ACACIA RIDGE NATIONAL DIABETES CENTRE 101 | Healthcare & Medicine
MEMBER NATIONAL ASSOCIATION OF DIABETES CENTRES
Compassion, Knowledge, Experience and Dedication to give you Better Quality
of Life, Better Diabetes Control, Less Complications, Better Overall Happiness
The centre is led by a GP who years. Coupled with our • We work with T1 DM from Join www.livewellclub.com.au
has lived with Type 1 diabetes extensive knowledge and diagnosis to insulin pump
for 43yrs, promoting his experience using new diabetes therapy with continuous glucose
personal insight, understanding, treatments, this often has the monitoring (CGM). The diabetes
and realistic approach. He began capacity to still turn diabetes educator works with an
his involvement in diabetes around. endocrinologist for insulin
research at age 17. Another of the pumps starts, which are covered
clinic’s GPs is studying for a world • One of our specialities is by private health insurance. We
recognised diploma in diabetes. providing clear education and a are up to date with the latest
Their credentialed diabetes new perspective for patients technology in glucose
educator has years of personal with long term type 2 diabetes, monitoring.
experience in dietary restrictions now requiring insulin therapy.
and is passionate and With the use of newer • We are able to provide you with
knowledgeable in all aspects of medications, we’re often able to easy and clear carbohydrate
diabetes education. She is able to dramatically reduce insulin counting education, then
liaise with doctors at the centre or doses or assist individuals with guidance with better insulin
work in conjunction with the coming off insulin all together, dosing. Many patients cannot
patient’s own doctor, providing while achieving and maintaining afford pump therapy, so we can
advice to your GP on the use of some weight loss. Note that this assist you in the use of free
new medication (if desired). should only be attempted under insulin dosing glucometers to
expert guidance. help relieve some of the stress
We know we can make a of diabetes management.
difference and often turn • We focus on a tailored, Another of our specialities is
diabetes and overall health individualised approach, the managing Type 1 diabetes with
broader spectrum of the exercise.
around. patient’s health and
cardiovascular risk control, • Diabetes is often a barrier to
Type 2 Diabetes rather than simply focusing on getting a driving licence,
blood glucose control. especially a commercial truck
The Services and Skills we offer: driving licence. We can usually
Type 1 Diabetes help you improve your diabetes
• Accurate evidence-based advice management to then qualify for
and management skills for • “It's not your fault and it is in your licence.
those at risk, with a focus on your face 24/7”. The principal
lifestyle to prevent the GP knows what it’s like to live So come and see us, be ready to
progression to diabetes. with diabetes, so may talk to you be amazed and go away with a
as a fellow T1 DM patient. He new perspective. We hope to make
• Intense treatment (when has vast experience in the a difference and believe we can.
needed) to send early diabetes emotional and psychological
into remission or help to prevent impact of the disease and how You do not need a referral from your
the progression of diabetes. to balance this with ideal current doctor, but we also welcome
management. the opportunity to work with your
• Accurate food advice, targeted doctor (if desired) as a team to
to the individual, where diabetes deliver the best care possible.
has been established for many
Open 7 days/week, including 3 evenings - diabetes care at your conveniece. Bulk-billing.
Acacia Ridge National Diabetes Centre, Ph: (07) 3277 7500
Elizabeth Street Medical Centre Fax: (07) 3277 0403
Cnr Elizabeth & Mitchell Streets, Email: [email protected]
Acacia Ridge QLD 4110 www.elizabethstreetmedicalcentre.com.au
Healthcare & Medicine | 102 ARTICLE
Urinary Incontinence
You Are Not Alone.
1 in 3 women and 1 in 8 men in Australia live with urinary incontinence.
Urinary incontinence is more common than diabetes, hypertension breast
and prostate cancer yet it is a problem that is rarely mentioned. Most
imagine that incontinence is something experienced only by the elderly but
you may be surprised to learn that many women in their 30s, 40s and 50s
are suffering with incontinence.
