Children’s Cystic Fibrosis Information Videos Launched

Physiotherapy Techniques- How to use a Pari PEP

Physiotherapy Techniques- How to use a Pari PEP

The Children’s Cystic Fibrosis team at Leicester’s Hospitals have created a series of short videos on YouTube to help provide advice, information and tips to parents and carers looking after children who suffer from Cystic Fibrosis.

Naomi Dayman, Clinical Specialist Physiotherapist, and Claire Fallen, Senior Physiotherapist, came up with the idea to produce short informational films so that those looking after children with Cystic Fibrosis could check they were using equipment in the right way and using the proper techniques.

Naomi explains further: “The Children’s Cystic Fibrosis Team at the Leicester Royal Infirmary are responsible for delivering a new diagnosis of Cystic Fibrosis to patients across Leicestershire and North Northamptonshire and managing their care needs. It is an overwhelming experience for these families due to the extensive therapies that are required to keep their children as healthy as possible. Meeting each health professional and taking on board the regimes that their child requires can be an overload of information and generate many questions that often arise outside of their clinic appointments.”

Claire added: “It was clear to me that we could help families to process and understand the importance of completing airway clearance techniques including how to use and maintain their equipment. These videos provide quick and easy access to information that may not have been fully understood in the clinic environment.” For example, the team often received questions about how to use Baby PEP (positive expiratory pressure) – the method of using a small piece of equipment used to help check a child’s airway clearance. One of the short films runs through a simple demonstration of the equipment.

One family that use the Children’s Cystic Fibrosis Service are the Jefferys. Jack and Sophie’s second little boy, Stanley-Ray, was diagnosed with Cystic Fibrosis at 20 days old. Leicester’s Hospitals have been part of their journey as Jack explains: “The support from the hospital has been fantastic, they are always on hand to answer any questions we have, nothing is too much trouble and they make time for whatever needs we have. the team don’t just treat the patient, they also get to know the family, which helps a lot especially in the first year when everything is new and appointments are more regular.”

Videos:

The Children’s Cystic Fibrosis team wanted to receive some feedback from families that use the service and Jack and Sophie kindly volunteered. Jack and Sophie have seen all the videos online, saying: “The videos are great, it’s good that there is now something like this that is readily available for new parents to see, your given so much information at first and it can be quite daunting so it definitely helps being able to see things for yourself. We would also like to say thank you to all the team help in different ways and all deserve special recognition in the areas they cover and the amazing jobs they do. As we’ve said they go beyond the call of duty.”

Consultant Erol Gaillard believes that the videos will be extremely helpful: “Regular daily chest physiotherapy is an absolutely essential part in the management of children and adults with cystic fibrosis. There are a number of available physiotherapy devices working in slightly different ways. Despite regular reminder sessions in clinic the videos produced by our children’s physios Naomi and Claire are a fantastic resource for patients and parents. The videos describe in good detail the function of the device and the breathing technique required to get the most out of the physiotherapy devices. In addition there is information on cleaning and maintenance of the equipment.

“These videos are a brilliant way for patients and parents to review their technique in their own time, to remind themselves of the best way to use them and to clarify questions they may have but did not feel confident to ask.”

Get it off your chest CF Blog:

Jack and Sophie decided to start a blog not long after the diagnosis, not only as a diary for Stanley (who will be 1 on 22 July) but also to raise awareness of the condition and for other parents with a newly diagnosed child to be able to look online and see something positive. The majority of blogs on the internet are by CF sufferers themselves in their late teens rather than parents straight from diagnosis and focus on adapting to life with CF or the feelings and thought processes that hit you.

Sophie added: “Cystic fibrosis has now become a part of our lives; treatments have become part of our normal daily routine – having a routine is definitely the key! It allows us to still do all the things we would have done before. We are still learning about CF all the time, things have now settled down from those first few months and everything isn’t as daunting as it once was. When you’re first given the diagnosis it’s hard to imagine how anything can be ‘normal’ again, but it’s possible. You change and adapt, there are so many new treatments coming up allowing people with CF to lead longer and happy lives, we are positive about what the future holds.”

One thing they have learned is CF is unpredictable. One minute you can be eating dinner and the next on the way to the hospital, things can really change that quickly! Routine, preparation and forward planning are the main things, daily routines, preparing medicines, day packs and ensuring things Stanley encounters are as germ free as possible. Forward planning: family parties and making sure we know about the runny noses or colds lingering around!

When they started the blog the main aim was to spread the word of Cystic Fibrosis and to offer a helping hand. Jack explains further: “I felt I wanted to do something big for charity to help get the word out there but also in a way as a coping mechanism in the early months following diagnosis, as a kind of focus. The CF Trust are the charity who we are primarily raising money for but we also want to help CF Team at Leicester Royal Infirmary also, as a token of our appreciation and to ensure they can keep on doing the amazing job they do.

“The London to Paris bike ride was the first big charity event I came across – it involved six months of training and the bike ride itself was more than 300 miles over four days on just two wheels. No amount of training could have prepared us for the bike ride looking back now, the sheer height of the hills and valleys were one hell of a challenge but our goal got us through to the finish line – raising awareness for Cystic Fibrosis. We want to go even bigger than the bike ride in the future – climb mountains, trek deserts (The North Pole has even cropped up as an idea!) and ultimately organise our very own charity challenge in the years to come.”

