COMMUNITY Issue 106 - MS Ireland
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Save the Date for MS Explored A meeting for young people living with Multiple Sclerosis Saturday, 12th October 2019 at The Gibson Hotel, Dublin Guest speakers to be announced For more information see https://www.ms-society.ie/ RCN 20007867 | Date of Preparation: 26 July 2019 | IE02/GIL19-CNF014a
106 4 8 18 Friends Welcome to the Autumn 2019 edition of MS News. The theme of this issue is ‘Community’. World MS Day MS Ireland Community Community News Throughout, we discuss the various roles of individuals in CONTENTS the MS Community in the hopes of making you aware of the support that exists and some of the opportunities that are available to deepen your engagement with the MS Ireland community. From page 6-9 you can read about some of the roles within MS Ireland’s community. Page 21 outlines some of the roles within the healthcare team. News 4 An update on MS Ireland’s activities can be found on page MS Ireland Community 6 4. As always, we want MS News to be a place where people living with MS have the opportunity to have their Reflections 10 voices heard. This edition features two personal stories, on page 11 Maura Maye shares her story and how she My Story – Maura 11 became involved in the MS community through her local branch. On page 16 Carol De Buitleir shares her story Care Center 12 in which she discusses her approach to life with MS. Dr Rebecca Maguire shares details of the European MS Activism In Action 13 Platform Spring Conference on page 17 and on page 13 we highlight the advocacy efforts of Fiona O’Reilly. Conference 14 Professor Sabina Brennan kindly contributed to this edition My Story – Carol 16 with a piece on the importance of social inclusion, this can be found on page 20. EMSP Report 17 In June, MS Ireland said goodbye to a beloved colleague, Community News 18 Margaret Maguire. In her role as the Clinical Care Manager of the MS Care Centre, Margaret met many of the members of the MS community. On page 10, there is Social Connections 20 a tribute to Margaret from her colleagues in the MS Care Centre. A Quick Guide To Healthcare 21 We hope you enjoy this issue of MS News. If you have any Fundraising 22 feedback on MS News or have suggestions for what you would like to see in future issues, please contact the editor Calendar & Cards 27 Aoife Kirwan on 01 6781612 or by email to aoifek@ms-society.ie Save the Date 28 Ava Battles CEO ‘MS News’ is the magazine of MS Ireland. It exists to foster informed debate and comment about all issues relating to MS. The view of contributors are not necessarily those of the Society. No treatments or therapies should be attempted or products used without qualified medical or professional advice. Multiple Sclerosis Ireland, 80 Northumberland Rd, Dublin 4. www.ms-society.ie | 01 678 1600 info@ms-society.ie | Info Line: 1850 233233 EDITOR & EDITORIAL Aoife Kirwan - aoifek@ms-society.ie ADVERTISING Jessica Charters - jessicac@ms-society.ie Tel - 01 6781600 www.ms-society.ie 3
NEWS 106 Website World MS Day A range of fantastic events were held throughout Ireland to mark World MS Day including coffee-mornings, get- togethers, vintage car shows and information days. The day was also marked in the MS Care Centre where visitors enjoyed refreshments, home-baked goodies and music. Awareness of MS in the On the 4th of July, MS Ireland launched our brand new general public website! The website project was a culmination of over a To mark World year of planning, research, testing and development and MS Day 2019, MS we are delighted at how our new site looks and functions. Ireland and Novartis The new website was created by Annertech who have commissioned a been working with our communications team throughout piece of research to the project. In the coming months, some more features of explore awareness the new site will be going live so watch this space! In the of MS in the general meantime you can check out the new site at public, including the www.ms-society.ie visible and invisible symptoms of MS. World MS Day This new research which was conducted in April 2019 by IPSOS/MRBI, found that 93% of people in Ireland claim to be aware of MS and more than 44% consider On May 30th, MS Ireland joined people living with MS their understanding of the symptoms and details of the and other MS organisations around the world to mark condition to be poor. Almost one third of respondents World MS Day. Each year World MS Day takes a different were unable to list any symptoms related to MS. theme. This year the theme was ‘My Invisible MS’ (#MyInvisibleMS) Although more than one third of the population (37%) claim to have a family member, friend, or loved one living The aim of using this theme was to raise awareness with MS, and 66% of people in Ireland believe they have of the invisible symptoms of MS and the unseen a good understanding of MS, there are still some key impact of MS on quality of life. Some of the common aspects of the condition that remain unclear. Only 8% misconceptions of MS where addresses in a series of of people identified fatigue as a key symptom despite 'Myth Buster' images. almost 90% of people living with MS reporting fatigue as a consequence of their condition. The campaign invited everyone affected by MS to share their invisible MS symptoms. They were given a voice to Ava Battles, Chief Executive of MS Ireland said, “While express what they wanted others to know and understand many people are aware of MS and the more visible, about MS, in order to challenge common misconceptions tangible symptoms that it can cause, the effects of MS and help people understand how to provide the right can vary greatly from person to person and can often be support. invisible to those around them. Through this research and our World MS Day activity we hope to raise awareness around the less visible aspects of MS and how it can impact on the day to day life of a person living with the condition.” Professor Orla Hardiman, Consultant Neurologist said “The research findings highlight how prevalent MS is in our society today with nearly 40% of the population being impacted either directly or indirectly by the condition. It’s important that as a community we educate ourselves on the symptoms that affect the day to day lives of people living with MS, especially those that are not immediately apparent and less visible.” 4 www.ms-society.ie
