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ALS Integrated Care Pathway for the Champlain* District (Amyotrophic Lateral Sclerosis)
ALS Integrated Care Pathway For the Champlain* District (Amyotrophic Lateral Sclerosis) March 2008, 2nd Edition This document or excerpts thereof may not to be reproduced without the expressed written consent of the Champlain CCAC. * Please refer to [email protected] to learn about the Champlain district in Ontario, Canada. disponible en français Acknowledgements This document is the result of extensive consultation and collaboration with individuals from the community having ALS knowledge and experience. These individuals include: ALS Society Marion Williams, Regional Director, ALS Society of Ontario, Champlain District Nigel Van Loan, Caregiver and member of Board of Directors, ALS Society of Canada Champlain Community Care Access Centre Mary-Lou Anderson, Case Manager Sheila Bauer, Senior Director of Client Services Louise Brunet, Case Manager Brigitte Emes, Manager of Client Services Hospice at May Court Susan Smith, Program Coordinator The Ottawa Hospital Rehabilitation Centre Margo Butler, Speech-Language Pathologist Elaine Cawadias, Registered Dietitian Susan Geis, Physiotherapist Carole LeBlanc, Registered Respiratory Therapist Renée Longpre, Registered Respiratory Therapist Beverlee McIntosh, Social Worker Joan Norgren, Registered Respiratory Therapist Nancy Ridgeway, Registered Nurse Carole Roy, Occupational Therapist Vivian Stang, Chaplain Kathy Walker, Registered Respiratory Therapist VHA Health and Home Support Kim Parks, Program Director, Attendant Care Outreach Program Gwen Barton, Project Coordinator TABLE OF CONTENTS Page I. Introduction.................................................................................................1 i. What is an Integrated Care Pathway? ii. Why have an Integrated Care Pathway for ALS? iii. Who is the Target Audience for the Integrated Care Pathway? iv. A Message to the Primary Caregiver v. How should the Integrated Care Pathway be used? II. Key Considerations in ALS Disease Management...................................3 i. -
Marketing Coordinator - Generalist (Six-Month Contract) August 2018
Marketing Coordinator - Generalist (Six-month Contract) August 2018 About ALS Canada Amyotrophic Lateral Sclerosis (also known as ALS, Lou Gehrig’s disease, or motor neuron disease) is a disease that gradually paralyzes people because the brain is no longer able to communicate with the muscles of the body that we are typically able to move at will. Over time, as the muscles of the body break down, someone living with ALS will lose the ability to walk, talk, eat, swallow, and eventually breathe. Founded in 1977, ALS Canada and our provincial partners are dedicated to supporting Canadians living with ALS and investing in research to make ALS a treatable, not terminal, disease. We are a registered charity that receives no government funding – all of our services and research are funded through the generosity of our donors and partnerships with provincial ALS Societies. Through the ALS Canada Research Program, we fund peer-reviewed research grants, foster collaboration and build capacity within Canada’s ALS research community, and participate in new areas of research where we are well- positioned to have an impact. Within Ontario, ALS Canada has a role similar to that of the provincial ALS societies providing services and support to help meet the needs of people living with ALS. ALS Canada advocates federally, provincially and locally for better government support and access within the healthcare system for people affected by ALS. Our world is challenging. The people we serve are dealing with a devastating illness. But in the midst of it, their resiliency and spirit is remarkable and moving. -
A Manual for People Living with ALS
