some important vocal habits to use are:<br />
• Drink plenty of water throughout the day to hydrate your<br />
voice box and lubricate your throat<br />
• Eliminate or reduce smoking, caffeine and alcohol as they<br />
can dehydrate the voice box<br />
• Avoid yelling or speaking loudly over background noise, and<br />
speak at a comfortable volume<br />
• Reduce coughing and throat clearing which can cause pain<br />
and aggravate the voice box<br />
• Try to restrict medications that dry out the mouth and throat<br />
• Schedule in vocal rest to allow your voice box to recover<br />
and rest<br />
• Use breathing techniques to relax your voice box and reduce<br />
strain when speaking<br />
• Monitor symptoms of reflux as they can irritate the voice box<br />
• Understand what behaviours and habits are hurting your<br />
voice and what you can do to care for your voice<br />
If you are interested in learning about your voice, or<br />
are experiencing difficulties in using your voice, please<br />
contact one of our Speech Pathologists on 9365 4888.<br />
22 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 23
SHAKESPEARE, BOB DYLAN<br />
AND NEUROPLASTICITY<br />
ROS HARMAN, <strong>MSWA</strong> MEMBER<br />
When I was 10 years old my grandfather decided to improve<br />
my education. He insisted I learn to recite a poem by early<br />
20th century World War One English poet Rupert Brooke titled<br />
The Soldier. My grandfather was a tall, serious man whose<br />
forebears had left Britain two generations previously but he<br />
still referred to England as home. I was always a little scared<br />
of him, and tried to please him. I remember standing before<br />
him in my long socks and black lace-up shoes, hands clasped<br />
before me as I piped in my singsong child’s voice:<br />
“If I should die, think only this of me:<br />
That there’s some corner of a foreign field<br />
That is forever England...”<br />
For my birthday that year, my grandfather gave me a book;<br />
The Complete Works Of William Shakespeare which I still<br />
have on my bookshelf. I tried very hard to read it but I was<br />
challenged by the archaic language, and soon went back to<br />
my Nancy Drew mysteries. The book was eventually useful to<br />
me when I studied English Literature and went on to become<br />
an English teacher.<br />
William Shakespeare died four hundred years ago, give or<br />
take a couple of years. Last year my partner and I heard that<br />
Australian musician Paul Kelly had put some of Shakespeare’s<br />
sonnets to music, and after listening to them we became<br />
hooked. We decided to try and learn a couple by heart as a<br />
memory exercise. Neither of us has a good singing voice, so<br />
we stuck to reciting. Every weekend over the next year we<br />
would practise over breakfast.<br />
“Shall I compare thee to a summer’s day?<br />
Thou art more lovely and more temperate...”<br />
It is a nice way to greet your bleary eyed, sleepy partner over<br />
porridge, but learning the sonnets wasn’t easy, and initially<br />
we had many in-depth discussions about 16th-century<br />
English as we deciphered the words and sentence structures.<br />
English is not my partner’s first language having grown up in<br />
Poland, so a lot of it was bewildering to him at first. Mind you,<br />
a lot of it was bewildering to me at first too, but I did enjoy<br />
dissecting the lines and coming to a deeper understanding of<br />
the sonnets.<br />
Maddie Godfrey is a local Perth poet, writer, theatre<br />
maker and spoken word educator. She is a Poetry<br />
Slam Champion and has had her work published<br />
internationally in anthologies, magazines, and literary<br />
journals. She has performed her poetry at prestigious<br />
venues including the Sydney Opera House and Royal<br />
Albert Hall. She teaches a poetry class each week as<br />
part of the <strong>MSWA</strong> Ode to Confidence group program,<br />
which combines speech pathology with poetry.<br />
As a memory exercise this was successful and fun. We both<br />
improved over the weeks, though my partner has better<br />
recall than me. I learnt a few little tricks and tips to help me<br />
remember certain lines. For Sonnet 60 for instance, when I<br />
come to these lines:<br />
“...Time doth transfix the flourish set on youth<br />
And delves the parallels in beauty’s brow...”<br />
I have only to think of how I appear in the mirror each morning,<br />
and it is easy to think of time delving parallels in beauty’s brow.<br />
After a while, we thought something more contemporary<br />
might be fun, so we listened to Jimmy Hendrix singing the<br />
Dylan song All Along the Watchtower and decided to learn its<br />
lyrics. I found I could heartily agree as I recited:<br />
“...There are many here among us<br />
Who think that life is just a joke...”<br />
I’m not sure if my stern and serious grandfather would have<br />
approved of me listening to Jimmy Hendrix, but even he would<br />
have appreciated the lyrics.<br />
After spending nearly a year using poetry as a memory<br />
exercise I was excited when <strong>MSWA</strong>’s Speech Pathologist<br />
Jamaica Grantis invited me to participate in a poetry club,<br />
which we have named Ode to Confidence. This group has<br />
arisen out of the research project of Speech Pathology<br />
honours student Becky Balchin, who is exploring the use of<br />
poetry to help people living with MS develop confidence and<br />
speaking skills. Ode to Confidence is meeting for eight weeks<br />
during May and June. We spend half of each session learning<br />
a bit about the mechanics of speech, including doing some<br />
SPEAK EASY<br />
NARELLE TAYLOR, <strong>MSWA</strong> MEMBER<br />
The nursing home where I live offers speech therapy sessions<br />
which I’m attending enthusiastically in the hope that it will<br />
enhance any achievements I make at the speech therapy<br />
group, currently being conducted by the Wilson Outreach<br />
Centre. Two speech therapy sessions at different places – I<br />
will become so beautifully spoken simply because I am very<br />
keen to be such a person.<br />
All I will have to do then is to think of something to say that<br />
is worth listening to. I will launch myself onto the public<br />