NEWS 106 Carers Week New Method Promotes Myelin Survival Researchers at the Menzies Institute for Medical Research in Tazmania have published a study on a non-invasive method of promoting the survival of myelin- producing cells. Damage to myelin, the protective outer coating on nerve fibres in the brain can result in symptoms of MS. The team of researchers have explored Thomas Mc Carthy, Communications Executive for MS the use of ‘repetitive transcranial magnetic stimulation’ Ireland (second from right) with Carers week partners as a method to promote myelin production. The study MS Ireland was delighted to partner again this year for showed that multiple bursts of this magnetic stimulation Carers Week. Events were held across the country to method to lab model over four weeks increased the celebrate carers, including physical and online coffee number of mature myelin-producing cells in the brain. mornings. In advance of Carers week, a survey was conducted by the Care Alliance and eleven partners, including MS Health Service Restructure Ireland, which indicated that many family carers are unable to leave their home and rely on online supports, On July 17th, Minister for Health, Simon Harris confirmed information and social connection. Over half (59%) of a restructuring of the health service. The restructure will respondents indicated that they ‘often’ or ‘always’ felt see the establishment of six new regional health areas. lonely or isolated with only 3% saying they could ‘always’ Each region will be responsible for the planning and make it to social and support events they wish to attend. delivery of integrated health and social care services. This move is in keeping with Sláintecare commitments. Speaking about the research, Zoe Hughes, Policy & Sláintecare is a transformation programme for health Research Officer with Care Alliance Ireland said; and social care services. Minister Harris said “This is a key day for the delivery of Sláintecare and for the “It’s clear that the lack of on-the-ground supports like reform of our health service." He continued that the respite and home care is having a huge impact on family result of identifying the six regions which will be used in carers being able to take a break and seek supports – developing structures for the delivery of integrated care meaning that online supports are increasingly becoming would be clear financial and performance accountability vital for many of those who are isolated and lonely in their as well as empowerment of frontline staff and delegating role”. authority from the HSE to the local regions. A co-design process, involving stakeholder contribution Dr Una will follow in the coming months. Minister Harris stated that he looks “…forward to engaging with key stakeholders, including the public, patients and staff as Fitzgerald part of this process.” Paul Reid, CEO of Dr Una Fitzgerald, Principle the HSE, Minister investigator of the MS Research Simon Harris and Lab in NUI Galway and Director of Laura Magahey, the Galway Neuroscience Centre, Executive Director has secured funding to lead a consortium of researchers of Sláintecare across Europe. Dr Fitzgerald has brought a pan- announcing six European team of experts together to develop devices regional health and therapeutics aimed at treating the progressive phase bodies to deliver of MS. The €3.9 million project will see a new generation health and social of scientists receive world-class training in biomaterials, care. stem cell biology, neurological disease pathology, biomarkers, computer modelling of cerebrospinal fluid flow and design of medical devices. The focus of their research will be slowing MS progression. www.ms-society.ie 5
MS IRELAND COMMUNITY 106 MS Ireland Community MS Ireland is the only national organisation providing programmes encourage people living with MS to access information, services and support to the MS community. their community, use local resources and experience We provide a wide range of specialised services and peer support. They also allow for continued contact resources on a national, regional and local level. MS between the person living with MS and the Community Ireland’s community consists of many individuals Worker without the case work element. including people living with MS, their families, MS Ireland staff, Branch members, fundraisers, volunteers, The Community Worker continues to link and develop an bloggers, Board members and more. There are lots of appropriate working relationship with the Health Service ways to engage with our community. The community Executive (HSE) and other agencies relevant to a people exists on local, regional and national levels. We also living with MS. We identify and apply for additional have an online community that follow our social media sources of funding to help fund additional programmes updates and engage in our online activities. It is e.g. respite, information days etc. We work closely with important to MS Ireland that our members are aware of local MS Branches to raise public awareness of multiple the supportive, welcoming and diverse community that sclerosis. exists. Here, a number of community members discuss their role in our MS Community. For information on how to get in touch with the Regional Community Worker in your area, please visit our website – www.ms-society.ie or call our Community Information line which opens Monday – Friday from 10am-2pm on 1850 233 233 Worker Aoife Lambe I am a Community Worker with MS Ireland, providing Fundraiser support and information to enable and empower Robbie Haycock people living with MS to manage their condition so When one of the most amazing people in my world, as to have the best quality Ciara said “Yeah, Robbie, it's MS.” the walls of of life possible. There are Beaumont Hospital seemed to blur. I didn’t know how to two pillars to our work – respond other than hug her and say “Okay. We’ll nail it” Individual Support Work and Community Development. What Ciara didn’t know was that I had already reached Individual Support Work (case work) means that we out to MS Ireland, who put me at ease. This helped respond to contact made by people living with MS and to reinforce my belief that “Yeah, we will nail this, their families and complete a holistic needs assessment. together!” Once needs are identified, we make the necessary referrals to relevant agencies. We always advocate on I was on the MS Ireland website almost daily when I behalf of the person. The individual support work uses a saw a fundraiser for a skydive! This was a bucket list model of intervention that is solution focused short-term activity for me. The fundraising and social media teams and will prioritise those newly diagnosed with MS. helped with everything from sponsorship cards and t-shirts to encouragement. Community Development involves ensuring that programmes identified by MS Ireland are available Since then I have tried to help out where I can, shaking regionally. Programmes include Getting the Balance buckets at the Leinster Rugby Take-Over Day, helping Right, Self Management, Newly Diagnosed Days, at the Abseil in Croke Park and pretty much anything Teen/Family Days and Coffee/Support Groups. These else we could commit to. 6 www.ms-society.ie