There are two main types of cold weather or stressful all toilets mapped out, a car trip
incontinence, stress situations. The sudden onset of or holiday for someone with
incontinence which is the urinary urgency or frequency urgency and urge incontinence,
leakage of urine with coughing, may be caused by a urinary tract may be seen as impossible, what
sneezing and exercise, and urge infection, in this case a visit to will I do if I need to go and there
incontinence which is the the GP is advised is no toilet? I can’t go to that
sudden and uncontrollable social function, what if I have an
desire to pass urine that cannot The consequences of accident? Life becomes smaller,
be suppressed. Risk factors for incontinence are far reaching, for anxiety levels increase. For those
stress incontinence include many the problem is kept as a with stress leakage they miss out
having had children, chronic lonely and humiliating secret not on kicking a football around with
cough, obesity smoking and even shared with a partner or their children, they may leak
ageing. For men, prostate family. The financial burden making love and so avoid
surgery is a common cause for associated with the purchasing intimacy for fear of humiliation.
stress incontinence. Urge of protective pads can be The constant wearing of a pad
incontinence often has no known crippling. In Australia the total can make the skin sore and is
cause but may be worsened by cost per person with uncomfortable, black becomes
caffeine, some medications and incontinence is about $9000 per the go to colour as it is less likely
obesity. In some cases, urge year when the need for to show ‘that accident’.
incontinence is triggered by a residential care is calculated.
particular situation e.g putting Listen to the stories of two
the key in the front door or the The fear of leakage can mean a women with incontinence, their
sound of running water, some trip to the shopping mall only regret was they didn’t seek
find their symptoms worsened by becomes a military exercise with help sooner.
Heremia was 54, for the last 20
years she had coped with severe
stress incontinence. She used
6-8 pads per day. Her leakage
was so bad she found it
impossible to work; the financial
burden of continence products
meant she had to choose
between pads or electricity. She
avoided social occasions with
family for fear of leakage, she
was worried about smelling of
urine. She couldn’t contemplate
a relationship. Heremia finally
ARTICLE 103 | Healthcare & Medicine
sought help and underwent a time but enough to soak a pad produced excellent and elegant
15 minute operation to have a and leak urine down her legs absorbable underwear (for men
mid-urethral sling that cured her She developed a habit of ‘just in and women) that can just be
incontinence. She is now pad case’ voiding, stopped drinking thrown in the wash!
free and working as a school before going out and couldn’t
bus driver, only now has she told contemplate travel, she became The good news is that urinary
her family. trapped by the need to be near a incontinence is usually a very
toilet. With a combination of treatable condition and one
70% of women with stress bladder retraining with a which your family doctor should
incontinence will be improved or physiotherapist and medication be very comfortable to talk to
cured with the help of pelvic Janet’s symptoms were brought you about. Life is precious and
floor exercises. For others a under control. She feels she has should be enjoyed, if you have
simple midurethral sling her life back. incontinence be brave go and
operation will result in an see your family doctor for help
80-90% cure rate. Urge incontinence can be a little and advice.
trickier to treat than stress
Janet is 76 and has urge incontinence but with a Dr Lynsey Hayward
incontinence. Following the combination of physiotherapy BSc(Hons) MBChB(Hons),
menopause Janet noticed that the use of drug therapies, FRANZCOG, FRCOG
she had some mild symptoms of oestrogen cream or Botox
urgency, one day that urgency injections into the bladder, it can Vice President of the
resulted in leakage, she was be cured or very manageable. International
appalled and distressed. Urogynaecology Society
Gradually the urgency worsened For those with some ongoing
to the point where Janet was not leakage, pads are an option but Consultant Urogynaecologist Auckland, NZ
just losing a couple of drops at a NZ company Confitex have also
You just pay for postage Join www.livewellclub.com.au
Healthcare & Medicine | 104 Pelvic Organ Prolapse
&
Urinary Incontinence
Pelvic Organ Prolapse to correct the prolapse. Your • Mixed incontinence, refers to
refers to the herniation of doctor can guide you through a combination of these two.
the pelvic organs to or your many options and tailor
beyond the vaginal walls. your treatment according to Generally speaking urge
Bladder, bowel, or uterus are all your goals and the severity of incontinence is managed with
surrounding organs that can your symptoms. medications, while stress
potentially herniate into the incontinence with surgery. The
vagina. Urinary incontinence is the surgery offered is minimally
involuntary leakage of urine. invasive surgery in the form of
Patients with Prolapse may This remains an embarrassing a suburethral sling that holds
present with symptoms related and difficult topic for women to the bladder neck, much like a
specifically to the prolapsed discuss. The prevalence of hammock. This helps to close
structures. A bulge or incontinence in women is high. your urethra (opening to your
symptoms of vaginal pressure In older women, the prevalence bladder), thus preventing urine
are present, together with of urinary incontinence is 17 to leakage. Improvement rates of
associated symptoms including 55 percent. For younger and up to 80% are usually reported.