2012 Manual People Living With ALS --- English_as.e$S_Layout 1 12-06-27 1:51 PM Page 1 A Manual For People Living with ALS Seventh Edition ALS SOCIETY OF CANADA Jane McCarthy, MSc, MPH Editor 1(800)267-4257 www.als.ca AMYOTROPHIC LATERAL SCLEROSIS [email protected] SOCIETY Of CAnAdA SOCIÉTÉ CAnAdIEnnE dE LA SCLÉROSE LATÉRALE AMYOTROPHIQUE © Copyright 2012 2012 Manual People Living With ALS --- English_as.e$S_Layout 1 12-06-27 1:51 PM Page 3 Contributors Pg. vi Manual Preface Pg. ix Acknowledgement Pg. x How to Use the Manual Pg. 1 A Message of Hope Pg. 2 SECTION 1: WHAT IS ALS? Pg. 3 SECTION 2: COPING WITH ALS Pg. 11 SECTION 3: GETTING TO KNOW THE ALS SOCIETY Pg. 17 SECTION 4: ALS DISEASE MANAGEMENT Pg. 19 Adapting to Changes in Mobility and Maintaining Independence Pg. 30 Adapting to Swallowing Problems and Maintaining Good Nutrition Pg. 37 Adapting to Changes in Speech and Maintaining Communication Pg. 45 Adapting to Changes in Breathing and Maintaining Lung Function Pg. 51 Maintaining Good Oral Health Pg. 60 Approaching End-of-Life Issues and Advance Care Planning Pg. 63 SECTION 5: ASSISTIVE EQUIPMENT Pg. 68 SECTION 6: FINANCIAL & LEGAL ISSUES Pg. 74 RESOURCE SECTION Pg. 84 iii 2012 Manual People Living With ALS --- English_as.e$S_Layout 1 12-06-27 1:51 PM Page 4 4: ALS DISEASE Section 1: WHAT IS ALS? Section MANAGEMENT 19 -Your Healthcare Team 23 - Overview of ALS Management Issues 3 - General Description 23 - Mouth and Throat Problems 3 - Types of ALS 24 - Symptoms that Affect Daily Living 4 - Symptoms, Signs and Diagnosis 25 - Mobility -
A Guide to Amyotrophic Lateral Sclerosis (Als) Als Guide
ALS GUIDE A GUIDE TO AMYOTROPHIC LATERAL SCLEROSIS (ALS) ALS GUIDE INTRODUCTION Receiving a diagnosis of ALS can be overwhelming. You may day-to-day challenges of living with ALS. It is meant to experience many different emotions, and you may feel the complement your primary source of information – the need to learn more about how this complex disease will healthcare team managing your ALS. affect you. Some people want to know as much as possible, often right after diagnosis. Others prefer to take a gradual approach as changes occur and as the need for specific information develops. Take the approach that works best for you. Family members and close friends may also wish to learn more about ALS. The ALS Guide has been developed to provide practical information about ALS, its progression, and how people and families living with ALS can find solutions to help maintain independence. There are different versions of this guide. All of the content is the same except for the information about the local delivery of care and services, which can be different from province to province. The purpose of the ALS Guide is to help people and families with ALS plan for the physical, emotional, and financial challenges ahead and to offer tips and support for the ACKNOWLEDGEMENTS This ALS Guide is a project of the Federation Thank you to the Client Services Committee and treatment, research and provincial Council of ALS Societies across Canada – for their diligence and hard work in specific information. Client Services Committee. developing this Guide. Each provincial ALS We hope that the ALS Guide provides you Society developed content for segments The 2019 edition of the ALS Guide in English and your family with helpful information. -
Amyotrophic Lateral Sclerosis
Amyotrophic Lateral Sclerosis Thomas Farley, MA Research and Statistics Manager Arkansas Spinal Cord Commission August 2004 Amyotrophic Lateral Sclerosis (ALS) is a motor expectance after diagnosis is 3-5 years, with ten neuron disease, that is, a disease that affects the percent surviving ten years or more. skeletal muscle nerve cells. A network of nerves carries messages from the brain, down the spinal People who develop ALS are usually between the cord and out to various parts of the body. Included ages of 40 and 70 with an average age at diagnosis in this network are motor neurons which carry of 55. There are 20% more men than women with messages to the skeletal muscles. In ALS, these ALS at younger ages; however, as age at diagnosis nerves progressively degenerate and eventually increases, the proportion of men and women die. As a result, the skeletal muscles do not receive equalizes. the nerve signals they need to function properly and the muscles gradually atrophy or waste away There are two known