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Sleep for survivors. Frances Taylor of Sleepwell on how sleep techniques can help you have a better night.

I call sleep “The Cinderella of Good Health”. That’s because we all know the principles of healthy eating and exercise. Yet when it comes to sleep, people struggle. They search the net and try a few things – reduce caffeine, no screens before bed, join a yoga class. When these measures don’t work they become disheartened. They start to believe that they just have to put up with their sleep problem.

Sleep is a foundation stone for physical, emotional and psychological health yet one in ten of the population worldwide now suffer with insomnia. These days it’s more important than ever to pay sleep the respect and attention it deserves. As a survivor of burns, I know that you will have worked incredibly hard to make improvements to your physical health. Focusing on improving your sleep can support your body’s physical healing and can help give you the mental strength to cope with what each day brings.

Severe trauma leads to heightened levels of anxiety, as a survivor of burns it’s highly likely that your sleep has suffered.  It may be hard for you to switch off unpleasant or worrying thoughts. You may not feel safe to relax into sleep.

 

When bedtime arrives, you’re wired-tired instead of sleepy-tired.

When you’re wired-tired, your body is on alert. You may feel exhausted but your fight-flight system is activated, preparing you to deal with danger. The fight-flight response evolved way back when we were cave dwellers confronting the very real threats posed by wild animals. These days however we can activate fight-flight just by imagining or remembering a frightening situation.

Sleep and fight-flight are not good bed-fellows. The more wound up you feel, the less able you are to drift off.

Sleepy-tired, the state you need to be able to drift off, feels very different. It’s when both your body and mind are relaxed and the only thoughts you have are calming pleasant ones.

It’s not only anxiety that interferes with sleep. Physical pain from burns and scars can make it difficult to get comfortable, itchy skin that many survivors of burns have during the healing process can also make it harder to sleep, as can certain medications.

 

So what can you do if you’re not sleeping well?

When you have night after night of broken sleep it’s easy to lose hope. It may have been going on for so long that you’ve forgotten what it feels like to have a good night.

You no longer believe that a good night’s sleep is possible for you. As a recent client told me – I just don’t dare to hope that I could actually sleep well. The good news is that after just two sessions with me she was starting to rebuild her confidence in her ability to sleep normally. With the right science-based approaches, you too can learn to sleep well again.

The sleep support that I offer is built around five elements –

  1.     Good 24/7 Sleep Habits – daily routines and behaviours to promote sound sleep
  2.     Positive Sleep Mindset – rebuilding confidence in your ability to sleep well
  3.     Sleep Efficiency Training – a powerful tool to track your progress as you create a positive association between bed and sleep
  4.     Mind Management –  learn techniques to manage thoughts that interfere with sleep
  5.     Practical Relaxation techniques – to calm body and mind and strengthen personal resilience

The body is designed to be a superb sleep machine. It wants to sleep! With this comprehensive approach you’ll learn the skills and mindset to bring refreshing sleep, sustainably and healthily.  When you sleep well you reap the myriad of physical, emotional and psychological benefits that Zzz’s bring. Good sleep will support you as you heal and move forward with your life.  That’s why I’m absolutely delighted to be supporting survivors of burns and scars with the Katie Piper Foundation.

I’d like to finish with three top tips to bring better sleep –

  1. Learn a simple breathing exercise. If you’ve never tried anything like this before then I urge you to give it a go. It’s such a simple yet powerful tool. It’s free too! Breathing a little deeper and slower calms the nervous system and helps you to relax. When you’re relaxed you’re more able to tolerate physical discomfort. Focussing on your breath also quietens unwanted thoughts that get in the way of sleep. It’s important however that you practise the exercise in the daytime at first so you become familiar with it. Then it becomes much easier to use whenever you need to. If you want to go a step further – Jay Clarke who runs nature therapy sessions at the KPF Rehabilitation Centre has some excellent, short meditation sessions on her You Tube Channel.
  1. Stick to regular bed and getting-up at times even on weekends. This might sound a bit harsh but sleep thrives on consistency.  If you have a long lie-in at the weekend then you’ll find it harder to get to sleep that night. If you absolutely must lie-in, limit it to an hour. Avoid daytime naps and again if you really must nap, limit it to 20 minutes (set an alarm).
  2. Get some natural daylight in the morning each day. Aim for at least 15 minutes. Even on the cloudiest day, the intensity of natural light is far higher than indoor lighting. Protect your skin from strong sun if necessary. Natural light is important for maintaining your internal body clock, making it easier to feel sleepy at the appropriate time. If you combine this with some gentle exercise, your sleep will thank you for it!

For more sleep tips and to try out my free 7 day Better Sleep Trial visit my website https://sleepwell.today/project/resources-tools/

 

 

Nature Therapy in the Rehabilitation Centre

Jay Clarke, psychotherapist, shares what happens at our Rehabilitation Centre in Merseyside.

I have worked for The Katie Piper Foundation for 7 years and I feel privileged to be part of a dedicated team of people. The Rehabilitation Centre is a relatively new service and is the UK’s first ever live-in rehabilitation centre for adult survivors of burns and scars.

