Polio Support Group
description
Transcript of Polio Support Group
![Page 1: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/1.jpg)
Polio Support Group
March 31, 2011
Donna Bowyer
Canadian Mental Health Association
![Page 2: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/2.jpg)
Mental Health
• The capacity of individuals to interact with each other and their environments in ways that enhance or promote– Their sense of well-being– Their sense of control and choice in their life– Optimal use of their mental abilities– Achievement of their own goals, and– Their quality of life.
Canadian Mental Health Association, Supporting Seniors’ Mental Health
through Home Care, Toronto (2002)
Canadian Mental Health Association in Saskatchewan
![Page 3: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/3.jpg)
Older Adults
• It is estimated that approximately 95% of older persons at a given point in time live in community rather than in institutions.
• Of those living in the community, approx. 31% (mostly women) live alone.
Canadian Mental Health Association in Saskatchewan
![Page 4: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/4.jpg)
Older Adults
• Mental disorders are the leading risk factors for institutionalization.
• Keeping older adults in the community , where they prefer to be , means more treatment in the community to stave off costly institutionalizations.
Canadian Mental Health Association in Saskatchewan
![Page 5: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/5.jpg)
Promoting Senior’s Mental Health
• Dignity
• Independence
• Participation
• Fairness
• Security
Canadian Mental Health Association in Saskatchewan
![Page 6: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/6.jpg)
Framework for Seniors Mental Health
• Frame work includes– Personal factors– External factors
*Four boxes represent personal factors that affect an individual’s mental health
* The four circles represent external determinants of health that contribute to an individual’s mental health
Canadian Mental Health Association in Saskatchewan
![Page 7: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/7.jpg)
Canadian Mental Health Association in Saskatchewan
![Page 8: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/8.jpg)
Canadian Mental Health Association in Saskatchewan
![Page 9: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/9.jpg)
Being an Effective Communicator
• Use familiar words and a conversational, personal tone.
• Proceed logically, with the most important ideas first, and linked from one paragraph to the next
• Use action verbs and active construction, not passive
• Favour short words and short sentences
• Present ideas with illustrations or diagrams if this makes them easier to understand
• Highlight main ideas and important information with headings
Canadian Mental Health Association in Saskatchewan
![Page 10: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/10.jpg)
Skills for Care
• Being an Effective Communicator
• Involving Person in Decision-Making
• Being an Effective Advocate
• Peer Advocacy
Canadian Mental Health Association in Saskatchewan
![Page 11: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/11.jpg)
Issues Affecting Senior's
• Social isolation
• Functional Decline
• Substance Abuse
• Elder Abuse
• Family Caregiver Stress and Burnout
• Changing Life Situation
• DepressionCanadian Mental Health Association in Saskatchewan
![Page 12: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/12.jpg)
Social Isolation
• Encourage more social activities
• Discuss the situation and possible solutions the others involved
• Try to make the person feel needed in valued
• Help to be informed about activities in the community
• Look for ways to improve access to transportation
• Proved the senior with info supports & services
• Arrange to have someone accompany the person when attending a new activity.
Canadian Mental Health Association in Saskatchewan
![Page 13: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/13.jpg)
Social Isolation
• Loneliness Social Isolation
• Depression Social Isolation
• Anxiety Social Isolation
The Chicken or the Egg
Canadian Mental Health Association in Saskatchewan
![Page 14: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/14.jpg)
Depression
• Depression can result from psychosocial factors such as death of a spouse, reduced income, change in physical health or other losses
Canadian Mental Health Association in Saskatchewan
![Page 15: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/15.jpg)
Depression
• Depression is not a normal part of aging any more that in any other age group.
• Depression is less likely to be treated in older adults than younger adults
Canadian Mental Health Association in Saskatchewan
![Page 16: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/16.jpg)
Depression
• Depression severity is the only psychological or medical variable that was significantly associated with all four outcomes
• Quality of life
• Physical functioning,
• Mental functioning
• Disability
Canadian Mental Health Association in Saskatchewan
![Page 17: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/17.jpg)
Depression
• As depression severity increases, quality of life and physical and mental functioning declines, while disability increases.
• Depression has a “devastating impact” on both emotional and physical functioning in older adults
Canadian Mental Health Association in Saskatchewan
![Page 18: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/18.jpg)
Disease and Depression
• 9-27% of diabetes patients
• 22-50% of stoke patients
• 18-39% of cancer patients
• 50% of Parkinson’s patients
• 15-25% of people that have suffered Heart attacks
Canadian Mental Health Association in Saskatchewan
![Page 19: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/19.jpg)
Social Isolation
• How do we reach people that have become socially isolated whether conscious of unconsciously.
