Empowering YOU to be in control

Source: You’re Not Alone! Pelvic Floor Weakness Affects Many Women

Mukwonago, Wisconsin – November marks National Family Caregivers Month, a time to recognize the 40 million Americans – including an estimated 578,000 from Wisconsin – who help older parents, spouses, and other loved ones live independently at home, where they want to be.

The unpaid care they provide, such as managing medications, cooking meals, driving to appointments, performing complex medical tasks and more, is valued at about $7 billion in Wisconsin alone.

Sherrie Palm of Mukwonago is one of these unsung heroes.

Sherrie is in the “sandwich generation,” providing support throughout much of her life for both parents and children, including step-children. Sherrie is the founder and Executive Director for the healthcare nonprofit Association for Pelvic Organ Prolapse Support. Her caregiving work has been an add-on.

“I learned as I went. You make mistakes, but you only make them once. I’m an all-cards-on-the-table kind of person, so I learn by asking questions. We all want to keep the wheels turning. We all feel guilty – like we should do more. I am able to find balance by laughing and focusing on the funny,” she said.

AARP Wisconsin is recognizing Sherrie with a “Portrait of Care,” which is an artist’s painting of her with a loved one.

Selected through AARP’s storytelling initiative called “I Heart Caregivers”, Sherrie is among 53 family caregivers chosen nationwide, including one each from each state, Washington D.C., Puerto Rico and the U.S. Virgin Islands to receive a hand-painted portrait.

Thousands of caregivers have shared their stories on the website www.aarp.org/iheartcaregivers

“We want to celebrate family caregivers, spotlight their experiences of hope, love, dedication and perseverance, and elevate their stories – especially during National Family Caregivers Month,” said Sam Wilson of AARP Wisconsin, which serves about 820,000 Wisconsinites age 50 and older. “This is especially important as we work to support family caregivers through public policy, education, outreach and more.

“Family caregivers are the backbone of our care system, serving a crucial role in helping older Wisconsinites and other loved ones remain in their own homes and communities as long as possible,” Wilson said. “That’s why AARP is fighting for commonsense solutions to help make their big responsibilities a little bit easier.”

For nearly 15 years Sherrie has provided guidance for her parents and son, Erik – now age 27 – who has aggressive Lyme and additional underlying health concerns. Her father has degenerative spine issues while her mother suffers from genetic endocrine disorders and severe arthritis. “The backdrop of everything I do is to help out on either side as best I can,” she said.

Sherrie stays in daily contact with her son and visits her parents every chance she gets. She cooks dinner, shares funny stories, stays overnight and helps manage medical consultations and quality of life needs.

“I’ve come to recognize that on days when I feel like the mayo on all three layers of a triple-decker sandwich, nothing feeds my soul and recharges my battery like humor,” she says.

“Being a sandwich boomer is all day every day. At times do I feel like my life is absurd sideways? You bet. Would I trade a single aspect of it? Not on your life. If I can get the people I care about to laugh out loud, it fires my engines and I’m good to go.”

Earlier this year, AARP conducted a statewide survey of registered voters age 45 and older in Wisconsin to learn about their experiences, challenges and needs as family caregivers, and attitudes toward public policy that would support family caregivers.

The survey found that family caregivers in Wisconsin provide 538 million hours of care per year to their parents, spouses, partners, and other adult loved ones. They help with daily activities such as bathing or dressing, preparing meals, administering medications, driving to doctor visits, and paying bills.

“This report demonstrates that we need to do more to assist the hundreds of thousands of caregivers in our state,” said Wilson said. “Some of the things that will help family caregivers include improved workplace flexibility, respite care, tax credits and home care services.”

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AARP is a nonprofit, nonpartisan organization, with a membership of more than 37 million, that helps people turn their goals and dreams into real possibilities, strengthens communities and fights for the issues that matter most to families such as healthcare, employment security and retirement planning. We advocate for consumers in the marketplace by selecting products and services of high quality and value to carry the AARP name as well as help our members obtain discounts on a wide range of products, travel, and services.  A trusted source for lifestyle tips, news and educational information, AARP produces AARP The Magazine, the world’s largest circulation magazine; AARP Bulletin; www. aarp.org; AARP TV & Radio; AARP Books; and AARP VIVA, a bilingual news source.  AARP does not endorse candidates for public office or make contributions to political campaigns or candidates.  The AARP Foundation is an affiliated charity that provides security, protection, and empowerment to older persons in need with support from thousands of volunteers, donors, and sponsors. AARP has staffed offices in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands. Learn more at www.aarp.org. 

