Older People’s Assembly 1 December 2015
Agenda • 2:00pm - Welcome from the Chairperson • 2:05pm – Update from the Older People’s Champion • 2.15pm – Stroke Association • 2.40pm – Diabetes Awareness • 3.05pm – Talking Therapies - CNWL • 3.30pm - CLOSE
Reporting issues • Council Main Switchboard and out-of-hours service 01895 250111 • Contact numbers – inside back cover of Hillingdon People • Do it online 24/7 at www.hillingdon.gov.uk
Podiatry Services • Experiences of using services • Contact Graham Hawkes at Healthwatch Hillingdon • 01895 272997 • office@healthwatchhillingdon.org.uk
Cllr Ray Puddifoot Older People’s Champion
Stroke Association Caroline Humphrey Information Advice & Support Coordinator
Stroke Association We’re here for you and we are changing the world for people affected by stroke • Vision We want a world where there are fewer strokes and all those touched by stroke get the help they need. • Mission Our mission is to prevent strokes, and reduce their effect through providing services, campaigning, education and research. Stroke Helpline 0303 3033 100 stroke.org.uk
What is a stroke? • A stroke is a brain attack. A stroke is what happens when the blood supply to part of the brain is cut off. • Blood carries essential nutrients and oxygen to the brain. Without a blood supply, brain cells can be damaged or destroyed . Stroke Helpline 0303 3033 100 stroke.org.uk
Types of stroke • Ischaemic Stroke Most common type of stroke (approx 85%) Caused by a blockage in the arteries or blood vessels that supply blood to the brain • Haemorrhagic Stroke Caused by bleeding in or around the brain A blood vessel bursts within or on the surface of the brain Stroke Helpline 0303 3033 100 stroke.org.uk
Risk Factors HIGH BLOOD PRESSURE FAMILY HISTORY INACTIVITY AGE AND ETHNICITY HEART DISEASE BINGE DRINKING & RISK SUBSTANCE MISUSE FACTORS DIABETES PREVIOUS STROKES & TIAs SMOKING ORAL CONTRACEPTION & HRT OBESITY: UNHEALTHY EATING Stroke Helpline 0303 3033 100 stroke.org.uk
Common problems after a stroke • Physical Weakness or paralysis of limbs (usually down one side) Clumsiness Difficulties with balance Swallowing Incontinence Vision Stroke Helpline 0303 3033 100 stroke.org.uk
Common problems after a stroke • Communication Speech and language Forming words Finding correct words Understanding language Concentration Recognising objects and knowing how to use Reading and writing Stroke Helpline 0303 3033 100 stroke.org.uk
Common problems after a stroke • Emotional Impact Personality changes Difficulty controlling emotions Emotional upheaval Feelings of grief Low mood / depression Loss of confidence Anxiety Stroke Helpline 0303 3033 100 stroke.org.uk
What do we do? • Research • Raise Awareness • Fundraise • Provide support locally and nationally Stroke Helpline 0303 3033 100 stroke.org.uk
Stroke is a medical emergency If the person has failed any one of these tests, call 999 immediately. By calling 999 you can help someone reach hospital quickly and receive the early treatment they need. Prompt action can prevent further damage to the brain and help someone make a full recovery. Stroke Helpline 0303 3033 100 stroke.org.uk
Not Just a Funny Turn Campaign. • Transient ischaemic attack (TIA) is a warning sign of a future stroke – about one in four people who have had a TIA will go on to have a full stroke in future • 20,000 mini strokes every year • Symptoms of TIAs are the same as stroke • TIA symptoms can last up to 24 hours, but will sometimes resolve within 5 to 20 minutes • It is important that you should dial 999 urgently if you, or someone you know, have any of the symptoms of a TIA Stroke Helpline 0303 3033 100 stroke.org.uk
Know Your Blood Pressure Campaign (KYBP) • High Blood Pressure is the biggest risk factor for stroke • 40% of all strokes could be prevented if undiagnosed high blood pressure is prevented • The Campaign aims to raise awareness through free blood pressure readings and providing advice and information Stroke Helpline 0303 3033 100 stroke.org.uk
