Monthly Archives: February 2021

Silicone Breast Implant Issues Reported in the Media

A blog written by a plastic surgery nurse who hopes to set the record straight for anyone who has concerns, fears, or questions regarding the safety of breast implants.

Background on  Silicone Implants

The current generation of silicone breast implants were released in April of 1994. From 1994 until the fall of 2006, there  were ongoing clinical trials and studies done on the safety of these medical devices. These studies were done due to issues with the previous generation of silicone implants. In November of 2006, the silicone breast implants currently still used today, were deemed safe and approved by the FDA for use in anyone over the age of 22 years old.

Saline versus Silicone

Both saline and silicone breast implants are still available. Though, silicone implants are far superior to saline and give both the patient and the surgeon more options to achieve a natural-looking and feeling result.  It should also be noted that regardless of what type of breast implant is chosen, you are not exposed to anything different. Both saline and silicone implants have a shell that is made of silicone, it is just what is inside the implant that differs. Silicone implants are frequently referred to as “gummy bear implants” because they contain a cohesive gel inside while saline implants are filled with saline water.

Current Concerns with Implants

“Can my implants cause cancer or other illnesses?”

In the above video, Plastic Surgeon, Wong Moon, describes that some women are still fearful that silicone implants may cause autoimmune issues or cancer, even though this has been disproven.  He assures patients that there is no increased risk with silicone implants, though a follow up exam or imaging could rule out any concerns.

Breast Implant Illness?

There have been reports of some women experiencing physical and psychological symptoms that they blame on their implants. So far, there is no proof that breast implant illness (BII) exists. Though, implant companies and physicians are doing extensive ongoing research to see if there is a link between symptoms experienced and breast implants. Many of the reported symptoms are vague and can be associated with other conditions, some reported symptoms are:

  • Fatigue
  • Muscle/ joint pain
  • Hair loss
  • Anxiety/ depression
  • Headaches

If all other conditions are ruled out and the patient chooses to undergo an explanation surgery, she must be fully made aware that her symptoms may not resolve. Though some women who believe that symptoms they have experienced are due to their implants had them explanted and reported an improvement or that their symptoms disappeared. Dr. Andrea Pusic, a professor of surgery at Harvard Medical School, commented on the matter that “there is potential for subconscious bias to believe their symptoms have gotten better” (2).

In the above video, supermodel Angie Everhart, reported that she suffered from BII and underwent an explantation surgery. Though she does note that she had no resolution in her symptoms she had attributed to her implants.

Textured Implants Recall?

In July of 2019, Allergan, voluntarily recalled their textured breast implants. Textured devices were recalled due to a link discovered with these devices and an increased incidence of Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) (1). On the same day of the recall being issued, various news networks reported that the recall was due to a substantial increase in the risk of breast cancer. Understandably, this resulted in every woman who has breast implants running to the phone to call her plastic surgeon with extreme levels of worry.

The FDA has since advised that the “recall” is of the devices that have not yet been implanted, and that if a patient is not experiencing symptoms of BIA-ALCL, removal of the textured implants is not recommended as the risks of surgical complication are more likely than the risk of developing this rare lymphoma.

The signs or symptoms of BIA-ALCL include breast swelling (typically on one side) in the majority of cases. Additionally, some patients reports a lump in their breast or in their axilla (underarm). BIA-ALCL can be easily diagnosed with ultrasound and and the treatment for this rare lymphoma is removal of the implants and the capsule (scar) around the implants.

Above is a depiction of one of the media reports after Allergan’s recall of textured breast implants. Dr. Jennifer Ashton, an OBGYN and TV personality,  inappropriately reported on Good Morning America, spreading misinformation and instilling fear into women across the nation. It would have been more appropriate for a plastic surgeon to speak on this matter. Dr. Ashton reported “mostly seen with the gummy bear or textured implants, which are actually used more often in reconstruction.” It should be noted that not all “gummy bear” implants are textured, most in fact, are smooth, and the term just refers to silicone implants in general. Additionally, gummy bear implants are very frequently used in both aesthetic and reconstructive surgeries.

Still Unsure?

If you have lingering concerns or questions on the safety of breast implants, you should consult with a Board Certified Plastic Surgeon. If you do not have a plastic surgeon, the American Society of Plastic Surgeons is a great resource for both information and to find a board certified plastic surgeon to set up an appointment with. Below is their website: https://www.plasticsurgery.org/

As previously stated at the beginning of this post, the current silicone implants on the market were created in 1994 and are still being studied today! That means that for nearly 27 years these medical devices have been scrutinized, and guess what, the smooth round silicone implants (the best kind) have not changed! Name another medical device with that much science behind it…. I will wait 🙂 Thanks for reading!

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References

  • (1) Asbery, J. (2020). Textured Breast Implants a social media crisis? Dissector48(2), 12–14.
  • (2) Could your breast implants be making you sick? (2020). Harvard Women’s Health Watch27(6), 4–5.