speaking circuit and perhaps become wealthy and famous,<br />
either of which would be okay.<br />
Correct posture enables better breathing and consequently<br />
better speaking. Physiotherapy will help me eliminate my<br />
slouch. The path to speaking clearly is before me and I don’t<br />
see any major obstacles ahead. Like everything I’ve ever tried<br />
to do, I expect a successful, happy result. I will soldier on.<br />
Positive thinking has always helped before.<br />
At the speech therapy group, we occasionally have to speak<br />
before the class. I’ve been told that even after much public<br />
speaking, one still gets butterflies. With experience, one<br />
can teach one’s butterflies to fly in formation. I hope,<br />
probably every bit as much as my audience hopes, that it<br />
happens soon.<br />
The Members of the class don’t openly display any discomfort<br />
when I’m speaking, so I expect they understand. I rely heavily<br />
on my skills at charades though.<br />
exercises, and during the other half of each session, Perth<br />
poet Maddie Godfrey shares with us some of her poetry and<br />
her experiences in writing and performing them. We are also<br />
encouraged to read and write some poems ourselves, or read<br />
poetry by others.<br />
I am thoroughly enjoying my participation in the Poetry Club<br />
and hopefully I am improving my brain’s neuroplasticity<br />
too. According to the Oxford Dictionary, neuroplasticity is<br />
the ability of the brain to modify its connections or re-wire<br />
itself. Multiple sclerosis can play havoc with our brains, with<br />
myelin damage and sometimes neuron loss too. Anything that<br />
I can do that might help my brain learn new things, or even<br />
remember old things, is worth doing.<br />
At the group next week, I will wear long socks and black<br />
lace-up shoes and recite Rupert Brook’s The Soldier.<br />
My grandfather is not alive any more, but maybe in that<br />
forgotten field where his body lies, there is a corner that<br />
is forever England.<br />
Warming up the body for speech! Did you know<br />
that speaking is a whole body process? It involves<br />
more than just the lips, tongue and voice box, but<br />
also the hips, belly, chest, neck, and more! Here are<br />
<strong>MSWA</strong> Ode to Confidence group members (L > R)<br />
Narelle Taylor, Ros Harman and Trudi Fay stretching<br />
the sides of their body, which helps to create more<br />
space in the chest to take deeper breaths, in order<br />
to better power the voice.<br />
Jamaica, our <strong>MSWA</strong> Speech Therapist, gave us exercises<br />
for our voices and mouths during the session last week.<br />
She told us that singers and actors use the exercises to<br />
‘limber up’ and find them helpful too. I was surprised and<br />
pleased that they were so effective. I am sure that we’ll<br />
all benefit from having attended Jamaica’s course.<br />
24 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 25
FUNDRAISING<br />
NEWS<br />
PERTH ENTERTAINMENT<br />
REVIEW<br />
SALLY NEWMAN, <strong>MSWA</strong> MEMBER<br />
Winners get the keys<br />
<strong>MSWA</strong> Mega Home Lottery, our biggest fundraiser!<br />
Never in a million years did Merriwa couple David Walsh and<br />
Aileen O’Toole expect to receive the phone call that interrupted<br />
their 7-month-old son’s bedtime routine on Wednesday, 11<br />
April. It was a call to tell them they had just won the <strong>MSWA</strong><br />
Mega Home Lottery Grand Prize. An incredible $2.25 million<br />
prize package, including a $1.65 million Webb & Brown-<br />
Neaves Sorrento Show Home, a Range Rover Velar and<br />
$500,000 cash. A prize that will set up the tight-knit family<br />
of three forever.<br />
“I was on the phone to my mate when my call waiting started<br />
to beep. I had no idea what was going on, but the lady on the<br />
phone said she was calling from <strong>MSWA</strong> and they had just<br />
drawn the lottery. I put the phone on loud speaker, as Aileen<br />
was in the room, and then we got the news. We had won the<br />
big one, the big prize. I couldn’t believe it, I couldn’t speak.<br />
Aileen was tearing up and screaming and I just couldn’t<br />
speak,” said David.<br />
Having worked in the disability and aged care sector for many<br />
years, Aileen knows first-hand how important and well used<br />
the money raised by the <strong>MSWA</strong> Mega Home Lottery is.<br />
“We’re so grateful, and it really couldn’t have come at a better<br />
time. It’s a huge weight off our shoulders. If anything should<br />
ever happen to us, our son Peter will be set,” said Aileen.<br />
“When I heard David and Aileen’s story I was absolutely<br />
thrilled for them. It’s a life-changing prize for a beautiful young<br />
family and I wish them all the best for their bright future. It’s<br />
because of the generosity of supporters like David and Aileen<br />
that allows us to make a huge difference to the lives of people<br />
living with multiple sclerosis and other neurological conditions<br />
in Western Australia,” said <strong>MSWA</strong> CEO, Marcus Stafford.<br />
“With the incredible support from fundraising activities<br />
like the <strong>MSWA</strong> Mega Home Lottery, this year we’ve been<br />
able to invest a record breaking $2.6 million dollars into<br />
research, committed $8 million to build a new high-support<br />
accommodation facility in Butler, as well as providing more<br />
than 680,000 hours of essential services. So, to everyone<br />
who bought a ticket, thank you for your wonderful and<br />
ongoing support,” Marcus added.<br />
The next <strong>MSWA</strong> Mega Home Lottery will launch in<br />
August 20<strong>18</strong>.<br />
I guess the best way to start is a quick introduction of who I<br />
am. I am a Perth girl, a writer, and a loving mum to two young<br />
teenagers. Our family has always been into music and the<br />
arts and I wanted to bring some of that joy and excitement to<br />
my MS community. I have lived with MS for almost 20 years<br />
and am so grateful that my passion for writing allows me to<br />
share some of my experiences.<br />
Ladies get your lycra out and turn the crimper on, we are<br />