MS IRELAND COMMUNITY 106 While volunteering helps MS Ireland, it has also helped and non-members, staff, volunteers and supporters me. I am astonished at the commitment I have seen in at fundraising events, Branch meetings, Council, the people I have met at fundraising and volunteering sub-committees, around the Board table, at research events. I have also been amazed at their level of briefings and at our conferences and AGMs. knowledge. It is incredibly reassuring to know that there is a great community providing support for all those We all have our individual personalities, strengths affected by this condition. and weaknesses, uniqueness and differences in age, location, gender, religion, ethnicity and sexual I want to thank everyone in the entire MS community. orientation, but we come together as a diverse I don’t think I would have managed without your help community under the one MS Ireland banner. Right and advice. Family and friends have also been an now, after my immediate and extended family, MS incredible support to Ciara and I. Cheers to all the Ireland is my number one community and I love being volunteers for the advice, support and laughs. With part of it! your continued help, we will nail this, together! There are lots of opportunities available for people who would like to get involved in raising vital funds for MS Ireland. To find out more about current and MS and Me Blogger upcoming opportunities visit our website www.ms-society.ie/get-involved/fundraise-us or Trevis email fundraising@ms-society.ie Gleeson Board Member Maurice O’Connor MS Ireland is directed by a board of volunteers. This board is made up of people, some of whom have MS themselves and others whose family members have included a person with MS. Board members come from varied backgrounds, have skill-sets and areas of expertise, all of which help to inform and direct the Almost every person living with Multiple Sclerosis – organisation. I am currently a member of the Board of either with the diagnosis or living with a person who MS Ireland. For me, joining the MS Ireland community has the disease – is the beneficiary of knowledge started when I saw a small, very anonymous looking gained by those who have gone before. ad, asking for volunteers, in a local newspaper here in Kilkenny. Or maybe it really started years earlier Be it that we take a disease modifying medication that when I heard from one of my brothers that he had been someone volunteered to take as a test subject, use/ diagnosed with MS. ascribe to complimentary lifestyle changes which have gained medical acceptance over the years, read/heard My family and I moved to Kilkenny from Dublin in 2005, an accounting of someone’s challenges/struggles/ and I finished working near the end of 2012, so those successes/setbacks, had a supportive nudge, or simply long-standing communities were almost gone. By an understanding shoulder; we all live our lives with 2014, all my children had left school, and that drew MS in a fashion which is shaped by other individuals’ a line under my involvement with the community of experiences with our shared malady. school parents. That anonymous little newspaper ad became my introduction to the MS Ireland community. As a person who has taken so much from the existing body of knowledge at the time of my diagnosis, I have Ever since I picked up the phone to answer that felt it an obligation to return to that growing body as ad, I've been privileged to meet many wonderful much as possible as repayment for the benefits I have members of the MS Ireland community, members gained from what I term “MS Sensei” www.ms-society.ie 7
MS IRELAND COMMUNITY 106 As part of the MS & Me Blog team, I am surrounded The Information Line is open Monday to Friday with others who feel much the same. from 10am-2pm. All calls are transferred to a messaging service We all have something to share. Perhaps a story of after hours. how we found our way over, under, around or through MS Information Line – 1850 233 233 a particular difficulty. Sometimes it’s the first time we’ve made personal feelings or experiences public. By doing so we often articulate what others have been living but haven’t put into words for themselves. Blogging and Volunteering There is no greater satisfaction than to read a comment that says, “I thought I was the only one” Christina Mc Donald or “I’m going to show this to my family” because we strummed a shared chord. All of us at MS & Me have such experiences in our own lives with MS. It is a privilege to share with our community as we have been shared with. MS and Me blogs are posted weekly and can be viewed on our website - www.ms-society.ie/ms-and-me After my MS diagnosis MS Information Line in 2016, I started writing blogs as a way Chris Gill for me to share my thoughts, feelings and experiences. From my first blog post, people started reaching out to me. I got a real sense of support from others The role of the Information Line can vary very much with MS and that sense from day to day. I answer calls, text messages, of community was messages that come in from social media. The really encouraging. I Information Line is often the first port of call for people have since become and serves as a signpost both to the services available part of the MS and Me in MS Ireland, to the HSE and other community blog team! services. I have also been involved in fundraising. After my We provide information on a range of topics including diagnosis, I held a “Jam-a-thon” night in Cavan, to raise entitlements, treatment options, employment issues funds for MS Ireland. It was good to know I was raising and more. We also provide up to date information money for a cause so close to my heart which would to students and health professionals who seek our help other people like me who are living with MS in support with projects. Ireland. I jogged the Mini Marathon, two years in a row for MS Ireland which was very emotional. I felt like I For me, the most important role of the Information was representing the 9,000 people in Ireland with MS. I Line is to provide a listening ear to people who call, felt so proud of myself and everyone else that took part. whatever their concern be it medical, emotional or Anytime I write a blog or do a fundraiser, I genuinely seeking information. The calls that come in may be feel like I am part of the MS community and I get a real from any person within the MS Community, including sense of belonging and being part of an amazing team. those living with MS, family members or friends who have questions or concerns, or indeed, a person newly MS and Me blogs are posted weekly and can be diagnosed who is frightened or worried. It is important viewed on our website - to me to ease concerns and be there for people when https://www.ms-society.ie/ms-and-me they need it most. 8 www.ms-society.ie
MS IRELAND COMMUNITY 106 supports and services on the ground at a local level. MS Support Nurse We are people just like you who come together to help those affected by MS, including family members Ann Gill and carers. We try to be inclusive of everyone in our community. As the MS Support Nurse in the MS Care Centre, I We foster an ethos of community and engagement meet with residents by appointment, on a one-to-one on several levels. We issue newsletters by email, on basis. I appreciate that different people have different our Facebook page and in hardcopy so that people concerns and it is important to me to address whatever keep in contact. We are conscious that we have it is that someone is struggling with. People may wish sub-communities within our community and that we to discuss linking in with Community Services, their are part of a wider societal community. Examples of Public Health Nurse or their MS Ireland Community sub-communities are the Coffee Mornings and Yoga worker. I can also link in with the MS Nurse in the Classes and Physio Classes in our area. Each class hospital they attend. After our appointment and forms bonds and becomes a community within our with permission from the resident, I can link in with Branch. appropriate services or personnel on their behalf to try and access the services and personnel they need. As part of our role within the wider