Re: Digest Number 1551

[Guest guest]

No one is lucky to have PA, but fortunately I didn't get it until I was 62

and as a RN working as night supervisor, all of a sudden my R hand cramped up

and I wasn't able to write or do anything with it. PA progressed quickly on

from there and I have followed all the meds you all have. I had to quit

working, unfortunately. I have a wonderful Rheumatologist and just wish

there were like her to share. I have very little psoriasis, thank goodness.

I am very thankful I didn't start this in my 30s. God Bless, and think happy

thoughts. Betty in VA

[Guest guest]

Hello Everyone,

Until now, I have only been a passive reader. I too am a parent of a boy with

autism. He is nine years old. We also have three typically developing

daughters. I wanted to respond to the " Teachers Training Programs " posting on

April

21. Next month I will complete a master's program at the University of North

Texas. The program is a masters in Special Education with an Autism

Interventionist endorsement. This program has received a grant from the Dept. of

Education

and offers scholarship money to parents and educators to obtain higher level

training and information in the field of autism. The program is offered both

full-time and part-time. The grant made it possible for me to participate in

this program. As a student, the grant also offers funding for conferences and

workshops. If anyone is interested or knows teachers that may be interested, the

program director is Dr. Callahan. He can be reached at

Callahan@... or 940-565-4037.

I feel like the program has given me an " inside track " to special education

that I didn't have before. I have also been able to share a parent's

perspective with educators. We have been in Denton for the past five years and

have been

very frustration with the lack of knowledge and adequate training of

individuals responsible for implementing services for my son. Since I have been

in the

graduate program, I have tried to initiate collaboration with the program and

Denton public schools. My efforts have not resulted in systematic change but

I feel some benefit has been gained. If anyone wants additional information,

please email me at aktcowan@....

Cowan

Wyatt's Mom

[Guest guest]

Having read the CNO Bulletin followed by this e mail, I suddenly realised that there must as I have often wondered, be a parallel universe afterall. One in which there exists another NHS. There is that one, where everything in the garden is rosy, where there is strong nursing leadership, where there is clear direction, where service redesign (so it does exist?) is good and positive and reflects policy, where individual nurses (if not whole services) are valued and supported by their organisations to develop and do exciting and innovative things that will improve the lives of the people they care for - and one presumes have the influence and authority needed to do them? Then there is this one. I wonder which universe you occupy? wrote:

There are 6 messages in this issue.Topics in this digest:1. RE: Fw: Severe cuts in Health VisitorsFrom: "Wood" 2. Re: Fw: Severe cuts in Health VisitorsFrom: junet579@...3. Re: Fw: Severe cuts in Health VisitorsFrom: junet579@...4. Re: Fw: Severe cuts in Health VisitorsFrom: junet579@...5. Re: Fw: Severe cuts in Health VisitorsFrom: " Bidmead" 6. RE: Fw: Severe cuts in Health VisitorsFrom: "Manning" ________________________________________________________________________________________________________________________________________________Message: 1 Date: Mon, 18 Jul 2005 20:18:54 +0100From: "Wood" Subject: RE: Fw: Severe cuts in Health

VisitorsI think the evidence on the dliution of the HV role which our researchcolleagues identified following the Cambridge experiment would behelpful. has the references, but and Margaret know about thedetail of what happened there too.Unless the HV service has been really well managed, the chances of therebeing adequate data to identify unmet needs isn't good. Some areas(mine too, alas) are completely negelcting the Child Health System andits database on children's health needs. But if your colleague is in adecent PCT which believes in the vlaue of the HVand SN roles in publichealth, it mightn't be bad. CAMHs services vary in their explicit involvement of HVs in tier 1- 2services and their reliance on early casefinding and referral. Thismight also be a source of useful baseline information.I wish I could place faith in the role of Amicus in definding HV jobs,but they have bitten off more

