MENTAL HEALTH
MANAGE YOUR CONDITION
IMPROVE COGNITION
IMPROVING AWARENESS
THERAPY
RELATIONSHIPS
December 2015
www.HealthisYourWealth.co.uk
Health is Your Wealth Magazine
Page 1
Editors Message
If I hear the phrase "How long is a piece of string?" again, when speaking about a recovery time-line I am going to go crazy. I am trying my best to be patient but like everyone in this situation we just have to get used to everything being a bit slower! December is an odd month. Not only does it go slowly but a routine is nigh on impossible to maintain. If you are not careful eating, sleeping and exercise all go out the window resulting in January being a very tough start to the year! The important thing is not do anything to excess and have a fun holiday! Dominic Editor
Readers Letters … Send letters to: letters@healthisyourwealth.co.uk Please note that some of these articles are written by patients who are still in recovery. These articles are unchanged and may contain spellings, punctuation and grammar mistakes. A copy of our medical disclaimer is on our website
The apps section is very helpful. Louise, Middlesex The magazine looks really, really good in print! Wolfgang, Germany I use the “Pacing yourself” literature in my therapy group and it works really well! Clair, London
“A parents The article talking uncertainty” story about behavioral was very touching.
changes is very helpful. I shared it in my group and many people have found it useful! Denise, London
Alan, UK Thank you for your letters. We can‟t acknowledge all the letters but will aim to respond to each one!
Please note that errors and omissions are exempt from this publication. For terms and conditions please see www.HealthisYourWealth.co.uk
Health is Your Wealth Magazine
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Contents Editors message and Reader Letters 2 Contents 3 Contributors 4
Exercise -Body Maintenance
30-31
RELATIONSHIPS
Speech Matters
32-33
Family Relationships
5-6
Children's Corner
7-11
THERAPY
MANAGE YOUR CONDITION Golden Nuggets
A Parents Uncertainty
34
11-12
Living with Brain Injury
Importance of Nutrition
35-36
Learn to pace yourself
37-41
13
IMPROVING AWARENESS Statistics and Awareness
14
Alzheimerâ€&#x;s Society
15-17
Child Brain Injury Trust
18-20
Macmillian Cancer Support Mencap
21
IMPROVE COGNITION Train Your Brain
43-45
Brain Training Applications
46-49
Fun Applications
50-51
22-23 Movie Review
52
24-26
Book Review
53
27
Subscriptions
54
28-29
Key Contacts
55
MENTAL HEALTH Accepting a MH Condition How to keep motivated Positive Mental Attitude
Health is Your Wealth Magazine
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Contributors To this issue Speech Matters: Thomas
Thank you to the authors who had input to this magazine. Without your valuable content this issue would not have happened!
Brain Training: mybraintraining.com
Mental Health: Becky Wickes Living With Brain Injury: Theresa Barron Family Relationships: Sharon Marks
Children's Corner: Cora Marks Parents Uncertainty: Alan Morris Exercise: Body Maintenance: Chris Halling
Health is Your Wealth Magazine
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impact. The best people
Family Relationships
to inform you and will tell you more about how
“The effect on the rest of the family should not be underestimated�
the
family
feel
are
themselves
and
the
following is one families experience:
To say the least it's been hard. When you The effect on the family is easy to
see the scene played out in a movie , you
underestimate. The relationship between the
never actually think it is going to happen
affected and their family can be changed
to you.
through this.
The police knock on the door, listening to what he has to say \, the heart wrenching
Various issues can arise due to a head injury.
cries that are coming from your children,
Sometimes they can be quite dramatic and
and your silently dying inside trying to
sometimes they can be quite subtle.
keep it together for everyone, but its happened so now we have to deal with the
Personality changes can be the worse as your
outcome whatever it may be. Our lives
family can feel like they don't know you any
have done a complete 360, everything has
more. A psychologist can help tremendously
been adapted, adjusted to the new life
and so can Headway, the charity which is
style we have.
specific for head injured victims and their families. Even some personality changes
Changing from a wife to a caregiver, our
which are considered minor are a major
children who have also changed from
Health is Your Wealth Magazine
Page 5
Relationships
forever and sometimes help is needed to work
daughters to helpers, but through out have
and just 100% involved with their everyday
never grumbled for everyday we are thankful
activities and life. Now they have adjusted to
that we have a father and husband with us and
daddy just watching and it's sad as I know it
all the changes are worth it.
affects them and my husband too.
“If I have to much to time to sit around I think I will eventually break down” His personality has changed slightly, being meticulous about certain things and the fact that things need to be done at almost that very minute he thinks about it. We work around these things to please everyone involved and eventually get to meet both ends amicably.
“the effects of the accident will soon dwindle away”
All we can do is continue the best we can, help my husband through his recovery and do things that will involve the girls with all of us doing more than just watching, and continue being a strong family unit, then the effects of the accident will soon dwindle away and the life we are living now will be the normal way
I'm having to play both roles now, doing my
of living for us.
husbands jobs and mine and I'm tired more now than I have ever been but its best to keep going for if I have to much to time to sit around I think I will eventually break down and not be able to keep it up.
The children miss their Daddy, he was the father you would see racing in the park with
Sharon Marks
them, playing on the swings, kicking a ball
Proprietor
Health is Your Wealth Magazine
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the
Children’s Corner
f a m i l y,
however,
the
implications
of
these challenges for children, and
“Helping Children Cope with Head Injury in the Family” Children are affected emotionally when a close relative, especially a parent, is head injured. They need honest age-appropriate information to help them understand head injury, and an opportunity to express their
Children (of all ages) can feel that they are to blame for the injury and need to be reassured about this. Typically head injury services do not offer support to children, so adults need to be proactive about asking for help. Without advice, it can be difficult for families to know how best to help children through the different stages of their relative‟s recovery, and as children‟s needs also vary with age they may have different needs. The challenges and tasks faced by children when a parent is injured are, in the main, very similar to those experienced by the adults in
Health is Your Wealth Magazine
by them, are different. Because of their lack of life experience, children may find it much harder than adults to comprehend or make sense of the changes observed in the parent. Witnessing
such
changes
(especially
cognitive and behavioural changes) can affect how children go on to develop emotionally.