Breastfeeding vs Formula Feeding

 

As a new mother, the question of whether or not to breastfeed your baby is very popular. There are people who will say that it is crucial for babies to be breast fed and others who may say otherwise. According to health experts, breastfeeding is recommended to be the best nutritional source for babies. There are also other important components that babies receive from breastfeeding. 

Breastfeeding

This can be a good bonding experience for mother and baby. By nursing, It releases oxytocin which in turn enhances connection and positive approach. Many health organizations such as the World Health Organization and the American Academy of Pediatrics recommend breastfeeding for at least the first six months. By doing so, the baby would be getting the many different antibodies and  nutrients. Breast milk helps prevent against: 

  • Ear infections
  • Respiratory infections
  • Diarrhea
  • Allergies
  • Diabetes 
  • SIDS 
  • Meningitis 

Breastfeeding is also easy on the baby’s digestive tract. It is more natural and causes less bouts of diarrhea or even constipation. Not only is the nutrients from breastmilk beneficial, it also allows more skin to skin contact. The practice of skin to skin promotes the emotional connection between mom and baby. This contributes significantly to the benefits the mother receives from breastfeeding as well. Breastfeeding burns many calories, which in turn helps to shrink the uterus and helps with postpartum weight loss. Lastly, studies have shown that breastfeeding lowers the mothers chances of breast cancer, heart disease and diabetes. 

Formula Feeding

For mothers who choose not to breastfeed or physically cannot breastfeed, Formula is a perfectly fine alternative. It is a common misconception that all babies need to get breastmilk to be healthy and grow normally. While breast milk has many nutritional components, Formula is also made to have similar nutrients as well as some vitamins and nutrients breastfed babies don’t receive from the milk. Breastfeeding can be very challenging for some mothers. Latching and milk production can be difficult and stressful. Formula feeding gives the mother alternative ways to nourish her baby. By using formula it also allows the father to be able to provide and feed the baby, which can be a great bonding experience with the baby and mother. There are some complications that can arise with formula feeding such as; cost, prepping the bottle, lack of antibodies etc. 

Overall, both options will provide the baby with nutrients to help grow strong and healthy. It is ultimately up to the parents what they prefer. Choosing breastfeeding does not mean that is the only way that the baby is fed, they can also get supplemental formula as needed. Same thing with formula feeding. If the mother chooses to mainly formula feed, it does not mean she wont breast feed occasionally or for a short time in the beginning. It is helpful when making these decisions to speak with the doctor and other consultants that can contribute to pro’s and con’s. In the end, only you know what is right for yourself and baby. 

 

 

 

Resources

Breastfeeding and Health Outcomes for the Mother-Infant Dieterich, C. M., Felice, J. P., O’Sullivan, E., & Rasmussen, K. M. (2013). Breastfeeding and health outcomes for the mother-infant dyad. Pediatric clinics of North America, 60(1), 31–48. https://doi.org/10.1016/j.pcl.2012.09.010

Krol, K. M., & Grossmann, T. (2018). Psychological effects of breastfeeding on children and mothers. Psychologische Effekte des Stillens auf Kinder und Mütter. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 61(8), 977–985. https://doi.org/10.1007/s00103-018-2769-0

Piyaporn Prasitwattanaseree, Nittayas Sinsucksai, Tassanee Prasopkittikun, & Chukiat Viwatwongkasem. (2019). Effectiveness of Breastfeeding Skills Training and Support Program among First Time Mothers: A Randomized Control Trial. Pacific Rim International Journal of Nursing Research, 23(3), 258–270. 

Occupational Therapy vs Autism

By: Bennet Science

Autism Spectrum Disorder (ASD) is a lifetime developmental disorder, typically developed in early childhood years. According to the CDC, one in 54 children is diagnosed with ASD.

Symptoms include:

  • Fidgeting
  • Sensitive to lights, textures, or sounds
  • Delayed Speech & Language
  • No Interaction With Peers

What is Occupational Therapy?


Occupational Therapy is a field of healthcare treating patients who want to return to meaningful activities, or occupations, but can not because of illness or disability. They assess a client’s abilities and collaborate with a client to develop reasonable goals for sessions. Based on this, they make an intervention plan to help the client achieve their goal. These Occupational Therapists (OTs) can help a child with ASD to achieve goals set by the parents.