forms of ALS: sporadic and from lack of use, leaving parts of the body para- familial. lyzed. The sporadic form accounts for 90% of all cases. “A-myo-trophic” is derived from the Greek What causes it to appear is unknown and its risk language meaning “no-muscle-nourishment.” factors are unknown. Lateral refers to the area of the spinal cord where the muscle nerves are located. Sclerosis refers to The familial or inherited form makes up the nerve damage through hardening or scarring. remaining 10% of cases. Families that have ALS appearing more than once in their family tree are ALS is frequently referred to as “Lou Gehrig’s in this category. -
Download ALS Canada's 2018 Annual
BECAUSE OF 2018 Annual Report to the Community “It’s true that there is strength in STRENGTH IN numbers. Together, we are a powerful force. Thank you for all you do in NUMBERS support of our shared cause.” RON FOERSTER CHAIR, BOARD OF DIRECTORS EVERY DAY, MORE THAN 3,000 PEOPLE AND FAMILIES throughout Ontario and Canada live with the realities of ALS, a devastating disease that takes away dreams, abilities, and lives. But for all ALS takes, it cannot take away our shared desire for a future without this disease. By supporting the ALS Society of Canada, you and others like you are part of a powerful community whose momentum is creating real and meaningful change. Because of you... • People living with ALS throughout Ontario can participate more fully in their lives. • Canadians affected by ALS can have hope for treatments as a result of research funding. • Work is taking place to advocate for better care, services and access to therapies. As the vehicle that helps to translate your desire for a future without ALS into meaningful progress and impact, the ALS Society of Canada is grateful for all you do. In fact, many people are surprised to learn that we do not receive any government funding – making the collective impact of your contributions all the more impressive and important. THE FACTS ABOUT AMYOTROPHIC LATERAL SCLEROSIS (ALS) Four out of five people diagnosed with ALS will die within five years. ALS is a disease that involves the brain and spinal cord, the muscles of the body and 9 out of 10 people with ALS the motor neurons that send do not have a family history signals between the two. -
Als Quick Facts Fact Sheet | Amyotrophic Lateral Sclerosis Society of Canada | Société Canadienne De La Sclérose Latérale Amyotrophique
ALS QUICK FACTS FACT SHEET | AMYOTROPHIC LATERAL SCLEROSIS SOCIETY OF CANADA | SOCIÉTÉ CANADIENNE DE LA SCLÉROSE LATÉRALE AMYOTROPHIQUE ALS IS AMYOTROPHIC LATERAL SCLEROSIS • Approximately 2,500 - 3,000 Canadians over NINE PROVINCIAL SOCIETIES a : absence 18 currently live with ALS myo : muscle ALS Society of Alberta (and NWT) trophic : nourishment ALS CAN STRIKE ANYONE 250 - 4723 - 1st Street SW, Calgary, AB T2G 4Y8 lateral : side (referring to the spine) • The incidence rate (number of new diagnoses) 403 228 3857 www.alsab.ca sclerosis : hardening or scarring of ALS is estimated to be 2/100,000 people per year ALS Society of British Columbia The word “lateral” identifies the area where • Less than 10 per cent of cases of ALS are (and Yukon) nerve cells in the spinal cord that nourish the hereditary 1233 - 13351 Commerce Parkway, Richmond, BC V6V 2X7 muscles are located. As nerve cells die, the • ALS can strike both men and women 1 800 708 3228 www.alsbc.ca muscles receive no nourishment and waste • ALS affects all ethnic and socio-economic away. Sclerosis occurs as the area affected groups ALS Society of Manitoba deteriorates. • ALS can strike young or very elderly adults 2A-1717 Dublin Ave., Winnipeg, MB R3H 0H2 but is most commonly diagnosed in middle 204 831 1510 www.alsmb.ca ALS MAY ALSO BE CALLED … and late adulthood • Lou Gehrig’s disease ALS Society of Newfoundland & Labrador • MND (Motor Neuron Disease) ALS AFFECTS THE WHOLE FAMILY P.O. Box 844, Corner Brook, NL A2H 6H6 • SLA (Sclérose latérale amyotrophique) • People with ALS -
Canadian Disability Resources