Infants
and
toddlers,
especially, can be confused, unsettled, and afraid of the altered parent; this can affect the bond or attachment they had with that parent and can make them feel insecure. Resulting
in
the
child
being
very
unsettled, and not recognize or know how to relate to the „new‟ parent. Role changes within the family can also impact on children. Even young children may be required to assume additional
Page 7
Relationships
feelings.
how they are experienced and understood
household duties to try to support the
relationship breakdown, and house moves.
uninjured parent who may be caring for their
However they are often less emotionally
spouse. Older children may be given extra
equipped to cope with such issues and may
responsibility, perhaps being asked to look
worry only about how they will be personally
after younger children in the family. They
affected. Older children may alter their own
may be asked to „keep an eye‟ on the injured
life plans in response to the changed family
person. Children become almost parent-like
circumstances; for example, teenagers do not
towards the adult. This has been shown to
apply to universities far from home (as
have detrimental effects for both children
previously planned) as they feel that they must
and adults, even though most children will
stay close to the family. However, this is often
willingly take on the role of „young carer‟.
accompanied by feelings of resentment. Children can also be affected further by the
Children may be „stigmatized‟ for having a
reduced physical and emotional availability of
parent who is „different‟ and may be teased
the non-injured parent, who is likely to be
or bullied at school. Teachers may be
preoccupied with their partner‟s needs, or who
unaware of the potential impact of head
may be too distressed themselves to be able to
injury on families, and may be oblivious to
acknowledge their children‟s needs.
the issues facing children or how to help them. Again, children may not openly
The small amount of research that has been
discuss these problems for fear of causing additional family stress.
Children, like adults, also suffer the effects of the problems that can arise following head injury,
such
as
financial
difficulties,
Health is Your Wealth Magazine
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carried out tells us that, when faced with
revenge on any third party involved in the
these challenges, children can experience
parent‟s injuries.
many of the problems that adults face,
Some children, irrespective of their age,
including anxiety, worry, depression, fear,
may not show outward signs of being
and embarrassment.
affected and this can lead adults to
Babies and infants (who are often mistakenly
assume that there are no problems. In
thought not to be affected) tend to show
some situations, children can even show
problems
as unsettled behaviour,
improvement in their behaviour when
disturbed sleep, and feeding difficulties at
faced with stressful situations; this may be
such
times of family stress. Pre-schoolers can become clingy and may
Relationships
have more temper tantrums, and lose some of their previously acquired skills (e.g. No longer toilet trained). They may also develop new fears (e.g. of the dark). School-age children (pre-teens) worry about being different from their friends and are vulnerable to being teased about their parent being „odd‟. They may become sad and withdrawn and fall behind in their school work. They can also show an increase in fears and phobias (in particular, they can fear others in the family coming to harm). Teenagers can also become preoccupied with issues of justice and may wish to seek
Health is Your Wealth Magazine
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the equivalent to an adultâ€&#x;s attempts to „keep
Despite the child problems described here, it is
busyâ€&#x; as a way of distracting themselves
important to note that most children are
from their worries. These children may need
resilient when faced with crisis and are spared
support just as much as children who show
the more negative effects of this experience.
their distress openly.
Health is Your Wealth Magazine
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cherub with a 1960 sash wound round his
“A Parents Uncertainty�
ample middle. I couldn't read the numbers not yet, I counted time looking back to the excitement and expectation of Christmas, my birthday an eternity in the future. I liked new presents, but I was hugging my bear, my old bear. He was Boo boo, worn tattered much loved. He wasn't really my bear he was David's, but David wasn't here.
hospital, far away, we used to go and visit a place of pines and peace a long way away, a train journey away. Mum cried when we left and hugged me quickly The calendar dominated the front room.
before I joined in so that was alright.
Above the dark mantelpiece, above the dark
Later back at home, just me, Boo boo
green tiles the calendar was the only thing in
Mum and Dad so that was alright.
the room from the here and now. 1960 Mum
Mum was trying not to cry,
told me it was the year and the date. I had perched on Dads knee,
we had looked at
"David's in heaven.", "Like Pappa?"
cartoons of old father time, his beard wagging
Pleased with myself that I remembered
round his knees being replaced by a chubby
why I couldn't see my grandfather.
Health is Your Wealth Magazine
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Relationships
So Boo boo was mine, David was in
"But, David's in hospital?" "I know darling, but he's in heaven now." "David's not in heaven, not my David."
My Nan found me crying under the calendar, crying for myself for Mummy, Daddy and David too. Nan hugged me it was going to be alright. Over time it was, eventually everything
I ran. My big brother, so often not at home, I
became easier and normality returned!
hated him, when I wanted to play with my new toy gun from Woolworths, the noise made him scream as if in pain. Mummy picked him up a heavy six year old, he bit her shoulder in terror. The gun was firmly put away. I wasn't sure I wanted to play with it any more.
The house changed, although it was usually
Alan Morris
just the three of us, now it was only ever going to be the three of us. The funeral came and went. I went with my Auntie to her house.
Is this magazine in your doctors waiting room yet?
I played with a toy rhinoceros. Daddy in a tie, Mummy stifling tears. I hadn't just lost a brother where were my parents? They didn't laugh or play or sing anymore. My toys listened to my tale of woe but had no answers.
IF NOT GO TO www.HealthisYourWealth.co.uk
and click on subscriptions. Health is Your Wealth Magazine
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perseverance small improvements maybe
“Living With a Brain Injury�
gained it just takes longer than you want it too. This task falls in line with the SMART
Two years ago I had a stroke which resulted in
goals outlined in the last issue and was
various issues but the largest one is weakness
easy to measure improvement. The greatest
on my right hand side. Slowly this has got a
thing which I have learned is that the goal
little better through a combination of hard
remains the same as when I set it two years
work and determination and has improved by
ago.
approximately 45% however progress
has
measurement criteria have changed as I
been very slow. This time last year I couldn't
made progress. Working with my therapist
hold a large mug of coffee, I was emptying the
helped me to establish these criteria.
dishwasher sitting in my wheelchair and due
George, Florida
However
the
success
and
crockery!
Now I can empty the dishwasher and put the glassware away without breaking a single item! I graduated to using a stool instead of a chair and now I have can complete this task standing up. It is still difficult for me to bend down and put things in the bottom cupboards and I still have some clumsy moments but these are less frequent (although my wife will disagree). It just goes to show that with
Health is Your Wealth Magazine
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Relationships
to poor depth perception was breaking lots of
Experience of care
Statistics and Awareness
2,345
people
(73%)
had
received
antipsychotic medication either regularly or as needed in the 28 days prior to the census collection
73% of people had received antipsychotic medication. But only 29% were recorded as having a psychotic disorder
“How much are you aware of ?” In writing this it occurs that maybe we should
2,585 (80%) of people are sectioned under the Mental Health Act
know these details already? We certainly do
Of these 920 people have been under the Mental Health Act for 5 years or more
now! These figures are taken from the
Cost
Learning Disability Census 2014.
