Tuesday, 18 October 2022

Why Menopause Matters.

Until recently Menopause has been one of those taboo subjects that we simply do not talk about. Something that is hushed up or brushed under the carpet. Culturally we don’t have a history of discussing menopause openly but that is changing. Menopause s now included in school curriculums and in October 2021 a a bill was introduced in the House of Commons to make workplaces menopause friendly places (Menopause Support and Services Bill). As with any change it can take time to be fully embedded and accepted in our culture, and for some talking about this stage of life can feel unnatural or uncomfortable. 

Definition

Put simply menopause is a stage of life experienced by women, trans and non binary people. It’s directly connected to hormone levels and the effect of these hormone levels on a person’s menstrual cycle. 


Stages 

Menopause is the stage where periods have stopped completely. There are several stages prior to this that many people call menopause, but are separate stages in their own right, with their own definitions, symptoms and effects.


Pre-Menopause is the stage in life where oestrogen levels are at a normal level and menstruation occurs regularly. For most people this stage of life occurs naturally between the ages of 13-45, regular menstruation can begin earlier than this and continue for longer. 


Peri-menopause begins when hormone levels begin to fluctuate and periods start to become irregular. This occurs for many people in their mid to late forties but can occur much earlier, or begin later in life for some. 


Officially menopause begins at the time of the final menstrual bleed, with a person classed as fully menopausal when periods have ceased for a full year over the age of fifty and for two full years before the age of fifty. Post-menopause is the period of time after the cessation of menstruation. Menopause commonly occurs for most people between the ages of 45-55 but at least one in a hundred people experience menopause before the age of 40, 1 in 20 women will experience menopause between the ages of 41-45. Trans men, people who are non binary, people who have surgical interventions such as a hysterectomy, and those undergoing hormonal treatments, can also experience an early menopause. 


Symptoms

Approximately 80% of women, trans and non binary people experiencing peri-menopause notice the effect of decreasing hormones in their lives and 20% experience severe symptoms* Many people associate hot flushes, night sweats, weight gain and low mood with menopause but there are up to 66 known symptoms commonly associated with peri-menopause and menopause. Lesser known symptoms include dry eyes, problems with driving, joint pain and itchy skin. A combination of several symptoms can have a detrimental effect on someone’s physical, psychological and emotional health and wellbeing. Raising awareness of the symptoms associated with menopause can help people to understand and recognise them and to understand the effects on their life. 



The Stats!

Women aged 50+ are the fastest growing segment of the UK workforce, equating to approximately  1 in 6 working women in 2022, representing almost half of the workforce. Worryingly 30% of women consider leaving work because of their menopause symptoms, 1 in 10 women leave work and 1 in 5 will not apply for promotion* 

 

Support

With many more people working and experiencing menopause there is a greater demand on our health services for support. The British Medical association published a report in 2020, Challenging the culture on menopause for working doctors which found that many General Practitioners do not have the resources or support they need to support people through menopause. This is due to the fact that there is a lack of education and training for UK doctors with 41% of University courses for GPs offering no mandatory training about menopause*, where training is included it is not deemed to be comprehensive. Currently in the UK there are only 143 menopause specialists. Carolyn Harris, MP for Swansea East is campaigning for all GPs to receive comprehensive training about the menopause, helping to ensure people seeking support have their needs met effectively. 



Raising Awareness. 

Whilst we might look to the medical profession for support there are steps we can all take to support people through menopause. It’s important to acknowledge that menopause is a different experience for each person. Recognising the impact of menopause on someone’s life and the fact that menopause has an impact on all of us, not just the person going through this stage of life, is helpful. Understanding why people we work with might not seem to be their usual self, being aware of additional pressures that can exacerbate symptoms such as workplace stress, caring for older relatives and teenage dependents. The world can feel like a less manageable, overwhelming place for those without support, having a negative impact on confidence and self esteem.

