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AARP recognizes family caregivers across US, presents Portrait of Care to Mukwonago woman

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. 

AARP recognizes family caregivers across US, presents Portrait of Care to Mukwonago woman

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. 

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

Dr Arabin Cerclage pessaries for preventing preterm birth in asymptomatic singleton pregnant women

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

Feel like you’re coughing your guts out?

APOPS new logo jpgCredit to Sherrie Palm founder Associateion for Pelvic Organ Prolapse Support

It’s flu season; you’re hacking and hacking until you feel like your bottom end is going to blow out. And it just might be. if you’re like me you start to ramp up the germ-phoebe aspect of your personality around this time of year. We all start paying more attention to washing our hands, get nervous about grabbing the door at stores we shop at, walk the other way when we hear someone  coughing. No one wants to get the flu. Yet despite the extra protective measures we take, we somehow manage to contract it. The majority of us are exposed to hundreds of germ infested surfaces every day; there’s just no way to get around it beyond wrapping ourselves in one of those protective bubbles. Not a very user friendly way to avoid getting sick.

I recently returned from a trip overseas and had concerns about being in airplanes and airports, knowing that the odds of my catching a bug were increased by being exposed to so many people in an enclosed environment. Every time someone coughed on the plane I thought to myself “keep your hands off your face, keep your hands off your face,” reciting it to myself like some kind of magical mantra that would protect me. Although I felt badly for the young child coughing non-stop a few rows up from me on the airbus, I equally worried that somehow the germs would float back to me in the recycled air of the plane.

Somehow I managed to make the long journey in both directions and come home with my body flu-free. Lucky me, I figured now I could relax. Then the inevitable happened-……read more (more…)

Pelvic Organ Prolapse awareness month for June

One womans journey and a whole lot of help for those who have pelvic organ prolapse

One womans journey and a whole lot of help for those who have pelvic organ prolapse

Helping raise the awareness of pelvic organ prolapse will help educate those who need to know what to do when they do find ‘bits falling outside of their bodies’.

Thousands of women are either too ashamed or simply don’t know what is happening to them. Pelvic organ prolapse happens for many reasons and over 50% of women experience this especially after giving birth.

One of the most common feelings is that you feel you are sitting on a tennis ball.

There are methods to help and prevent pelvic organ prolapse and with your help of passing this message along we can help those who need it.

Mothers, speak to your daughters (not always an easy subject) about it if you have experienced pelvic floor dysfunction. Chances are that if you have it so will your daughters.

Sherrie Palm, founder of APOPS (Association for pelvic organ pro. lapse support) has been fighting to bring this subject to the forefont of the medical staff who can help these women.

 

 

 

Press Release Pop Awareness Month 2014

The Cramer Pessary for Stress incontinence and pelvic organ prolapse.

Pessaries can play an important part in getting back a reasonable quality of life if you happen to suffer with stress incontinence (SUI)  and/or pelvic organ prolapse.

Today, pessary expert and advocate for women who suffer stress incontinence and pelvic organ prolapse Gaynor Morgan speaks about the Cramer Pessary.

Gaynor Morgan works with medical professionals and leading retailers all over Europe to help raise the awareness about the importance of getting incontinence and pelvic organ prolapse issues to the forefront and pushing for more education about these subjects.

Over 45% of women worldwide suffer with some type of pelvic organ prolapse and/ or incontinence. The World Health Organisation had deemed this as an epidemic that needs addressing.

Gaynor heads up the European side of the non profit organisation, APOPS – Association for pelvic organ prolapse support founded by award winning author of the book: Pelvic Organ Prolapse the silent epidemic. Ms Sherrie Palm.

Image

The Cramer pessary:
Material : Medical grade silicone with a steel spring inside for stabilization

Size range: Diameter 50mm and increases in 5mm increments to the largest size 90mm

Use : for the management of stress incontinence, cystocele and uterine prolapse.

DO NOT USE IF: You have had prior surgery and this includes vaginoplasty. Reason being, the pelvic floor must be somewhat stable to retain this pessary.

Usage: Fit in the morning and remove in the evening. Lubricant is advisable if the vagina is very dry. Recommended lubricants are yes and ladysoft

Fitting: The Dr or physiotherapist should show you and get you to practise insertion and removal. Ensure the two thick ends are right against the urethra and do not pinch.

The Cramer will lift and support the bladder neck which controls the involuntary loss of urine in SUI (Stresss Urinary Incontinence)
The pelvic floor must be in tact for this pessary to be successful. It hasn’t been very successful in the management of rectocele but is very good in the management of a cystocele where the patient also presents a uterine prolapse grade 1 or 2.

Care of the Cramer: Wash under clean water and allow to airdry. (Drying with a towel or paper towel can leave debris behind to stick to the pessary which can be introduced into the vaginal lining and may cause problems. Cleaning with a pessary sanitiser such as IncoClean (without alcohol) can also be used. Autoclaving is possible.
DO NOT microwave or boil this pessary due to the metal spring inside.

If you still leak urine after it has been fitted, it is possible that you have not positioned it correctly. Remove and reposition.

They are not available on the NHS prescription at this time.

For more information please go to www.incostress.com and go to the free downloads.

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