heading back to 1984. The 80s is an era that still gets the<br />
party going, a time when we idolised Cyndi Lauper and George<br />
Michael. Radios played Tina Turner, Kiss, Kenny Loggins (yes<br />
you know him, he sang Footloose), and Whitney Houston,<br />
Pseudo Echo and Wham topped the charts.<br />
Recently I attended The Big 80’s Party right here in Perth.<br />
I was a bit anxious heading out in my ra-ra skirt, polka<br />
dot scarf and leg warmers, however, once I arrived at the<br />
event I actually felt underdressed. I was surrounded by an<br />
explosion of neon and there were some brilliant costumes<br />
tributing Top Gun, Flash Dance, Madonna, Mr T, even Alf and<br />
Smurfs wandered around. Mr Feel Good, a young Warwick<br />
Capper look-alike was part of the roaming entertainment and<br />
added to the influx of mullets, denim and flannelette shirts<br />
on the day.<br />
Shadforth Financial Group Step Up for <strong>MSWA</strong><br />
The annual Shadforth Financial Group Step Up for <strong>MSWA</strong> was<br />
held on Sunday, 17 June and was another fantastic day for<br />
all involved.<br />
A beautiful sunny morning saw over 1,000 participants<br />
conquer the 1,103 stairs to the top of Central Park.<br />
Thank you to everyone who either donated, participated,<br />
or came down on the day to show their support. Currently<br />
over $129,000 has been raised which will help <strong>MSWA</strong><br />
continue to support thousands of people living with MS<br />
and other neurological conditions in Western Australia.<br />
<strong>MSWA</strong> Ocean Ride – Sunday, 25 November 20<strong>18</strong><br />
Now in its ninth year, the <strong>MSWA</strong> Ocean Ride – Powered by<br />
Retravision is the only community bike ride event of its kind<br />
within the metro area.<br />
The event has grown in numbers of participants, and<br />
now includes five ride distances to cater for all ages and<br />
capabilities, as well as a special Ride for <strong>MSWA</strong> Members.<br />
Join us today and put your body – and bike – on the line!<br />
Your support will make a difference to Western Australians<br />
living with MS and all neurological conditions.<br />
To find out more, please visit our website<br />
www.mswaoceanride.org.au<br />
This event was held across Australia, with the Perth party on<br />
5 May, 20<strong>18</strong> at Oakover Grounds in Middle Swan. The venue<br />
was a fantastic choice for this <strong>18</strong>+ event. ACROD parking<br />
was within 20 metres of the main entrance and for those not<br />
driving there were regular shuttle buses available. The flat<br />
lawn areas of Oakover Grounds offered ease of access for<br />
those with wheelchairs and/or mobility issues. There was<br />
a VIP section that also offered ease of access, including<br />
an alfresco dining section, first aid station and disabled<br />
toilet facilities.<br />
I attended the event with my walking frame and even on<br />
the dance floor, patrons and staff were accommodating and<br />
friendly. Yes, I passed through the dance floor a few times, but<br />
for the most part, sang badly and hand jived with complete<br />
strangers in the background of the mosh pit.<br />
The event began at one o’clock and as the spring afternoon<br />
drifted into night, the vibe of the party grew. Quoted by event<br />
organisers as “Arguably Australia’s BEST 80’s DJ’s”, Jaki J<br />
and Adrian Zac kept the dance floor full the entire time with<br />
a well selected mix of classic retro tunes. A video montage of<br />
television and movie moments we can never forget hit the big<br />
screen later in the night and the party ended with a Video Hits<br />
Massoake. Cliché yes, but seriously so much fun. It was easy<br />
to imagine being in the audience of a Countdown special, with<br />
hundreds of 80’s enthusiasts, singing on mass, “karma karma<br />
karma karma, karma, chameleon, we come and go, we come<br />
and go”… go on, admit it, you couldn’t resist singing those<br />
last few lines, could you?<br />
The Big 80’s Party Perth is set to return in 2019, so for any<br />
of you reading who are tempted to go and put a Madonna or<br />
Bon Jovi CD on right now, then I suggest you look out for the<br />
event next year.<br />
For now, my leg warmers and purple eye shadow are back<br />
in the cupboard and I prepare for my next adventure.<br />
26 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 27
A WINNING STRATEGY<br />
FOR LIVING<br />
BY DR ANDREW E ONG<br />
CARERS<br />
RETREATS<br />
SUMIT SANDHU, <strong>MSWA</strong> COORDINATOR OF CAMPS<br />
There are many general truths said about life, but few are<br />
better than the old maxim of “you have to be in it to win it.”<br />
The Americans have another saying, “you will not hit the ball<br />
unless you swing the bat!” What this means is that all of your<br />
knowledge, all of those hard-won insights and understanding,<br />
are of little value until you translate them into action.<br />
Please don’t get me wrong, however. Being content with your<br />
life is the work and the reward of a lifetime. There is also a<br />
time for doing nothing, so never underestimate the value of<br />
relaxing or just sitting around. But these are simple gifts you<br />
give to yourself. Just remember, he or she who knows enough<br />
is enough will always have enough. Then it is time to relax.<br />
Therefore, your mission in life is to live life to its fullest, then<br />
when you can, set a little time aside to guide others by being<br />
understanding and caring. We all cannot be inspirational, but<br />
we can take an interest in what is going on around us and<br />
we can interact with other people without being judgemental.<br />
Be straightforward in your life. Courage can create<br />
opportunities where none existed before. It is only through<br />
action that opportunities can be translated into success and<br />
fulfilment. So when you aim and strive to do your best, you<br />
will get the best outcome. You can only get out what you put<br />
in to anything, and that is a simple fact of life.<br />
You also do not need all the answers to be triumphant in life,<br />
you just have to ask the right questions. Therefore, do not try<br />