The average cost of this care is £3,426 per week
There
are
3,230
people
receiving
inpatient care.
The average length of time the person
week – 385 people
has been in an inpatient unit is 5.4 years
Typically the cost is £4,500 or more per
120 placements cost more than £6499 per week
570 people are 100km or more from
home
To learn more visit
There are 370 people in units who do not
www.mencap.org.uk/
communicate verbally
https://www.mencap.org.uk/
Health is Your Wealth Magazine
160 (5%) of people are aged under 18. their website: https://
Page 14
walkers. We need thousands of people to walk with us for a world without dementia – because arm in arm, step by step and pound by pound, we will get there. There are an estimated 850,000 people living with dementia in the UK,
Walk For A World Without Dementia
making it one of the biggest health challenges facing us today.
Alzheimer‟s Society is calling on the public to sign up to their biggest fundraising event of the year, Memory Walk, taking place this
Wales and Northern Ireland throughout September and October and are ideal for people of all ages and abilities, from
It‟s a day for everyone to come together, celebrate loved ones affected by dementia, and raise money to fund research and services for people living with the condition. Alzheimer‟s Society‟s cutting-edge health and social
grandparents to grandchildren. Walkers can choose between a short stroll or a longer walk, up to 10km,with fun activities and entertainment at every location.
research influences practice and transforms There‟s still plenty of time to sign up and
lives.
take part, so join Alzheimer‟s Society as This year, Memory Walk aims to raise £3.2 million and bring together over 45,000
Health is Your Wealth Magazine
we fight dementia this autumn. To find a walk near you and start
Page 15
Improving Awareness
autumn.
The walks take place across England,
fundraising visit www.memorywalk.org.uk
£250 could pay for antibodies that are vital for analysing proteins in brain tissue to
Fundraising
for
Alzheimer‟s
Society‟s
measure changes
Memory Walk could fund the following….
£650 could pay for a comprehensive brain
£25 could pay for genetic tests in four
scan to help improve diagnosis of different
people in a clinical trial. This can let us look
types of dementia
£1,000 could fund a PhD researcher for 7 days
to
continue
vital
research
into
understanding the causes of dementia, how it can be treated and to find a cure
225,000 people will develop dementia this
for specific genes within their DNA
£50 will help for a PhD researcher to continue research into the causes of dementia,
year, that‟s one every three minutes
how it can be treated and, ultimately, to find a cure
Alzheimer‟s Society research shows that
£100 would allow a person with dementia
850,000 people in the UK have a form of
to enjoy ten Singing for the Brain sessions to
dementia. In less than ten years a million
boost their confidence
people will be living with dementia. This will soar to two million people by 2051
Health is Your Wealth Magazine
Page 16
Dementia costs the UK economy over £26 Billion per year. This is the equivalent of more than £30,000 per person with dementia.
Alzheimer‟s Society champions the rights of people living with dementia and the millions of people who care for them.
Alzheimer‟s Society works in England, Wales and Northern Ireland
live well with dementia today and funds research to find a cure for tomorrow.We rely on voluntary donations to continue our vital work. You can donate now by calling 0845 306 0898 or visiting alzheimers.org.uk Alzheimer‟s Society provides a National Dementia Helpline, the number is 0300 222 11 22 or visit alzheimers.org.uk
Health is Your Wealth Magazine
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Improving Awareness
Alzheimer‟s Society supports people to
In adults the effects of brain injury generally show soon after the event. But for children it can be very different ‐ the brain does not finish fully maturing until a young person is in their mid twenties, and as they are going through adolescence their brain constantly develops. So it can take months or often years for the
Acquired brain injury in children
full extent of the injury to become obvious. There are two reasons why it may take longer for the effects to show in children:
The brain is the most complex organ in the human body. It controls movement, thoughts, feelings, behaviour, memory, speech, sight,
brain develops fully that the extent of a
hearing and other senses.
brain injury can be known – brain development
A child can acquire a brain injury (ABI) as a
if the cause is a bump or knock to the head, it can also be referred to as a traumatic brain injury (TBI).
Health is Your Wealth Magazine
continues
throughout
childhood and adolescence.
result of accident, illness (such as meningitis or encephalitis), poisoning, stroke or tumour;
It is only when the injured part of the
Teenage years are when most young people use experiences to begin to fine‐ tune skills such as independence and the
Page 18
ability to plan their life. For young
Emotions
people with an acquired brain injury,
Depression
difficulties in these areas can become
Anxiety
obvious during this time.
Fear
Being Obsessive
Acquired brain injury affects every individual differently, but common effects include:
Physical Tiredness and fatigue
Doing things at a slower pace
to
process
information
Difficulties concentrating, being easily distracted
Forgetfulness,
the
Immaturity
Aggression
Sexually
i n a p pr o p r i a t e
behaviour Each individual with ABI may have a different combination of symptoms from
particularly
in
relation to new information and recent events
Following verbal instructions
Organising and planning
Health is Your Wealth Magazine
the list above. These difficulties are likely to have a significant effect on daily life and school. It is important that everyone who works with a child with an ABI
Page 19
Improving Awareness
longer
through
consequences
Thinking Taking
Acting on impulse, without thinking
Behaviours
understands these effects and recognises that
people the only equivalent is their class teacher
the issues are linked, and can develop or
or learning assistant, but how much training on
lessen over time.
ABI have they had? The chances are that they will have little or no knowledge of the complex
Many of the manifestations are identical to
issues of an acquired brain injury, or the fact
those adults with an ABI; however for children
that as the child develops, their needs may
and young people they have yet to complete
change over time.
their learning, both academic and life skills. Therefore we need to ensure that any education Considering that almost 90% of children and
staff working with children affected by ABI
young
moderate
have been appropriately trained in order to
difficulties following ABI, and the lack of
meet their community rehabilitation needs. At
community and residential rehabilitation for
the UK wide charity Child Brain Injury Trust, it
children and young people; for these children
is one of our core beliefs and missions that
– SCHOOL becomes their rehabilitation.
every teacher should know and understand
School is where they will learn to write again,
about their role in supporting children and
school is where they will learn to process
young people following a brain injury.
people
have
mild
to
information again, and school is where their social skills abilities will be tested to the full, and they have an awful lot of new learning to
For further information on supporting a child
do.
with an ABI in school please contact the Child Brain Injury Trust:
As an adult in community rehabilitation you would probably be supported by an ABI
Email helpline@cbituk.org
trained support worker; for children and young
Tel:0303 303 2248
Health is Your Wealth Magazine
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Improving Awareness
Health is Your Wealth Magazine
Page 21
Our mission is to change society ’ s attitudes, influence people who shape policy and practice, and to empower and directly support more individuals to lead Our vision is a world where people with a
fulfilled lives. Our big plan is divided into
learning disability are valued equally,
five priorities. These are the areas of life
listened to and included. Our challenge,
we want to have the biggest impact on, the
alongside people with a learning disability
areas where there is the most need to see
and their families, is to make this world a
change for the better.
reality.