• Home Care
• Meals on Wheels
Canadian Mental Health Association in Saskatchewan
![Page 20: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/20.jpg)
Comfort Line
• Not a help line
• Not a crisis line
• A phone number that anyone can call to chat about anything to a volunteer
• You do not have to be in or develop a crisis to call someone.
Canadian Mental Health Association in Saskatchewan
![Page 21: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/21.jpg)
Functional Decline
• Encourage Physical activities – number of benefits including greater independence, better mental health, improved quality of life, less stress, improved self-esteem, and simply having fun.
Canadian Mental Health Association in Saskatchewan
![Page 22: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/22.jpg)
Substance Abuse
• As people get older their ability to absorb and dispose of alcohol and other drugs changes.
• Lack of understanding of prescription medications can also contribute to substance abuse
• Be aware of the potential for substance abuse by the caregiver
Canadian Mental Health Association in Saskatchewan
![Page 23: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/23.jpg)
Elder Abuse
• Includes physical, sexual, emotional, financial and neglect.
• Can come from family, friends, family and professional caregivers,
• Be aware of what to look for and report to person that can take action
Canadian Mental Health Association in Saskatchewan
![Page 24: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/24.jpg)
Family Caregiver Stress and Burnout
• Link the family caregiver with day care, respite or other supports available.
• Write out lists so they don’t have to remember
• Help them be realistic about what they can do
• Help them learn strategies to cope with stress
Canadian Mental Health Association in Saskatchewan
![Page 25: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/25.jpg)
Changing Life Situation
• Allow them to reminisce. Listen and share their experiences with them
• Assist or have a volunteer assist them in coordinating or gaining the knowledge needed.
• If you feel there is need for other formal care provides (e.g.,counselors, grief therapist) encourage them to make contact.
Canadian Mental Health Association in Saskatchewan
![Page 26: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/26.jpg)
Post Polio Depression
• Sense of Betrayal of your own body
Turning anger inward
• people that recovered to the point the they lead life where people don’t know they had polio or could live a mobile life.
Canadian Mental Health Association in Saskatchewan
![Page 27: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/27.jpg)
Changes
• Debilitating fatigue or unrelenting pain can cause change in ability to function and be independent
• Loss of faith in recovery can lead to mild depression
• Exercise for depression??????
• Dramatic change in future goals
Canadian Mental Health Association in Saskatchewan
![Page 28: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/28.jpg)
Polio Depression
• Not necessarily triggered by normal stresses
• Can hit during a holiday – fatigue, crash
• Confinement of housebound during recovery from an event.
Canadian Mental Health Association in Saskatchewan
![Page 29: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/29.jpg)
Other Factors
• Anxiety
• Isolation
• Fear of the future
• Uncooperative family
Canadian Mental Health Association in Saskatchewan
![Page 30: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/30.jpg)
Life Changes
• Sheet of paper and Divide into 12 pieces– 4 things you enjoy doing– 4 things that are important to you– 4 people you enjoy spending time with
Canadian Mental Health Association in Saskatchewan
![Page 31: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/31.jpg)
Financial Insecurity
• Make person aware of types of financial “scams” that exist
• Contact the individual on the care giving team to discuss situation
• Watch for signs of depression
• Discuss if you have that type of relationship
Canadian Mental Health Association in Saskatchewan
![Page 32: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/32.jpg)
Depression
• For some seniors, depression is often confused with dementia.
• Depression should be assessed.
• Treatment may take the form of medication, and.or therapy and is often very effective
Canadian Mental Health Association in Saskatchewan
![Page 33: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/33.jpg)
Depression - Signs
1. A sad mood
2. Ongoing pessimism about the past, present and future
3. Loss of interest in other activities (e.g., social life hobbies, leisure
4. Lack of energy
5. Irritability
Canadian Mental Health Association in Saskatchewan
![Page 34: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/34.jpg)
Depression - Signs
6. Difficulty in making decisions
7. Loss of weight/decreased appetite
8. Disturbed sleep pattern
9. Depressive dreams
10 Thougths of Suicide
Canadian Mental Health Association in Saskatchewan
![Page 35: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/35.jpg)
Depression
1. Try to determine if there are supports in the community that can help the senior
2. Contact the individual on the caregiving team that can take action
3. Don’t ignore the warning signs
4. Take all comments about death or suicide seriously
Canadian Mental Health Association in Saskatchewan
![Page 36: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/36.jpg)
Depression
5. Pep talks don’t work. Urging the person to ‘cheer-up’ isn’t helpful. Instead, support them in their search for appropriate help
6. Listen to the person without criticizing or feeling responsible for the person’s unhappiness. Be supportive and understanding without feeling guilty – you didn’t cause the depression
Canadian Mental Health Association in Saskatchewan
![Page 37: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/37.jpg)
Stigma of Mental Illness
• Between 60 – 65% of all people with diagnosable mental illness do not seek treatment.
