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A subcommittee of IPWSO PWSA Ireland Conference Dublin 2014

Famcare and Physical Therapy for people with PWS: Famcare

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Presentation given by Georgina Loughnan at the Prader-Willi Association Ireland Annual Conference 2014. For more details, see http://pwsai.ie/annual-conference-2014/

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Page 1: Famcare and Physical Therapy for people with PWS: Famcare

A subcommittee of IPWSO

PWSA Ireland Conference Dublin 2014

Page 2: Famcare and Physical Therapy for people with PWS: Famcare

Kate Beaver (crisis counsellor) USA [email protected]

Fanny Cortes (geneticist) Chile [email protected]

Sabeen Iqbal (parent) USA [email protected]

Damien Jones (caregiver manager) Australia [email protected]

Georgina Loughnan (clinician) Australia [email protected]

Rika du Plooy (parent) South Africa [email protected]

Lesley Robertson (parent) Australia [email protected]

Linda Thornton (parent) New Zealand [email protected]

PWSA Ireland Conference Dublin 2014

Page 3: Famcare and Physical Therapy for people with PWS: Famcare

Susanne Blichfeldt Denmark [email protected]

John Ford New Zealand [email protected]

Janice Forster USA [email protected]

Linda Gourash USA [email protected]

Elly Scheermeyer Australia [email protected]

Jackie Waters UK [email protected]

Leopold Curfs Netherlands [email protected]

PWSA Ireland Conference Dublin 2014

Page 4: Famcare and Physical Therapy for people with PWS: Famcare

• 18 questions

• Height & weight

• IPWSO & national PWS associations

• 5 languages

PWSA Ireland Conference Dublin 2014

Page 5: Famcare and Physical Therapy for people with PWS: Famcare

Age

Family status

Out of home participation

PWS traits

Most stressful traits & why

Most difficult to manage traits & why

Impact on siblings

Successful strategies

How might Famcare assist?

PWSA Ireland Conference Dublin 2014

Page 6: Famcare and Physical Therapy for people with PWS: Famcare

127 adults (138 returned)

27.5 yrs mean age

64 female : 63 male

73.2% live with both parents

85% have siblings, 60.6% at home

52.8% work

38.6% attend a day program

59.1% attend community recreational activities

68.5% participate in physical exercise

PWSA Ireland Conference Dublin 2014

Page 7: Famcare and Physical Therapy for people with PWS: Famcare

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

70.0%

80.0%

PWSA Ireland Conference Dublin 2014

Page 8: Famcare and Physical Therapy for people with PWS: Famcare

Food related

Anger

Arguments

Temper tantrums

Inability to cope with change

Skin picking

Perseveration

PWSA Ireland Conference Dublin 2014

Page 9: Famcare and Physical Therapy for people with PWS: Famcare

Constant stress to family – perseveration/chatter

Walking on eggshells – anger/TT/mood change

Effort to maintain supervision of food

Effort to maintain routine – prevention of change

Time taken to go/do/achieve/complete anything

PWSA Ireland Conference Dublin 2014

Page 10: Famcare and Physical Therapy for people with PWS: Famcare

Food seeking/ overeating

Anger

Temper tantrums

Skin picking

Inability to cope with change

PWSA Ireland Conference Dublin 2014

Page 11: Famcare and Physical Therapy for people with PWS: Famcare

Constantly explaining about food

Lack of medication for behaviour

Living with constant food/life restrictions

Need for constant attention / supervision

Constant stress in home

PWSA Ireland Conference Dublin 2014

Page 12: Famcare and Physical Therapy for people with PWS: Famcare

Lack of attention

Increased responsibility & at an early age

Increased caring & understanding

Reduced interaction with others / rejection

Moved away from family

Frustration & affected → very involved & loving

PWSA Ireland Conference Dublin 2014

Page 13: Famcare and Physical Therapy for people with PWS: Famcare

None

Threaten / punish with food / train to feel full

Prepare for change

Lock food

Routine

Positive behaviour management

Talking & reasoning

Firmness / no arguing

Ignore behaviour → talk later

Remain patient & calm

PWSA Ireland Conference Dublin 2014

Page 14: Famcare and Physical Therapy for people with PWS: Famcare

Residential services

Professional information & advice

Education from other parents

Availability of PWS specific professionals

Job / activity centres

Respite centres

Support for families

Improved societal & government awareness of PWS

???

PWSA Ireland Conference Dublin 2014

Page 15: Famcare and Physical Therapy for people with PWS: Famcare

Skin Picking

Coping with Change

Healthy Adult Life

Story-telling

Health Checklist

Managing a Meltdown

PWSA Ireland Conference Dublin 2014

Page 16: Famcare and Physical Therapy for people with PWS: Famcare

Promote correspondence – parent to Famcare

(local) parent to parent support

Local PWS training for parents

Local PWS training for professionals

Encourage regional parent/professional meetings

PPCB & Famcare

Future articles

PWSA Ireland Conference Dublin 2014

Page 17: Famcare and Physical Therapy for people with PWS: Famcare

[email protected]

[email protected]

Find the Famcare survey on the IPWSO Website via

http://www.ipwso.org/support/famcare/

PWSA Ireland Conference Dublin 2014