OT practitioners typically assist a child with:

  • Attention
  • Social Skills
  • Organization
  • Manipulating an Object
  • Transitions between Activities

Benefits of OT for Autism


After a full OT intervention plan, a child with ASD will be able to gain independence. For instance, the child will be able to:

  • Concentrate in School
  • Play and Share with Peers
  • Express More Emotions
  • Reduce Self Stress
  • Transition between Tasks or Classes
  • Communicate with improved Speech
  • Grasp more objects/textures
  • Participate and Pay Attention

Fiction


There are many supposed cures to Autism, however, some of these treatment options are entirely fictional. In fact, there are no permanent treatments since Autism is a lifelong disorder. There are various fake cures that can be spotted if the treatment uses personal stories rather than medical facts or even claims to fully help someone recover from ASD. Some of these fake cures include:

  • Special Diets
  • Special Vitamins or Minerals
  • Overdose of Medicine
  • Bleaching

Fact


By: Thomas Galvez

Although there are many fake treatment options, Occupational Therapy is proven to help children with ASD based on Evidence-Based Research. It focuses on sensory integration and other sensory-based strategies backed up by Dr. Jean Ayres. According to the AOTA, occupational therapy can help with prompting to improve behavior. It also helps infants improve their cognition, the process of acquiring knowledge or understanding based on thought or experience. Occupational therapy can undoubtedly significantly help a child with ASD, especially when used in conjunction with speech and behavioral therapy.

References


A Guide to Occupational Therapy for Autism | USAHS

https://www.aota.org/About-Occupational-Therapy/Professionals/EBP.aspx

https://www.cdc.gov/ncbddd/autism/facts.html

Ergonomics: Pseudo-science or the Real Deal?

As our world becomes increasingly more digital, people are spending more time sitting on computers than at any point in human history.  Anyone who has sat in the same place typing away or browsing the internet for more than a few hours knows how uncomfortable it can be.  People who sit at desks for a living are certainly familiar with the term ‘ergonomics’, but often people overlook the importance of proper posture and a proper desk setup.  The media plays an important role in conveying this valuable information.  It can be difficult for people to sort out what is valid information versus what is click-bait.  I had a chance to review three articles that one would discover when looking for information on the topic.  Hopefully after reading my blog you will be more informed to make a decision whether to click that article or not because I have got your back.    

True or False?
A WebMD article, Ergonomic Tips for a Home Office shows on the first slide that if an individual has arthritis, they have an increased need for ergonomics.

The article Ergonomic intervention for employed persons with rheumatic conditions talks about the study of ergonomics and how involving these techniques while at work can reduce discomfort and prevent injury. Jobs that involve computers are on the rise and individuals with arthritis choose desk jobs because they are less physically demanding. Evidence shows that people who have arthritis have a hard time using computers. The Ergonomic Assessment Tool for Arthritis is an assessment is used to find ergonomic interventions for individuals with arthritis. Evidence suggests there are positive effects for using ergonomics to decrease limitations at the workplace (Mann, Singh & Singh, 2013). True !

True or False?
A WebMD article, Ergonomic Tips for a Home Office shows on the first slide that if an individual has arthritis, they have a need for ergonomics.

The article Ergonomic intervention for employed persons with rheumatic conditions talks about the study of ergonomics and how involving these techniques while at work can reduce discomfort and prevent injury. Jobs that involve computers are on the rise and individuals with arthritis choose desk jobs because they are less physically demanding. Evidence shows that people who have arthritis have a hard time using computers. The Ergonomic Assessment Tool for Arthritis is an assessment is used to find ergonomic interventions for individuals with arthritis. Evidence suggests there are positive effects for using ergonomics to decrease limitations at the workplace (Mann, Singh & Singh, 2013). True !

True or False?
Problems and conditions associated with desk work relates to muscle pain.

Without a place to put your elbows, your neck and upper back muscles will have to work harder to support the weight of your arms, and you’ll also apply more pressure to your wrists while using a keyboard and mouse.” (Cook, 2021, p. 1) True !


This picture explains why ergonomics is important and how we can use this tips at work, school or home!

This is one medical intervention that seems to hold true. I hope you learned a little more about ergonomics and consider using it while you are sitting at your desk. 

References:
Allaire, S. J., Backman, C. L., AlHeresh, R., & Baker, N. A. (2013). Ergonomic intervention for employed persons with rheumatic conditions. Work, 46(3), 355–361. https://doi.org/10.3233/wor-131761

Cook, J. (2021, February 10). Set up an ergonomic home office before you destroy your body. Popular Science. Retrieved February 13, 2021, from https://www.popsci.com/story/di y/ergonomic-home-office-setup/

Mann, R., Singh, A., Singh, M., & Singh, J. (2013). Combined effects of Stretching and Ergonomic Advice in Computer Professionals on the Incidence of Upper Limb Disorders. Indian Journal of Physiotherapy and Occupational Therapy – An International Journal, 7(4), 186. https://doi.org/10.5958/j.0973-5674.7.4.146

Thomasnet. Budget-friendly, Effective Ergonomic Interventions for Industrial Workplaces. Thomasnet® – Product Sourcing and Supplier Discovery Platform – Find North American Manufacturers, Suppliers and Industrial Companies. https://www.thomasnet.com/insights/budget-friendly-effective-ergonomic-interventions- for-industrial-workplaces/.

