Articles metta welfare ledderhose disease nhs association page 4

After being diagnosed with Chronic Obstructive Pulmonary Disease (COPD) in November 2009, Mdm Chang has been limited in her mobility. Travelling out of her house can easily tire her and ledderhose disease nhs cause her to be breathless, hence she barely stepped out of her house ever since. That included visiting her relatives and even her surrounding neighbours. All she wanted was to go shopping in a supermarket; buying kitchen utensils would give her joy as she could ledderhose disease nhs reminisce the good old times when she was able to ledderhose disease nhs cook for her family. But this wish seemed like an impossible dream.

At the beginning, we started our shopping spree at Giant hypermarket but as ledderhose disease nhs Mdm Chang could not find what she wanted. Hence we quickly drove Mdm Chang to the nearby IKEA. As soon as we reached the store, we knew we did the right thing. Seeing the old lady’s excitement and newfound enthusiasm simply warmed our hearts. She was so thrilled to check out the furniture on ledderhose disease nhs display she forgot she was linked up to an oxygen ledderhose disease nhs supplement; she attempted to stand to reach for a sofa. The day ended with the purchase of a frying pan, which Mdm Chang happily paid for. It was a simple wish long overdue.

Mdm Chang is a very easy going and cheerful person ledderhose disease nhs and will laugh at the slightest joke we crack. She enjoyed her shopping experience, which was hard to come by for her. Although we only met Mdm Chang once, we felt completely at ease to communicate with her. We could also tell she enjoyed talking and laughing with ledderhose disease nhs us. Being her friends, we definitely want to treat her like any normal person ledderhose disease nhs and be able to encourage and motivate her to live ledderhose disease nhs her life.

Essentially, menopause is the transition period in a woman’s life when her ovaries stop producing eggs, her body produces less estrogen and progesterone, and menstruation becomes less frequent, eventually stopping altogether. This incidence typically occurs between the ages of 45 and ledderhose disease nhs 55. However, the duration of menopause is different for every female, characteristically lasting from two to five years with the following ledderhose disease nhs symptoms.

• Hot flashes: These are the body’s reaction to a decreased supply of estrogen and can ledderhose disease nhs feel like sudden, transient sensation of heat spreads over the body creating a ledderhose disease nhs flush particularly on the face and upper body. Coldness may be experienced in the aftermath of the hot ledderhose disease nhs flashes following the body’s attempts to cool itself through perspiration.

At this vulnerable stage, one has to take extra health precautions to avoid ailments ledderhose disease nhs such as periarthritis, high blood pressure, diabetes, anxiety disorder, depression and osteoporosis. In more serious cases, one may contract ovarian cancer, cervical cancer, endometrial cancer and breast cancer. Hence women who are going through menopause should go for ledderhose disease nhs regular checkups with their gynaecologists.

Firstly, they should consume food rich in protein, like eggs, lean meat, fish, poultry (i.e. chicken, duck meat) and soy-based products. Conversely, food high in fat content derived from animals such as ledderhose disease nhs lard, and butter should be avoided. Likewise, they should also stay away from food high in cholesterol ledderhose disease nhs such as egg yolks and animal innards.

Vegetable and fruits, especially those containing beta carotene, mineral salts and high in fibre should be consumed in ledderhose disease nhs place of the less healthy sugars. Some examples of such vegetables are spinach, cabbage, celery, apples, red dates and tomatoes. These vegetables can help to strengthen the blood vessels, rid of bad cholesterol, prevent the thickening of arteries and coronary heart disease.

Tourette syndrome (TS) is a hereditary neurological disorder characterised by repetitive, stereotyped, involuntary movements and vocalisations called tics. The onset of TS symptoms usually appears in childhood, between ages from three to nine years. TS occurs in people of all ethnic groups; with males three to four times more often afflicted than ledderhose disease nhs their female counterparts.

The severity of the condition varies among individuals with TS; some are milder and more manageable than others while some ledderhose disease nhs experience more severe symptoms. TS Is considered to be a chronic condition with symptoms ledderhose disease nhs lasting a lifetime. However, most sufferers experience their worst tic symptoms in their early ledderhose disease nhs adolescence, which improves in their late teens and adulthood. TS is frequently associated with at least one additional mental, emotional, or behavioural condition.

People with TS have movements and vocalisations they cannot control, called motor and vocal tics. There are two classifications of tics; simple and complex. Simple motor tics are rapid, brief and recurring movements that involve a limited number of ledderhose disease nhs muscle groups. Examples of some common simple tics are eye blinking, facial grimacing, shoulder shrugging, head or shoulder jerking, repetitive throat-clearing, sniffing and grunting.