Canadian Disability Resources ALS/NMD http://www.als.ca/ ALS Society of Canada supports research and provides information on ALS. ALS Canada 393 University Ave., Suite 1701 Toronto, Ontario M5G 1E6 Toll Free: 1-800-267-4257 ALS Society of Canada is committed to support research towards a treatment for ALS, support provincial ALS societies in their provision of quality care for persons living with ALS, and build public awareness of ALS and its impact. http://www.alsab.ca/ ALS Society of Alberta 7874 10th St. NE Calgary, AB T2E 8W1 Phone: 1 (403) 228-3857 Toll-free: 1 (888) 309-1111 Fax: 1 (403) 228-7752 Email: [email protected] ALS Society of Alberta’s mission is to provide support, facilitate the provision of care, promote awareness, help find a cure, and advocate for change. ALS Society of Alberta – Edmonton Resource Centre 5418 97 Street NW Edmonton, AB T6E 5C1 Tel: 1 (780) 487-0754 Phone: 780-487-0754 Toll Free: 1-866-447-0754 Email: [email protected] http://www.alsbc.ca/ ALS Society of British Columbia 1233 - 13351 Commerce Parkway Richmond, BC V6V 2X7 Telephone: 604-278-2257 Toll Free: 1.800.708.3228 Fax: 604-278-4257 Email: [email protected] The ALS Society of BC is dedicated to providing direct support to ALS patients, along with their families, and caregivers, to ensure the best quality of life possible while living with ALS. Through assisting research, they are committed to find the cause of, and cure for Amyotrophic Lateral Sclerosis (ALS). http://www.alsmb.ca/ ALS Society of Manitoba 2A 1717 Dublin Ave. -
A Guide for People Living with Als
A GUIDE FOR PEOPLE LIVING WITH ALS sla-quebec.ca ALS GUIDE A GUIDE TO AMYOTROPHIC LATERAL SCLEROSIS (ALS) ALS GUIDE INTRODUCTION Receiving a diagnosis of ALS can be overwhelming. You may day-to-day challenges of living with ALS. It is meant to experience many different emotions, and you may feel the complement your primary source of information – the need to learn more about how this complex disease will healthcare team managing your ALS. affect you. Some people want to know as much as possible, often right after diagnosis. Others prefer to take a gradual approach as changes occur and as the need for specific information develops. Take the approach that works best for you. Family members and close friends may also wish to learn more about ALS. The ALS Guide has been developed to provide practical information about ALS, its progression, and how people and families living with ALS can find solutions to help maintain independence. There are different versions of this guide. All of the content is the same except for the information about the local delivery of care and services, which can be different from province to province. The purpose of the ALS Guide is to help people and families with ALS plan for the physical, emotional, and financial challenges ahead and to offer tips and support for the ACKNOWLEDGEMENTS This ALS Guide is a project of the Federation Thank you to the Client Services Committee and treatment, research and provincial Council of ALS Societies across Canada – for their diligence and hard work in specific information. -
ALS Association Is a National Not-For-Profit Voluntary Health
The following excerpt has been taken from the Christopher & Dana Reeve Foundation Paralysis Resource Center website. https://www.christopherreeve.org/living-with-paralysis/health/causes-of-paralysis/als Amyotrophic Lateral Sclerosis (ALS) Amyotrophic lateral sclerosis (ALS), also called Lou Gehrig's disease, is a progressive neurological disease affecting 30,000 Americans with about 5,000 new cases occurring in the United States each year. ALS belongs to a class of disorders known as motor neuron diseases. Motor neurons are nerve cells located in the brain, brainstem, and spinal cord that serve as controlling units and vital communication links between the nervous system and the voluntary muscles of the body. The loss of these cells causes the muscles under their control to weaken and waste away, leading to paralysis. It is usually fatal within five years of diagnosis. ALS manifests itself in different ways, depending on which muscles weaken first. Symptoms may include tripping and falling, loss of control in hands and arms, difficulty speaking, swallowing and/or breathing, persistent fatigue, and twitching and cramping. ALS strikes in mid-life. Men are about one-and-a-half times more likely to have the disease as women. People with ALS may want to look into speech-generating devices which allow them to “voice bank” their voice as they lose the ability to speak. Voice banking allows an individual to record and store commonly used words or family names spoken in their own voice that can be replayed later. Because ALS affects only motor neurons, the disease does not impair a person's mind, personality, intelligence, or memory. -