Van Niekerk, S. M., Louw, Q. A., & Hillier, S. (2012). The effectiveness of a chair intervention in the workplace to reduce musculoskeletal symptoms. A systematic review. BMC musculoskeletal disorders, 13, 145. https://doi.org/10.1186/1471-2474-13-145
WebMD. (2020, May 2). Ergonomic Tips for a Home Office. 

WebMD. https://www.webm d.com/pain-management/ss/slides how-ergonomic-tips-for-a-home-office.

Alzheimer’s Disease

What is Alzheimer’s Disease and what are the symptomsCaregiving for Person with Alzheimer's Disease or a related Dementia | Alzheimer's Disease and Healthy Aging | CDC

Did you know more than five million Americans are living with Alzheimer’s? It is also the sixth leading cause of death in the United States (Alzheimer’s Association, 2021). Alzheimer’s disease is a progressive disease that affects memory loss and other cognitive disabilities. The symptoms include: “Memory loss that disrupts daily life, challenges in planning or solving problems, difficulty completing familiar tasks, confusion with time or place, trouble understanding visual images and spatial relationships, new problems with words in speaking or writing, misplacing things, poor judgment, withdrawal from work or social activities, and changes in mood/personality.” (Alzheimer’s Association, 2021).

Past, Present, and Future of the disease

Alzheimer’s Disease: Past, Present, and Future by Mark W. Bondi (1), Emily C. Edmonds (2), and David P. Salmon (3). The author’s describes Alzheimer’s Disease in the past by describing the Alois Alzheimer and Auguste Deter. Alois was the first person to discover the neurodegenerative disease in 1907 and Auguste was the first patient to show symptoms of the disease. When Auguste died, Alois studied her brain and was able to sketch what he saw inside of the brain onto paper. The authors then begin to describe Alzheimer’s disease in the present time. As studies have been proven, technology has advanced, and more and more individuals have been studying Alzheimer’s disease more information has been discovered. The findings were that Alzheimer’s is a decline of general knowledge and there are severe deficits in executive functioning.  There are many studies done to prove genetic risks for Alzheimer’s Disease. Biomarker studies, neuropsychology, and neuro imaging have been a large impact on the study of Alzheimer’s Disease and the connection to the human brain. There has been so much progress in the Disease itself. In the future, there will be a new medicine approach that will detect pathologies and genetic analysis. If you look back, we have come a long way with researching and finding information about this disorder.

Is There a Cure?

Unfortunately, science has not come out with a cure for the disease. Alzheimer’s Disease: Diagnosis and Treatment Across the Spectrum of Disease Severity by Judith Neugroschl and Sophia Wang. The article talks about how Alzheimer’s disease happens in a spectrum going from mild symptoms to death. Alzheimer’s Disease is a progressive, difficult disease for the individual, their family, and caregivers. Down below shows a picture of what a healthy brain would look like, a brain with mild Alzheimer’s disease, and severe Alzheimer’s disease.

Communicating with an individual diagnosed: Do’s & Don’ts

Communicating with someone that is diagnosed with Alzheimer’s disease can be very difficult due to their cognitive impairments. Are you supposed to correct them? What do you say?

DO’s: “Avoid becoming frustrated, keep communication short and simple, call them be their first name, always tell them who you are, use repetition, use techniques to attract and maintain attention, and speak slowly” (Robinson, 2020).

DON’Ts: Never say phrases such as “do you remember?” or “did you forget?”, talk in paragraphs, point out the person’s memory difficulty, talk in front of the person as if they weren’t present, use lots of pronouns, slang or unfamiliar words, “baby talk”, or sarcasm” (Robinson, 2020).

Hat’s Story: What is it like living with Alzheimer’s Disease?

 

Alzheimer’s Association Helpline 24/7 :  (800-272-3900)

References:

Bondi, M. W., Edmonds, E. C., & Salmon, D. P. (2017). Alzheimer’s Disease: Past, Present, and Future. Journal of the International Neuropsychological Society : JINS23(9-10), 818–831. https://doi.org/10.1017/S135561771700100X

Neugroschl, J., & Wang, S. (2011). Alzheimer’s disease: diagnosis and treatment across the spectrum of disease severity. The Mount Sinai journal of medicine, New York78(4), 596–612. https://doi.org/10.1002/msj.20279

Robinson, Lawrence. “Tips for Alzheimer’s and Dementia Caregivers.” Tips for Alzheimer’s and Dementia Caregivers – HelpGuide.org, 2020, www.helpguide.org/articles/alzheimers-dementia-aging/tips-for-alzheimers-caregivers.htm.

© 2021 Alzheimer’s Association® | All Rights Reserved | Alzheimer’s Association is a not-for-profit 501(c)(3) organization.

 

Is There A Cure For Alzheimer’s Disease? Fact or Fiction?

What is Alzheimer’s Disease?

