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MSWA Bulletin Magazine Winter 18

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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


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