Right
now,
people
with
a
learning
disability face inequalities in every area of
Raising
awareness
and
changing
attitudes
Making a difference to the lives of
life. We need to tackle the issues head on
people with a learning disability here
through tireless campaigning and the
and now
delivery of high quality support and
services to the people who need us.
friendships
and
relationships
Health is Your Wealth Magazine
Supporting
Improving health for people with a
Page 22
learning disability
Giving children the best start in life.
transport services.
We
run
residential/day
care
services and leisure groups that We work with people with a learning
are so important to so many
disability to change laws and services,
people with a learning disability,
challenge prejudice and directly support
and their families and supporters.
thousands of people to live their lives as
support
people
with
a
learning disability to be part of their local communities.
We do many different things:
We lobby the government to
We support people with a learning
change laws so that more and
disability to get a job or take a
more people with a learning
college course, or we can help them
disability can have control over
find a place of their own to live in.
their own lives.
We offer advice about things like
To learn more visit:
respite care, individual budgets or
https://www.mencap.org.uk/
Health is Your Wealth Magazine
Page 23
Improving Awareness
they choose.
We
health issues, and did not want society to reject
Mental Health
me, as I believed it would.
“I‟ve now come to accept my disorder,
“Accepting a Mental Health
but it‟s been a long and hard road, and has taken a lot of work”
Condition” When I was first told I had bipolar disorder and emotional intensity personality disorder (EID) (traditionally known as borderline personality disorder or BPD) it felt as though the world had ended, like nothing would ever be the same again. It felt as though I was carrying a big red exclamation mark above my head that everyone could see, that people could tell there was something „wrong‟ with me.
The first step towards rebuilding your life and accepting that you have a long term condition is changing the way you view yourself. You are not defined by your illness. You are not your disorder. You are not defined by your condition, your injury, your diagnosis. You are you, and that is a wonderful thing. Who you are as a person has not changed, you are still the same individual, with the same qualities.
The only difference is, you have some
I hid away from the world, stopped going out and socialising, couldn‟t hold down a job. I was ashamed of being seen, and I didn‟t want to talk to those who loved me, as I thought they might judge me for being „different‟. I knew of the stigma associated with mental
Health is Your Wealth Magazine
symptoms that need treating, and that‟s OK, it doesn‟t make you any less than the person you were before your diagnosis.
Education is a key asset in changing your life after a diagnosis of a mental health condition
Page 24
(or any long term condition). Learn about how
Proper treatment management will also
your symptoms might show themselves, your
assist you in helping to accept your
early warning signs, and what you can do
condition.
about them. The more you understand the
correctly, attend necessary appointments,
condition, then logically the more you know
and complete all related therapy tasks,
about yourself.
then you will be in a greater position for
If
you
take
medication
stability. Having a solid grip on your If you see a psychiatrist, or other specialist,
diagnosis makes it easier to come to
then ask them for recommendations of books
terms with, as it will impact your life to a
or websites that provide accurate and up to
lesser degree. Do not resist medical help,
date information. Look for blogs from people
as hard as it might be.
only give you an insight, but remind you that you are not alone.
“Remember, a diagnosis does not define your life!�
Realising you are not alone in the way you are feeling is like the light at the end of the
Rebecca Wicks
tunnel. Other people have been in your place,
Twitter @thebibli0phile
and could offer help as to how to manage your condition. Look into local support groups, or if you are anxious about leaving the house, or discussing your diagnosis face to face, then online communities might be the ideal place for you to find support.
Health is Your Wealth Magazine
Page 25
Mental Health
with the same diagnosis as you - this will not
informed choices. The Infoline gives
Mental Health help and support services
information on types of mental distress, where
If you are experiencing mental health problems or need urgent support, there are lots of places you can go to for help.
network of nearly 200 local Mind associations
Samaritans
to get help, drug treatments, alternative therapies and advocacy. Mind also has a
providing local services.
Saneline
Telephone: 116 123 (24 hours a day, free to call) Email: jo@samaritans.org Website: www.samaritans.org
Telephone: 0845 767 8000 (6pm-11pm) Website: www.sane.org.uk/what_we_do/ support/helpline
Provides
non-judgmental
Saneline is a national mental health helpline
emotional support for people experiencing
providing information and support to people
feelings of distress or despair, including those
with mental health problems and those who
that could lead to suicide. You can phone,
support them.
confidential,
email, write a letter or in most cases talk to someone face to face.
Mind Infoline Telephone: 0300 123 3393 (9am-5pm Monday to Friday) Email: info@mind.org.uk Web site: www.mind.org.uk/help/ advice_lines Mind provides confidential mental health information services. With support and
ChildLine Telephone: 0800 1111 Email: http://www.childline.org.uk/Talk/Pages/ Email.aspx Website: www.childline.org.uk ChildLine is a private and confidential service for children and young people up to the age of nineteen.
You
can
contact
a
ChildLine
counsellor for free about anything - no problem is too big or too small.
understanding, Mind enables people to make
Health is Your Wealth Magazine
Page 26
“How to KEEP Motivated?” Monitoring progress One of the key elements to maintaining motivation is to agree with your therapist demonstrable success criteria and how to measure it.
rotation in their job and will be leaving half way through! Reviewing and Tracking your agreed success criteria is crucial for you and your therapist to maintain motivation. We often hear that therapy will continue as long as there is progress. Therefore there should be a regular review meeting (frequency of every six months) which should include
Agree when your goal is going to start and
all your therapists and your partner /
finish. However don‟t get hung up on the end
family member.
always be extended. What is important however is that you agree when it will start and the duration that will be required to complete your goal.
