Obstructive Sleep Tombola - 3 May - PRH Apnoea Presentationbtckstorage.blob.core.windows.net/site766/Newsletters 12... · 2012-03-20 · Obstructive Sleep Apnoea Presentation Last

Need Help!Who do you call?

A GP can help you assess your situation and maygive you advice over the phone, ask you to visit thesurgery or direct you to other health services includ-ing, the walk-in centres (Shrewsbury and Telfordand Wrekin),Minor Injury Units {Whitchurch, Oswestry, Ludlowor Bridgnorth}, local pharmacies or if your conditionis serious A&E.For more information on how to find health advicein your area, visit www.shropshire.nhs.ukor wvvw.telford.nhs.uk. Alternatively, visit the na-tional website www.nhs.uk or call NHS Direct on0845 46 47 for advice or to find your nearest healthservices.

Speak to a GP and find out which service is best foryou.Keep this information handy, hopefully you won'tneed it but if you do you'll know how to find it.

www.breatheeasytelford.btik.com

March / April2012

Registered Charity No. 326730

Breathe Easy Telford is a self-help group affiliated to theBritish Lung Foundation, dedicated to bringing together allthose in our area affected by respiratory diseases, bothpatients and carers.Meetings are monthly, every fourth Thursday atWellington Civic & Leisure Centre [Swimming Baths],Larkin Way, Tan Bank, Wellington, Telford TF1 1LXat 2.00 p.m. Please contact chairman - Gerald Newton on 01952 593561 for further details. E-mail the editor; [email protected]

Tombola - 3 May - PRHPlease keep all your unwanted Christ-mas presents, etc. Our next Tombola isin May at the Princess Royal Hospital,Telford. They will be collected at ourMarch and April meetings. Hand dona-tions directly (don’t place on Raffle orBring and Buy tables”) to Mary Cook orVeronica Miller. Many thanks for yourgenerosity & support.

Obstructive SleepApnoea PresentationLast month Sr Jill Wilson from the PrincessRoyal Hospital (PRH) gave a very informativepresentation on the Obstructive Sleep ApnoeaService here in Telford.She brought along some of the equipment cur-rently used to treat this condition. The highlightsof her presentation are on page 3.

The National Memorial Arboretum VisitThis is a special place that remembers those who have served, andcontinue to serve, our nation in many different ways.With some 50,000 trees already planted, and 200 dedicated memorialsestablished on the site, the Arboretum is a living tribute that will foreveracknowledge the personal sacrifices made by the armed and civil servicesof this country. Established in 1997, the site now hosts an abundance ofwild plants, woodland areas, grassland, a reed bed and wetland.It is populated by a variety of wildlife including brown hares, skylarks, lapwings, otters, tits and finches,green woodpeckers, buntings and an occasional black redstart.Our trip starts at the MILLENNIUM CHAPEL OF PEACE AND FORGIVENESS with a welcome talk in theChapel, an introduction to the National Memorial Arboretum, then the LAND TRAIN TOUR for an hourcovering also the outer lying points of the Arboretum, with a complete and informative commentary.We arrive back for a Traditional Afternoon Tea of a selection of freshly prepared sandwiches, a variety oflocally sourced pastries, cakes and biscuits and a choice of tea or coffee.20th June 2012 at 12.00 midday from Wellington Swimming Baths. The cost including the “tea”is£11. Please note we only have 30 places available for the tea. If you wish to come, without the tea,the cost will be £5 towards the cost of the coach, payable on booking at the meetings or contactMary Cook on 01952 254678 for further information.Other forthcoming outings - 11th July for Llandudno - £5.00, 15th August for Trentham Gardens - £5.00All trips have been sponsored by the group so support would be welcomed.