to out-talk the other person. This might very well win you the<br />
argument, but it is hardly likely to win that person’s heart.<br />
Never push, when it is easier to lead!<br />
So live each day as if it were your last. Pray. Always put your<br />
spouse, partner or loved one first. Every day find a way to say<br />
“I love you.” Plant and make time to appreciate your garden.<br />
Dance. Hold hands and write love notes. Develop a thirst<br />
for first things first. And always carry a camera to capture<br />
memorable things.<br />
A poem by Ragia Sayed<br />
Believe in yourself<br />
And in your dream<br />
Though impossible it may seem<br />
Mountains will fall and the seas divide<br />
Before the one who strides<br />
The hard road by day<br />
Brushing obstacles away<br />
Believe in yourself, have a plan<br />
Believe you want, you will and you can!<br />
The treasures and pleasures of life we fail to win<br />
Are because we doubt the power within<br />
Believe in yourself<br />
If you do you can and<br />
Will!<br />
It’s mid-May, a pleasant sunny Tuesday morning with Wilson<br />
renovations at their peak and one of our biggest Members’<br />
camps approaching by the end of the month. Astoundingly,<br />
I am still very calm and composed. It’s amazing what a little<br />
break at Rottnest can do.<br />
I recently attended the carers retreat at Rottnest Island<br />
with a lovely group of people. We had 13 carers, Dawn<br />
Burke (volunteer coordinator), myself and our star volunteer<br />
Rosalind.<br />
We have come a long way from having basic bunk style<br />
accommodation to the ocean view premium accommodation<br />
with the best views on the Island! I remember the times when<br />
staff would have to cook, but now we just leave it to the<br />
professional chef at one of the best bars and restaurants on<br />
the Island to do the job.<br />
All these years of organising camps and retreats I can clearly<br />
see the importance of having a break from the carers’<br />
perspective. From my experience, I have noticed that even<br />
though we have so many family carers looking after their<br />
loved ones, only a small percentage register their interest to<br />
attend these retreats. Talking to the family carers, a few of the<br />
reasons I have come across hesitancy to attend retreats are:<br />
Carers think they don’t need a break:<br />
Really? Even if you don’t realise it, you work 24/7 as a<br />
full-time carer, psychologist, driver, cleaner, cook, night<br />
shift carer, and the list goes on. You deserve a break more<br />
than anyone!<br />
Carers feel bad about sending their loved ones to respite<br />
to attend the retreat:<br />
We have world class respite facilities at Treendale Gardens<br />
and Margaret Doody House, with 24-hour support. The beds<br />
are reserved specifically for partners if you choose to attend. I<br />
suggest you have a look at our respite facilities with your loved<br />
ones, please contact me if you require further information on<br />
our respite facilities.<br />
Carers are hesitant to attend for the first time as they<br />
don’t know what to expect:<br />
It is quite natural, but sometimes you must push yourself. At<br />
the end of the day it’s only a three-night stay at a very nice<br />
venue with all meals catered for and activities organised.<br />
Carers think it’s too much work for three nights retreat:<br />
I agree three nights is a short time to have a break and<br />
sending loved ones to respite involves a lot of packing and<br />
planning. Therefore, we usually reserve the beds at respite<br />
for 10 days, so that carers can extend their break before and<br />
after the retreat. In the past a few carers have extended their<br />
retreat stay at their own expense.<br />
Financial reasons:<br />
It costs the family carer $60 for three nights’ accommodation,<br />
transportation, meals, and activities. If this is the barrier,<br />
please contact me or our social welfare team for assistance.<br />
Members don’t see the importance of a carers retreat:<br />
Caring should not be just family carers’ responsibility,<br />
Members have equal responsibility towards their carers and<br />
should always ensure they look after their family carers.<br />
We have a lot of opportunities for carers to attend these<br />
retreats in the future. I am just a phone call away if you have<br />
any questions.<br />
Our upcoming camps and retreats for 20<strong>18</strong> are:<br />
Carers Retreat at Safety Bay:<br />
(Group 1) 20 August – 23 August<br />
(Group 2) 27 August – 30 August<br />
Family Camp at Woodman Point:<br />
25 September – 28 September<br />
Members Camp at Rottnest Island:<br />
15 October – <strong>18</strong> October<br />
SW Members camp at Denmark:<br />
12 November – 15 November<br />
Please feel free to contact me for further information on<br />
camps and retreats.<br />
Sumit Sandhu<br />
Phone: 9365 4843<br />
Email: sumit.sandhu@mswa.org.au<br />
<strong>MSWA</strong> appreciates the ongoing support of Lotterywest<br />
funding which keeps our Camps and Carers Retreats<br />
affordable for our Members and their carers.<br />
28 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 29
VOLUNTEERING<br />
DAWN BURKE, <strong>MSWA</strong> COORDINATOR VOLUNTEERS<br />
‘Give a little, change a lot’<br />
Hello everyone, and what a punchy statement with such a<br />
profound impact on others and their lives. Welcome to our<br />
winter edition of the <strong>Bulletin</strong>. As with the above statement,<br />
and the cooler weather slowly descending upon us, we need<br />
something that packs in the heat in a short time frame. I love<br />
the cooler weather and am looking forward to wearing my<br />
trackie dacks and ugg boots. What about you?<br />
These six words, ‘give a little, change a lot’, was this year’s<br />
theme for National Volunteers Week. Wow! What an impact<br />
it makes with only a few words. I am a true believer in<br />
recognising all volunteers no matter how little time they give,<br />
as it makes a huge difference to many. This, above all else, is<br />
what volunteering is about, especially for me at <strong>MSWA</strong>. When<br />
we give of ourselves, we receive so much more in return<br />