If during this meeting should progress outcome not be achieved then a clear form of “Intervention” should be established with a concrete action plan identifying key dates, owners of the actions to be
Also it is imperative that you identify what
undertaken plus an expected outcome and
support you will need during this time and
a follow-up review date should be agreed.
understand that the responsible person is
This
aware of their commitment and is available for
frustration or anger that things are not
the whole duration. You don't want to agree
moving as quickly as you want them to
goals and measurements and then find out that
just use these simple techniques to get
the person who is going to support you is
things moving forward as the timeline is
away on a course / holiday or even worse is on
dictated by your body which operates at
Health is Your Wealth Magazine
approach
it‟s own pace !
should
not
lead
Page 27
to
Mental Health
date as if you don't reach your goal this can
“How best to deal with anger”
Do you have PMA ? (Positive Mental Attitude)
“How to control your
Everyone has a physical reaction to anger. Get better at being aware of what your body is telling you, and take steps to calm yourself down.
anger !” Anger is a normal, healthy emotion. But managing anger can be a problem for many people who find it difficult to keep their anger under control, especially in combination with
“Recognise your anger signs”
Your heart beats faster
You may breathe more quickly
There maybe an increase in tension in your shoulders
a neurological condition.
You may start clenching your fists.
Anger can result in high blood pressure, heart attack, depression, anxiety, colds, flu and
"If you notice these signs, get out of
problems with digestion. Therefore it is to
the situation your in by calming going
your own benefit physically and to your
to the bathroom”
families / carers emotional well being to get this issue better controlled.
Then try the following:
But anger doesn‟t have to be a problem.
Count to 10 Counting to 10 gives you time to cool down so
“The one thing you can control is your anger”
Health is Your Wealth Magazine
you can think more clearly and overcome the impulse to lash out.
Page 28
feelings of frustration which can anger.
Breathe slowly Breathe out for longer than you breathe in, and
relax
as
you
breathe
out.
“Getting help with anger”
“You
automatically breathe in more than out when
If you feel you need help dealing with
you‟re feeling angry, and the trick is to
your anger, see your doctor. There might
breathe out more than in”.
be local anger management courses or counselling that could help you. There are
Once you're able to recognise the signs that
also
private
courses
available
and
you‟re getting angry and can calm yourself
therapists who can help with anger issues.
down, you can start looking at ways to control your anger.
“Anger management
“Exercise can help with anger” Exercise can bring down your overall stress
Anger management programme may help
levels. Running, walking, swimming, yoga
and involve one-to-one counselling plus
and meditation are just a few of the activities
working in a small group with duration of
that can help reduce stress.
a day, over a weekend or a course across many months.
Take time to relax regularly, and ensure that
For different ideas on living life with a
you get enough sleep. Drugs and alcohol can
positive mental attitude send us your input
make your anger problems worse. “They may
to:
lower inhibitions, which is what we use to stop us acting unacceptably”
PMA@HealthisYourWealth.co.uk
Try writing, making music, dancing or painting can release tension and help reduce
Health is Your Wealth Magazine
Page 29
Mental Health
programmes”
Exercise, “Maintenance for your body !” Well known benefits of exercise in general consist of:
are released into the blood stream known as serotonin, this is known as the feel
Improved cardio vascular fitness which
good hormone
helps you not get out of breath so easily when walking up stairs or any other day to day tasks.
Improve flexibility of joints and muscles which will increase mobility
Reduced resting heart rate, as the heart
Increased bone density, if you should fall
becomes stronger and its ability to pump
and injure yourself then this will help
blood around the body more effectively,
decrease the risks of breaks or fractures
this helps reduce pressure and stress on
and also help speed up recovery.
the heart as it doesn‟t have to work as hard.
An increase in co-ordination and other motor skills to help with day to day tasks
Improvement
in
core
muscles
and overall quality of life.
(abdominals) and core stability, this will improve things like posture and balance.
Decreased body fat and improved BMI rating.
General mood and energy levels will be more positive, as you exercise hormones
Health is Your Wealth Magazine
Page 30
Other benefits of exercise in a structured
Experts suggest that you try to aim to get
format consist of:
at least 30 minutes of moderate exercise multiple times a week and a structured
Education, in a structured exercise
exercise program will help you achieve
program there will always be a qualified
this and maybe even progress to more!
instructor who is not only there to help
Chris Halling, Fitness Instructor
you with exercising but also educating you on a healthy lifestyle, things like diet.
More confidence and better social skills plus meeting new people.
Therapy
“A structured exercise program will help you achieve this and maybe even progress to more!”
Assessments can be made by an appropriate professional to help you identify areas of difficulty and to also show you just how far you‟ve come since you started your program. Reducing the risk of developing previous or new conditions/injuries.
Health is Your Wealth Magazine
Page 31
Speech Matters “Breath control”
You might begin to use your breath incorrectly. This can mean you run out
Breathing is something that we all do and
of air halfway through a sentence and
generally do not think about. However, sometimes we need to pay attention to our breathing or become aware of it. “What can go wrong with breathing in?”
are „gasping‟ for air! A few simple changes can often make all the difference.
There can be a build up of tension in
sitting well. You should stand/sit tall
your upper chest.
The movements in your shoulders and
with
neck can be too big. You might put in
too much effort or try to get extra air
good breathing involves lifting our
breathy
voice and a build up of tension.
Learn how to breathe in and out correctly in a relaxed manner, so that you can feel when you are doing things
If you do not breathe at the right time you can run out of air leading to
the lung space that you can use easily, maintain a good posture.
chest and shoulders.
you shoulders back. Do not allow your tummy to slump down as this reduces
by snatching breath. We often think that
Make sure that you are standing or
right.
Practice good breathing to help you increase your lung capacity. Physical Activity is also important as you develop better lung
Health is Your Wealth Magazine
Page 32
capacity as you get fit.
is a temptation to rush them and „get
Be prepared. Think about how much
them over and done with‟.
air you need for different situations.
“Breathing exercises” A very important step to learn is how to fill your lungs in a relaxed manner. You need to be able to use your diaphragm (a muscle that lies across the bottom of your rib cage) to increase the capacity of you lungs and it can take a little while to learn how to do this easily but your speech and
best to achieve this. There are multiple ways of achieving this but the key, as with any exercise is to do little and often. Sometime four, 5 minute sessions a day is
schedule them at a time you have nothing
else
going
on
straight
afterwards.
Also schedule these exercises when you are not fatigued. If you know that you are getting tired at 3pm then do all your therapy in the morning! A good idea is to schedule them using a calendar on your phone and also once a month record your voice and see if things are improving for yourself!
better than one 20 minute duration. This means that it is fairly quick to complete but may take a long time, it is not unusual to take many weeks or even months to achieve results. Ensuring that you finish these exercise properly and consistently should bear the results you long for. Certainly because they are quick to do there
Health is Your Wealth Magazine
Page 33
Therapy
language therapist can guide you on how
This is a mistake, take your time and
blackberries or blueberries to add some
“Golden Nuggets, Strategies to increase Independence”
flavour!