Going on Holiday with Oxygen?It is possible to travel and go on holiday while dependant on oxygen. If you are going to a destination inEngland and Wales you do not necessarily need to go to the GP to arrange, you can order with AirProducts direct following the 7 steps below. It is beneficial to try and plan a holiday at least 2-4 weeks inadvance and always seek medical advice before you book and travel on holiday.Take details of your ‘home oxygen order’ with you and any accessories you may need.Step 1 Obtain permission from your GP or respiratory specialist to travel before you book your holiday.Step 2 Obtain permission for your holiday oxygen equipment to be delivered and stored at your holidayaccommodation.Step 3 (England & Wales) If you require the same oxygen equipment at your holiday destination asyou have at home, you can now contact our Healthcare Helpline directly without the need to request ahome oxygen order form (HOOF) from your GP or specialist team. You will need to provide us with:· The full holiday address – including the postcode· The dates of your holiday (from and to)· A contact name and telephone number at the holiday address, not your home telephone number· The booking name and reference of the holiday where appropriateIf you require different oxygen equipment at your holiday destination than you have at home, you will needto contact your GP or respiratory specialist as soon as possible before you travel on holiday. You willneed to provide your GP or specialist team with the same information above. Your GP will then send tous the holiday home oxygen order. Air Products will then arrange delivery of your holiday oxygen suppliesto your holiday destination, either by ourselves or via a local supplier.Step 4 Your holiday oxygen equipment will be ready for you when you arrive and will be collected whenyou leave.Step 5 Please ensure that you have enough oxygen cylinders for your journey to & from your destination.Step 6 Travelling by car?, check our latest guidance on the Air Products websitehttp://www.airproducts.co.uk/homecare/patients_carers/hos/travellingbycar.htmStep 7 As the holiday oxygen service is free of charge, there is no need to pay. Enjoy your holiday.Going on holiday in Scotland & Northern Ireland?If you require the same oxygen equipment as you have at home, contact the Healthcare Helpline as soonas possible, before you travel on holiday.If you require different oxygen equipment than you have at home, contact your General Practitioner (GP)or specialist team as soon as possible before you travel on holiday.Going on holiday outside the UKPlease note that due to changing circumstances we are currently unable to accept private holiday ordersfor any European destinations (with the exception of Southern Ireland) as from March 2012.If you should have any queries or require advice on arranging oxygen supplies abroad please call us onfreephone 0800 373 580. Information taken from Air Products website March 2012

Sr Jill Wilson’s Presentation onObstructive Sleep Apnoea Service at the PRH

WHAT IS OBSTRUCTIVE SLEEP APNOEA? (OSA)This is defined by a decrease in tone of the muscles supporting the airway during sleep, it may be caused egoby obesity or anatomical reasons. This results in repeated episodes of narrowing (hypopnoea) or closure(apnoea) of the pharyngeal airway during sleep. Hypopnoea is partial obstruction decreasing airflow andapnoea is complete obstruction stopping airflow (cessation of breathing.) Apnoeas can last for 10 seconds ormore & can be very frequent, even several hundred times a night. When apnoeas occur & breathing stops, thebrain reacts by briefly waking the person, causing the airways to re-open & breathing to restart.Diagnosis involves physical examination, medical history, over night sleep study and Epworth score.Some of the main symptoms, excessive daytime sleepiness, snoring, morning headaches, impaired alertness,choking & gasping during sleep and Restless sleepRisk factors, incidence & associated featuresRisk factors for developing obstructive sleep apnoea/hypopnoea syndrome (OSAHS) are increasing age,obesity and being-male. Use of alcohol & sedatives can also increase risk or severity of the condition.It is associated with high blood pressure which increases risk of cardiovascular disease and stroke.The condition is associated with increased risk of road traffic accidents.The patient's quality of life can be greatly affected sometimes leading to relationship break downs, loss of joband income, also the partner’s quality of sleep can be affected.TREATMENTThis is aimed to reduce daytime sleepiness by reducing the no. of episodes of apnoeas/hypopnoeas experi-enced during sleep.Treatment modes:• CPAP treatment• Lifestyle management - losing weight, stop smoking and/or decrease alcohol consumption & improvingsleep hygiene• Dental devices - designed to keep the upper airway open during sleep. These are traditionally viewed as atreatment option only for mild and moderate OSAHS• Surgery - involves resection of uvula (fleshy extension at back of soft palate that hangs above the throat)and redundant retrolingual (tongue base) soft tissue. However, there is a lack of evidence of clinicaleffectiveness and surgery is not routinely used in clinical practice• Tonsillectomy has a role in the management of some, usually younger, individuals with significantlyenlarged tonsilsNICE Treatment guidance March 08:CPAP is recommended for adults with moderate or severe symptomatic obstructive sleep apnoea/hypopnoeasyndrome (OSAHS). CPAP is only recommended as a treatment option for adults with mild OSAHS if theyhave symptoms that effect their quality of life & ability to go about their daily activities and lifestyle advice& any other relevant treatment options have been unsuccessful or are considered inappropriatePrincess Royal Hospital Sleep ServiceInitial reviews & diagnostic tests are undertaken both at Shrewsbury & Telford Hospital sites by theRespiratory Consultants. However ongoing review & management of the patients is provided by SleepService staff at the Princess Royal.The ongoing review & management of the patients is undertaken by the Respiratory team including Sr.JillWilson, Hospital Respiratory Nurse Specialist, Nick John, Respiratory Physiologist assisted by Cardio-respiratory technicians & the Community Respiratory Nurse team.What is a CPAP machine?It is a machine that plugs into an electric socket & generates airflow through an air tubing and mask into thepatient's airway. The positive pressure acts as an air splint to open the upper airways & thus prevents upperairway collapse. In patients with obstructive sleep apnoea they must use the machine every time they go tosleep for the treatment to be effective.Long term follow up of patients is critical to ensure adherence to treatment.Information taken from NICE Guidelines on OSAHS (2008), IMPRESS Service Specification for Investiga-tion & treatment of Obstructive Sleep Apnoea Syndrome (2009). ARTP Standards of Care for Sleep ApnoeaServices (2010), Princess Royal Sleep Apnoea Service statistics & Resmed company information.Produced by Sr. Jill Wilson, Respiratory Nurse Specialist, Feb.12.