complexity than they can chew, and it'snot to be expected.-----Original Message-----From: [mailto: ]On Behalf Of BidmeadSent: 18 July 2005 16:45 Subject: Fw: Severe cuts in Health VisitorsDear Senate Members,Here is another little piece of evidence to add to the cuts in healthvisiting story. I received this via the Association for Infant MentalHealth and has already been forwarded to Cheryll (CPHVAProfessional Officer) with the details of who sent it from where which Ihave cut out of this email in order to protect the people concerned.This all sounds very sinister particularly the fact that people arebeing prevented from speaking out. Services seem to want to provide athree for the price of one service, three untrained people for the priceof one fully

trained and competent health visitor!Best wishes,'I am writing to ask for advice as to how and where best to fight forour local Health Visitors in (a PCT in the South of England). Due tobudgetary crisis they are all being interviewed with a view to invitingmany voluntary redundancies especially from the majority of highergrade, very experienced staff ,many in their fifties; and "redesigning"a service which will contain one health visitor per team and a number ofpoorly trained, low paid community staff and some Nursery Nurses. Whilstthe group are not saying they are opposed to any change and redesign inprinciple, they have actually been threatened with dismissal if theyspeak to anyone, and their managers appear to be powerless to protest astheir jobs too are under threat. A small example is that there has beenmuch sickness, (perhaps related to low morale and the burden of reducingsmoking rather than

concentrating on young children and their families)this has necessitated the rest of their colleagues covering hugeamounts of work for sick Health Visitors. These are now beingreprimanded for not having engaged in any further training becausethey were covering for their sick colleagues. At the moment the minimal service they are routinely permitted todeliver involves one post natal visit and that is all, apart fromroutine clinics except in "special circumstances". While of course Ihave names of the head of the PCT, and the head of Child and FamilyServices and also that of a lay member on the PCT, I am anxious not toprotest in an unfocussed way and am wondering what patterns, moves anddirectives there are more nationally that could guide me in mycorrespondence and make it most effective in its impact, Of course thereis much detail which I do not include here.When I have in the past lobbied for the Nursery Nurses,( who

are cryingout for further training,) to be offered some , such as the SolihullApproach,in order to equip them better, I have been turned down; sothere is in fact no commitment to offering these support staff thetraining framework or knowledge base that could help them to deliver anadequate service. Another example is that There is no time toadminister the EPNDS any more. Currently, I am engaged in setting upan Under Fives Brief counselling service. I cannot do this without thevital network, knowledge and skills that Health Visitors embody, andcannot create such a service in conditions where they are disappearing. My other CAMHS colleagues are equally concerned. Please can you offerany guidance.?Best wishesChild and Adolescent PsychotherapistAIMH (UK) Member --This email has been verified as Virus freeVirus Protection and more available at http://www.plus.net_____ ! GROUPS

LINKS * Visit your group "" on the web.*

[Guest guest]

I love the idea of the parallel NHS - wish I was there! Seriously, it's jolly easy to become quite detached when you work in a government department. Professionals like nurses and doctors do get out a bit (highly variable) but for the most senior, it tends to be carefully managed ribbon cutting trips with formal speeches, so the amount of time spent in real, honest, sustained contact with practising colleagues is really limited and precious. The admin branches (i.e. REAL Civil Servants) are more insulated and their circumstances make them prone to groupthink.

And that's without any political pressures....

H.

