The document discusses changes to the Life After Stroke Grants program. Key changes include:
- Distributing the LAS Grant budget and Development Fund budget based on estimated stroke survivors and referrals in each region respectively.
- Three types of LAS grants: Hardship (up to £100), Recovery (up to £300), and Activity (up to £300).
- The Development Fund can be used by all Services staff to enhance existing services or create new activities, and will be decided by a quarterly panel consisting of clients, volunteers, and staff.
- Applications must demonstrate long-term benefits and follow the new guidelines/processes to be considered for funding. Regions are expected to use funds
This edition is packed full of features and information which really reflect the powerful way that you, the members, make Shine such a dynamic and life changing organisation.
This edition is packed full of features and information which really reflect the powerful way that you, the members, make Shine such a dynamic and life changing organisation.
Intro Prezi zum Social Media Club München am 4. November 2013 "Content-Marketing - was bringt's" mit Vorträgen von Heinz Wittenbrink und Jörg Bunk (Details siehe http://smcmuc.wordpress.com)
Segmentation in practice. Audience strategy conference, 26 May 2016CharityComms
Ciara Smyth, director of insight, planning and strategy, Stroke Association
Visit the CharityComms website to view slides from past events, see what events we have coming up and to check out what else we do: www.charitycomms.org.uk
Intro Prezi zum Social Media Club München am 4. November 2013 "Content-Marketing - was bringt's" mit Vorträgen von Heinz Wittenbrink und Jörg Bunk (Details siehe http://smcmuc.wordpress.com)
Segmentation in practice. Audience strategy conference, 26 May 2016CharityComms
Ciara Smyth, director of insight, planning and strategy, Stroke Association
Visit the CharityComms website to view slides from past events, see what events we have coming up and to check out what else we do: www.charitycomms.org.uk
How landlords can prepare for managed migration workshopPolicy in Practice
Policy in Practice has teamed up with Bill Irvine, UC Advice & Advocacy, to help housing associations learn how to prepare for managed migration to Universal Credit. This workshop featured the following speakers and topics:
Background to Universal Credit managed migration by Zoe Charlesworth, Policy in Practice
The view from the frontline by Nadine Burns and Michelle Birley, The Guinness Group
Key challenges to smooth delivery of managed migration by Bill Irvine, Universal Credit Advice
Transitional Protection by Louise Murphy, Policy and Data Analyst, Policy in Practice
Best practice advice for preparing tenants by Bill Irvine, Universal Credit Advice
How Royal Borough of Greenwich is preparing for managed migration by Corin Hammersley, Royal Borough of Greenwich
Develop your own proactive action plan for managed migration
For more information please visit www.policyinpractice.co.uk, call 0330 088 9242 or email hello@policyinpractice.co.uk
We held a workshop in Flintshire in April for local authorities who are curious about what their data can tell them. Hosted by Peter Carter and Terrin Mathew, attendees from across Wales and the North West compared notes about the challenges of the welfare reforms and the rollout of Universal Credit, and how they're each using their data now.
The workshop inspired people with stories of success elsewhere and helped them to build the case for using local authority held datasets to better target your support for vulnerable households.
For more information visit www.policyinpractice.co.uk, email hello@policyinpractice.co.uk or call 0330 088 9242.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. Stroke Helpline 0303 3033 100
stroke.org.uk
Changes to
Life After
Stroke Grants
Neil Chapman
May 2013
3. Stroke Helpline 0303 3033 100
stroke.org.uk
Why change?
• Review undertaken on how Life After Stroke Grants were
allocated and used across regions showed inequity of use
• Review of the use of Communication Support services non
essential expenditure funding, found it was not always
being used to good effect and only CS service users
benefitted
• The aim is to give every region greater influence and
opportunity over how Life After Stroke Grants are used
• Instead of just CS the Development fund will provide a
resource to offer greater creativity and innovation in terms
of support to stroke survivors
4. Stroke Helpline 0303 3033 100
stroke.org.uk
What have we done so
far?
• Set up Regional Grants Panel – made up of any 3 from
Pam Downes, Lou Everett, Kerry Foot, Neil Chapman, Bev
Reynolds and Sara Betsworth, but must include at least 1
Manager – we will meet at least once a week when
necessary
• We have new forms and guidance available at Z:Life After
Stroke Grants
• We have new email address: grantseasteng@stroke.org.uk
• Please send your Grant Application to this mailbox – it will
speed up your application
• Please complete all required information fields
5. Stroke Helpline 0303 3033 100
stroke.org.uk
The main changes
• 2 Categories: LAS Grants and Development Fund
• The LAS Grant Budget is now distributed based
on the estimated number of stroke survivors in
the region
• The Development Fund is distributed based on
the number of referrals per region
• 3 types of LAS Grant: 1 Hardship Grant, 2
Recovery Grant and 3 Activity Grant
6. Stroke Helpline 0303 3033 100
stroke.org.uk
The main changes
• 1 – Hardship Grant: for Contingency support
• Can only be applied for by Stroke Association Staff on
behalf of client.