societal community, we use our bag packing and bucket I come from a background in public health nursing so I days to reach out to our neighbours and friends in understand how to access key people in the community our local areas. By our very presence, we show that and how to navigate services to achieve best outcomes there are people with MS living and socialising in the for the residents I deal with. local community. Newly diagnosed people come up to us, reassured to find that there is a local Branch, Following their stay in the MS Care Centre I am happy some of us living with MS for a very long time,active to be contacted by residents in relation to any of the in the community. issues discussed during our appointment, assisting where possible. Last but by no means least, we are part of the wider MS Ireland community. As part of the East Coast What I enjoy most about working with the MS Area Region, we form another Community with our Community is having protected time with the resident sister Branch, East Wicklow. We share events, news during our appointment. This allows me to have a and views, information and tips. This engagement meaningful conversation and assist in resolving issues and sharing is a real example of community in or concerns that matter the most to each resident. action. For information on the MS Care Centre visit our We support MS Ireland’s National Care Centre website – www.ms-society.ie or call the MS Care and recently raised funds for equipment. Branch Centre on (01) 490 6234 members support MS Ireland’s Business Case to increase funding for the Care Centre. We have a louder voice if we all speak with a clear and united Branch Member message. We are at our best working together to achieve a shared goal. Mary McKeon For me, being involved with my Branch has provided me with a great sense of community spirit and has provided me with friendships and memories to last a lifetime. I would encourage anyone to get involved with their local Branch on a level that suits The Voluntary Branches them. of MS Ireland are a real example of community in For information on contacting your local branch action. I am part of the you can visit our website – www.ms-society.ie, South Dublin Branch, one call our Information Line 1850 233 233 (Monday of 33 Voluntary Branches – Friday 10am-2pm) or speak to your Regional which form the backbone Community Worker. of MS Ireland, providing www.ms-society.ie 9
REFLECTIONS 106 Our dear colleague, Margaret Maguire sadly passed away on the 12th of June. Margaret was the Clinical Care Manager at the MS Care Centre in Rathgar. She was very passionate about the MS Care Centre and the service it provided. In her role as Clinical Care Manager she had ensured that the MS Care Centre was registered as a provider with the Health Information Quality Authority (HIQA). Margaret had many achievements during her career and she will always be remembered for her kindness, respect and dedication to others. When asked to remember Margaret, the staff at the MS Care Centre composed the following piece. Margaret was at the heart of the centre and all the energy flowed from her. Her door was always open and she always enjoyed a friendly chat. Margaret was a true professional and her first thought was the human and their needs. She will be missed for her utter dedication to the centre. Margaret’s ability to use her contacts to facilitate the MS Care Centre had to be seen to be believed. She touched the lives of residents, staff and all who came in contact with her. She has left a very big footprint in the centre. Margaret often stayed in the Centre working late into the evening but now there is no light under her door. Margaret’s presence however will be felt in the centre for years to come. 10 www.ms-society.ie
MY STORY 106 My Story Maura Maye When I was diagnosed with MS in 1996, I left the hospital with no real treatment options, just a few information leaflets. It was difficult but having a positive relationship with my MS Nurse and Neurologist helped. They supported me and have continued to support me over the past 23 years. Over the years, I have also received advice and support from Roseanna Duke who is a Regional Co-ordinator with MS Ireland. Since my diagnosis, life has changed in some ways but has stayed much the same in others. It is important not to lose your identity to a diagnosis. In 2006, I became wheelchair-bound which took some adjustment. I have been able to continue working on a part-time basis which is incredibly important to me. My work-life provides me with independence, social interaction and the chance to financially contribute to society. I find that it helps to maintain my sense of self-worth and keeps my mind sharper. Disclosing my diagnosis in the workplace has been very helpful for me. My colleagues are very supportive and I feel that if they were not aware of my needs they might not be sure on how best to provide support when I need it. In addition to working, 10 years ago I made the decision to join the MS Ireland Kildare Branch Committee. I felt that in doing so I would meet others with similar experiences. I have found engaging with the local branch to be a very positive and an incredibly rewarding experience. Fundraising for my local branch has been very meaningful to me. I am happy to know that the funds raised help to facilitate the purchase of essential equipment and ease financial burden of MS, on a local level. There is a great sense of community amongst the branch members and I look forward to the meetings which are held monthly. New members to the branch are always needed and welcomed! A few years ago, I made the decision to take part in the Womens Mini Marathon and have participated numerous times since. We are in testing times for charities. Fundraising is a particularly challenging element as there are often so many worthy causes for people to support. Families across Ireland are impacted on a daily basis by one condition or another. We are one of many communities who need support. It is important that MS Ireland does not get lost in the numerous charities that are represented at fundraising events like the Womens Mini-Marathon. When I have taken part, it has been along side family and friends and other supporters of MS Ireland. It is always uplifting to see so many people come along to support MS Ireland and the MS community. Twice a year, I spend a few days in the MS Care Centre. Through this I have a met great friends and each year we co-ordinate our stays in the MS Care Centre which allows us to pick up where we left off with each other on our last visit. The high standard of care, advice and support we always received during our week in the MS Care Centre was all thanks to the hard work and dedication shown to us by Margaret Maguire and staff. Margaret will be truly missed. We will always be grateful to Margaret and her legacy will continue. May she rest in peace. www.ms-society.ie 11