If you have reduced mobility it maybe helpful
Cut down your tea and coffee. Try and aim for just one cup of tea/coffee in the morning at breakfast time. The first thing to cut out is a drink just before bed, you don't need extra caffeine just before you go to sleep. Plus more hot drinks increases your likelihood of
to reduce your sugar intake and increase your heart rate for at least 20 minutes a day. There are loads of chair based exercise you can do at home and combining these with an improved diet can really help your overall well being both physically and mentally.
snacking! Try not reduce your fizzy drinks intake. Then replace the afternoon hot drink with a fruit or peppermint tea. Peppermint is supposed
to
be
helpful
with
Ideally this should be zero. Replace these drink with a glass of water!
bowel Don't buy snacks (biscuits / chocolate / crisps).
movements.
If you have a cupboard full of treats ten you If you do fancy a snack try leaving some hard boiled eggs in the fridge, they are tasty, full
are likely to eat them! If they aren't there you can‟t eat them!
of protein and low in fat.
Of all the breakfast cereals on the market porridge is one of the healthiest for you. Try mixing
in
some
fresh
fruit
such
as
Health is Your Wealth Magazine
Page 34
“Importance of Nutrition” “Is a Mediterranean diet better for you?”
Eating less meat
Using vegetable and plant oils, such as olive oil
Try to stick to these guidelines:
Base your meals on starchy carbohydrates, such as bread, pasta, rice or potatoes. Choose wholegrain
has a range of definitions, but is largely based
varieties wherever you can, or eat
on vegetables, fruits, nuts, beans, cereal
potatoes with their skins on for more
grains, olive oil and fish.
fibre.
The Mediterranean diet has been associated with good health, including a healthier heart.
Eat at least five portions of a variety of fruit and vegetables a day.
Choose some lean protein, which can
A 2013 study found that people following a
be meat, fish, eggs, beans or pulses
Mediterranean diet had a significantly lower
and other non-dairy sources.
risk of heart disease and stroke.
Include some milk and dairy foods, such as cheese and yoghurt. These
You can make your diet more Mediterranean-
are great sources of protein and
style by:
Ensuring you eat plenty of starchy foods, such as bread and pasta
Increasing your consumption of eating
calcium.
Have only a small amount of foods high in fat and/or sugar, or eat them less often.
plenty of fruit and vegetables
This important change is key to
Eating more fish
implement across your diet entirely, not
Health is Your Wealth Magazine
just two days a week!
Page 35
Managing Your Condition
A Mediterranean cuisine varies by region and
Health is Your Wealth Magazine
Page 36
possess compromised immune systems
“Learn To Pace Yourself”
due to their injury, illness or surgery. They also have to "fight off" hospital-acquired
“Don‟t have too many visitors whilst in hospital”
infections to which they are exposed such as MRSA (Multi-Resistant Staphylococcus Aureus)
and
C.
diff
(Clostridium
When you are admitted to hospital the natural
Difficile). If you are ill phone or send a
reaction of your friends, family and co-
message through friends.
workers is to come and visit you. This can a 2. Wash your hands for at least 20 seconds
small quantity of people. However if not
with soap and warm water before entering
managed properly visiting time can be dreaded
any patient room and upon leaving any
rather than something to look forward to. A
patient room. Hand sanitizers are not
combination of a large quantity of drug in your
enough!
body, too many people in the room and the
minimizing risks can play a big role in the
level
become
frequency of hospital-acquired infections,
overwhelming and unbearable. This can be
these are things over which we have no
especially true if you are suffering from brain
control.
of
noise
increase
can
While hospital
attention
to
injury.
“So what should visitors know about
However we do have control over our
visiting a patient in the hospital?”
efforts, efforts that serve both the patient and the visitor. Therefore, scrupulous hand
1. Do not come to the hospital if you are sick. This includes having diarrhea. Patients already
Health is Your Wealth Magazine
washing by everyone is your only hope for protection.
Page 37
Managing Your Condition
very nice experience for a short time and a
3. Change out of and wash any clothing that
members. Having an upsetting conversation in
may have touched the patient such as a tie.
the presence of the patient can have extremely
This is especially important if you live with
negative consequences. Whispering when the
someone or visit someone who is:
patient believes something is being withheld
Immune-compromised
can be upsetting. State everything in the
Having kidney dialysis
positive.
Suffering a underlying illness such as inflammatory bowel disease or colorectal
They are not allowed as they grow mold and
cancer
2. Plants and flowers for ICU patients.
Taking antibiotics or over-the-counter antacids
some patients have allergies to them.
3. Questions about the patient's condition.
Recovering from abdominal surgery
Recently discharged from a hospital
Use the services of www.caringbridge.org The purpose of this organization is to keep all
Undertake this before you enter your home or the patient's facility. MRSA lives on skin and survives on objects and surfaces for more than 24 hours. Infection rates continue to increase, as
do
deaths
from
hospital-acquired
infections.
1.
friends and family with Internet access updated on the condition of the patient and needs of the family. With the assistance of caringbridge.org, the family can set up a blog and make comments/requests as well as expressions of gratitude. There is no reason 24/7 advocacy
“What should visitors leave at
needs can not be placed on this blog, asking for
home?”
assistance. These postings eliminate the need
Complaints.
You are there to support the patient and family
Health is Your Wealth Magazine
for the family to personally contact everyone in their network whenever there is a change. It
Page 38
also gives those friends and loved ones who
a short, overnight visit! In that way,
have an interest in specifics the information
whenever well-meaning and caring
they crave without bothering the family. This
individuals ask what they can do, the
is especially helpful if the patient has family
family is ready to request help. It
and friends in other countries and time-zones.
should include:
“What can families or visitors do to
Doctor Visits - in which each care team member is asked to record every
improve the „care‟ of a patient?”
doctor
visit/outcome
that
occurs during their shift; 1.
Have someone with the patient, in the
2.
Procedures - in which each care team
needs a guardian.
member is asked to record any
Create a Care Team Notebook. By
procedures done and the expected
asking friends, neighbors and family to
and actual outcomes;
assist in advocacy, the family's personal burden is not only reduced but the
Notes - in which each care team
patient benefits from "new eyes." This
member is asked to record any
Notebook passively "coaches" advocates
observations during their shift;
in what should be observed and, as necessary, negotiated with hospital care
Questions - in which each care team
providers. In order to stay organized and
member lists any questions they have
keep track of everything, this Notebook
for medical personnel for future
should be set up prior to or immediately
shifts;
upon hospital admission if the patient's stay is expected to be anything more than
Health is Your Wealth Magazine
Page 39
Managing Your Condition
room as often as possible. The patient
Outside the Hospitals Tasks and Chores in which are listed things that need to be
done to keep the patient's family and household
functioning,
divided
Ask the assigned advocate to manage the flow of visitors.
into
categories such as personal care for the
Have visitors contact the advocate ahead
patient, transportation, household chores,
of time and determine the best time to
childcare, pet care, etc.;
visit. Patients get tired, even when there is not a lot of activity. So do family
Emergency Contact Information - for
members who have to answer questions
the family, the advocates, the trusted
repeatedly.
medical advisor‟s and all key medical personnel.