and I am truly thankful and proud to be part of the <strong>MSWA</strong><br />
volunteering family. I thank you all for what you do, it doesn’t<br />
go unnoticed.<br />
Let’s take a step back and look over the last few months.<br />
After a bit of banging here and some drilling there, phase one<br />
of Wilson’s refurbishments has been completed and some<br />
staff and volunteers are now settled into their ‘new homes’.<br />
By the time this reaches you all, phase two will be completed<br />
and the final phase three will be well and truly under way. I<br />
would like to take this opportunity to thank everyone for being<br />
patient while the construction has been going on. It makes life<br />
so much easier when we can adapt and change, especially in<br />
the short term, to reach the bigger picture.<br />
As Sue Shapland, General Manager Member Services, keeps<br />
saying, “Keep your eyes on the prize”. And what a prize the<br />
end result will be. Thank you again for your flexibility and<br />
patience and before long all the upheaval will seem like a<br />
distant memory. I would like to throw out a huge thank you to<br />
volunteer Lesley Pitt, who has been hands on with Outreach<br />
facility since it moved offsite for the refurbishments.<br />
Lesley has packed and carted all the card making materials<br />
to and from her home each week for Members to use, via her<br />
gopher and trolley buggy!! Without Lesley, the group would<br />
have had no supplies! She is also always the first person on<br />
site ready to help unpack on Tuesday, trolley at the ready.<br />
Thank you, Lesley, this has helped in the transition for our<br />
Members and volunteers who attend the card making group.<br />
Your efforts haven’t gone unnoticed.<br />
A Carers Retreat was held late April on Rottnest Island and<br />
again I was privileged to be able to attend with Sumit the<br />
Camp Coordinator. The weather held off for a day here and<br />
there, the seagulls were in full form nicking food from the<br />
unsuspecting tourists and the carers had a lovely and welldeserved<br />
break. It is always lovely to see the regular carers,<br />
and lovely to meet new ones. We had three new carers attend<br />
this camp, which was awesome.<br />
The Sunrise weather team from Channel 7 were on the island<br />
and I went down to watch and was asked to join the group of<br />
families and students to beef up the group numbers. It was a<br />
fantastic morning and some of you may have seen me on the<br />
TV. I’m a bit of a celebrity now. Did you know there are seven<br />
students attending the primary school on Rottnest island?<br />
Again, our camp extraordinaire volunteer, Rosalind attended<br />
and has helped us at many camps in a volunteer capacity. We<br />
always welcome an extra pair of hands, especially with our<br />
Members’ camps. If any of you are interested in attending<br />
give me a call and we can discuss it further.<br />
It was National Volunteers Week Monday, 21 May until Sunday,<br />
27 May. This was a busy week for me, especially with the<br />
lead up to our Volunteer Lunches. We hold two lunches during<br />
this week, one in Perth and one in Bunbury. It is always lovely<br />
to come together, meet each other, have a laugh and a chat<br />
and enjoy some beautiful food.<br />
We changed venues this year for the Perth Luncheon, and<br />
booked into the Royal Perth Golf Club in South Perth. As<br />
always there was scrumptious food, a lovely view looking over<br />
the well-manicured golf grounds, but above all else it was<br />
fantastic company with a beautiful ambiance. I love listening<br />
to the hum of conversation happening around the place, with<br />
the volunteers and staff coming together and sharing stories<br />
and experiences. We can all learn so much from each other,<br />
never underestimate someone’s story or journey.<br />
Bunbury’s Volunteer Luncheon was held at Backbeach Café<br />
again. You can’t get any nicer than an ocean view. This<br />
luncheon is such a relaxed and casual atmosphere with great<br />
company. Country folk somehow seem a bit more laid back<br />
in everything that they do. This was our biggest group in<br />
attendance and a great time was had by all with plenty of<br />
food to go around.<br />
With every luncheon we issue Certificates of Appreciation.<br />
These awards are handed out to those who have been<br />
nominated by their supervisors or peers for various reasons.<br />
Congratulations to all recipients of this award for 20<strong>18</strong>,<br />
Lesley Pitt, Stephen Witherow, Callum Begg, John Griffith,<br />
Sylvia Griffith, Joan Crossman, Maria Mades, Fay Simmons,<br />
Dave Savy, QBE, Julie King, Vanessa Vergeer, Lynda Whitton,<br />
Lynette Lynch, Brett Johns, Marie Harris, John Bartlett, Ian<br />
Pittick, Yvette Cocivera.<br />
I would like to make special mention to a dynamic couple,<br />
John and Sylvia Griffith, who are very quiet achievers and go<br />
between our facilities at Beechboro Lodge, Fern River and the<br />
Bunbury Hub, keeping the gardens in check. They go in and<br />
come out in stealth mode, and we appreciate the distances<br />
they are travelling to help maintain our gardens. Of course,<br />
our Wilson gardens have been maintained to a high standard<br />
for more than 19 years by our Volunteer John Robertson.<br />
Thank you, John, you do an amazing job. You will always see<br />
John at Wilson Centre, rain, hail or shine.<br />
This year we had two representatives from QBE attend the<br />
volunteer luncheon and our CEO Marcus Stafford presented<br />
them with a certificate. QBE give us approximately 10<br />
volunteers every year to set up for our Members, Volunteers<br />
and Staff Christmas Party. Without their assistance, this<br />
event wouldn’t run as smoothly as it does. Thankyou QBE,<br />
your team is amazing. The representatives on the day said<br />
how much their team enjoys coming along each year and it’s<br />
never hard making up the team numbers!<br />
One more thank you is for our staff member, Justine Webb,<br />
who has been coming into Wilson on a Thursday morning<br />
and picking up two of our volunteers and taking them to the<br />
Wilson Outreach Group’s temporary home in Como. This has<br />