RE: Fw: Severe cuts in Health VisitorsI think the evidence on the dliution of the HV role which our researchcolleagues identified following the Cambridge experiment would behelpful. has the references, but and Margaret know about thedetail of what happened there too.Unless the HV service has been really well managed, the chances of therebeing adequate data to identify unmet needs isn't good. Some areas(mine too, alas) are completely negelcting the Child Health System andits database on children's health needs. But if your colleague is in adecent PCT which believes in the vlaue of the HVand SN roles in publichealth, it mightn't be bad. CAMHs services vary in their explicit involvement of HVs in tier 1- 2services and their reliance on early casefinding and referral. Thismight also be a source of useful baseline information.I wish I could place faith in the role of Amicus in definding HV jobs,but they have bitten off more complexity than they can chew, and it'snot to be expected.-----Original Message-----From: [mailto: ]On Behalf Of BidmeadSent: 18 July 2005 16:45 Subject: Fw: Severe cuts in Health VisitorsDear Senate Members,Here is another little piece of evidence to add to the cuts in healthvisiting story. I received this via the Association for Infant MentalHealth and has already been forwarded to Cheryll (CPHVAProfessional Officer) with the details of who sent it from where which Ihave cut out of this email in order to protect the people concerned.This all sounds very sinister particularly the fact that people arebeing prevented from speaking out. Services seem to want to provide athree for the price of one service, three untrained people for the priceof one fully trained and competent health visitor!Best wishes,'I am writing to ask for advice as to how and where best to fight forour local Health Visitors in (a PCT in the South of England). Due tobudgetary crisis they are all being interviewed with a view to invitingmany voluntary redundancies especially from the majority of highergrade, very experienced staff ,many in their fifties; and "redesigning"a service which will contain one health visitor per team and a number ofpoorly trained, low paid community staff and some Nursery Nurses. Whilstthe group are not saying they are opposed to any change and redesign inprinciple, they have actually been threatened with dismissal if theyspeak to anyone, and their managers appear to be powerless to protest astheir jobs too are under threat. A small example is that there has beenmuch sickness, (perhaps related to low morale and the burden of reducingsmoking rather than concentrating on young children and their families)this has necessitated the rest of their colleagues covering hugeamounts of work for sick Health Visitors. These are now beingreprimanded for not having engaged in any further training becausethey were covering for their sick colleagues. At the moment the minimal service they are routinely permitted todeliver involves one post natal visit and that is all, apart fromroutine clinics except in "special circumstances". While of course Ihave names of the head of the PCT, and the head of Child and FamilyServices and also that of a lay member on the PCT, I am anxious not toprotest in an unfocussed way and am wondering what patterns, moves anddirectives there are more nationally that could guide me in mycorrespondence and make it most effective in its impact, Of course thereis much detail which I do not include here.When I have in the past lobbied for the Nursery Nurses,( who are cryingout for further training,) to be offered some , such as the SolihullApproach,in order to equip them better, I have been turned down; sothere is in fact no commitment to offering these support staff thetraining framework or knowledge base that could help them to deliver anadequate service. Another example is that There is no time toadminister the EPNDS any more. Currently, I am engaged in setting upan Under Fives Brief counselling service. I cannot do this without thevital network, knowledge and skills that Health Visitors embody, andcannot create such a service in conditions where they are disappearing. My other CAMHS colleagues are equally concerned. Please can you offerany guidance.?Best wishesChild and Adolescent PsychotherapistAIMH (UK) Member --This email has been verified as Virus freeVirus Protection and more available at http://www.plus.net_____ ! GROUPS LINKS * Visit your group "" on the web.*

[Guest guest]

Very true, Val!

val wright wrote:

> Having read the CNO Bulletin followed by this e mail, I suddenly

> realised that there must as I have often wondered, be a parallel

> universe afterall. One in which there exists another NHS. There is

> that one, where everything in the garden is rosy, where there is

> strong nursing leadership, where there is clear direction, where

> service redesign (so it does exist?) is good and positive and

> reflects policy, where individual nurses (if not whole services) are

> valued and supported by their organisations to develop and do exciting

> and innovative things that will improve the lives of the people they

> care for - and one presumes have the influence and authority needed to

> do them? Then there is this one. I wonder which universe you occupy?

>

>

[Guest guest]

From: Jan Jenson <vizual@...>

Eat more RAW pineapple.

The bromelain is an anti-inflammatory too.

Helps FOGGY BRAINS!!

Jan

Subject: Re: Pineapple

Do you get a craving for pineapple when you eat a lot of protein? Bromelain

helps to digest protein.