CHPCP Ed Day 2021
2021‐03‐09 ALS Society of Canada Kim Barry, Senior Regional Manager ALS.CA Faculty/Presenter Disclosure • Faculty: Kim Barry • Relationships with financial sponsors: • None ALS.CA 1 2021‐03‐09 Disclosure of Financial Support • This program has received financial support from Hospice Care Ottawa, Carefor Health & Community Services and Bayshore Home Care Solutions in the form of an educational grant. • This program has not received in-kind support. • Potential for conflict(s) of interest: • None ALS.CA What is ALS? • Amyotrophic Lateral Sclerosis • Lou Gehrig’s Disease • Motor Neuron Disease • Maladie de Charcot • Sclérose Latérale Amyotrophique 3| ALS.CA 2 2021‐03‐09 What is ALS? Gradually the body becomes paralyzed because the brain is no longer able to communicate with the voluntary muscles Over time, as the brain’s connection with the muscles breaks down, ALS patients will lose the ability to walk, talk, eat, swallow, and breathe 4| ALS.CA The need is great Source: ALS Society of Canada 2019 Report to the Community ALS.CA 3 2021‐03‐09 What is ALS? • ALS can strike anyone regardless of their sex, ethnic group, socio-economic status • No specific diagnostic test – a process of elimination • Two types: limb onset and bulbar • ALS is an individual disease – everyone progresses differently • Most commonly diagnosed 40 – 70 years of age • The incidence rate AND mortality rate: 2-3/100,000 people per year • There is no cure 6| ALS.CA ALS.CA Source: ALS Society of Canada 2019 Report to the Community 4 2021‐03‐09 ALS: Symptoms • Falls / Tripping -
The Canadian ALS Research Network
Research Update Developing a consortium for ALS clinical research: the Canadian ALS Research Network Clin. Invest. (2013) 3(12), 1113–1117 Amyotrophic lateral sclerosis (ALS) is an incurable neurological disease Lorne Zinman*1, Angela Genge2 & characterized by progressive weakness resulting in death 2–5 years after Denise A Figlewicz3 symptom onset in most cases. Collaborative research initiatives have 1Department of Medicine, Sunnybrook Health accelerated the search for effective treatments and are essential for the Sciences Centre, Room UG26, 2075 Bayview discovery process in a rare, terminal disease such as ALS. We describe Avenue University of Toronto, Toronto, the advantages of forming a disease specific network and chronicle the M4N 3M5, Canada 2Montreal Neurological Institute & Hospital, growth of the Canadian ALS Research Network. This includes forming McGill University, Montreal, Canada infrastructure to perform clinical trials, building a program to conduct 3Schulich School of Medicine & Dentistry translational studies, partnering in epidemiological and imaging studies, University of Western Ontario, and the development of quality of life and best practice guidelines. ALS London, Canada research networks will continue to serve a pivotal role in improving the *Author for correspondence: E-mail: [email protected] lives of patients with this devastating disease. Keywords: amyotrophic lateral sclerosis • Canadian Amyotrophic Lateral Sclerosis Research Network • consortium • motor neuron disease Amyotrophic lateral sclerosis (ALS) was first described in the 19th century by Char- cot. It is a devastating neuromuscular disease resulting in rapidly progressive weak- ness and loss of function, ultimately resulting in death due to respiratory muscle failure in the majority of cases. It became well known in North America when New York Yankees baseball hero Lou Gehrig succumbed to the disease in 1941.