been a great help to the volunteers who cannot make their<br />
way to the alternative venue. Your time to assist them is much<br />
appreciated.<br />
World MS Day was celebrated on Wednesday, 30 May. It was<br />
great that some of our regular Member Services Volunteers<br />
were able to get out into the community and help the events<br />
team raise awareness and funds. Your time and effort is<br />
much appreciated.<br />
I want to send out a big warm welcome to the new volunteers<br />
that have joined our team. We are privileged to have you come<br />
and assist our Members and the staff, and as I previously<br />
wrote, ‘give a little, change a lot’. Whether you are here for<br />
a long time or a short time, you are appreciated and valued.<br />
Until next time. Dawn<br />
THAT’S LIFE WITH NARELLE<br />
NARELLE TAYLOR, <strong>MSWA</strong> MEMBER<br />
Being a resident in this aged care facility for as long as I have<br />
been, has made me a lot wiser about the process of ageing<br />
and a bit smarter about how not to upset people around me<br />
who are also ageing. I have since moderated my behaviour<br />
so that I can pour oil on these sometimes troubled waters<br />
around here.<br />
At times Dementia and Alzheimer have had a noticeable<br />
influence on my fellow residents’ behaviour, and from<br />
experience I am now able to tell when those ‘conditions’ are<br />
likely to influence the flow of events.<br />
Some two years ago, before I learned not to ask a person<br />
“How are you,” particularly a person who is not likely to<br />
pleasantly reply, I had thought Deborah (not her real name),<br />
one morning looked less than jubilant when she came to the<br />
breakfast table.<br />
Unwisely, I said “Good morning, Deborah. How are you?”<br />
Through the dark clouds that now surrounded her, she<br />
answered, “Oh, I’m very low. Everything is such an effort for<br />
me. I’m 83 years old. I’ve had a good innings. I don’t want to<br />
go on any more. I just don’t want to wake up any more. I want<br />
to sleep forever,” she moaned.<br />
I quipped “Oh right. Can I have your jumpers?”<br />
The dark clouds dissipated and she burst into loud laughter.<br />
All the diners at the breakfast table erupted into a riot of<br />
laughter. Deborah regained her disposition and returned to<br />
normal.<br />
She was a sensible sweet lady who resumed her place at<br />
the table with grace, elegance and all of us felt comfortable.<br />
There was never a reference made to her depressive moment.<br />
Two years later Deborah passed away. Then just last week,<br />
her daughter came to me with a cardboard box of Deborah’s<br />
lovely hand-knitted jumpers and said to me, “Mum told me<br />
your joke, which we both thought was so funny, and I’ve<br />
gathered a selection of her jumpers for you to have.”<br />
I was touched. I thanked her and suggested that other<br />
residents of this facility might be pleased to have one<br />
each too, and that they could be distributed by the<br />
‘office’. Deborah’s daughter agreed, and now each of us<br />
have genuinely lovely mementos.<br />
30 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 31
BEECHBORO OUTREACH NEWS<br />
GISELLE MARTIN, <strong>MSWA</strong> RESOURCE COORDINATOR<br />
CENTRAL REGIONAL OUTREACH NEWS<br />
SARAH LORRIMAR, <strong>MSWA</strong> COORDINATOR OF HEALTH EDUCATION AND PEER SUPPORT<br />
Beechboro Outreach have started the <strong>Winter</strong> season with a<br />
more holistic approach to enhancing our wellbeing. We have<br />
been covering many areas of wellness from the inside out.<br />
Nourishing our minds and bodies, we enjoyed a sound therapy<br />
session run by one of <strong>MSWA</strong>’s beloved counsellors, Cherry<br />
Chapman. The group was invited to share the space and<br />
experience the harmonic sounds of Tibetan bowls and rain<br />
drums as Cherry guided us through a relaxation meditation.<br />
To ward off those winter germs, Beechboro groups have<br />
enjoyed a vitamin boosting day with our very own pop up juice<br />
bar! An assortment of fresh and frozen fruit and vegetables<br />
were on display and Members could pick and choose their<br />
desired combos from the four categories; Immunity, Energise,<br />
Anti-Oxidants and Digestion, while they watched as fresh<br />
juice was created before their very eyes!<br />
Members were lucky enough to have Glenn Huxtable, a<br />
Drum Circle facilitator, visit us and lead the group in a fun<br />
Health Rhythms class. Health Rhythms is a fun program that<br />
promotes a supportive comradeship and encourages personal<br />
expression while facilitating a non-strenuous workout. Seated<br />
in a friendly circle, each Member was assigned a drum or<br />
percussion instrument, and boy, were there some eager faces!<br />
After an hour of drumming, chatting and laughing, we finished<br />
the session feeling uplifted, relaxed and ready for lunch.<br />
SOUTHSIDE<br />
OUTREACH NEWS<br />
ANGIE AND JOHN WALLACE, <strong>MSWA</strong> MEMBERS<br />
Royal High Tea – Weekend of Royal Wedding<br />
The milder, cooler weather is welcomed by all of us with MS.<br />
We are certainly feeling more motivated to keep moving!<br />
Physiotherapist Kirsten, seems to enjoy leading a small<br />
group of us through our aerobic half-hour of stretches and<br />
mild weight exercises, while the rest of the Members nearby<br />
are chatting, laughing, playing games or exercising in the<br />
physio room.<br />
All the while we are distracted by the wonderful aromas<br />
coming from the kitchen. Yes, it is organised chaos and we<br />
love it!<br />
Member Ron is enjoying another cruise around Indonesia. He<br />
is happy to offer tips and tricks for travelling on the high seas.<br />
We welcome back Trish after her absence and look forward<br />
to seeing Barry and Jan in our midst very soon.<br />
To keep those winter inches from creeping on, Members have<br />
participated in a fun new group exercise program, following<br />
instructions from a DVD of ‘Chair Dancing’, featuring fun<br />
tracks like ‘The Hand Jive’, ‘Motown’ and ‘Disco Fever’.<br />
After the renovations we have settled back in and now begun<br />
work on our outdoor raised garden beds. We are about to<br />