recurrent UTIs, difficulties middle-aged women, the
emptying the bladder or rectum prevalence is still high, but Please see your local doctor if
or sexual dysfunction. slightly lower at 12 to 42 you have incontinence. It is
Symptoms such as lower back percent. important that you have your
or pelvic pain can also be urine checked for infection and
attributed to prolapse. Other The most common types of cytology (to detect cancers),
causes of pain would need to incontinence are urge especially if you have symptoms
be excluded and a pelvic scan incontinence and stress of urge incontinence or
would be warranted to most incontinence. overactive bladder symptoms in
cases. the context of blood staining in
• Urgency is the sudden and the urine.
A medical history is important compelling desire to pass urine
to elicit prolapse-associated which is very difficult to control Article provided by Sunnybank Centre for
symptoms, since treatment is once the urge to urinate arises. Women
generally indicated only for www.sunnybankcentreforwomen.com.au
symptomatic prolapse. A • Stress incontinence refers to Phone: (07) 3345 4947
prolapse is diagnosed on pelvic the involuntary leakage of urine
examination. that occurs with effort, exertion,
sneezing, coughing, laughing,
Treatment options range from or anytime an increase in
conservative methods such as intraabdominal pressure
physiotherapy and pelvic floor exceeds urethral sphincter
exercises, to surgery with aims closure mechanisms.
Healthcare & Medicine | 106 ADVERTISEMENT
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Healthcare & Medicine | 108 ARTICLE
Hearing Loss:
Re-finding Clarity
Age-related hearing loss, also known as presbycusis, is a
loss of hearing that gradually occurs as most of us grow
older. Presbycusis is the most common condition affecting
those over the age of 65, and it is believed that 1 in 3
people in between the ages of 65 and 75 suffer from some
form of hearing loss. Of those older than 75 years, over half
have trouble with their hearing.
Hearing
Having trouble with your Gradual on what another person is
hearing can make life saying, then you may have
difficult, affecting how Loss of hearing is gradual, started to lose your hearing.
you interact with others, how and with age-related hearing
you hear a doctor’s advice, loss, you may not even realise Commonly, hearing loss arises
respond to warnings, hear that you have started to lose due to changes in the inner
phones, doorbells, and your hearing. If you find that ear that occur naturally as we
alarms, and how you may you are having trouble age. However, changes can
interact with hazards such as understanding other people, if occur in the middle ear or
traffic. you have to listen to questions along nerve pathways from
twice or focus more attentively the ear or brain. Some
medical conditions or
continued page 110
AUSTRALIAN
OWNED
Healthcare & Medicine | 110 ARTICLE
continued from page 108
If you feel that you are experiencing
hearing loss then the best thing you can
do is seek medical attention.
Hearing medications may play a role in If you feel that you are There is plenty you can do to
this process and it is important experiencing hearing loss then make life with hearing loss
to be aware of them. It may also the best thing you can do is easier. The first thing is to
be difficult to decipher whether seek medical attention. There communicate with those around
hearing loss is associated with are several types of professional you and give them tools that will
age or long-term exposure to who can help you, and the best assist with communication. You
noise. place to start is your General can make your life easier by
Practitioner’s office and get a asking friends and family
Combination of reasons referral to see an appropriate members to talk to your face so
specialist. that you can read their
Most people over the age of 65 expressions to assist with
have a combination of age- What can help understanding. You can also ask
related and noise-related people to speak louder without
hearing loss. Currently, If it is found that you do have shouting; they do not have to
researchers do not know how to hearing loss then you may be talk more slowly, just more
prevent age-related hearing loss fitted with a hearing aid. These clearly. Reduce background
but we do have methods that devices help make sounds noise like the TV or radio, and be
assist in hearing loss associated louder and there are a number aware of noises that can make
with noise. These include of types on the market. Be sure hearing more difficult such as
protecting your ears if a noise is to try more than one, and sitting near a kitchen in a
too loud and carrying on for too request a trial period so that you restaurant or beside a stereo
long, not listening to music at an know that you have the correct playing music.