CARE CENTRE 106 We Need YOU! You can find contact details for your local TD’s by visiting www.whoismyTD.com and entering your address in the search bar and pressing ‘search’. Let us know how you get on! We are always interested to hear about any responses or feedback that people get from their TDs – please contact Aoife Kirwan, Information, Advocacy and Research Officer by email to aoifek@ms-society.ie or call the office on (01) 678 1612. Last year, MS Ireland asked our members and Sample Letter supporters to write to their local representatives asking them to support MS Ireland’s Care Centre Business Dear Deputy [insert name of TD], Case. We also requested your support in asking your local representatives to attend a briefing on this issue, My name is [insert your name]. I am writing to you which was held in Leinster House in October. With your regarding a request MS Ireland forward last year for support we welcomed over 50 representatives and further investment in the MS Care Centre. This vital their staff to this briefing. We requested an additional funding has not yet been secured. The Care Centre €600,000 in annual funding to support our Care Centre. is a state-of-the-art respite facility. Admitting and We explained that approval of this funding would result welcoming 400 people from all parts of the country on in an additional 1,128 bed-nights on an annual basis an annual basis, the Care Centre not only provides and would ensure the optimal use of this service. people living with MS and their caregivers a break but Unfortunately, this funding has not yet been secured. delivers a range of therapeutic services, neurological assessments and social activities. The centre, which is situated in Bushy Park, Dublin, is a fully-equipped, state-of-the-art respite facility. Due to decreased income, the Care Centre only Admitting and welcoming 400 people annually, the MS opens 40 weeks per year. MS Ireland require a further Care Centre delivers a range of therapeutic services, €600,000 in annual investment which would allow neurological assessments and social activities. It gives them to cater for increased demand on the service. people living with MS, from all parts of the country, a This would see the Care Centre open 350 days per chance to rest, revitalise and rejuvenate in a homely, year, providing an extra 1,128 bed-nights annually. relaxing space, which is equipped for their needs. This would allow additional people living with MS the It also allows carers to have a break, safe in the chance to benefit from what the Care Centre has to knowledge that their loved one is being well cared for offer. Further investment will not only support people in our Care Centre. Supporting carers is essential to living with MS, it will also support voluntary carers, ensuring the sustainability of homecare. without whom care in the home would be impossible, putting further pressure on our health system and We are once again asking you to join us in asking the hospital funding. government to support the MS Care Centre Business case. By acting as a community we strengthen our [If you have any personal details you would voice. You can help MS Ireland to secure this funding like to add in support of our ask, please feel and help open the service to even more people living free to write it in] with MS by contacting your local representative. We have a sample letter/email which you can use to As a member of your constituency, I am asking that contact your representatives. We encourage you to you support MS Ireland by doing what you can to help personalise your letter and share details of your own secure this additional funding. experiences which may support our request, if you wish to do so. Yours sincerely, [insert your name] 12 www.ms-society.ie
ACTIVISM IN ACTION 106 Activism in Action Collective advocacy is vital to the introduction of sustainable change. It is by working on achieving a shared vision to address unmet need and using a united voice that progress is made. Here we see how one person living with MS used her voice to inspire collective action. On May 8th, Fiona O’Reilly, who lives with MS was joined by hundreds of protesters who came along to support her demonstration outside Leinster House. The aim of this protest was to highlight inadequate home support and respite for people living with disabilities. Fiona receives 28 hours per week of home support. “I am wheelchair bound and have two assistants come to help me twice per day. Once, to hoist me out of bed Fiona in the morning, get me washed and dressed and a second visit to get me ready for bed at night.” said Fiona. This is a vital service for Fiona as well as her elderly parents who O’Reilly are often left to fill Fiona’s unmet care needs between the visits from the home care assistants. Photo: Fiona, who is the chairperson of the Central Remedial Clinic (Firhouse), Advocacy Mark Condren group and Respite sub-committee also uses the MS Care Centre and says that her www.independent.ie respite stays in the centre are essential as they allow her parents to have a break – "Life is not easy for my elderly parents. My mother is 79 and my father is 80. My respite stay gives them a much needed break". Fiona believes that the MS Care Centre should be supported to increase it's hours of operation "I support MS Ireland's request for additional funding to optimise the use of the MS Care Centre". "Respite care can be a lifeline for some and allows families and carers the chance of a breathing space while they continue to look after their loved ones" says Fiona . “I know lots of people who are not receiving appropriate home support and others who are not able to access appropriate respite. I felt we were not being heard so I figured the best way to change this was to protest outside Dail Eireann” Fiona says of the decision to organise the demonstration. Despite unfavourable weather conditions on the day of the protest, Fiona and the hundreds of fellow protesters gathered to unite their voices and communicate their message that people living with disabilities are desperately waiting for the government to take action on their needs. Speaking on organising the protest Fiona says “I tried to get myself into as many newspapers as possible”. Fiona shared her story of life with MS and the challenges she faced as a result of inadequate services. Her efforts paid off as newspapers locally and nationally shared details of Fiona’s experience and her plans to hold the event. As a result of Fiona’s efforts, hundreds of protesters, who were encouraged to wear yellow to signify hope and as a show of solidarity, turned up to lend their support gaining even more media coverage. Fiona is currently planning her next protest on these issues for September. www.ms-society.ie 13