Alzheimer’s disease occurs when the normal functioning of the brain breaks down due to the loss of an important protein that results in plaque build-up between messages sent to one another in the brain. The neurons that lost are essential to the functioning of the brain and the reason for the individual’s ability to retrieve short-term and long-term memory, solve problems and learn languages. (Kish., T., 2018. Pg. 234). According to the research, inflammation of these beta-amyloid proteins appears to be the most likely responsible for the progression of the disease (Kish, T., 2018). Although there is no cure currently, various pharmaceutical companies continue to research new medications to slow the progression of Alzheimer’s. While these studies prove to be hopeful, the evidence shows that no medications currently available are fully effective to slow the progression of the disease. Various pharmaceutical companies plan to launch trials soon to continue research into side-effects, symptoms, risks, and benefits.

Is there a cure for Alzheimer’s? 

Alzheimer’s research continues as the disease rises with no signs of slowing down. Scientists are hopeful that a cure will one day become possible, however not as this time. Mendes presents the importance of knowing what Alzheimer’s is before treating a patient with this disease. As healthcare practitioners, we must understand the effect of treatment on our clients and what works and what does not. Due to the nature of the disease, treatment of mild, moderate, and severe AD is possible and effective through a provider, patient, and family collaboration. Due to the current state of the research, treatment of AD may be more effective through prevention rather than a medicinal cure. According to Mendes, AD research has continued for two decades with data continuously being investigated through pharmaceutical companies (Mendes, A., 2018). Perhaps while utilizing our time to effectively treat those individuals with AD, reducing symptoms is a pathway to patient success in treatment. Medication is used to prevent the dysregulation of essential proteins to preserve normal functioning. The article states that early detection of AD may prove to be more effective in treatment than a specific medicinal cure. The preventative measures include healthy eating, exercise, and higher cognitive activities such as puzzles.

Dementia is the leading cause of long-term care stays, increased risk for falls, and increased risk for further injury of aging individuals. Alzheimer’s disease is the most prevalent form of dementia and is caused by the dysfunction of proteins that are essential to the basic functioning and memory processing in the brain. The article presents truthful data that supports evidence towards the ongoing search for a cure through pharmaceutical companies. While trials of protein blockers that have been performed in mice do reveal promise, these trials have proven to be limited in humans. However, the proof of preventable methods towards Alzheimer’s appears to be more effective, such as a healthy diet, exercise, and cognitive strengthening exercises. Mendes (2015) presents how lifestyle changes in older adults result in higher scores in cognitive assessment tests than those educated with basic advice from healthcare professionals (pg. 267). While the cure for Alzheimer’s is continuously pursued, prevention may be more effective.

Fact or Fiction?

The answer is neither. While research continues to cure Alzheimer’s, there is no cure-all at this time. However preventative methods to reduce the occurrence of Alzheimer’s prove to be more effective. Like everything in healthcare and the well-being of humans, we are all growing and learning.

Helpful Resources

https://www.alz.org/

https://www.cdc.gov/aging/aginginfo/alzheimers.htm

References

Kish, T., PHARMD, BCPS. (2018). Intense Focus Yet Many Setbacks for Alzheimer’s Disease Drug Development. Pipeline Plus, 43(4).

Mendes, A. (2018). Understanding Alzheimer’s research and the journey towards a cure. British Journal of Nursing, 27(18).

Mendes, A. (2015). Hope surfaces in the desperate global hunt for a dementia cure. Nurse Prescribing, 13(6).

Eating Disorders

Starving for Social Approval:

This blog explores how social media distorts ideas of healthy eating habits for young children through virtual platforms by bombarding them with unrealistic images of the ideal body type.

Written by: Chelsea Dowler, COTA/L

 

The Trend of Social Media


Humans live in a world driven by the content and gratification that we receive through social media platforms. Okay, maybe not everyone; however, recent numbers indicate close to 3.9 billion people use social media worldwide which includes 80% of North America. Unfortunately, the consumers of social media do not control the messages being broadcasted through these virtual platforms. Beauty-related thinness is a trend that has been around for ages. In the 1960s the well-known actress/model “Twiggy” was iconic for having the ideal thin body shape that influenced women all over the world. At 16 years old she displayed an anorexic image that became known all over the world with her rise in media influence (Bittar, 2020). During these times, traditional media was observed by the older population while family, church, and school influenced the minds of the children. Today, teens are the dominant users of social media platforms across the board, however, the supervision of social media use for the age group has diminished. Due to the increase in independence in adolescences, a rise in inappropriate eating behaviors seems to accompany this freedom that often is skewed by the media they consume.

Why should we care?

You might be thinking, “Why is this?”, and though we have all seen the commercials for weight loss pills and quick-fix diets, however, studies have identified that over half the information provided promoting these items are false and unsustainable claims. In the media today, these false claims are affecting children, many of whom are vulnerable and susceptible to believing that the dreamy “ideal thin body” can be achieved in just a few simple ways. This leads to a downward spiral of chasing a goal that is unrealistic for the average person and promotes a negative self-image and reduces overall confidence.

What is an eating disorder?