excessively loud volume, and device for your lifestyle. Be
avoiding the use of noisy items aware that some insurance Hearing loss is a natural
such as lawnmowers or leaf companies do not cover hearing occurrence as we age and not
blowers. aids, however, many diagnostic something to be afraid of.
evaluations are covered if they Simple life adjustments can be
have been referred by a made in order to ensure your
physician. routine carries on as normal,
and there are medical
professionals who will assist you
and your loved ones make a
transition back toward clarity
where possible.
O50s
Australian Over 50s Living & Lifestyle Guide
Healthcare & Medicine | 112 ARTICLE
There is more to a
Healthy Pair
of eyes than clear vision
When an optometrist examines your eyes, the clarity
and comfort of your vision as well as the general
health of your eyes will be checked.
Vision
After discussing visual vision,” says Dr Stephen Vincent, Just like stiffening joints or
problems, your optometrist optometrist and President of greying hair, presbyopia cannot
will use a series of tests to Optometry Queensland & be prevented, but fortunately it
determine if you need Northern Territory. can be easily corrected with
prescription lenses and, if so, spectacles or lenses.
how strong they should be for “This condition, known as
efficient vision. There will also be presbyopia, makes vision difficult “Advances in optical technology
checks to ensure that your eyes at a normal reading distance and have provided more options for
are working correctly as a team is a natural part of the ageing patients, sometimes enabling us
and to assess your ability to focus process. to help ageing patients focus
for near vision. almost as they did as a twenty
“To focus on close objects, a year old,” says Dr Vincent.
Latest studies show that eye muscle in the eye changes the
disease and visual impairment shape of the lens. When we get For example, multifocal contact
increase three-fold with each older the lens loses its flexibility lenses, allowing patients to focus
decade of life after 40 years of and is less able to change its at all distances, are becoming
age . shape, making it difficult to focus popular with baby boomers who
on close objects,” says Dr find this form of vision correction
“As we age everyone will Vincent. the best way to maintain their
experience changes in their near active lifestyle. Over the last year,
ARTICLE 113 | Healthcare & Medicine
multifocal contact lens fittings glaucoma, or other diseases such Key points to remember:
increased by 20 per cent in as high blood pressure or
Australia. diabetes. Sometimes medication • Know your eyes; understand
will have side-effects that disturb the warning signs of changes
“Regular examinations are vision. Assessments of intra- in your vision.
essential for people over the age ocular pressure, fields of vision
of 50 to stay fit and focused and and colour vision may also be • Have your eyes examined
to make sure any eye conditions done. If your optometrist finds any regularly by your optometrist.
are detected early, such as sign of eye disease or general Eye examinations attract a
glaucoma and macular health problems, arrangements Medicare rebate and no
degeneration,” says Dr Vincent. can be made for you to see an referral is required.
eye doctor (ophthalmologist) or
During an eye exam the front of general medical practitioner, • Eat for your eyes; include
the eye including the cornea, if required. plenty of vitamin C, vitamin
conjunctiva, iris, lens and lids will E, Zine and Beta-carotene
also be inspected with a slitlamp “Many of the changes caused by (dark green leafy
microscope. The inside of the eye eye disease occur slowly, often vegetables).
including the lens, the retinal over years, and sometimes
blood vessels and the optic nerve without obvious signs or National Eye Health Awareness Campaign:
head will be examined with an symptoms. Regular check-ups www.australia.gov.au/eyehealth
ophthalmoscope. make detection more likely,
enabling prompt treatment with Dr Stephen Vincent
The appearance of these tissues a better chance of curing or
can indicate problems involving controlling the disease,” says
the eye, for example cataract or Dr Vincent.
Healthcare & Medicine | 114 ARTICLE
Eye Health Tips
Your eyes are an important part of your health.
There are many things you can do to keep them
healthy and make sure you are seeing your
best. Follow these simple steps for maintaining
healthy eyes well into your golden years.