Find out when nursing shifts change and procedures are scheduled and try to avoid
How can families and friends better
these hours where possible.
coordinate visits? “What top things can families or
Honor the visitation hours and policies,
visitors do to make the jobs of nurses
especially in the Intensive Care Units.
and healthcare assistants easier?”
Visits should be staggered and not
Offer to assist the nursing staff.
exhaust the patient. There are good
There is a tremendous shortage of nurses.
reasons for limiting the number of people in the patient's room at any one time.
Health is Your Wealth Magazine
Many things can be done by a visitor to assist the nurse such as securing bedding, running errands for the staff or patient,
Page 40
filling water pitchers, assisting with patient food intake, notifying the nurse
Manage your own stress, about the
when alarms sound and increasing
patient as well as about your
bedside supplies.
personal fear of hospitals and the unknown. If you can't, don't visit.
Give the family members a break!
If you have any complaints try to be factual stating the date / time / name
vitally important that you do not step
of medical team. Detail what you
into this role without learning what
expect the action / result of your
needs to be done or appear you are
complaint to be, who will ensure this
taking
is going to happen and when. Write it
the
family
member's
place.
Certainly it is important to maintain open communication
between
all down in the journal!
everyone
especially the family and the medical staff.
Any other visiting dos and don'ts?
Take care of yourself.
You are of no value to a family member or friend if you become ill. Sleep well, Eat properly and boost you immune system with multi vitamins!
Health is Your Wealth Magazine
Page 41
Managing Your Condition
They get tired and stresses too. It is
For more information please visit www.posability.org email us at PosAbility3@gmail.com or call us on 07565 598 193 Health is Your Wealth Magazine
Page 42
Brain Training “Each issue will include exercises to strengthen your brain!” The rules of brain training: 1. 2. 3. 4. 5.
Try and do a minimum and maximum of thirty minutes each day. Try and commit to doing for ten weeks. This duration requires that you set time to one side to complete this. It has to be challenging to work. If it‟s to easy there are no benefits. To keep motivated set yourself rewards. If you complete an exercise give yourself a reward, something to look forward to! As well as doing exercises on your own work with others to increase your social skills.
Improve Cognition
Word Search Exercise For The Brain HEALTH PRESENT FAMILY CHRISTAMS DINNER SMILE CRACKER TREE DECORATIONS PUDDING
Health is Your Wealth Magazine
Page 43
Brain Training Applications “A selection of applications that are fun but will also improve cognition� This maze is much more complex than usual. You start in the middle and have to escape to exit in the left hand side. However there are multiple dead ends and only one
Health is Your Wealth Magazine
solution! Perhaps time yourself to see how long it takes you, take a note of the time and try it again a few weeks later. Have fun!
Page 44
“MyBrainTraining - the Online-Fitness-Center for your brain!” MyBrainTraining (MBT), an online, internetbased, brain trainer that requires no local PC/ server installation and is available in various languages. MBT is accessible at:
With 30 exercises in four categories aimed at stimulating brain activity. The program was
with Dr. Kawashima" program, cooperating with the Industry University Research Project lead by Professor Dr. Kawashima. Dr. a
famous
Japanese
neuroscientist and has appeared in other wellreceived brain training products before. Our
new
subset, i.e. a diagnosed disease)
plus
many more.
M y B r a i n Tr a i n i n g
Professional allows physicians, therapists and clinics to create and administer user accounts for their patients, define individual training
University Clinic of Hamburg Eppendorf (UKE) has been using MyBrainTraining Professional in a study with schizophrenic patients and other renowned institutions have announced their intention to follow with projects and usage studies. In
addition
to
many
MyBrainTraining Professional
A mobile client, so patients can use most mobile devices (Apple / Android)
Front-end (for patients) available in 8 languages
Customize a program for patients (levels
patient‟s needs (e.g. level of difficulty, varied
exercises, training plans)
statistics (e.g. to compare one patient with
Health is Your Wealth Magazine
also
includes:
plans as required, adapt exercises to each
time limits, etc.) and create meaningful
features
of
difficulty,
selection
of
Face movement recognition tool which will help to diagnose e.g. ADHD patients
Page 45
Improve Cognition
developed as part of the "Train your Brain
is
population of users or users of a specific
In Germany, Prof. Steffen Moritz of the
www.MyBrainTraining.com
Kawashima
another, comparing him to the complete
How friendly is it?
SwiftKey Keyboard
Easy and quick to install, however you may need to power off your phone and turn it back on.
What does it claim to do? This keyboard is a simple way to improve
Allows you to type quick and easier.
entering text into your phone or tablet plus
Specifically good for people with co-
it‟s free !
ordination issues and impaired speed / performance.
Upgrade your phone‟s keyboard to SwiftKey Keyboard for free - and get more done without fussing over typos. Join over 250
What phone/system is it compatible with?
million people worldwide who use SwiftKey
Android and Apple i-phones plus tablets. We
Keyboard for hassle-free and bilingual
have used it on both and it works well.
typing. Review of application and rating - Kills your typos - Type faster with A.I.-powered predictions - Simply swipe-to-type with SwiftKey Flow - Autocorrect that actually works
We give this a ★★★★★ rating. One of those pieces of technology you wondered how you did without!
- Bilingual autocorrect across 80+ languages
Health is Your Wealth Magazine
Page 46
Google Calendar works with all calendars
Google calendar
on your phone and combines everything in one place.
How friendly is it? Very easy to use and quick once you know where things are. The interface is simple and straight forward to learn.
Get the official Google Calendar app for your What does it claim to do?
make the most of every day.
Helps you to remember what to do and when. Gives you reminders and lets you
• Schedule View - See your schedule at a
plan your day, week or month.
glance with photos and maps of the places you‟re going. • Assists to fill in your calendar - You can quickly create events with smart suggestions for event titles, places and people.
What phone/system is it compatible with? Android and Apple i-phones
• Different ways to view your calendar Speedily switch between viewing a single day to getting an overview of multiple days at once. • All your calendars in one, easy place -
Health is Your Wealth Magazine
Review of application and rating We give this a ★★★★★ rating. Without this tool we would be unable to function.