The rehabilitation team develop individually tailored programmes for every survivor in consultation with them and their existing medics; programmes are focused around the wellbeing, needs and goals of the individual.   If, at the point of assessment, nature therapy is considered to be helpful for the survivor, some nature sessions with me are scheduled in, usually one near the beginning of admission and one towards the end of their stay at the centre.

The centre is situated within beautiful grounds in the countryside.  The air is fresh and there is a wide variety of beautiful trees, birds, plants and flowers and accessible paths and terrain. In a typical nature session, we would step outside into the grounds and converse about what the survivor thinks and feels and wants to focus upon, whilst strolling, sitting and engaging with nature.  If the person wishes, we can also do some mindfulness in nature too.

When we step outdoors into the natural world our internal nature can be influenced immensely.  Nature is naturally therapeutic; a plethora of research supports what we instinctively know about fresh air, movement, sensory delights, connectedness and communication; engaging with nature has been shown to have positive benefits for our health and wellbeing.  There is an abundance of symbolism and metaphor to be experienced in nature, which can be utilised in therapy sessions with powerful and meaningful outcomes.  Natural settings provide a very rich, reflective environment for therapeutic work and the grounds of the Rehabilitation Centre are a very peaceful and private place to connect with nature.  Survivors can also access the grounds in their free time.

Although studies have shown that exposure to green spaces can enhance our ability to recover from traumatic injuries, there is never any pressure for someone to have a meeting outside.  Sometimes the weather ‘up north’ can be a bit wild and the person may prefer a meeting indoors, or may feel tired as they are often just starting to build their physical fitness again.  In these circumstances we meet indoors, and sometimes we do a guided visualisation to a place in nature that is agreeable and relaxing, like a beach or forest.  The survivor can record the guided visualisation on their phone so they can access their special nature place whenever they wish.  Research shows there are measurable benefits from using nature-based guided visualisations, particularly in therapeutic contexts where there is no nature present in the actual surrounding environment. All visitors have lovely views of nature from their accommodation windows, which has also been shown to have measurable positive effects on patient health and wellbeing.

In our second meeting, towards the end of their programme, I notice significant differences in the survivors physical and psychological wellbeing; we work together so that they leave the programme with an increased understanding of how to support themselves and with enriched knowledge and confidence in their recovery.

I find the multi-dimensional approach of working with a team of highly skilled, caring, creative, and dedicated people and supporting burns survivors through utilising state of the art facilities and nature connection in recovery an incredibly inspiring and rewarding experience.

Visit Jay’s website www.therapyupnorth.co.uk to access nature wellbeing resources

One of our burns physiotherapists, Kay Fisher, tells us about her work with survivors.

I work in The Katie Piper Foundation Rehabilitation Centre in Merseyside. The centre is residential and supports the survivors of burns after their acute NHS care is finished. Survivors come to stay with us, typically for one month and I see them every morning, working with them to improve their fitness and help ease the impact of their, often very severe, burns and scars.

When people first come into the centre we work with them to draw up a list of goals covering what they want to achieve during their time with us. We review these goals on a weekly basis, ensuring that each person receives the most appropriate support for them during their stay. Although everyone’s goals are different there are usually common themes that run through them. Often people have been in hospital for weeks and even months so improving their fitness is usually a priority. Many also want to concentrate on increasing freedom of movement in a particular area, often restricted due to tight scarring and skin grafts, overarching things such as improving confidence and increasing independence are always key goals.

There is a whole team here working on different aspects of rehabilitation. My role involves working to support survivors using physiotherapy. This encompasses a few different activities depending on their specific goals. I am usually with someone for a whole morning, I will start off working on their overall fitness and core strength, improving fitness is essential in the journey back to health. I might do some pilates with them or some circuits and balance work as well as exercises to improve their muscle tone and function. I help them to work out on our multi gym, this records their fitness levels so we can track their progress and they can see how the effort they are putting in is paying off. Often people have very specific goals, such as improving their balance in walking up and down the stairs and we will work on specific exercises for this.

For the second half of the morning I will work on more hands on physiotherapy, using massage to increase mobilisation and to improve specific areas.  Sometimes people have back or neck problems caused by tight scarring and I will work to manipulate the area, easing out muscles and skin, just giving even a bit more flexibility can really help relieve painful areas. We also have some fantastic massage machines, these work like a vacuum to lift the skin, they help to ease the tightness of scars and improve the collagen in the skin which in turn improves the health of the skin, these are universally popular and everyone loves the impact they have on their scars.

It’s always amazing to me what a difference a month can make, survivors work so hard while they are with us and show such dedication in their recovery that the improvements to their physical health are usually significant. The centre really works to bring them out of themselves, they feel able to do things that they couldn’t before. But more than that, we understand the importance of empowering people during their stay, they leave us more confident and happier in themselves, but also able to continue their activities at home and therefore to maximise their recovery and to be more independent in their lives again. After the extreme trauma many of them have been through it’s great to be able to play a part in that.