• Stigma disproportionately affects children and older adults to a greater extent than adults
Canadian Mental Health Association in Saskatchewan
![Page 38: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/38.jpg)
Depression & Suicide in Older Adults
• The most serious consequence of depression in later life – especially untreated or inadequately treated depression is suicide or somatic illness
• Persons 65 + have highest suicide rate of any age group
• Suicide rate of individuals age 85+ is the highest (21suicides per 100,000)
Canadian Mental Health Association in Saskatchewan
![Page 39: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/39.jpg)
Depression and Suicide in Older Adults
• Using a “psychological autopsy” it has been determined that 60-75% of suicides have diagnosable depression
• Thought of death may be developmentally expected in older adults, suicidal thoughts are not.
Canadian Mental Health Association in Saskatchewan
![Page 40: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/40.jpg)
Depression & Suicide in Older Adults
• Studies have shown that older adults had seen their physician within a short interval of completing suicide, yet few were receiving mental health treatment.
Canadian Mental Health Association in Saskatchewan
![Page 41: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/41.jpg)
Depression in Older Adults
• Depression can also lead to increased mortality from other diseases, such as heart disease and possibly cancer.
Canadian Mental Health Association in Saskatchewan
![Page 42: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/42.jpg)
Myths about dealing with Grief
1. Don’t feel bad
2. Replace the loss
3. Grieve alone
4. Just give it time
5. Be strong for others
6. Keep busy
Canadian Mental Health Association in Saskatchewan
![Page 43: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/43.jpg)
While there are no stages of grief..
• There are common responses which are normal
• Their occurrence and duration is different for everyone.
Canadian Mental Health Association in Saskatchewan
![Page 44: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/44.jpg)
Common Responses
• Reduced Concentration– Preoccupation with emotions of loss– Inability to concentrate– Common to almost all grievers
Canadian Mental Health Association in Saskatchewan
![Page 45: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/45.jpg)
Common Response
• A sense of numbness– Usually first reaction after notification– Physical, emotional or both– Mislabelled as denial– Rarely lasts more than several hours
Canadian Mental Health Association in Saskatchewan
![Page 46: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/46.jpg)
Common Response
• Disrupted sleep patterns– Not being able to sleep– Sleeping too much– both
Canadian Mental Health Association in Saskatchewan
![Page 47: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/47.jpg)
Common Response
• Changed Eating Habits– Little or no appetite– Eat non-stop– Both
Canadian Mental Health Association in Saskatchewan
![Page 48: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/48.jpg)
Common Response
• Roller Coaster of Emotional Energy– Emotional highs and lows– Grievers often feel emotionally and physically
drained
Canadian Mental Health Association in Saskatchewan
![Page 49: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/49.jpg)
Common Response
• Academy Award Recovery– “I’m fine”– How many have experienced the death of a
lover one in the past 5 years– How many of you still experience pain,
isolation and loneliness as a result of the loss?
Canadian Mental Health Association in Saskatchewan
![Page 50: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/50.jpg)
Mental Health Lens
• Without mental health there is no health
• When developing any policy or program look through the mental health lens to make sure that not only our physical health issues are dealt with but also our mental health
Canadian Mental Health Association in Saskatchewan
![Page 51: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/51.jpg)
My Generation
• http://www.youtube.com/watch?v=zqfFrCUrEbY
• http://www.youtube.com/watch?v=VKBqkDxkv30&feature=related
• http://www.youtube.com/watch?v=ZZhsxhG5e-o
Canadian Mental Health Association in Saskatchewan
![Page 52: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/52.jpg)
Canadian Mental Health Association in Saskatchewan
![Page 53: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/53.jpg)
Stopping the Stigma: What Can You Do?
• Ask yourself if what you hear about mental health is...
Stereotyping people with mental illnesses
Trivializes /belittles the person or the illness
Offends the person by insulting him/her
Patronizes the person by treating them as if they were not as good as other people
Canadian Mental Health Association in Saskatchewan
![Page 54: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/54.jpg)
Canadian Mental Health Association in Saskatchewan
![Page 55: Polio Support Group](https://reader036.fdocuments.us/reader036/viewer/2022062323/56815269550346895dc09ccf/html5/thumbnails/55.jpg)
Canadian Mental Health Association in Saskatchewan