Could you have OSA?In the UK it is estimated that over one million people may be suffering from Obstructive Sleep Apnoea(OSA), with prevalence being higher in men and those that are overweight.To date only 10% of sufferers are aware of their condition and are being treated to alleviate theirsymptoms. (BLF statement March 2011).See below for BLF’s awareness campaign, do you know anybody who could be suffering?Feel free to pass this newsletter on or mention BLF’s website for full details.

If you think that you, or someone you know, might have OSA,try taking these steps:Ask family and friends if you snore loudly and have breathing pauses, ortell someone if they do thisTake the Epworth Sleepiness Scale test on the BLF website.This will not tell you if you have OSA but, depending on your results, it canindicate that you should seek further medical advice.If this sounds like you visit your GP, ask for a referral to a sleep clinic.When you visit your GP, tell him or her about what happens when you areasleep and awake.When asleep - tell your GP if you snore loudly, stop breathing or haveepisodes of difficulty breathingWhen awake - mention all your daytime symptoms, such as daytimesleepiness, headaches, poor concentration, depressionIf you have done the Epworth Sleepiness Scale, you could take a copy withyou

To find out more call the British Lung Foundation Helpline on 08458 50 50 20 © BLF

Are you fit for Spring?As we finally approach the 21st of March & theofficial onset of spring I can’t help but wonderhow many of us are as fit as we possibly can beto attack & enjoy the (hopeful) sunnier daysahead. With this in mind I have hatched a planto get ‘fit’ for summer & hope that you’ll all joinme. We will all be fine as long as we rememberit’s not how quick we get there that matters butit’s the getting there that counts!Exercise 1: Begin by standing on a comfortablesurface where you have plenty of room at eachside. With a 5lb potato bag in each hand, ex-tend your arms straight out from your sides &hold them there as long as you can. Try to reacha full minute & then relax. Each day you’ll findyou can hold this position for just a bit longer.After a couple of weeks move up to 10lb potatobags.Then try 50lb potato bags & eventually try toget to the point where you can lift a 100lb bagin each hand holding your arms out for a fullminute. After you feel completely confidentwith this – put a potato in each bag!

PS: If any of you are Elvis fans and have beenthinking of getting tickets to see a Elvis imper-sonator beware as I tried & found it to be acomplete nightmare. I had to press 1 for themoney, 2 for the show……..! Elaine Biddulph

Australia 2011 - Blue MountainsAbout 100 Km out of Sydney you come across the Great Divid-ing Range. The views are spectacular with hidden canyons andfantastic waterfalls. Just outside Katoonba in the famous rockformation, The Tree Sisters, where I climbed down. The climbback up was not so good but the Sulphur Crested Cockatoo’senjoyed the view. Len Sankey

Questions?!! Can you cry under water?How important does a person have to be before theyare considered assassinated instead of just murdered?Why does a round pizza come in a square box?What disease did cured ham actually have?