Things we can actively do to support people are:


  • Be able to offer support. Signpost people to as much help, information and support as possible and encourage positive conversations with GPs, going in with an informed opinion from a position of strength. 

  • Find out where your nearest Menopause Cafe is and go along.

  • Ask your HR / Internal Services manager for your workplace Menopause policy. What support is in place to make your organisation menopause friendly?

  • Talk openly about menopause, help to raise awareness and debunk myth and stigma.

  • Find out more about menopause, there is lots of useful information available about nutrition, exercise and support networks that can be beneficial. Please also be aware of commercial enterprises branded as support and get advice from accredited and professionally recognised sources. A list of recommended resources can be found below. 





Useful Resources.



Thanks to Jayne Woodman and The Menopause Team for their comprehensive training, 'Menopause Awareness," and "Menopause Awareness for Men Supporting Women," Stats included are thanks to the training and useful resources provided.

Images thanks to Pixabay.

Wednesday, 13 July 2022

A Balanced Approach to Living Well in Powys.

Phoenix Mindful Living
learning to live with ease.

We were really excited to meet up with Nikki Thomas-Roberts who told us all about the amazing Balance Programme, currently being offered to unpaid carers and volunteers in Powys. The next programme starts on the 5th August, Nikki tells us all about the benefits and what's involved below.

 Where did the idea for the Balance Programme come from? 

Powys Care Academy and Powys Council commissioned Phoenix Mindful Living, a company run by Nikki Thomas-Roberts to undertake a scope to find out what we could do to enhance support to Carers and Volunteers living in Powys. The Balance Programme was designed to meet the needs of Carers and Volunteers based on engagement work and feedback undertaken by PAVO, CREDU and Powys Council. The programme has been trialled over the past six months and many participants have taken part. What has worked really well has been the 8 week Mindfulness Based Living Course,  one day Balance Retreat and one to one sessions to support participants with space, time, skills, resources and connection to other Carers and Volunteers in safe and friendly environments.

Nikki Thomas - Roberts

Who is delivering the sessions and what is their background? 

Nikki runs Phoenix Mindful Living. She is a Registered General Nurse, works as a Wellbeing Development Practitioner, has worked for 39 years in cancer care, Leadership and Organisational Development since starting her career in cancer care at the age of 16. Nikki was also a young carer and has a caring role for her two sons. Like her three children, Nikki is herself Dyslexic and has relentlessly looked for ways to support her emotional wellbeing and fellow NHS staff, nurses and Doctors over the past twenty years. Understanding how Compassion based mindfulness can impact and support individuals including herself, drives Nikki to teach these techniques both in the UK and the USA.

What does a typical 8 week programme involve?

The Mindfulness Based Living Course (MBLC) is generally run on MS Teams, the sessions are 2 hours long and run on a Wednesday afternoon 2.30-4.30pm or Friday mornings, 9.30-11.30 am
We can always negotiate other times, such as evenings or weekends if this works better. The course starts off with very gentle compassion based mindfulness techniques and practices, to help the participant really ‘feel’ how to be mindful. So that when it comes to weaving these skills into everyday life, they have already experienced it. Compassion practices are really important because often Carers and Volunteers give so much of themselves in their caring roles, often they can feel overwhelmed and sometimes lose the essence of themselves. Self-compassion supports individuals to not feel so isolated, to know that as a race we are connected to others and to understand why it’s important to keep ourselves in the loop of compassion as best we can. The Powys Programme creates very small groups who empathise and connect with each other in terms of the difficulties we are all facing sometimes, this in its own right, can be really helpful to participants.

Who is the programme for and who can access the service?

Initially the Balance Programme was designed with Powys Carers and Volunteers in mind. After the success of the first pilot, we have also rolled the programme out to Health Care workers too.

Balance Mindfulness Session. 

What are the benefits of attending? 