invest time, love and green thumbs into growing organic herbs<br />
and veggies. We are aiming to not only make our fabulous<br />
cook Brenda happy, but also make our tummies happy.<br />
We are all hoping to come out of the other side of winter<br />
feeling better than ever!<br />
Our kitchen crew have outdone themselves recently, with a<br />
special Roast Beef and Yorkshire Pudding lunch for Mothers’<br />
Day and a memorable Royal High Tea to celebrate the ‘Big<br />
Royal Wedding.’<br />
Rosemary and Sherrill produce these meals on Tuesdays<br />
and Fridays. Thanks so much ladies.<br />
Northam Support Group<br />
As we do every three months, myself and counsellor Cherry<br />
Chapman drive up to the Bridgeley Community Centre for the<br />
Northam Support Group. Having established the group less<br />
than a year ago, it was great to see our regulars, just under<br />
10, in attendance.<br />
After catching up on what the group members have been up<br />
to since the last meeting, discussion started on new research,<br />
news stories and questions to be passed on to various allied<br />
health teams back in Perth. The group discussed MRIs and<br />
how each person uniquely manages the often-uncomfortable<br />
experience.<br />
Amongst a lot of laughter and chatter, we enjoyed a small<br />
morning tea break followed by a conversation about the soon<br />
to be built Northam swimming pool and its accessibility. The<br />
group supported each other in providing tips and suggestions<br />
on exercise, keeping warm and the NDIS experience.<br />
SOUTH WEST REGIONAL<br />
NEWS ROUNDUP<br />
NICOLA RYAN, <strong>MSWA</strong> SENIOR OUTREACH COORDINATOR<br />
My road trip to Busselton<br />
On Tuesday, 1 May I set off early from home to visit the<br />
Busselton Outreach group. Last time I visited was in March<br />
while I was on leave, so I rode my bike from the local caravan<br />
park. This time the road trip took somewhat longer but I<br />
enjoyed some ‘me time’ on the open roads!<br />
Coffee of course was required in Bunbury as I passed through,<br />
and this was purchased from my favourite stop-over, Bunbury<br />
Fresh Market Place. You can’t miss it being just before the<br />
by-pass road. Well worth a stop especially if you have time<br />
to wander as there are amazing taste tests around every<br />
corner. On this occasion it was only coffee and flowers that<br />
I purchased.<br />
The friendly Busselton faces I looked forward to seeing were<br />
there greeting me on my arrival. Although a small group, the<br />
original Members have been attending now for nearly <strong>18</strong><br />
months, so a close bond has formed amongst the group. On<br />
this occasion they were also waiting to greet the CEO Marcus<br />
Stafford as he was presenting his CEO update, as he does<br />
every three months.<br />
To close the session, a handout on support networks was<br />
passed around which aimed to get Members thinking about<br />
who to seek support from for different purposes in their<br />
community. As they parted, several shared their thoughts<br />
about the group:<br />
“It’s great to be able to come here and not need to say<br />
anything – everyone just gets it.”<br />
“It’s been really great to support each other and get to know<br />
each other better – now we know where to go for support<br />
and who to contact when we need help.”<br />
“It’s really worthwhile – thank you.”<br />
As we made our way back to Perth, Cherry and I reflected<br />
on the group and how lovely it has been for us to see<br />
connections and friendships develop and grow. We look<br />
forward to the next meeting in a few months’ time.<br />
Morning tea was under way as Marcus arrived and the chatter<br />
became quite electric in the room over the delicious wraps<br />
and cheese platter that the Coordinator Sheryl had arranged.<br />
It was wonderful to see a few more Members arrive just<br />
in time to hear Marcus speak and thanks to Clare (Physio<br />
Assistant from Busselton) the room was set up perfectly and<br />
the presentation went off without a hitch.<br />
Sadly, at the end of the day we bid farewell to Sheryl Helgeland<br />
who has been Coordinating the Busselton Outreach group<br />
since it started in February 2017. I presented her with the<br />
beautiful bunch of flowers I purchased earlier; as a thank you<br />
for her wonderful efforts with this group. We all wished her<br />
well for her new exciting role she has at our Bunbury Hub.<br />
Exciting times are ahead for the Busselton Outreach<br />
group with their own premises being sought after as<br />
we speak. The group will be a part of the premises that<br />
the Busselton <strong>MSWA</strong> Office will be moving to. If you are<br />
reading this and you live in the surrounding areas and<br />
would like more information about the group I can be<br />
contacted by email Nicola.ryan@mswa.org.au<br />
32 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 33
GREAT SOUTHERN REGIONAL NEWS<br />
Our trip to Esperance and surrounds<br />
Earlier this year, Community Access Nurse, Rosie Hunt and<br />
Senior Social Welfare Officer, Kath Knights travelled to the<br />
south coast of WA for three days. Travelling to Esperance,<br />
Ravensthorpe and Hopetoun, their days were scheduled with<br />
home visits to Members and their families as well as visits to<br />
various health facilities in the region.<br />
Informative and interactive presentations were delivered in<br />
Esperance, providing allied health professionals, care support<br />
workers and Local Area Coordinators with an overview of MS,<br />
as well as information and resources on the services available<br />
to <strong>MSWA</strong> Members.<br />
TAKE A BREAK IN THE SOUTH WEST<br />
FROM TREENDALE GARDENS<br />
Rosie presented an overview of MS, existing and emerging<br />
treatments, symptom and relapse management, whilst Kath<br />
discussed the management of MS from a welfare perspective<br />
– discussing the National Disability Insurance Scheme (NDIS)<br />
and Aged Care Assessment Team (ACAT) programs. These<br />
sessions aimed to increase the awareness and knowledge of<br />
MS to health care and service providers, supporting them to<br />
develop their MS management strategies.<br />