An eating disorder is a mild-sever illness that is characterized by several disturbances in their eating behaviors as well as related thoughts and emotions (Parekh, 2017). Many individuals who experience this illness become obsessive and occupied with their food consumption and their body weight. The 3 main types of eating disorders include anorexia nervosa, bulimia nervosa, and binge eating disorder and often accompany psychiatric disorders as well.

Anorexia Nervosa: These individuals have a fear of being overweight. It is defined as weighing at least 15% or more below the normal healthy weight for their height. They are unable to maintain their weight looking fragile and unhealthy due to refusal to eat or excessive exercising. 

Bulimia Nervosa: Eating excessive amounts of food frequently. They often consume food in private and do not stop eating unless interrupted or they are so full it becomes uncomfortable. After their binge, stomach pain or fear of gaining weight often causes them to purge or vomit. This cycle can happen multiple times a month to even multiple times a day. These individuals can portray various body types which makes it difficult to detect. 

Binge Eating Disorder: Out of control eating by consuming a high volume of food in a short amount of time. Unlike Bulimia, these individuals do not try to get rid of the food they consume. These behaviors are chronic and often lead to obesity and other health complications. 

Hungry for Likes: The influence of social media on eating behaviors


First impressions are a large part of how the world sees us as individuals, especially through social media platforms. Virtual platforms create a standard of placing appearances above all else including communication which was the original aim of social media creation. Studies are showing a positive correlation between poor eating habits and body changing behaviors to the associated perceptions influenced by social media (Rodgers, 2020). The average age of social media users is much younger than the viewers of traditional media years ago. With this drop in age of the average mainstream users, the age group influenced most by social media has also dropped affecting more children than ever before. Studies show that 12 – 24-year-olds make up the majority group for when eating disorders begin.

Warning signs to look for:

  • Sudden changes in eating habits (diets, low calorie or no-carb consumption)
  •  Extreme amounts of exercise
  • Changes in behaviors ( depression, anxiety, etc.)

 

Influencing Change: How you can impact those with eating disorders


As a parent, friend, sibling, or victim of this unfortunate phenomenon, the first step to change is to begin talking about it. As uncomfortable as it may be, awareness of the situation is key. Start the conversation with an open mind and willingness to understand the influences social media may be playing when it comes to eating behaviors and negative self-image. This will open the doors to other opportunities for discussion and help. A simple conversation can alter or prevent the behaviors from starting.

  • Identify what social media is influencing these thoughts ( Who, what, why?)
  • Question and understand the reliability of the content ( Are they fake? Altered? Etc.)
  • Limit screen time
  • Eliminate triggers for negative self-talk (Who do you follow? What is being posted?)
  • Replace time on social media with healthy alternative activities

Your presence matters! As someone important in their life,  it is your job to set a good example of what realistic and healthy expectations should look like. Work together to stay aware of what is going on in their life and on their social media. Take the opportunity to embrace their struggle and remember it’s what they are perceiving that influences their decisions. Engage them in healthy alternative activities to decrease social media presence during their day.

 

Helpful Resources & More Information


NEDA – National Eating Disorder Association (nationaleatingdisorders.org)

ANAD – National Association of Anorexia Nervosa and Associated Disorders (anad.org

MORE resources:  check out http://eatingdisorderhope.com


References:

Bittar, C., & Soares, A. (2020). Media and eating behavior in adolescence. Cadernos Brasileiros de Terapia Ocupacional. 28(1), 291-308. https://doi.org/10.4322/2526-8910.ctoAR1920

Parekh, R. (2017, January). What are eating disorders? Retrieved from https://www.psychiatry.org/patients-families/eating-disorders/what-are-eating-disorders

Rodgers, R. F., Slater, A., Gordon, C. S., Mclean, S. A., Jarman, H. K., & Paxton, S. J. (2020). A biopsychosocial model of social media use and body image concerns, disordered eating, and muscle-building behaviors among adolescent girls and boys. Journal of Youth and Adolescence, 49(2), 399-409. doi:10.1007/s10964-019-01190-0

Autism Spectrum Disorder: The Truth

Autism Spectrum Disorder, also known as Autism, or ASD, is a developmental disorder starting  from birth and demonstrating its symptoms throughout a lifetime. There is a well known saying “when you have met one person with Autism, you’ve met one person with Autism”. I have worked with many children with Autism as a teacher and I can attest that each person with ASD is unique in their abilities, beliefs and personalities. It is impossible to generalize the skills of someone with Autism.

When looking at the media, not everything is true, or is only partially true. Everyone deserves the full truth as documented by scientists and studies. So, if you have a family member, or a child with ASD, or are just curious, this information is for you…

First, some truth about Autism Spectrum Disorder. 

Symptoms of Autism 

This video describes how to determine whether a child has ASD. The information presented in this video is accurate and closely resembles the information presented in the Center for Disease Control (CDC) article: What is Autism Spectrum Disorder?