Mukwonago, Wisconsin – November marks National Family Caregivers Month, a time to recognize the 40 million Americans – including an estimated 578,000 from Wisconsin – who help older parents, spouses, and other loved ones live independently at home, where they want to be.

The unpaid care they provide, such as managing medications, cooking meals, driving to appointments, performing complex medical tasks and more, is valued at about $7 billion in Wisconsin alone.

Sherrie Palm of Mukwonago is one of these unsung heroes.

Sherrie is in the “sandwich generation,” providing support throughout much of her life for both parents and children, including step-children. Sherrie is the founder and Executive Director for the healthcare nonprofit Association for Pelvic Organ Prolapse Support. Her caregiving work has been an add-on.

“I learned as I went. You make mistakes, but you only make them once. I’m an all-cards-on-the-table kind of person, so I learn by asking questions. We all want to keep the wheels turning. We all feel guilty – like we should do more. I am able to find balance by laughing and focusing on the funny,” she said.

AARP Wisconsin is recognizing Sherrie with a “Portrait of Care,” which is an artist’s painting of her with a loved one.

Selected through AARP’s storytelling initiative called “I Heart Caregivers”, Sherrie is among 53 family caregivers chosen nationwide, including one each from each state, Washington D.C., Puerto Rico and the U.S. Virgin Islands to receive a hand-painted portrait.

Thousands of caregivers have shared their stories on the website www.aarp.org/iheartcaregivers

“We want to celebrate family caregivers, spotlight their experiences of hope, love, dedication and perseverance, and elevate their stories – especially during National Family Caregivers Month,” said Sam Wilson of AARP Wisconsin, which serves about 820,000 Wisconsinites age 50 and older. “This is especially important as we work to support family caregivers through public policy, education, outreach and more.

“Family caregivers are the backbone of our care system, serving a crucial role in helping older Wisconsinites and other loved ones remain in their own homes and communities as long as possible,” Wilson said. “That’s why AARP is fighting for commonsense solutions to help make their big responsibilities a little bit easier.”

For nearly 15 years Sherrie has provided guidance for her parents and son, Erik – now age 27 – who has aggressive Lyme and additional underlying health concerns. Her father has degenerative spine issues while her mother suffers from genetic endocrine disorders and severe arthritis. “The backdrop of everything I do is to help out on either side as best I can,” she said.

Sherrie stays in daily contact with her son and visits her parents every chance she gets. She cooks dinner, shares funny stories, stays overnight and helps manage medical consultations and quality of life needs.

“I’ve come to recognize that on days when I feel like the mayo on all three layers of a triple-decker sandwich, nothing feeds my soul and recharges my battery like humor,” she says.

“Being a sandwich boomer is all day every day. At times do I feel like my life is absurd sideways? You bet. Would I trade a single aspect of it? Not on your life. If I can get the people I care about to laugh out loud, it fires my engines and I’m good to go.”

Earlier this year, AARP conducted a statewide survey of registered voters age 45 and older in Wisconsin to learn about their experiences, challenges and needs as family caregivers, and attitudes toward public policy that would support family caregivers.

The survey found that family caregivers in Wisconsin provide 538 million hours of care per year to their parents, spouses, partners, and other adult loved ones. They help with daily activities such as bathing or dressing, preparing meals, administering medications, driving to doctor visits, and paying bills.

“This report demonstrates that we need to do more to assist the hundreds of thousands of caregivers in our state,” said Wilson said. “Some of the things that will help family caregivers include improved workplace flexibility, respite care, tax credits and home care services.”

Sherrie Palm

Sherrie Palm

###

AARP is a nonprofit, nonpartisan organization, with a membership of more than 37 million, that helps people turn their goals and dreams into real possibilities, strengthens communities and fights for the issues that matter most to families such as healthcare, employment security and retirement planning. We advocate for consumers in the marketplace by selecting products and services of high quality and value to carry the AARP name as well as help our members obtain discounts on a wide range of products, travel, and services.  A trusted source for lifestyle tips, news and educational information, AARP produces AARP The Magazine, the world’s largest circulation magazine; AARP Bulletin; www. aarp.org; AARP TV & Radio; AARP Books; and AARP VIVA, a bilingual news source.  AARP does not endorse candidates for public office or make contributions to political campaigns or candidates.  The AARP Foundation is an affiliated charity that provides security, protection, and empowerment to older persons in need with support from thousands of volunteers, donors, and sponsors. AARP has staffed offices in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands. Learn more at www.aarp.org. 

Getting the correct fitting and correct pessary can improve your quality of life drastically

Source: Gehrung pessary suitable for cystocele, rectocele and procidentia

Gehrung Pessary:
The Gehrung pessaries are available with or without support knob in Milex, please note that Bioteque no longer supply the gehrun with knob into the UK.

