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Safe Travels

Julie Entwistle, MBA, BHSc (OT), BSc (Health / Gerontology)

I am fortunate in my life to have vacationed to some pretty great spots.  But my favorite remains our trip to Alaska in 1999.  We travelled in August when the Ontario summers were hot and humid, and the air in Alaska was 16-18 degrees (Celsius) – clean, crisp, and fresh.  Alaska is beautiful.  It has mountains, oceans, wildlife, great people, and you can’t help but feel small when watching a glacier, three miles high, calving off chunks larger than your cruise ship.  We hiked, biked, toured the local shops, and took the White Pass and Yukon Railroad along the gold rush trail back into Northern Canada.  We walked a glacier and flew in a seaplane along the fiords.  Incredible.

But my favorite part of all?  We travelled with my grandparents, both disabled and in need of our help to fully enjoy the experience.

My grandfather was diagnosed with polio in 1946.  He spent three years in hospital and rehabilitation, and was discharged with “Canadian crutches” having no muscle in his legs or buttocks.  His bones were essentially stilts, with some active tendons that would let him swing his legs through and lock his knees so he could mobilize.  He had lots of falls walking this way, most resulting in a broken something.  My grandmother was physically healthy, minus some arthritis, but suffered from hearing loss.  My grandparents had always talked about going to Alaska and thanks to my parents, who included us in the experience, we were able to make that happen.

Travelling with a disability is not easy.  It requires planning, a supportive attendant, and an open mind.  Our cruise ship was “accessible” which turned out to be a blanket term for “we try”.  After all, nothing can be fully “accessible” as each disability is different, requiring varying levels of accommodation.  Because my grandfather could transfer to standing, and was tall, he needed things higher – toilets, chairs, beds.  Well, when they make things “accessible” they often lower them – to accommodate a wheelchair user who does not stand to transfer.  Walking around a cruise ship deck (slippery from damp sea air) was not safe for my grandfather, so he would use his scooter most of the time.  But the best was the gangways.  We would dock in the morning, and the gangway was nothing more than a simple bridge.  Easy for a scooter to manage.  Well, six hours later, the tide comes in and the gangway becomes a steep incline, completely unmanageable by scooter.  We didn’t realize that until we were at the bottom looking up.  We had packed a manual wheelchair as well, so we were able to move my grandfather into that, some burly men essentially carried him up the steep incline (not safe, but the boat was leaving regardless), and another group of men carried the scooter.  We managed, but we had help and a cruise line that was interested in providing some customer service.

March break is approaching and for months my clients have been asking me about travelling with a disability.  I enjoy these discussions because I do believe that anything is possible – but here are some pointers:

1.    Book the trip with a travel agent who specializes in disability, either by interest or circumstance (some have disabilities themselves), if you can.  These agents understand that “accessibility” is not an inclusive term, and with personal experience, or feedback from other patrons, they can customize the trip to meet the needs of your unique situation.  Check out www.accessholidays.ca as an example.

2.    Planning goes a long way.  Send pictures of your equipment, measurements, and get pictures and measurements in return.  Disclose the nature of your disability if you are comfortable with that, and be clear about what you can and cannot do.

3.    Travel with an attendant.  On our Alaskan trip there was a man from our town also on the boat who had a mobility impairment.  He did not have an attendant with him and was constantly asking other patrons to help him.  They were willing to comply, but at times his needs were not met, and it would have been best for him and the other travellers if he had someone with him who understood these and was trained to assist him with the same.

4.    Look at all your equipment options.  Can you rent something smaller or lighter that might be easier to lift, will fit into narrower places, or can you rent devices when you arrive?  I just provided a client with photos of devices, different from the ones he uses daily, that he could consider renting to facilitate his upcoming overnight to a waterpark with his children.

5.       Become informed.  Check out the government resources www.travel.gc.ca. Did you know that in Canada, if you have a disability and are flying domestically, you may be eligible for extra seating, support, or your attendant can fly for free: (Westjet or Air Canada )?  Or that Easter Sealsoffers a Disability Travel Card for buses and trains (Easter Seals)?  Also, if you have a disability and require someone to assist you through an airport to the gate, or at the gate through security and customs, there are special passes that can be obtained for this.  In Florida there is a rehabilitation program for people with spinal cord injuries that includes “project airport” and this takes wheelchair uses through an airport, onto a plane, and helps them understand how they can successfully manage this despite a physical impairment.  Many magazines (Abilities for one) often has articles on accessible travel and these highlight many different places that are great to visit, and some of the things to think about before you leave or when you arrive.

I miss my grandfather dearly but am blessed to still have my grandmother in my life.  Our trip to Alaska served many purposes – we were able to see a beautiful part of the world, my grandparents got to fulfill a travel dream, and I made memories with them that span far deeper than any photograph.

Safe travels!

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Concussion From Sport: A Former Olympic Hopeful is “Taking it Head On”

Jenna Sneva was a rising star athlete, on track to compete in the Olympics for ski racing. However, during her years of skiing, playing sports and competing Jenna suffered 12 concussions. After her last head injury Jenna decided to take a few days off to recover, but never thought she would have to give up her dreams due to her injuries. Jenna’s symptoms became much more severe and as a result had to give up her sport and start years of intensive therapy.

Today, Jenna is sharing her story with the world in hopes of helping others to

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know the signs and symptoms of a concussion or brain injury, how to prevent these, and most importantly, what to do following.

See more of her inspiring message here or visit her website at www.takingitheadon.com

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Food For Thought: Assess Yourself!