Some signs of ASD can include:

  • Avoiding eye contact
  • Performing repetitive sounds/ gestures,
  • Being unaware when people are speaking to you,
  • Having difficulty with sensations
  • Having difficulty playing pretend

According to the CDC causes of ASD include: having older parents, genetics, or taking certain prescription drugs during pregnancy. The CDC reports that there is no link between vaccines and ASD.

Myth #1:

Savant Syndrome

Savant syndrome is defined as when someone with developmental disabilities, or a disorder in the CNS, has genius abilities in one specific area. These areas can include- memory, music, art, calendar calculating, math, language learning etc. Not all individuals with Autism are savants, and not all people who have savant abilities are Autistic.

These savant abilities have been portrayed in the media in many locations including the television The Good Doctor, and in the movie Rain Man. 

Video: Dr. Shaun Murphy from TV show The Good Doctor, a surgical resident who has Autism, notices that a boy is harmed by a shattering window and Dr. Murphy uses his savant abilities to know how to save this boys life. Dr. Murphy is considered a prodigious savant. Despite still being a medical school student he can see the books in his mind and is a medical genius.

The Good Doctor does a good job at depicting savant abilities, but television shows and movies should do a better job at representing forms of lower functioning Autism so parents and children  can understand that savant ability is only one form.

While the representations of individuals with savant syndrome as part of ASD in television and movies are not false, they can provide the public with the false assumption that the majority of individuals with Autism have extraordinary abilities.

The savant ability is much less common than one might think. Only 10 % of individuals with ASD (1% of the general population) have savant skills. If you believe that your child or someone you know has savant syndrome contact a doctor and they can assist further.

Myth #2: 

Cures

Autism is a disorder that many wish that they can cure for their loved ones. Autism is not something that can be cured, but depending on the severity of the disorder the individual can learn to manage and utilize their symptoms in a productive and successful way to support their highest quality of life.

Some therapies that may help with an individuals symptoms of ASD may be:

(Disclaimer: consult you or your child’s primary care physician to determine the best choice for you or your loved one) 

  • Early intervention therapy 
  • ABN therapy
  • Behavior therapy
  • Speech-language therapy
  • Play-based therapy
  • Physical therapy
  • Occupational therapy
  • Nutritional therapy

Photo: Swinging can help with relaxing the sensory system, and can improve children’s focus.

Chelation therapy is one “cure” that is not safe, nor effective. WebMd reports that Chelation therapy works because ASD caused by too much mercury and other hard metals in the body (this has not been proven correct).

Some physicians believe that injecting chelating agents (chemicals that remove toxic heavy metals from your blood) improves symptoms. WebMD includes that this use of chelation can be harmful, even deadly, and has not been approved by the FDA. In a study children went through the testing regimen, the scientists did not see any effect of the agent on the symptoms of the children who received it. Unfortunately this “cure” for ASD on the WebMd website can give harmful “solutions” to individuals looking for help and therefore is dangerous.

Overall, it is important to ensure that you are getting correct information to be able to fully support your child or loved one during their journey with ASD. While there are myths in the media, there are also facts. To find the facts, please speak to your doctor. Read trusted government and educational sources for reliable information.

References

Benefits of swinging for autistic children. (2020, January 06). Retrieved February 25, 2021, from https://www.easternjunglegym.com/benefits-swinging-autistic-children

Chelation therapy: Purpose, procedure, and side-effects. (2019, March 22). Retrieved February 15, 2021, from https://www.webmd.com/balance/guide/what-is-chelation-therapy#1

Rethink (Producer). (2012, April 4). Autism Awareness Video: Diagnostic Criteria for Autism [Video file]. Retrieved February 14, 2021, from https://www.youtube.com/watch?v=3w1c4sF4ZTg&feature=emb_logo

Smith, M., Segal, J., & Hutman, T. (2020, November). Helping your child with autism thrive. Retrieved February 25, 2021, from https://www.helpguide.org/articles/autism-learning-disabilities/helping-your-child-with-autism-thrive.htm

S, J., SW, S., N, S., & K, W. (2015). Chelation for autism spectrum disorder (ASD). Cochrane Database of Systematic Reviews, 1-29. doi:10.1002/14651858

Shore, D. (Writer). (2017). Burnt food [Television series episode]. In The Good Doctor. ABC.

Treffert, D. A. (2013). Savant syndrome: Realities, myths and misconceptions. Journal of Autism and Developmental Disorders, 44(3), 564-571. doi:10.1007/s10803-013-1906-8

What is autism spectrum disorder? (2020, March 25). Retrieved February 15, 2021, from https://www.cdc.gov/ncbddd/autism/facts.html

What is an autistic savant? (2017, December 01). Retrieved February 25, 2021, from https://www.appliedbehavioranalysisedu.org/what-is-an-autistic-savant/

Nurse’s Day Off

As nurses, we tend to overwork ourselves to the point of no return. We have a tendency to pick up extra shifts on our days off and feel guilty when we don’t. Well, I am here to say that needs to stop! Sometimes we need to slow down, breathe, and take time for ourselves even if it just one day.

