PHSG Winter 2018 - Poole Heart Support Magazine Mailing Dates for 2018 are Tuesdays: February 27 th;

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  • MAGAZINE Winter 2018

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    Poole NHS News From Geoffrey

    Take a Deep Breath! With Dr Boos

    Spring Dinner Dan ce

    Save the date with E ric

  • © 2018 George Llewellyn

    POOLE HEART SUPPORT GROUP MAGAZINE Poole Community Health Centre Shaftesbury Road, BH15 2NT

    Telephone: 01202 683363 Ext 158 Telephone manned Mondays & Thursdays 2:00-4:00pm

    www.poolehsg.org.uk

    Please send magazine articles and photos to: Editor, 10 Hill View Road, Ferndown, Dorset BH22 9QY or by e-mail to; editor@ Tel. 01202 855001

    Magazines are published 1st March, 1st June, 1st September and 1st December. Print Deadlines are 10th February, 10th May, 10th August, 10th November

    Magazine Mailing Dates for 2018 are Tuesdays: February 27th; May 29th (Renewal Slips) ; August 28th; November 27th (Dinner Bookings)

    Committee Meetings are first Wednesdays in, February, April, June, August, October, December.

    PRESIDENT: Dr CHRISTOPHER BOOS MBBS, Dip IMC, RCS (Ed), MD, FRCP PRESIDENT EMERITUS: Dr. ANDREW MCLEOD

    Vice Presidents: GEOFFREY WALKER OBE, JP, MA, RGN, PgDip, DipEd, FAETC. Dr. DIANE BRUCE MB, Bsc (Hons), FRCP MAGGIE RICHARDSON JIM WAINE

    PHSG CONTACTS KEITH MATTHEWS Chairman & Magazine keith@ 01202 855001 DAVID ANDERSON Secretary & Website david@ 01202 697376 RITA HOLMES Treasurer rita@ 01202 743960 JAN MESHER Office Manager jan@ 01202 250108 DEREK POPE Membership Database derek@ 01202 889070 ROBIN PRINGLE Exercise Co-ordinator robin@ 01202 884250 LESLEY RICHARDS Lead Trainer lesley@ 01202 691339 ROGER RIDOUT Purbeck Liaison roger@ 01929 423079 GEOFF LAWRENCE Talks & Social Events geoff@ 01202 888438 GEORGE LLEWELLYN Talks & Social Events geoll@ 01202 605455 DAVE EVANS Clothing Sales 01202 602856 PAM BAILEY BHF Representative 01202 574944 JIM WAINE Founder and VP jim@ 01202 871532

    All PHSG emails are @poolehsg.org.uk

    If you know a member who is ill, please tell us by contacting our office using the number and times given above, or any committee member.

  • 3 PHSG Magazine

    Chairman’s Letter Christmas again? Oh no! Bah Humbug. Must we have this EVERY year! OK then, if we must. Our Christmas Party at Canford is our main celebration and we’ve fixed this year a bit more definitely than previously. That’s not been our fault entirely in the past, it’s just tricky to get Canford to commit on a date at this time of the year.

    The PHSG Christmas Party at Canford is December 20th at 10:30 for 11:00

    A fun, group exercise warm up led by multiple trainers followed by a

    sit down buffet and a Christmas Quiz.

    Secondly, this is advance notice and a ‘heads up’ to ‘Save the Day’ for next year’s Annual Dinner and dance. Yes we are organising our Spring Dinner Dance again in 2019. PHSG member Eric Paddock has stepped up to the plate and taken over the organisation with a real enthusiasm to promote it and make it a roaring success. Key to this is that the band that Eric represents Kaboodle will be playing for us for mood music and then for dancing. Eric will be touring the exercise venues soon to tell you all about it. Don’t forget, this is where we invite the Poole rehab nurses and all our trainers to dinner as a thank you for keeping us going through the year.

    PHSG SPRING DINNER & DANCE

    Friday May 24th 2019 18:30 for 19:00 Hamworthy Social Club BH21 3AL

    SAVE THE DATE!