Participants will experience how to meditate, develop skills to manage their emotions and to regulate emotions more skilfully. Learning how to weave these new skills into everyday life, so that mindfulness is not something else to do, but being more present and generally being  mindful helps participants live with more ease.  Even on a short course or a one day retreat, Carers and Volunteers have left knowing more about how their mind works; what effect this has on their bodies; actions and emotions and how to soothe themselves even in moments of real difficulty. Participants have fed back to us how they feel they’ve learned to be more present and how to experience moments of contentment, ease, joy and positive emotions too.
Being aware of these positive emotions helps us balance some of the difficulties we experience in life.

In what ways has the programme supported unpaid carers?

Balance has done just that, helped Carers and Volunteers Balance their needs with the needs of others. This is still work in progress and it is our intention to grow the programme organically, which means we’re directed by what works for Carers and Volunteers. For example, we have developed a way of meeting participants where they are. Despite running retreats and sessions online, we know that there is a much greater need and to meet this challenge, so we have designed ‘ Mobile Mindfulness in The Good Karma Camper,’ which means we can come out to small communities and villages, organisations and youth groups and run short mindfulness sessions where Carers and Volunteers live, all over Powys. Our Retreats have provided a lovely space too, time to chat in a safe environment, encouraged walking meditation and a connecting over lunch. Learning skills and tools together in a fun and friendly way to support emotional health issues. The Balance Programme is not Therapy, however the practices and programme can have a therapeutic effect. Mindfulness can be used to manage many emotional health issues including Anxiety and Depression.

Supporting Emotional Health

Is there a respite support service in place to support carers to attend?

Yes there is. This is vital if we are to reach Carers and Volunteers. We can link up with Powys Council for support in supporting the cared for.  

Do you have a case study you can share with us?

Cecilia recently completed one of the 8 week programmes and really felt the benefits, here is what she had to say about her experience.


Where is the programme held? 

Over MS Teams and in person. So far we have held several sessions and  two 8 week MBLC’s on line and two Retreats at Bronllys Hospital at the Basil Webb Centre. One to one sessions can be done on line or over the phone. We are looking to set up Retreats further afield across Powys county as and when needed, to accommodate Carer and Volunteers individual needs.

Bronllys - Basil Webb Centre

When does the next programme begin and how can people book a place?

The latest online course (delivered over Microsoft Teams) begins on Wednesday 26 April, 9.30-11.30am, with further sessions, at the same time, on 3, 10, 17, 24 and 31 May, and on 7 and 14 June.

To find out more and to book your place, please contact Nikki Thomas-Roberts, of Phoenix Mindful Living, on: phoenixmindfulliving(at)gmail.com 

If you don’t have the time to attend an eight-week course, staff and volunteers working in the health and social care sector can also attend a one-off, three-hour, free Harmony and Balance Session (for up to eight participants) over Microsoft Teams. The next available dates for these are Wednesday 31 May, 1.30-4.30pm, and Wednesday 26 July, 9.30am-12.30pm.

Where can people find out more about the programme? 

Please contact phoenixmindfulliving@gmail.com or contact Nikki on 07803472316 between 6-8pm on week evenings and anytime on Saturdays.
 

Monday, 6 June 2022

Ty Gobaith / Hope House - Providing dedicated support to children and their families.

What inspired you to start your new role as Engagement Officer with Ty Gobaith / Hope House?

Having known families that have used Hope House/Ty Gobaith previously and working in local schools Hope House/Ty Gobaith has been known to me for many years.

Having read the heartbreaking story of Hope Peachy which led to the mission ‘Because no one has to face the death of a child alone’ and the hospice ‘Hope House’ that opening its doors in 1995.  The role advertised was something that grabbed my attention as it enabled me to reach out to families that may not be accessing the amazing hospice services, especially those in underrepresented communities. 

My passion for helping families and children has been with me since I left school. I spent 20 years in education specialising in ALN after my degree, during study I focussed on children and families from different communities and areas of deprivation researching the difficulties that some may face.