These regional trips occur annually with visits from other<br />
<strong>MSWA</strong> staff scheduled for Geraldton and Kalgoorlie.<br />
Please contact <strong>MSWA</strong> if you would like further<br />
information on the next visit.<br />
Take a break<br />
in the South West<br />
Treendale Gardens is proud to have been up and running as<br />
a supported accommodation and residential respite facility<br />
since April 2012.<br />
Our accommodation area is fully occupied with wonderful<br />
residents who have their own units and are assisted with<br />
their daily needs by wonderful staff. All residents have access<br />
to 24-hour support, a wonderful evening meal prepared<br />
by our cooks, activities organised by recreation Care<br />
Support Workers (CSW) and out and about with their social<br />
support staff.<br />
Treendale Respite is a wonderful purpose-built facility<br />
with six rooms, all equipped with a hospital-style bed and<br />
overhead hoist, TV and DVD player, as well as cupboards and<br />
high-backed chairs for those who would like to sit in their<br />
rooms. Each pair of rooms has a shared bathroom with<br />
lockable doors.<br />
The spacious communal area has a large screen TV and<br />
electric recliner chairs that are enjoyed by many of our Clients<br />
who would like to stretch out on a comfortable reclining<br />
chair. There is also a dining area that doubles as a games<br />
and conversation area where Clients can enjoy a lovely<br />
meal cooked by talented care support workers, chat with<br />
others who are staying, or enjoy a selection of board games<br />
that are available.<br />
For those who also enjoy a bit of peace and quiet there is a<br />
courtyard to sit in as well as an airy undercover area with<br />
outdoor tables and chairs; perfect to sit with others including<br />
family and friends who are always welcome to visit during<br />
the day.<br />
There is a lovely park complete with fountain and wheelchair<br />
accessible pathways right next door and an ever-growing<br />
shopping centre just across the road with a variety of shops.<br />
Attached to Respite is<br />
our recently refurbished<br />
3-bedroom holiday unit<br />
which is a wonderful idea<br />
for a break away with<br />
family or friends. There are<br />
two hospital-style beds,<br />
regular single, and a queen<br />
size bed in the different<br />
bedrooms as well as a<br />
spacious living area and<br />
good-sized kitchen. The<br />
lounge area has a 3-seater sofa as well a recliner chair but<br />
also space for a wheelchair to sit comfortably. The laundry<br />
is fully equipped with washing machine and dryer and the<br />
private courtyard has a washing line. When you stay there<br />
you have your own garage and doors to the holiday unit.<br />
Everyone who has stayed has said they enjoyed the freedom<br />
of a holiday in an apartment style accommodation, purposebuilt<br />
for people with a disability, but knowing that staff are on<br />
hand to assist with personal care in the morning and getting<br />
into bed at night if needed.<br />
If you would like to enquire about a booking or have<br />
questions you would like to ask please contact Paula<br />
Kennedy or Linda Kidd on 9725 9209 or 9725 9994<br />
Monday to Friday between 9:00am and 4:00pm.<br />
We look forward to hearing from you.<br />
Treendale is only 20 minutes from Bunbury,<br />
located next to a small parkland with wheelchair<br />
friendly paths and a shopping centre nearby.<br />
Treendale is our 6-bedroom, 3-bathroom purpose built, accessible respite home.<br />
Our staff are onsite 24/7 and are experienced in supporting people living with MS.<br />
Located next to our respite home is our wonderful 3-bedroom family holiday unit<br />
where family can get away from the routines, whilst accessing support for their<br />
loved ones if needed. We may even be able to assist you with transportation.<br />
Funding to cover your stay may be available through the Commonwealth Carer<br />
Respite Program or through your DSC or NDIS individual packages. Speak with<br />
our friendly team to chat about your individual needs.<br />
For more information or to book your stay at<br />
Treendale Gardens, phone us on 9725 9994<br />
34 | <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> <strong>MSWA</strong> BULLETIN WINTER 20<strong>18</strong> | 35
A SpeediCath for everyone<br />
Everybody is unique and there’s not one<br />
product that best fits all.<br />
The SpeediCath range offers hydrophilic intermittent catheter<br />
solutions for individual needs, preferences and lifestyles both for<br />
men, women and children who need to catheterise.<br />
Instantly ready to use,<br />
because of our unique<br />
hydrophilic coating<br />
Polished eyelets ensure<br />
maximum comfort when<br />
inserting and withdrawing<br />
the catheter<br />
Free from RVC and<br />
phthalates<br />
Find out what SpeediCath is right for you by contacting<br />
Coloplast on:<br />
<strong>18</strong>00 856 306<br />
www.coloplast.com.au/products/<br />
Find-the-right-product<br />
Coloplast Pty Ltd, PO Box 240, Mount Waverley, VIC 3149 Australia<br />
www.coloplast.com.au The Coloplast logo is a registered trademark of Coloplast A/S. © 20<strong>18</strong>-03 CON645. All rights reserved Coloplast A/S, 3050 Humlebaek, Denmark.<br />
CON645.indd 1<br />
We’re fundraising with<br />
Enjoy thousands of up to 50% off and 2-for-1 offers from the best<br />
restaurants, hotels, activities, travel and more...<br />
28/03/20<strong>18</strong> 4:22:08 PM<br />
The<br />
Book<br />
OR<br />
The<br />
Digital Membership<br />
“I love this Book! I’m discovering places I have never been before.” “I have the Entertainment Digital ‘Book’ on my smartphone and I love it!”<br />
$14 from each Membership sold goes directly to <strong>MSWA</strong>.<br />
To reserve your NEW Entertainment Membership please contact us on:<br />
Phone: (08) 6454 3122 | Email: purchase@mswa.org.au<br />
or go online to: www.entbook.com.au/8w3089<br />
Copyright © 20<strong>18</strong> Entertainment Publications of Australia Pty Ltd. All rights reserved. ACN 065 011 903.<br />
is a registered Australian trade mark of Entertainment Publications of Australia Pty Ltd.