  • PHSG Magazine 4

    Hello Again. I thought in this edition’s column I would like to talk about one issue on the subject of breathlessness. As the lead for the Cardiopulmonary Exercise Testing service at Poole, I see a significant number of patients over the age of sixty years old who complain of significant breathlessness that adversely affects their quality of life. The causes are varied yet the consequences are similar; breathlessness affecting ability to do what they want to. I have found that in the vast majority of patients there is one or more clear contributing causes. Examples include a lower limb fracture or

    serious injury (affecting mobility), weight gain, a chest infection and major life stress. The effects of these events depend on the individual but in my experience the commonest consequence is de-conditioning. With de-conditioning there is a spiral of inactivity leading to reduced fitness and then further reduction in activity. This process is often slow and occurs over many months and even years. Consequently, patients become convinced that there is a genuine or serious cause of their breathlessness further limiting their ability to exercise. In the majority of cases (although not all) the solution is simply the need to get fitter, but patients are scared as they are unsure what is going on. One of the obstacles to recovery is the lack of realisation of the effects of aging which leads to reduced muscle mass and strength. Hence recovery can take longer, and strength based activities such as climbing up a flight of stairs becomes far more difficult for the elderly than it is for a younger person. A typical scenario that I encounter might sound like this: ‘Doc, I am okay on the flat but the moment I try to do a flight of stairs or an incline I am finished’. For the heavier of you this challenge is even greater and often leads to sudden breathlessness while trying to tie your shoe laces or flexing forward. Does this happen to you? This is caused by the lungs having limited room to fill with air in the flexed position. Another scenario that I frequently encounter are patients who feel breathlessness even while talking or on very minimal exercise. They often complain of air hunger. There is usually an identifiable trigger such as a recent chest infection or one or more major adverse life events which leads to a maladapted breathing pattern. Just as you have to train your skeletal muscles by exercise to get better, with physical de- conditioning then the same applies to breathing. Six weeks ago I saw a patient who fitted this scenario exactly. I diagnosed a breathing disorder and advised him on targeted breathing exercises. Amazingly I saw him four weeks later and his quality of life was transformed for the better.

    From the President

  • 5 PHSG Magazine

    It has been demonstrated conclusively that breathing exercises can improve quality of life across a range of conditions including insomnia, anxiety, and hypertension. Here is an example of a breathing exercise for you. Until next time don’t forget to BREATHE! Find somewhere quiet where you will not be disturbed and do this for 5 minutes:

    1. Put one hand on your chest and the other over your stomach. You want your stomach to move more than your chest as you breathe

    2. Take a slow, regular breath in (through your nose if you can) over 4 seconds. Watching your hands as you breathe in.

    3. Breathe out slowly through pursed lips over 5 seconds

    4. Repeat this 10 times, twice a day

    Dr Christopher Boos Consultant Cardiologist, President Poole Hear t Suppor t Group. Poole Hospital NHS Trust Visiting Professor, Carnegie Research Institute, Leeds Beckett University

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  • PHSG Magazine 6

    Geoffrey’s News From Poole Dear Friends, I hope I find you well and that now summer is over you are excited and preparing for Christmas! There is much happening in my areas of responsibility here at the hospital, and so I want to take a bit of time to explain. It has been decided that we need to have senior nursing presence at the weekends, which I believe a really good thing, so we will have a matron on Saturday and Sundays. I am responsible for many areas and departments and they will be split into three, and two new matrons appointed. I have been responsible for these for almost 15 years and the time for change is right. The new areas will be (1) The A&E Department. (2) The in-patient medical beds with associated specialties and (3) Specialist Medicine, Specialist Nursing, Ambulatory care and Cardiology. As you will probably guess I will keep (3) as these are the areas I have spent the most time with. It is a time of change and all should be in place by January, when the other matrons have been appointed and are in place. I will then cover for their areas when they are on leave, so will still have a lot of input in my old departments. I believe it is for the better and change is inevitable if we are to progress. I am happy to say I will be handing over thriving areas where the quality of care and morale is of the highest standard. So we are progressing all the time. We are very busy across the Hospital as we prepare for winter. We have a plan in place and will open new beds for the winter period. I will be opening C4 as a full time ward now and have appointed a new Charge Nurse for it. He is Grant Willats and he has been acting as my deputy for over 9 months. Grant’s wonderful enthusiasm and ability will ensure the ward will flourish. He is starting it from scratch and recruiting to it now. The Medical Investigations Unit (MIU) is now to have a purpose built unit that will fit in with what is required and reduce the risk of escalating into it. The new unit build is underway and will be located where the old discharge lounge was, and half of the adjacent empty ward. It is a very exciting opportunity and the staff are delighted. Once open, to reflect it’s multipurpose it will be re-named as the Treatment and Investigations Unit (TIU