 I set up my own business helping children and families that require social and emotional support when I had to home-school my own daughter, who was unable to access education due to her ASD and sensory requirements. This allowed me to personally seek out the support groups and find out what support is out there, and has come in very useful in my role now. I am a people person and thrive on meeting others and being in a position to hopefully signpost them to support, and work alongside likeminded individuals.

Can you describe the type of support that Ty Gobaith / Hope House is able to provide?

Both Hospices provide a number of different types of support these include

Respite Care

Our respite service gives families a much-needed break from their daily caring routine. The number of the visits to Hope House or TÅ· Gobaith depends upon a number of factors, including the current health of the child or young person. No charge is ever made to families.

All families are invited to stay at the hospices with their sick child and they may do as much, or as little, of their care as they wish. Siblings, grandparents, aunts, uncles and close friends are all welcome. They are encouraged to make themselves at home, relax, join in activities or spend time talking to team members about any fears and concerns they may have.

Some families choose to bring their sick child to Hope House or TÅ· Gobaith while they go away for a break or spend time with healthy brothers and sisters. Arrangements can be made for friends or family members to visit the child or young person while they are staying with us, and families may contact us at any time.

Care for Young Adults

We can support a young person up to the age of 25 years when it is felt that Hope House Children's Hospices is the best choice to offer them care.

If a young adult has a longer life expectancy, we will work with the family and local adult services to help to find appropriate services for the future and will ensure that the family feel supported through transition.

Antenatal and Neonatal Support

We are able to offer support to families whose baby has been diagnosed with a complex or life-threatening condition during pregnancy, who has been born from 24 weeks with a life-threatening condition or who has sadly died.

End of Life Care and Immediate Care After Death

Our care for a child or young person at the end of their life includes symptom management and additional support for family members and carers before, during and after death.

We will do everything possible to meet the whole family's needs and wishes during this very difficult time. We are experienced in talking to families about care planning for end of life and will work with other professionals involved with the family whenever possible, if families wish.

Our immediate care after death can take place at the hospices or within your own home. We have the equipment and the skills so that families can spend time saying goodbye in their own way and in their own time.

Counselling and Bereavement Support

There are times when we all encounter difficult or painful experiences which we need to talk through with someone else. Counselling offers a safe, confidential space where you are listened to, accepted and understood. A space in which to find a way forward.

Counselling and bereavement support is available to families using Hope House and TÅ· Gobaith. It is also available to anyone living in Shropshire, Cheshire, Mid and North Wales who has been affected by the death of a baby, child or young person up to the age of 25 years when they died in any circumstances.

Our counsellors are professionally trained and offer help to children, young people, adults, couples and whole families. Our service is free and confidential and Accredited by the British Association for Counselling and Psychotherapy.

Sibling Support

Our sibling support team offer support and fun to brothers and sisters of children using Hope House or TÅ· Gobaith.

This includes age-specific activity days and outings where siblings can meet up and share concerns with others who truly understand what it is like to live with a brother or sister who has a life-threatening condition.


Who do you primarily work with, is it just children? 

Hope House offer a holistic way of looking after children, so although we look after the children whilst they are at the hospice we also offer support the whole family. This includes the services I have mentioned above. But also our key workers provide information on other services and events within the local community to help them connect to these.  

Tell us a little bit about your end of life support, what services do you provide?

End of life support at both Hospices centres around the child and the family, as well as symptom management. Everything is done to ensure the family’s needs are met, we also work alongside other professionals to ensure that planning for end of life is met with ease. Both Hospices have a family room which enables the family to stay with the child at the end of life. This also has its own kitchen and outdoor area so the family have space too. Additional support services are also there for the family such as are social worker and care team.

Does someone have to be recently bereaved to be able to access support? 

No, not at all, we all have our own time when we feel we may need support. Some may not want to access support straight after their child dies.  Everyone is different and may require support at different stages.

Can you tell us a little bit more about your snowflake suite?