Complex tics, on the other hand, are dissimilar, coordinated patterns of movements involving several muscle groups. For instance, someone with simple motor tics may experience facial grimacing while ledderhose disease nhs one with complex tics may include a combination of a ledderhose disease nhs head twist and a shoulder shrug, along with the facial grimacing. For complex vocal tics, one would vocalise certain words or phrases. Other complex motor tics include sniffing or touching objects, hopping, jumping, bending or twisting. These actions may seem purposeful to people who are unaware ledderhose disease nhs of one’s Tourette condition.

Tics are usually worse with excitement or anxiety. Conversely, they get better during the course of calm, focused activities. Certain physical sensations can also trigger or worsen tics, for instance, tight shirt collars may trigger tics involving the movement of ledderhose disease nhs the neck, hearing someone sniff or clear throat may trigger urges for ledderhose disease nhs vocal tics. Those with TS even experience tics during their sleep, but at a significantly lower frequency.

Generally, tics come and go over time, varying in type, frequency, location and severity. The first signs of tics usually occur in the head ledderhose disease nhs and neck area and may gradually include other muscle groups. The occurrence of motor tics usually happen first and may ledderhose disease nhs lead to the development of vocal tics. Likewise, simple tics commonly occur first before complex tics surface.

Although there is no cure for TS, the condition in many individuals does get better as they ledderhose disease nhs mature into their adulthood. Most of the people with TS go through the most ledderhose disease nhs severe tics before their mid-teen years and gradually improve in their late teenage years ledderhose disease nhs and early adulthood. After which, only 10-15% of TS sufferers undergo a progressive or disabling course of ledderhose disease nhs TS symptoms that last into adulthood.

The symptoms of TS are largely involuntary, however, some people are able to suppress, conceal, or find a way to cope with their tics in ledderhose disease nhs a manner that would minimise impact on their daily functions. On the negative end, TS sufferers who suppress their tic urges can often do ledderhose disease nhs so only to a limited extent, until they can no longer contain their tics and they ledderhose disease nhs would express them involuntarily. Some TS sufferers also have reported a need to complete ledderhose disease nhs a tic in a certain way or of a certain ledderhose disease nhs frequency to rid of the urge or reduce the sensation.

Sometimes patients are only formally diagnosed with TS after the ledderhose disease nhs symptoms have arisen for some time. This is because for families and physicians unfamiliar with TS, mild tic symptoms may be considered inconsequential, part of a developmental phase or the result of another ledderhose disease nhs condition. For instance, frequent eye blinking may be due to vision problems and ledderhose disease nhs sniffing could be related to allergies. Hence there are patients who are self-diagnosed after learning about TS.

TS is often associated with at least one other mental, emotional or behavioural condition, in which this is called comorbidity. The most common comorbid conditions are attention-deficit/hyperactivity disorder (ADHD) and obsessive-compulsive disorder (OCD). Although TS does not impair one’s intelligence, the other comorbid conditions can affect individuals with TS in ledderhose disease nhs their learning processes and pose behavioural and social challenges to ledderhose disease nhs them.

Children with TS often have conditions like ADHD, learning disabilities and OCD symptoms, which can impair their academic performances or pose social adjustment ledderhose disease nhs issues. Not forgetting that frequent tics may also be crippling to ledderhose disease nhs their self-confidence in a regular school. Thus, these children should ideally be placed in an educational environment ledderhose disease nhs that can cater to their individual needs. They may also require extra tutoring, learning in smaller or special classes, or even to enroll in special schools.

Essentially, in order to develop to their maximum potential, children with TS need to be in a tolerant and ledderhose disease nhs compassionate environment that can accommodate their special needs. Recommended settings include a private study area, exams outside the regular classroom, oral exams to help those with symptoms that interfere with ledderhose disease nhs their ability to write, and untimed testing to reduce the stress for students with ledderhose disease nhs TS.

Metta School vice-principal Anuwar Abdul Wahab said: “If we want the SPED sector to move forward, the schools cannot all be moving in different directions and ledderhose disease nhs forming their own outcomes. (But) we should not be trying to assess the students based ledderhose disease nhs on academic skills like literacy … there is a need to assess the child holistically, including their skills for independent living.”

St Andrew’s Autism School principal Diana Chin noted that, while not all the outcomes are attainable by every special ledderhose disease nhs needs child, they help to stretch the child and encourages teachers to ledderhose disease nhs have higher expectations of what each child can achieve. Still, she reiterated the need for schools to be supported by ledderhose disease nhs MOE in implementing the framework.

Apart from the framework, other educators such as AWWA School principal Ruby Chiew suggested ledderhose disease nhs more vocational opportunities for lower functioning pupils. Concurring with Ms Chiew, Pathlight and Eden School supervisor Denise Phua also called for ledderhose disease nhs a body with “strong leadership” to oversee strategic issues in the SPED sector and ensure ledderhose disease nhs due diligence in the appointment of management committee members in ledderhose disease nhs SPED schools.