NATIONAL CONFERENCE 2019 106 Living Well with Multiple Sclerosis National Conference 2019 Saturday the Radisson Blu Hotel 21st September 2019 Ennis Road, Limerick 9.00am - 3.30pm Conference fee €25 Includes Lunch For enquiries contact: Western Regional Office, Curragrean Merlin Park, Galway Call: 091 768630 Email: western@ms-society.ie Format of the Day: The Multiple Sclerosis Society of Ireland (MS Ireland) are hosting our Living Well with MS Conference and 9.00 Registration Tea & Coffee AGM in the Radisson Blu Hotel, Limerick on Saturday the 21st of September 2019. Opening address The conference theme this year is ‘#my invisible MS.’ 9.45 Ava Battles CE MS Ireland One of the many challenges for people with MS can be the array of invisible symptoms they can experience. Professor Alan Thompson, Consultant With invisible symptoms you must constantly adjust to Neurologist, National Hospital for Neurology the differences between how you look on the “outside” 10.00 and Neurosurgery at Queen Square – and how you feel “inside” and how the world reacts Progressive MS and the work of the to you when you “look so good.” MS has many faces Progressive MS Alliance and can require varied responses. To understand MS you need to become familiar with the many faces of MS Professor Roshan das Nair, Professor of which greet you so you can, together with the person Clinical Psychology & Neuropsychology, with MS, have the best possible plan. 11.00 Nottingham University Hospital – Managing the impact of invisible symptoms If you would like to join us for our Gala Dinner and MS Awards on Friday the 20th at 7.30 pm please indicate on the booking form over. Workshops A) Research Panel including: Dr. Claire McCoy, Joan Jordan & Professor Susan Accommodation bookings are the sole Coote - The importance of the MS voice in 12.00 responsibility of the meeting attendee(s) research design B) Dr. Jennifer Wilson O’Raghallaigh, and early booking is advisable! Psychology Dept., Beaumont Hospital - For those of you who may require accommodation: The importance of self management in MS • The Radisson Blu Hotel (061 456200) 3 wheelchair 13.15 Lunch accessible bedrooms. Friday night B&B Double/Twin rate €155.00 Single rate €145.00 Dr. Rebecca Maguire, Psychology Dept., • Greenhills Hotel (061 453 033) 2 wheelchair Maynooth University - The importance of accessible Bedrooms (5 min drive to conference 14.30 psychological wellbeing when living with venue) Friday night B&B Double /Twin rate €149 MS Single rate €139 • Travelodge (061 457 000) 4 wheelchair accessible 15.30 Finish & Close bedrooms (5 min drive to conference venue) Friday night Rate per room €84 (a Double & Single bed in each room) and an extra €7.50 for breakfast 15.45 MS Ireland’s AGM 14 www.ms-society.ie
NATIONAL CONFERENCE 2019 106 Living Well with Multiple Sclerosis National Conference 2019 Booking form Name: Surname: Address: Phone: Email: Are you a wheelchair user? Yes No (please tick) I am attending Gala dinner (€30) Yes No (please tick) Special dietary or other requirements Yes No (please tick) If yes please specify Have you enclosed conference fee €25 Yes No (please tick) Have you enclosed dinner fee €30 Yes No (please tick) Early booking is advisable as places are limited Cheques should be made payable to MS Ireland Credit card and Debit Card bookings can be facilitated on the day ** Have you selected your workshop? (A) Research Panel (please tick) (B) Self Management (please tick) Please note that MS Ireland will have its AGM 15.45pm for all MS Ireland Members Return completed forms on or before Friday 13th September 2019 to: MS Ireland, Western Regional Office Curragrean, Merlin Park, Galway 091 768630 OR western@ms-society.ie www.ms-society.ie 15
MY STORY 106 My Story "I now know what really matters to me and what’s not worth worrying about" Carol De Buitleir I became a frequent visitor to A&E for the second half of 2016 when I kept experiencing what I described as electrical shocks in my brain which would send my body into spasm and slur my speech. I saw a neurologist for the first time ever in January 2017. By the time of the appointment I had blindness in my right eye and was in the midst of what I now know was a relapse. I was admitted to hospital. Finally, getting a diagnosis was a relief but it was also a shock. I decided to improve my lifestyle to help my overall health and to compliment my treatment. I’m fortunate that my employer is very supportive and accommodated me moving to a less stressful role and a four day week. Over time I gave up alcohol, caffeine and meat. I began gentle exercise by taking up yoga and regular walks. I still can’t stand gyms! I’d rather be outside whatever the season. I did courses on mindfulness to learn to manage stress. I have found ways to build these into my daily life so I can keep up the practise. I exercise at lunchtime. I listen to a 5 minute mindfulness morning meditation and a longer one in the evening – there are loads on YouTube. MS affects my DUBLIN PHYSIOTHERAPY cognitive function so I place importance on rest and sleep. CLINIC I appeared to have myself sorted, except I was so busy doing all these things that I didn’t address the emotional Specialising in the management of side of having MS and it all came crashing down on me a few months ago. It’s not that I haven’t accepted that I have MS but I was still holding onto a lot of trauma around Multiple Sclerosis my diagnosis and the lead up to it. I had never been sick before other than the usual run of the mill stuff. All of it Hands On Treatment: happened unexpectedly, very fast and it was very scary. I used to have panic attacks if I tried to talk about what Muscle Stiffness happened, so I stopped talking and bottled it all up instead. Joint Pain I finally got myself some help after putting it off for so long. Movement Re-Education The process is not easy but it is making a difference and I’m feeling better. Spasticity Management Postural Retraining Strangely I find having MS has shown me some good things about myself including perspective – I now know Balance & Walking what really matters to me and what’s not worth worrying Customised Gym Program about. I realise I am resilient. I am more open to trying Home Exercise Regime new things (like writing this piece!). I have courage I didn’t realise I had – it’s amazing what you can do when you Equipment have to. I try to have a positive outlook but its okay to feel Home Visits down too so I just go with it because I know that I won’t always feel that way. I try to live in the now. I keep showing 11, The Business Centre, Stadium Business Park, Ballycoolin Road, Ballycoolin, Dublin 11. up no matter what. My idol Dolly Parton says “If you want Tel/Fax: (01) 8829174/5 ~ E-Mail: info@dublinphysio.ie the rainbows, you gotta put up with the rain”. www.dublinphysio.ie 16 www.ms-society.ie
EMSP 2019 ANNUAL CONFERENCE REPORT 106 EMSP 2019 Rebecca Maguire The annual EMSP (European MS Platform) conference took place in Vilnius, Lithuanian in May. This event presented an excellent opportunity for representatives from MS organisations, people with MS, clinicians and research professionals from all over Europe to come together and share their ideas and experiences relating to MS. This year, the EMSP conference theme was “Digital Health in MS Management” and, over the course of two days, a number of fascinating presentations were delivered on this theme. Simply put, digital health is the use of any technology designed to improve one’s health and wellbeing. Digital health tools include things such as wearable technologies, mobile phone applications, and electronic health records, all of which are rapidly developing areas in healthcare. After the conference was opened by Pedro Carrascal A number of other presentations discussed existing and (EMSP president) and the Lithuanian MS society, an emerging research in the area of digital health, expertly interesting presentation was delivered by Ireland’s moderated by Trevis Gleason. Marcello Moccia (Clinical Sabina Brennan, who discussed trends in Digital Neurologist at UCL) presented some interesting work in Health, drawing on work from the Adapt Centre at the area of