March is National Nutrition Month in Canada and to celebrate we want to give you tips and recipes to get the most out of what you take in.

Food is the fuel for your body and without the proper amount of nutrients, your body cannot perform at its best.  What do you need to do to ensure you are eating properly and your body is getting the nutrients it needs?

Occupational therapists assess and plan before starting any treatment and the same should be  true for how you plan your diet.  It’s hard to know how to get yourself to where you need to be if you don’t assess where you are currently at.  The following resources from the Dietician of Canada provide tools to assess your current nutritional situation and planning tools which can help you to see the changes you need to make for a healthier you.

Check out these great tools  and see how you can improve the way you eat and fuel your body this Nutrition Month.

Dieticians of Canada:  Assess Yourself

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March Break Awaits! How to Survive The Holiday Stress

March Break is less than a week away and for many it’s a time to escape winter and head down South for a relaxing getaway with the family.  Sunny beaches and warm weather await!  But first, you have to get there… and getting there is often the hardest part!  Between possible missed flights, delays, long waits, and lost luggage your vacation might have stressful times before it can begin.  The following from Everydayhealth.com discusses how to survive some of the most common travel stressors.

While you’re there, check out Everyday Health’s Healthy Travel Center for tips on what to pack and how to stay healthy while you’re away.

Everyday Health:  Stress Management Strategies for Travel Mishaps

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Supporting Autism, One Amazing Mother at a Time

Julie Entwistle, MBA, BHSc (OT), BSc

According to Autism Speaks, Autism now affects 1 in 88 children and 1 in 54 boys. The 2012 numbers reflect a 78% increase in reported prevalence in the last 6 years (www.autismspeaks.ca).  This is a growing problem, impacting more and more families each year.

Autism is a spectrum disorder, meaning that the signs, symptoms and severity can vary, making this difficult to diagnose and sometimes treat.  Yet through therapy, children with Autism can learn to function and communicate as independently as possible at home, school and with their peers.  In April, Entwistle Power is sponsoring the Burlington Autism Gala – a fundraising event being organized by Jessica Langdon – a mom motivated by her son’s journey with autism who has a vision to find answers and to obtain support for families faced with this diagnosis.

In support of the Gala, Occupational Therapist Justine Huszczynski wrote the following about her experiencing working with Jessica’s son Spencer, and in doing so, highlights some of the features of Autism, and the value of occupational therapy for these children:

When I first met Spencer I was introduced to one of the most intelligent little boys that I think I will ever come to know. He impressed me with his ability to read at such a young age.  He could print his name and spell many different words that I had never seen another child his age be able to do.  I think it was this intelligence that could easily cause a child like Spencer to slip under the radar. He was smart. He could print. He could speak. But beyond this lay a child who couldn’t handle loud noises, busy rooms, or being lightly touched.  An extreme meltdown was constantly on the brink of being unleashed at any given moment – triggered by a change in routine, being told “no”, or being overwhelmed by the environment around him.  Spencer didn’t make consistent eye contact, he had difficulties with social cues, taking turns, and coping with losing at a game.  Although he was verbal, he couldn’t express his feelings, which often caused a minor issue to turn into an explosive meltdown – sometimes lasting for over an hour at a time.

And then there was Jessica. A mom who was dedicated to her son and on a mission to get him the help he needed and deserved.  Jessica knew her son’s needs inside and out. She came to me with a wealth of information about Spencer and she just wanted to make sense of it all.

We started Occupational Therapy with Spencer immediately.  Jessica was in attendance for every session. She participated, asked questions, provided me with information, and was involved every step of the way.  We targeted goals based on self-regulation, social skills, and sensory processing.  We helped Spencer explore new sensory experiences and used strategies to help him cope with overwhelming situations.  Along the way, Jessica and I sat through countless meltdowns but we worked through them.  Spencer learned how to tell us when he was feeling overwhelmed and he could eventually choose strategies to help calm himself down.  It became easier for him to cope with changes in routine and he improved on his ability to follow instructions.  He was changing before our eyes.

Autism awareness led Jessica to seek help for Spence and his early intervention is what I believe helped him make so many gains in therapy.  To me, Spencer exemplifies the positive outcome that can occur when a child is given the supports they need and are surrounded by a family and team that works towards common goals.  Spencer is by no means “cured”. There is no “cure”.  But there is love.  There is support.  There is awareness.  But we still need more answers.  Constantly we are searching for answers.

justine

Justine Huszczynski
jhuszczynski@solutionsforliving.ca

For more information about the gala, please contact Gala Founder, Jessica Langdon at jlangdon@live.ca.  We hope to see you there!

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Get Outside and Enjoy What’s Left of Winter

It has been a long, cold and snowy winter.  Often, these months keep people indoors, but fresh air, sunshine and Vitamin D are important all year round.  With winter drawing to a close, and spring around the corner, for one final month try to get outside and enjoy all the fun, healthy activities winter has to offer.  The following from Canadian Living provides information on some great winter activities.

Canadian Living:  6 Winter Activities to Fall In Love With

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Food For Thought: Eat for Your Heart

February is Heart Month, and the recipes featured this month have focussed on heart health. For the final installment of “Food For Thought” this heart month, we wanted to provide you with a number of heart healthy foods that you can incorporate into your diet on a daily basis.  The following from WebMD provides you with the top 25 foods that will strengthen your cardiovascular system and keep your heart beating strong.

WebMD: 25 Top Heart Healthy Foods