The Gehrung is suitable for women presenting a cystocele and/or rectocele. They are also very effective treating procidentia where the uterus tends to herniate when other pessaries are used.

Fitting the Gehrung: If being fitted using the one with knob support, this gehrung should be fitted with a full bladder then you will be asked to empty the bladder post fitting. This ensures the knob is positioned properly and you can empty your bladder properly. The one without the knob, it isn’t necessary to fit with a full bladder, however the patient must be able to empty the bladder fully when the gehrung is inserted.
I would suggest you irriagate the vagine prior to fitting, this removes any loose membrane and excess secretions, which could potentially get trapped between the vagina and pessary and cause an unpleasant smell later on.

Please be aware that the gehrung is one of the most difficult pessaries to fit and should only be fitted and removed by your medical professional trained in pessary fitting.

Those with endometriosis, this may not be suitable for you and should be discussed with your doctor.

The gehrung is made from medical grade silicone and the arch can be manipulated to support the rectocele.

Gehrung fitting pessary

Are you a medical professional and would like to know more about our educational program on pessaries. Please get in touch via www.candgmedicare.com

Order gehrung pessaries

The Bladder and Caesars

sue croft physiotherapist blog

I recently read some research (BMJ Open 2013:3:e002789)  looking at the Caesarean rate in public and private hospitals in Western Australia. It looked at births to nulliparous women during 1996-2008 (155646). The study looked at the Caesar rate depending on the source of funding (private versus public hospital) and found 29% ( 45903) in total were performed. 24803 were performed in-labour meaning that because of foetal or maternal distress, and 21100 were performed pre-labour, meaning they were  planned C section. The study concluded that an increase in the pre-labour caesarean delivery rate for private patients has been driving the increase in C section rate for nulliparous women since 1996.

Now the point of this blog is not to draw attention to the many pelvic floors that are not undergoing the potential damage that pushing a baby out may cause ie the Caesar rate, but rather to reiterate the importance of all women undergoing any gynaecological surgeryincluding Caesareans, to…

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Dr Arabin Cerclage Pessary

Dr Arabin Cerclage Pessary

Vaginal progesterone, cerclage or cervical pessary for preventing preterm birth in asymptomatic singleton pregnant

women with a history of preterm birth and a sonographic short cervix.
Reference: Ultrasound Obstet Gynecol 2013; 41: 146–151 Published online 17 January 2013 in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/uog.12300
Z. ALFIREVIC*, J. OWEN†, E. CARRERAS MORATONAS‡, A. N. SHARP*, J. M. SZYCHOWSKI§
and M. GOYA‡
*Department of Women’s and Children’s Health, Institute of Translational Medicine, University of Liverpool, Liverpool, UK; †Department of Obstetrics and Gynecology, Maternal-Fetal Medicine Division, University of Alabama, Birmingham, AL, USA; ‡Maternal Fetal Medicine Unit, Department of Obstetrics, Hospital Universitari Vall d’Hebron, Universitat Autonoma de Barcelona, Barcelona, Spain; §Department of Biostatistics, University of Alabama, Birmingham, AL, USA
ABSTRACT
Objective To compare the outcome of pregnancy in cohorts of women with singleton pregnancy and history of preterm birth and sonographic short cervix managed with different treatment protocols, namely cerclage, vaginal progesterone or cervical pessary.
Methods
This was a comparison of three management protocols for women with singleton pregnancy and a high risk of preterm birth because of a prior spontaneous preterm birth before 34 weeks and a shortened cervical length detected by transvaginal ultrasound. The study included 142 women who were initially treated with cerclage (USA), 59 with vaginal progesterone (UK) and 42 with cervical pessary (Spain). Perinatal outcomes were compared between the three cohorts.
Results
There were no statistically significant differences in perinatal losses, neonatal morbidity and preterm births among the three groups, apart from a higher rate of preterm birth before 34 weeks’ gestation after treatment with vaginal progesterone in comparison with treatment with cervical pessary (32% vs 12%; relative risk (RR)=2.70; 95% CI, 1.10–6.67). When only the
subgroups of women with cervical length <25 mm, irrespective of gestational age, were compared, the difference between these two cohorts was not statistically significant (RR=2.21; 95% CI, 0.83–5.89).
Conclusion
Cerclage, vaginal progesterone and pessary appear to have similar effectiveness asmanagement strategies
in women with singleton pregnancy, previous spontaneous preterm birth and short cervix. Direct randomized comparisons of these strategies, or combinations thereof, are needed to determine optimal management.
Cerlage Dr Arabin in position
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