The Snowflake Suite allows families to say goodbye to their children in their own time.

Families mustn’t be rushed to say goodbye, in the midst of grief families can visit the snowflake suite as often as they wish and invite others to say goodbye, with as little or as much input from our team as you wish. It’s a quiet, tranquil suite where you can say goodbye as you wish.

Who might benefit from your cuddle cots and cuddle blankets?

Any family that wishes to say goodbye to their child in their own surroundings would benefit from the cuddle cot which is suitable for babies and cuddle blankets which are for older children and young adults. Maybe they can’t access the hospice due to do travel difficulties, or for cultural reasons it may suit the child remaining at the family home.

Which areas in Powys do you cover?

We cover ALL of Powys

Powys is a large county, do you provide any practical support to help people?

We aim to provide as much practical support as possible. Also our social workers and sibling support take the children out on days out or visit them at home. Our respite care and end of life care is at the hospice itself. However, Hospice staff do attend the family home for immediate after life care. Our counselling service is accessible online or at any of our counselling rooms. Our social workers and community engagement team can also signpost to other services.

What barriers might prevent people from accessing your support and how do you work to overcome those?

Travelling to the hospice can be a huge barrier for most families. Which is why we also offer outreach support in some of our services. My role can also provide information to families about other services or funding in the area to help.

Cultural and religion, some may not think of using the hospice as it doesn’t fit with their beliefs. Hope House/ Ty Gobaith are culturally sensitive and are experienced to respect the families’ beliefs and make them feel as welcome as possible. We can offer a translator service if language is a barrier. we aim to find out what people require from Hope House/ Ty Gobaith and meet their needs. I have recently been on training in working Polish families to understand their needs and culture, which I will continue to do with any other communities.

Are there any groups of people in our communities that you feel are harder to reach than others? How are you trying to engage with them? 

Yes, as above I feel that cultural differences can be a barrier, some communities may feel that a hospice won’t be able to provide for their needs. My role is not just to go out and promote what Hope House/ Ty Gobaith does, but also ask what can we do to enable us to be more accessible for these communities? and why they aren’t accessing the support provided. Recently I have been looking at our leaflets and asking different communities what they feel they need. Counsellors that are fluent in their own language is something that is currently being looked at.

In what ways do you provide support and care for families? 

As well as the services I have included above, we also link in with other support groups that offer events, advice and networks for families. This can also help families that live in rural areas too due to the more online events taking place. It can also help connect families that may live local to each other. The social worker and my role can help families find out about organisations that can help with deal with day to day living issues that can arise, such as financial or housing difficulties.

Every family is different in their needs, are you able to tailor support to meet their needs?

Yes, we treat each family uniquely to their needs and wishes. We continue to seek information from other communities on ways we can continue to improve our services and ensure we are helping all families that require our support. My role often involves attending cultural events to meet and speak to other and be educated on what people require from Hope House/ Ty Gobaith.



Do you work closely with any other organisations or statutory services to provide support to people?

We work alongside other organisations within the community, PAVO have been fantastic at sharing the of other organisations that can help our families but also ensuring people have and full understanding of the support we can offer. We have close links with Betsi Cadwaladr, all the councils within North Wales and mid Wales including family information centres ensuring that information can be passed on at ease if a family does require our support. We also work alongside the Maternity units and have our Neo Natal Nurse attend ward runs so we can get to know families early on and enable us to build those relationships from early on.

Is there a set time frame or length of time for accessing support? 

No, the time can vary from family to family. We have families that attend our memorial services for many years after their child has died as their connection with Hope House/Ty Gobaith offers them comfort. We’ve also had grandparents accessing our bereavement counselling, years following their grandchild’s death as that was when they felt they needed the support.

What is the most important message or piece of advice you’d like to give to our communities in Powys? 

That the word hospice doesn’t necessarily just mean end of life care. We care for children with life limiting conditions, early intervention from a referral can mean that family having access to the care Hope House/ Ty Gobaith provide early on. Also anyone in the family that a child has died can access our bereavement counselling.