Page 47
Improve Cognition
Android phone and tablet to save time and
• Get organized: notebooks and tags keep work
Evernote
tidy • Find anything: searchable text in notes and photos How friendly is it? Easy to get started plus has lots of features that are inherent but the interface is so simple that if you want to use it just as a note taker then it works beautifully.
This product on it‟s own is excellent but when used in conjunction with
Swiftkey and
Google calendar is simply awesome. For
What does it claim to do?
anyone who has difficulty remembering thing
Allows you to jot notes down and carry them
this is a must have application.
wherever you are.
Evernote is the modern workspace that syncs
What phone/system is it compatible with?
between all of your devices. Work everywhere and stay productive:
• Stay focused: write in an uncluttered workspace • Get things done: make to-do's and checklists • Attach files: keep Office docs, PDFs, and
Android and Apple i-phones
Review of application and rating We give this a ★★★★★ rating. If you are unable to write this application will keep you organized and in control!
photos
Health is Your Wealth Magazine
Page 48
Smart Recipes
Share with friends via Facebook and Twitter Learn more about being food smart and making healthier choices
What will it do? Gets you eating well balanced food. Encourages instructions.
you
to
follow
Challenges
simple
your
co-
ordination and can strengthen your muscles. How friendly is it? The Change4Life Smart Recipes app is a
healthier meals. Sometimes it‟s hard to know what to cook or have new meal ideas. And remembering ingredients and keeping track of
explained. Detailing which ingredients you need, how long you will need to prepare and cook for plus what utensils are required.
calories can be a hassle. What phone/system is it compatible Search over 100 easy, calorie counted recipes
with?
for breakfast, lunch, evening meals, puddings
Available on Apple Store and Google
and snacks. Find delicious meal ideas if you‟re
Play
short of inspiration – just use the meal mixer Keep track with the handy shopping list, which organises the ingredients you need by supermarket aisle.
Email recipes and shopping lists
Health is Your Wealth Magazine
What does it cost? Free Review of application and rating We give this a ★★★★★ rating. It‟s very good, simple to use and fun.
Page 49
Improve Cognition
great, free way of helping everybody eat tasty,
Extremely friendly. The recipes are well
“Playtime” “A selection of applications that are fun but may also improve cognition” ★
Clean,
colorful
graphics
★ Fun sound effects
What‟s new in the Extreme Level Pack! A new Flow Free is a simple yet addictive puzzle
free level pack to challenge your skills. Watch
game. You have to connect matching colored
out, these ones are tricky…
dots with pipes to create a flow. Pair all colors, and cover the entire board to solve
“So are there therapeutic benefits?”
each puzzle. However watch out, pipes will break if they cross or overlap!
This game can be used as an formal therapy tool for improving all sorts of cognitive
Free play through hundreds of levels, or race
impairments and although no formal medical
against the clock in Time Trial mode. Flow
study has been completed which measures an
Free game play ranges from simple and
outcome patients have exclaimed that there is
relaxed, to challenging and frenetic, and
an improve over many areas including but not
everywhere in between. How you play is up
limited to memory, concentration, logic,
to you.
problem solving and decision making.
Flow Free features:
Just as important is that it‟s fun and highly
★ ★
Over Free
1,000
Play and
free
puzzles
Time Trial
addictive!!
modes
Health is Your Wealth Magazine
Page 50
playability. Lep the leprechaun has lost
“Lep's World”
his gold, so to find it he needs you to help him run and jump through the fantastical realms of Lep's World. Be careful, though. This place is full of beastly monsters, and they'll do everything they can to stop little Lep. If you collect a cloverleaf, Lep's health grows. Ah, but health alone won't keep Lep out of trouble though! Use your
Legendary platform, with nearly 100 million
smooth, easy moves to guide Lep on his
downloads! So, join in on the fun! Be
adventure.
in this beautiful adventure. It's hidden in a range of awesomely well-designed levels, and he's determined to find it all! Lep's World features:
What will it do? Excellent for improving co-ordination and speed of response. What phone/system is it compatible
+ 56 well-designed levels
with?
+ Fabulous animations and in-game graphics
Available on Apple Store and Google Play
+ 5 different world themes + 9 challenging enemies + Classic platform game style
Lep‟s World is a classic platform game that combines old school game play with modern
Health is Your Wealth Magazine
What does it cost? Free Review of application and rating We give this a ★★★★ rating. It‟s very good, quick to start enjoying and lots of fun.
Page 51
Improve Cognition
nimble... be quick... and help Lep find his gold
Book Review ON THE EDGE—Richard Hammond “Gripping account by Richard Hammond of life before and after his terrifying high-speed car crash that left him with TBI.”
off with ridiculous stunts on his bicycle to the adolescent with a near-obsessive attraction to speed and the smell of petrol. His insights into the personalities, the camaraderie and the stunts for which Top Gear has become famous, make compulsive reading. It was whilst filming for Top Gear that Richard was involved in a high speed crash, driving a jet-powered dragster.
Richard Hammond is one of the best-loved UK television presenters. In September 2006, he suffered a serious brain injury following a high-speed car crash. ON THE EDGE is his compelling account of life before and after the accident and an honest description of his recovery. An adrenalin junkie long before his association with Top Gear, Richard tells the story of his life, from the small boy showing
His wife Mindy tells the story of the anxious hours and days of watching and waiting until he finally emerged from his coma. In an extraordinarily powerful piece of writing, she and Richard then piece together the stages of his recovery as his shattered mind slowly reformed. The final chapter recounts his return home and his triumphant reappearance in front of the cameras. We give this book a ★★★★ rating
Health is Your Wealth Magazine
Page 52
Movie Review awareness
Health is Your Wealth Magazine
Page 53
Print & e-Magazine Subscriptions For Patient Waiting Room Reading!
Simply send a blank email to subscribe@healthisyourwealth.co.uk OR Click Here! Copy and paste the web address below or type the www address into you web browser.
NOTE The E-Magazine is FREE!!! And can be printed out for your patients to read.
www.healthisyourwealth.co.uk and click on Subscriptions Health is Your Wealth Magazine
Page 54
Key Contacts Sales/ Advertising Carolyn Wright Director of Sales Telephone: +44 (0) 1332 416131 E-mail: cw@healthisyourwealth.co.uk
Positive Mental Attitude
Website / BLOG for: www.HealthisYourWealth.co.uk
PMA@HealthisYourWealth.co.uk
webmaster@HealthisYourWealth.co.uk
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Health is Your Wealth Magazine
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Health is Your Wealth Magazine
Page 56