• Maximum of £100
• Paid at the discretion of the RHOP in conjunction with
the Regional Grants Panel
• For e.g. fuel, clothing, food or support with transport
costs for families to visit stroke survivors prior to
repatriation to local area
7. Stroke Helpline 0303 3033 100
stroke.org.uk
The main changes
•1 – Hardship Grant: for Contingency support (cont)
• For clients who can’t access their funds or don’t have
any
• Separate application form
• Only to be used in Absolute Emergencies
• Can subsequently apply for other grants if eligible
8. Stroke Helpline 0303 3033 100
stroke.org.uk
The main changes
•2 – Recovery Grant: for intermediate relief
• Applications by Stroke Association Staff or other
professional working with client because of their stroke
– including health and social service staff, reputable
voluntary or charitable bodies
• Maximum £300
• Difference between income and expenditure must be
less than £50
• Maximum savings £3000
9. Stroke Helpline 0303 3033 100
stroke.org.uk
The main changes
•2 – Recovery Grant: for intermediate relief (cont)
• Application assessed by the regional grants panel
• For e.g. specialised respite or family holiday in UK,
washing machine, tumble dryer, fridge, energy bills,
beds and bedding, medical equipment or disability aids
not available from NHS, travel costs for compassionate
reasons
10. Stroke Helpline 0303 3033 100
stroke.org.uk
The main changes
•3 – Activity Grants: to support Life After Stroke
Activity
• This grant can only be applied for by Stroke
Association Staff on behalf of a stroke survivor
• To support the achievement of goals and outcomes
defined within the support plan of the stroke survivor
• To support the re-ablement of the person improving
quality of life in real terms – think of the outcome
measures, choice and control, making a positive
contribution, quality of life, economic wellbeing,
freedom from discrimination, health and wellbeing and
personal dignity
• Maximum grant approx £300
11. Stroke Helpline 0303 3033 100
stroke.org.uk
What’s not funded?
• Ongoing commitments can’t be considered – e.g.
mortgage, rent
• Grants cannot be made retrospectively – approval must be
sought in advance before agreeing joint funding with other
sources
• Private medical treatment
• Travel outside the UK
• Labour costs, other than installation of white goods,
including item removal and structural alterations
• Nursing home fees other than respite
• Debts and rent arrears
12. Stroke Helpline 0303 3033 100
stroke.org.uk
The Development Fund
•Funded with monies from the CS miscellaneous
pot
•Determined by the number of referrals per region
•All Services staff can bid for funding from this
budget, in the past it was only available to CS staff
•Not available to outside staff
•For enhancing and developing existing services
•For creating a new activity for a service group
13. Stroke Helpline 0303 3033 100
stroke.org.uk
The Development Fund
•Providing tools and resources for groups and
activities e.g. fishing, gardening tools, seeds, art
equipment, support to attend an exhibition
•Be creative and inspiring
•Submissions which are made collaboratively
across services or with groups for development or
activity encouraged –however this cannot be used
simply to subsidise SAVG’s
•Budget held by the Region and decided on a
quarterly basis by a panel consisting of clients,
volunteers, and staff.
•Full process yet to be advised
14. Stroke Helpline 0303 3033 100
stroke.org.uk
How much money do
we have?
•We have £12600 in the LAS Grant Budget to fund
the Hardship, Recovery and Activity Grants and
•We have £14818 in the Development fund, less
approx £200 per CS of which we have 7 so that’s
£13418
•We want this money used wisely and if we don’t
spend it the funds will be re assigned to other
Regions where they are using it effectively
15. Stroke Helpline 0303 3033 100
stroke.org.uk
Submitting a good bid
• Please complete all required information fields
• Please demonstrate how the grant will be of long term
benefit to the client – not just a short term fix
• Send to grantseasteng@stroke.org.uk
• Read and follow the Guidance notes
• Give us the required information
• Make the form legible
• Need a written recommendation from a consultant or
assessment by OT, Physio for medical equipment and aids
including riser recliner chairs
16. Stroke Helpline 0303 3033 100
stroke.org.uk
Key Points to Note
•We expect to see quality applications both in
detail and in accuracy
•Any applications incomplete or poorly
completed will be returned for improvement
or completion
•We will be able to turn applications round
sooner because we handle them locally but
only if the above is applied
17. Stroke Helpline 0303 3033 100
stroke.org.uk
Quiz time
Which one of these applications would you approve and why?
A Paul lives with Greta and their
grown up son Ron. Ron is often
away working and Greta is Paul's
full time carer. They have no
savings, but have not applied for
any benefits. They usually eat
take-aways after their fridge
broke. Last week Paul bought a
fridge freezer from a friend. He is
applying for £100 to cover the
cost of the fridge and £10 for the
delivery man to deliver and install
it.
B Wendy is applying or a bed that
costs £185 and will allow her to
leave hospital. Her income of
£206pw comes entirely from her
pension and her expenditure of £195
includes the cost of home care
support and incontinence pads.
Since her husband was admitted to
a care home with Dementia, she has
been living alone in her second floor
flat. The bed will allow her to move
in to her daughter’s ground floor flat
which means she will need less
support and will be more
independent.