What’s the best way for someone to contact Ty Gobaith / Hope House and to be referred for support?

Anyone can refer to Hope House/Ty Gobaith whether it be a professional or a family member or friend. However, all we ask is the Child’s family are fully aware of the criteria and they agree to the referral

please contact care@hopehouse.org.uk or care@tygobaith.org.uk or call Hope House on 01691 671999 or TÅ· Gobaith on 01492 651900.

I am also happy to be contacted if someone wants more information on how we can reach out to families about the work of the hospice.  

Tuesday, 26 April 2022

Deaf Awareness Week 2nd – 8th May 2022

 


Royal National Institute for Deaf People, RNID, are a charity that supports people who are deaf, have hearing loss and tinnitus and we would like to inform you about Deaf Awareness Week, which is an annual event and falls in the first week of May.  We would like to take the opportunity to raise awareness about deafness, hearing loss and tinnitus during this week and explain how you can support people you work with.

There are 12 million people who are deaf or have hearing loss which means that one in five adults in the UK is directly affected, you are likely to meet someone every day, even though you might not be aware of it. People who are deaf, have hearing loss or tinnitus face different communication challenges that can lead to frustration and loneliness.

How we can all help

To accommodate people’s communication needs, you should ask someone how best you can communicate with them. Not every tip below will be appropriate for every person who is deaf or has hearing loss. Remember, people who rely on facial expressions and lipreading to communicate are finding communication especially difficult during the COVID-19 pandemic.

These tips are particularly important when you are speaking to someone on the telephone or are wearing a mask or face covering:

-        Make sure you are facing the person you are talking to and speak clearly – avoid shouting, speaking too fast or unnecessarily slow.

-        If someone doesn’t understand you, repeat what you said or phrase it differently and use plain language.

-        If you are in a noisy place, move to a quieter area if possible.

-        Use simple gestures such as pointing or waving to get someone’s attention.

-        Write things down – use a pen on paper, text on device screens, or whiteboards.

-        If they ask you to, speak to a relative or friend.

Communication using digital recourses

If you work from home, you might find it useful to talk to your colleagues about how they can best communicate with you over video and voice calls. It may be helpful to share these tips:

-        If on a video call, make sure you are in a well-lit area but don’t sit with a light source behind you. This can put your face into shadow and make it harder for someone to lipread.

-        Face the camera and don’t cover your mouth while speaking.

-        Make sure that only one person is speaking at a time. This can also help make sure captions are more accurate if they are used.

-        Mute your microphone when you are not speaking to reduce background noise.

-        Make use of chat functions that might exist when using video or voice software. They can help to clarify details, especially with numbers.

-        Use an agenda and stick to the order to provide context for what is said.

How to find out more information

Our RNID website has many valuable tips and information including our new hearing check.  The hearing check will suggest if your hearing is in a normal range or if you may have hearing loss. The online hearing check is different from a full hearing test carried out by an audiologist, but it’s a quick and reliable way to find out if you need one and direct you to see your GP. Unaddressed hearing loss impacts on social isolation, mental and physical health, including depression and dementia and early detection is important.

Take our free hearing check - RNID

RNID - National hearing loss charity

  • Share and like our content on our social media channels. Don’t forget to use a DAW hashtag - #DeafAwarenessWeek or #DAW2022 - and #BeDeafAware
  • Post on your personal LinkedIn account, sharing useful communication and meeting tips with your network – you can use the template below!
  • If you are deaf, have hearing loss or tinnitus, create and share your own digital communication card to help you advocate for your own unique communication needs and everyone can encourage others to create their own communication card
  • Tell your friends and family how you are being deaf aware and direct them to the resources on our website

If you are interested in learning more or would like RNID to give a short session about Deaf Awareness or the work of RNID, please get in contact.

Rachael Beech

Development Officer, Wales

07552165800