ehealth in MS. He also highlighted the value Trinity College Dublin. Daphne Kos (KU Leuven) also of platforms such as Twitter in enabling people to keep presented evidence from a wide range of e-health up to date with MS research, but warned against the technologies designed to enhance quality of life in MS, use of Google in this respect. Ignacio Aizpún (Telefonai however cautioned that digital health, while a potential Disable Attention Association) also discussed an add-on, should not be a replacement for face-to-face example of an app designed to help people with MS. rehabilitation. Nicola Bedlington (European Patients Forum) also highlighted some challenges relating to Beyond individual presentations, some stimulating e-health, including variations in e-health literacy and panel discussions took place, with insights from a digital health inequalities. range of experts. Topics discussed included how best to implement digital health interventions and effective People living with MS were central to EMSP2019. A policies for digital health, as well as how to improve the highly engaging presentation was delivered by Susanna availability and access to digital information. Van Tonder who, as a person diagnosed at a young age, shared her experiences with MS technologies and Overall, EMSP2019 was an incredibly thought- apps, while also highlighting the value of engaging with provoking conference, and demonstrates how the social networks such as Shift.ms. Another person living whole European MS community is coming together to with MS, Izabela Sopalska-Rybak spoke eloquently enhance quality of life for those with MS. It is clear that about overcoming numerous challenges to live well technology has vast potential in helping people manage with MS. Donna Nahal later delivered an inspiring talk their MS, however there is also a lot to be learned detailing how she connected with others to combat regarding how to optimise technology to meet patient feelings of isolation after she was diagnosed at age 17. needs. www.ms-society.ie 17
COMMUNITY NEWS 106 Tuam Branch East Wicklow Branch In the Tuam Branch we Last year, Greystones Scribblers produced their first have some budding book – ‘First Flights’. This book of short stories was artists.We have run art produced following a Creative Writing Workshop that classes over 6 weeks was organised by the branch. On World MS Day, the in autumn 2017 and 10 branch organised an evening of short stories in the weeks in autumn 2018. Glenview Hotel. Only 12 copies of this book are It was a great class available. ‘First Flights’ is priced at €10, with all profits and a fantastic way of raised going to the MS Care Centre. relaxing .We left MS outside the door and got engrossed in our art. We hope to run the Waterford Branch class again this year. Pictured are members of the Waterford Branch who got together for a coffee Some of the pieces created morning in St John's during Tuam Branch art College to celebrate classes World MS day in May The Waterford Branch had over 40 members and Longford Branch family attend their summer lunch in the Woodlands Hotel in Waterford at the end of June. It was a very Jimmy Clancy (Event enjoyable afternoon with entertainment and a raffle Organizer) and PJ after dinner. Cox (Branch Chair) Fermoy Branch The Longford branch in conjunction with event organizer Jimmy Clancy had a very successful “Honda 50 Run” in Lanesboro, Co Longford which raised over €2,000 for the branch. The event was supported by over 50 motorcycles of all types from all over the country. These people turn out week after week, rain or sun to raise funds for deserving causes. We cannot thank this amazing bunch of people enough. A massive thank you to all who helped on the day with registration, catering, provision of food and spot prizes and also to our great sponsors. We also need to mention the hall committee who gave us the use of St Mary’s Hall, a great venue on the banks of the lovely river Shannon. East Wicklow Branch Greystones Scribblers at Cheque presentation from The Mart to the their ‘Evening of Short Mallow MS Group Stories. Photograph The Fermoy Branch wish to thank The Mart, Mallow courtesy of Barbara Flynn Photography for their kind donation to the Mallow MS Group. Thanks to Jerry Leonard, staff at The Mart and their wonderful customers for their generous support. 18 www.ms-society.ie
COMMUNITY NEWS 106 Fermoy Branch Cork Branch Fermoy Community Health Project The Cork Branch would like to thank all of the fundraisers who have helped to support the work of Aideen Connolly, Regional Community Worker was MS Ireland on a local and national level. Your the guest speaker at the Fermoy Community Health dedication and time is much appreciated. Project Health and Well Being morning, providing information and support to the local MS community. These monthly talks are provided by the local Community Health Worker, Jacinta Mc Cormack. Thanks to Claire Barrett who ran the Cork City Marathon! Easter Sunday Dance Enjoying the night in Glenville On Easter Sunday, the Fermoy Branch danced the night away at Kades Kounty, Glenville to the sounds of Finbarr Dennehy. This fantastic event was run by Liam Cahill. Many thanks to Barry and Bernice Kennedy for hosting the event. Great day at the 38th Annual Sponsored Galtee Members of Dezperados with Cork Branch Committee Mountain Walk after a fantastic concert Thank you, Ciaran and Aodh On Sunday, July 16th, our branch held it’s 38th annual sponsored walk of the Galtee Mountains. We would like to thank all those who joined and supports us as well as all those who helped to make this an enjoyable and successful event. The efforts put in on the day by all, including our volunteers, traffic and Many thanks to MS Ireland supporters Ciaran and catering management, the Irish Red Cross Fermoy Aodh who cycled from Dingle to Conor Pass 23 times Branch is much appreciated. Many thanks to the amounting to over 8,000m uphill! All to help raise a owners who let us use their field for car parking. fantastic €1,983 for MS Ireland! www.ms-society.ie 19
SOCIAL CONNECTIONS 106 Social Connections mood on them. But becoming isolated can actually make things worse and have profound effects on your physical, mental and brain health. Professor Sabina Brennan It is absolutely critical that you stay socially connected. Resist the temptation to withdraw when stressed. Seek We all have a fundamental support from friends, family and, if necessary, health need for social connection. professionals. Choose wisely who you will spend time Humans tend to perish with, you need support, not someone who will add to in isolation. In general, your stress. people with more social ties live longer, have better Loneliness experienced over long periods may act as health, are less depressed a chronic stressor, increasing the activity and number and are less likely to of neural connections in your brain’s fear centre (the experience impairment to amygdala), putting you on high alert and keeping you their cognitive functioning in high self-preservation mode. Loneliness doesn’t just than their counterparts with make you feel unhappy, it can make you feel unsafe fewer connections. We are and interfere with your sleep, which can have a knock- social creatures, being with on effect on your health and