Ask First…To help prevent a stroke later • Atrial fibrillation (AF) is a type of irregular heart beat. • Pulse reading will be irregular • AF can increase your risk of stroke by up to five times. • 750,000 people in the UK living with AF. • Important to Ask First – if you have AF ask your GP about ways you can reduce your risk of stroke Stroke Helpline 0303 3033 100 stroke.org.uk
How we help • National Helpline • Language line • Produce 6 core leaflets • Produce more than 70 Factsheets • Website and accessible information • Facebook and Twitter • Stroke Association News Magazine • Welfare grants for those with practical needs Stroke Helpline 0303 3033 100 stroke.org.uk
Our Life After Stroke Services Communication Support offers a lifeline to people left with speech and communication problems through: • 1-2-1 home visits • Long term support groups • Providing social opportunities and outing Stroke Helpline 0303 3033 100 stroke.org.uk
Services continued … Information and Advice Support Service Helps those recently affected by stroke, both survivours and family/carers, to adjust to the changes through: • 1-2-1 home visits • Needs assessment • Guided goal setting • Referral/signposting to appropriate support Stroke Helpline 0303 3033 100 stroke.org.uk
Stroke Association • National Helpline 0303 3033 100 • Website www.stroke.org.uk • Jacqui Guyett – Communication Support, Hillingdon • 07515 596959 • Jacqui.guyett@stroke.org.uk • Caroline Humphrey – Information, Advice & Support, Hillingdon • 07515 596961 • Caroline.humphrey@stroke.org.uk Stroke Helpline 0303 3033 100 stroke.org.uk
Diabetes Awareness Veronica Green Diabetes Team Leader, CNWL
Diabetes Veronica Green Diabetes Team Leader Hillingdon
Topics for Today If I have it Can I stop my what can I do self from about it? Why is there getting it? so much fuss about it? Any What is Questions Diabetes?
What is Diabetes? • Diabetes Mellitus – “Honey Sweet Urine” • “ Diabetes is an error in carbohydrate, lipid and protein metabolism” (World Health Organisation)
Type 1 Diabetes • Autoimmune condition • No insulin at all • Can only be treated with insulin injections • Usually starts under the age of 50 – often in childhood
Type 1 diabetes - Symptoms • Quick onset • Severe thirst • Passing urine +++ • Weight loss +++ • Ketosis
Type 2 Diabetes • Is a mixture of insulin resistance • Lack of insulin • Progressive – needs more treatment over time
Type 2 DM Causes • Central obesity / obesity • Family history • Ethnicity • Migration • Old age
Is Type 2 Diabetes Mild?
Treatment of type 2 diabetes
Why all the fuss? – to the state • Costs £23Billion overall including NHS £10 BILLION and growing • 10% of the NHS annual drugs bill is on diabetes • £2.3 Billion on in hospital care
Why all the fuss? – to the individual • Impact on self – Loss of identity – Loss of time e.g. Work/life – powerlessness • Impact on others – Changing diets – How others perceive you
Complications
Is Type 2 Diabetes Mild? No !
Good Control Can Reduce By 30-70% Stroke Kidney Heart failure Attack Sight loss Foot problems
If I have it, what can I do about it? Blood Know your Pressure Targets Blood YOU Cholesterol Glucose Weight Exercise
Foot problem prevention Do wear well fitting Don’t walk bare foot shoes/trainers. Check your feet daily. Seek help if worried
Smoking and Diabetes • Smoking and having diabetes does not mix • Increases the risks of • Heart attack • Stroke • Neuropathy + kidney problems • Increases blood glucose.
Annual Review
Can Type 2 diabetes be prevented?
Fact - Diabetes Prevention 58%
Quiz 100 Calories
Sugar Game
Fruit
Oily or Not?
Any Questions?
Talking Therapies Heather Joy High Intensity Therapist/Cognitive Behavioural Psychotherapist, CNWL
Emotional Wellbeing in Later Life CNWL Talking Therapies Service Hillingdon
Introduction • Who are we? • Why are we here? • 54
Why we’re here : Mental Health Difficulties are Common • Anxiety, stress, low mood, are all natural human feelings we will all have at some point. • 1 in 5 people over 65 experience depression (2 in 5 if living in care homes). • Physical ill health, e.g. diabetes, heart problems, make you more at risk of depression. • 3 million people over 65 experience mental health problems that significantly impact on their life. • Emotional wellbeing is important at all ages. • 55
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