When nurses only think about nursing 24/7 we are only setting ourselves up for nursing burnout. We need to sit and think about what makes us happy outside of our professional lives.  As nurses, we tend to go without eating and even using the bathroom during our 8 or 12-hour shift.  We need to decompress on our off days in order to be the best nurse we can be when we are at work.

Some ways to decompress as nurses are as followed…

1: Exercise (yoga, running, pilates, etc.)

2: Spa days (massages, facials, manicures, pedicures, etc.)

3: Relaxation day ( JUST REST!!!)

4: Put yourself first, always!

The following video is awesome describing ways to prevent nursing burnout, please do yourself a favor and watch!

http://http://https://www.youtube.com/watch?v=ZBHuK5BCfA4&t=329s

Living with Multiple Sclerosis: What is the best Intervention?

A diagnosis of Multiple Sclerosis can be scary and cause all sorts of negative emotions and feelings. As an Occupational Therapy Assistant, I have experience with patients who are newly diagnosed and who have been living with Multiple Sclerosis for most of their lives, and I have learned to help them in so many different ways. It is important to know that the diagnosis is only the beginning of this journey.  

The Cause Broken Down

Multiple Sclerosis is a disease of the Central Nervous System.

It is caused when the body attacks itself and breaks down the connections between your brain and the rest of your body. The cause of this disease can be due to many factors and the root cause is still unknown.

 

Treatments

It’s an ongoing process that includes:

  •     * Medications to manage the disease course and treat flare-ups
  •     * Rehabilitation to promote function
  •     * Managing both physical and mental health
  •     * Diet and Exercise
  •     * Social Support Systems

 

The Role of Exercise, Education and Medication in Fatigue Management for People with Multiple Sclerosis

A study conducted by Asano & Finlayson (2014) examined the impact of exercise, education and medication on fatigue management for people with Multiple Sclerosis. The study exclaimed that the rehabilitation avenue should be considered first as a treatment option for individuals with MS, even before medication management due to its numerous positive effects. However, the study does explain that a multidisciplinary approach, that combines all three, would be the best way to manage Multiple Sclerosis. It is important for individuals to educate themselves on identifying symptoms and taking action with either a medical or rehabilitative route or a combination of both. Educational interventions, such as self-management components, are also very important to consider (Asano & Finlayson, 2014). Although it is extremely challenging to find specific conclusions for which treatment intervention is best, it is crucial to understand symptom management strategies for individuals with MS. 

 

Research has proven that incorporating a healthy diet and daily exercise, avoiding smoking, staying on top of routine doctor visits and managing symptoms and engaging in mental and physical rehabilitation can lead to an increase in overall health and well-being.

Mental Health is just as Important as Physical Health!

     * Resilience    *     Positivity   *          * Managing Stress  *   

   * Paying Attention to Depression &    Anxiety  *

       * Sustaining & Engaging in                                                                           Meaningful Relationships *

Cognitive Behavioral Therapy for Management of Multiple Sclerosis Related Pain

An article by Gromisch et al. (2020) focused its research on pain in people with Multiple Sclerosis and studied the effectiveness of Cognitive Behavioral Therapy. Although medications are the most significant form of treatment for MS, there still seems to be issues regarding the most effective treatments for people diagnosed with MS. Medications, however, are not always the best and only option for MS. Cognitive behavioral therapy has been studied to show its effect on fatigue and depression with people with MS. Ultimately, medication is very useful and can help manage so many symptoms of MS. However, it is not the only option, and this study does a great job in providing more information and explanations as to why health care professionals need to consider a more holistic view.

Treatment Approaches should focus on: 

* Holistic View * Comprehensive Care * Multidisciplinary Approach *

     * Combination of Medication Management & Physical and Mental Rehabilitation

 

 

MS Resources

You are not alone. This is only the beginning. Check out this Podcast through the Multiple Sclerosis Discovery Forum and this blog through the National MS Society for more information about the role of medication in people with MS and other helpful information:

Multiple Sclerosis Discovery Forum

Sense of self

References 

Asano, M., & Finlayson, M. L. (2014). Meta-analysis of three different types of fatigue management interventions for people with multiple sclerosis: Exercise, education, and medication. Multiple Sclerosis International2014, 1-12. https://doi.org/10.1155/2014/798285

Gromisch, E. S., Kerns, R. D., Czlapinski, R., Beenken, B., Otis, J., Lo, A. C., & Beauvais, J. (2020). Cognitive behavioral therapy for the management of multiple sclerosis–related pain. International Journal of MS Care22(1), 8-14. https://doi.org/10.7224/1537-2073.2018-023

What is MS? (2020). National Multiple Sclerosis Society. https://www.nationalmssociety.org/What-is-MS