wellbeing. other people and enjoying their company is great for Try to cultivate a group of family, friends, neighbours or brain health. work colleagues that you can regularly engage with to exchange thoughts, ideas, worries, plans, hopes and Your social interactions with friends, family, colleagues, dreams. Make mealtimes a shared occasion and an neighbours and strangers bring about plastic changes opportunity for social engagement in your own home in your brain, affecting both its structure and how it with your family or combine catching up with friends functions. Unlike the physical stress of lifting weights over lunch or dinner. Interest groups, patient groups, in the gym, which ultimately builds muscle and clubs, community groups, classes and courses are strengthens bones, persistent social stress, such as great ways to meet people of all ages. Try to seek prolonged social isolation and chronic loneliness, opportunities to engage with and nurture friendships increases wear and tear throughout your body and with people with and without MS. your brain. Neglecting social activities leads to degeneration of the brain, something we all need to Consider pulling together a personal support team avoid. to help to ward off isolation and keep you socially engaged. It may feel like an effort sometimes to be In contrast, socially engaged lifestyles are associated with friends and family, but you will reap the rewards with the growth of new neurons and with an increase in in terms of your physical, mental and brain health. the density of connections between them (synapses). Ask them to give you a little nudge now and then to Social activity increases the size of your brain and remind you that being sociable benefits your brain leads to more efficient use of your brain networks. Just health. Make sure you factor in some physical contact ten minutes of social interaction can boost your brain too – don’t underestimate the importance of a hug. performance. We are becoming increasingly time poor Studies show that lack of affectionate physical contact and the demands of modern life can fool us into seeing is associated with higher levels of stress hormones. socialising as a luxury pushed to the bottom of our But social to-do list. But social interaction is fundamental to brain contact, health and must be factored into your life. like giving someone Living with MS can increase your risk of becoming a hug or socially isolated for numerous reasons. For example holding their mobility issues might prevent you from getting out and hand can about or cognitive issues may mean that you need to lower stress work more from home or withdraw from the workplace hormones, altogether. Stress or even depression associated lower blood with your diagnosis may lead you to shut others out, pressure and possibly because you don’t wish to inflict your low reduce pain. 20 www.ms-society.ie
A Q U I C K G U I D E TO H E A LT H C A R E 106 A counsellor is a person with whom you can explore A Quick Guide to ways of coping with personal difficulties. They can work on a one-to-one basis, with couples, families or groups. Healthcare Professionals Specialist Health Services Healthcare is provided on different levels, in the community and in hospital. It can be a little tricky to Specialist health services are usually hospital based and know who is who and where to turn with various issues. can include: Here, we explain the roles of some of the key healthcare professionals that make up the multi-disciplinary team. A Neurologist is a medical doctor specialising in the diagnosis, treatment and management of disorders Primary Care Team of the brain and nervous system. The role of the neurologist includes assessing patients, giving advice, Primary care teams work in local communities. Here are prescribing disease modifying therapies & medications some of the roles in the Primary Care Team: for symptom management and conducting clinical reviews. Neurologists can also make referrals to other A General Practitioner (GP) is normally a first specialities. point of contact for a broad range of common medical An MS Nurse can assess physical, psychological and conditions. They have the ability to make referrals to social problems and advises on the need for intervention specialist health services, such as neurology or urology. by health and social services. The MS Nurse will answer A Physiotherapist specialises in the assessment queries regarding medications. and treatment of the movement problems that may A Radiologist is a medical doctor who is trained in affect the person with MS i.e. strength, joint movement, carrying out and interpreting medical images such as coordination, balance and mobility. Therapy aims to MRIs and using them to treat health problems. Reports improve movement and prevent any complications that from imaging procedures are sent to the referring doctor can arise. to inform decision making. An Occupational Therapist works to enable An Ophthalmologist is a medical specialist that and empower people to maintain abilities and remain deals specifically with the structure, function, diseases independent in daily activities this may involve finding and treatment on the eye. The ophthalmologist may be ways to improve and/or compensate for any deficits involved in some cases, for example if a person has relating to the symptoms of MS. They can advise on experienced optic neuritis. adaptations or alterations to homes or specialised equipment such as aids and appliances to maximise A Rehabilitation Medicine Specialist is a medical independence. doctor who advises on effective ways to improve, maintain or recover skills to maintain independence. A Speech and Language Therapist is The Rehabilitation Specialist also advises people on the responsible for the assessment, diagnosis and facilities and equipment needed for them to successfully management of both communication and swallowing return to work, education or parental role. difficulties. They help to identify and resolve specific difficulties. A Pain Specialist works closely with other specialists to ensure the appropriate management of pain in people The Public Health Nurse is involved in clinical living with MS who experience this symptom. nursing care as well as health promotion, assessment of needs and co-ordinating care such as personal and A Clinical Psychologist can offer specialised home supports and respite. assessment and treatment such as the assessment and treatment of a person’s cognitive, behavioural and The Community Pharmacist dispenses emotional needs. medications, can offer information and explanations on medication interactions. They can often assist with A Psychiatrist is a medical doctor concerned common health concerns. with the study and treatment of persons affected with emotional, cognitive and behavioural problems. A Sensory and Physical Disability Liaison Nurse assists people with physical and sensory The Clinical Nutritionist provides a therapeutic and impairment. They provide advice, guidance and support nutritional advisory service to improve a person’s health. regarding service availability, care and management. They advise and assist with obtaining home support, respite and residential services. www.ms-society.ie 21
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