Difficulty swallowing? Find out how other people cope with Oropharyngeal dysphagia!

Difficulty swallowing Oropharyngeal dysphagia

Difficulty swallowing Oropharyngeal dysphagia

Swallowing disorders (or more properly called Oropharyngeal dysphagia) can occur at any stage of somebodies life. It can occur for a whole range of reasons and can even be hereditary! Oropharyngeal dysphagia is often associated with conditions like multiple sclerosis (MS), Parkinson’s disease, stokes, brain tumours, amyotrophic lateral sclerosis, Bell’s palsy, and myasthenia gravis.

In this post we are looking at the underlying causes of your swallowing problems, how they were treated and with what success.   It would be great if you could use the comments box below to share your Oropharyngeal dysphagia experience.

Current treatments include surgery, Palatal lift prosthesis, electrical stimulation as well as more general physiotherapy, using a bolus or just a change in diet.

So with that in mind we would like to think about some of the following questions about your swallowing difficulties:-

What was the cause swallowing problem?  Was it a medical issue?

What was the effect of swallowing difficulties on your lifestyle?   In particular how has it impacted your eating habits and diet?

What treatments for Oropharyngeal dysphagia did you receive and dis they actually work?

If you had to give one piece of advice for somebody who has just started to show signs of a swallowing disorder what would it be?

Thanks very much in advance.  It would be great if you could share this with other people who might be interested in sharing their experiences.

 

suzyqw I am seeing a speech pathologist. She has me doing all kinds of mouth & tongue exercises. She also taught me to turn my head to the side & point my chin down to make swallowing easier. That is what has helped me more than anything. I realize that it is common for us as ms patients. I don’t want more drugs to so call fix the problems. My food seems to get stuck in the middle of my throat. It’s random but I can tell when I start eating something if it will happen or not. I have also noticed it seems to intensify with hot foods. See a speech pathologist. They can help with swallowing.
fedupandconfused the most difficult thing is that just when you think you’ve finished with noticing things something else crops up and because its random you don’t know if it’s worth mentioning or even if it’s related and besides you don’t want to sound neurotic. I’ve not been diagnosed as yet but swallowing has been one of those things that seemed odd to keep happening. Initially i thought it was random but over the last year it’s progressed. The first time was when I ate a chunk of tuna and it got stuck I literally lost my breath and thought I would die. I was able to take a gulp of water down inbetween bringing bits back up. At the time I put it down to tuna being fairly dry. Then over time with various different foods on occasion I have managed to swallow but it felt like I’d got it stuck in my lungs and i haven’t been able to cough it up. And recently I’ve noticed I need to let my food completely cool down before I eat it which is strange as I’ve always eaten my food really hot. And now I have to let it cool down, eat a little bit, leave it then go back again when the last lot has gone down. I have also recently noticed when I swallow it seems to stick like a ball in my stomach or inbetween the osophegus and into the stomach. I find myself standing up to get it to “slide down” and once that ball/knot has gone I can start the whole eating process again. It could be coincidence and I never realised it’s another possible symptom til I saw this site.
[…] Since the dawn of humanity, one thing that motivates us on the basest level is eating. Early humans had to learn to hunt to put food in their mouths and stomachs. Modern men go through life, doing their jobs to earn the means to be able to put food on their plate. When it comes to the basic means of survival, being able to eat the food that we need in order to live is one of the very first ones that need to be met. And because this is a basic need, eating of course comes naturally to us. We eat everyday of our lives, from the very first moment we were born. Eating then involves digesting. The first process of digestion starts at the mouth, where food is ground and chew so it can be swallowed. Eating and even swallowing itself seems like such an inconsequential act, made so normally and so innocuously by every human being on earth. So what happens when a person has difficulty swallowing? […]
BonnieLass1 mj1daisy I wish I had a clue. Everyone’s MS is so different. I randomly just forget how to swallow. It’s strange that something that should be so natural suddenly becomes something you have to actually think about doing. I would say that your doctor or a second opinion would be the way to go. Some things are hard to explain when it comes to MS and weird symptoms like not being able to swallow. It is scary though and I always end up choking and throwing up because I can’t catch my breath when it happens. I wish you the best of luck.

mj1daisy I have difficulty with swallowing. It’s kind of sporadic with both solids and liquids. I had a barium swallow done and because I thought I just had acid reflux but it turned out to be “nonspecific motor in coordination of the esophagus” that was before I was diagnosed with MS so they went even ruling an MS symptom out. I wonder what they would say now???
It feels like a rock or somethings hard gets stuck and I have to stop swallowing for 30 seconds or more for it to stop hurting. Could it be esophageal spasms??
BonnieLass1 I have trouble swallowing but I have not received any treatment for it. Mine is MS relapse related and seems to happen randomly. I noticed that it was more when I was fatigued. I don’t have to be eating..I just forget to how to swallow. I panic normally then choke and throw up from it. Tears running down my face and gasping for air. Its something that I can’t seem to predict and normally when I am fatigued it happens more often. The higher dose of solumedrol that I am on the less it happens. Its something that I need to discuss in my next visit I am sure.