Vision Have a comprehensive signs of damage or disease. Maintain a healthy
dilated eye exam. Your eye care professional is weight.
the only one who can
You might think your vision is determine if your eyes are Being overweight or obese
fine or that your eyes are healthy and if you’re seeing increases your risk of
healthy, but visiting your eye your best. developing diabetes and other
care professional for a systemic conditions, which can
comprehensive dilated eye Know your family’s eye lead to vision loss, such as
exam is the only way to really health history. diabetic eye disease or
be sure. When it comes to glaucoma. If you are having
common vision problems, some Talk to your family members trouble maintaining a healthy
people don’t realise they could about their eye health history. weight, talk to your doctor.
see better with glasses or It’s important to know if anyone
contact lenses. In addition, has been diagnosed with a Quit smoking or never
many common eye diseases disease or condition since start.
such as glaucoma, diabetic eye many are hereditary. This will
disease and age-related help to determine if you are at Smoking is as bad for your eyes
macular degeneration often higher risk for developing an as it is for the rest of your body.
have no warning signs. A eye disease or condition. Research has linked smoking to
dilated eye exam is the only an increased risk of developing
way to detect these diseases in Eat right to protect age-related macular
their early stages. your sight. degeneration, cataract, and
optic nerve damage, all of
During a comprehensive dilated Eating a diet rich in fruits and which can lead to blindness.
eye exam, your eye care vegetables, particularly dark
professional places drops in leafy greens such as spinach, Be cool and wear your
your eyes to dilate, or widen, kale, or collard greens is shades.
the pupil to allow more light to important for keeping your eyes
enter the eye the same way an healthy. Research has also Sunglasses are a great fashion
open door lets more light into a shown there are eye health accessory, but their most
dark room. This enables your benefits from eating fish high in important job is to protect your
eye care professional to get a omega-3 fatty acids, such as eyes from the sun’s ultraviolet
good look at the back of the salmon, tuna, and halibut. rays. When purchasing
eyes and examine them for any sunglasses, look for ones that
block out 99 to 100 percent of
both UV-A and UV-B radiation.
Give your eyes a rest. If you spend a lot of time at the computer
or focusing on any one thing, you sometimes forget to blink and
your eyes can get fatigued. Try the 20-20-20 rule: Every 20
minutes, look away about 20 feet in front of you for 20 seconds.
This can help reduce eyestrain.
Healthcare & Medicine | 116 ARTICLE
Demystifying Chiropractic
Have you heard that All too often, we allow ourselves to pharmaceutical interventions and
Chiropractors “crack” backs deteriorate over time, stopping surgery.
or “push” bones back into activities that aggravate sore or
place? Myth’s like these, have tired joints. Before we know it, we What are the benefits of
prevented so many people from are looking and feeling like our chiropractic?
even trying chiropractic care for parents!
their health! The fact is, Like all health-care professionals, Chiropractic care can play a large
chiropractic care is very gentle, chiropractors know that inactivity role in healthy aging and an
effective, and safe for all ages. and pain affect quality of life: they improved quality of life. Some of
According to the Alternative result in a decreased sense of the known benefits of chiropractic
Medicine Integration Study, health and wellbeing, and a care as we age include:
chiropractic patients demonstrated reduction in both independence, • pain relief without medication
a 60% decrease in in-hospital and in the ability to carry out • increased range of motion in
admissions, a 59% decrease in activities of daily living. By treating
number of days spent in hospital, the neuro-musculoskeletal system, the spine and extremities
a 62% decrease in outpatient chiropractors work to get your body • better balance and coordination
surgeries and procedures, and an moving better. • management of joint stiffness to
85% decrease in pharmaceutical
costs. It’s results like these that What is chiropractic? assist mobility
encourage more people each year • decreased incidence of falls
to see chiropractors. Chiropractic is a “hands on” • enjoyment of better health and
Chiropractic care becomes health-care discipline, concerned
increasingly important as we age with the diagnosis, treatment, and wellbeing.
because of the dramatic changes prevention of disorders of the Those over the age of 55 who
that occur in our body and spine. neuro-musculoskeletal system and utilise chiropractic care have been
Spinal discs, joints, ligaments and the effects of these disorders on found to be less likely both to have
muscles weaken, becoming less general health. been hospitalised and to have
hydrated, more fibrous, and less Chiropractic focuses on manual used a nursing home; and more
resilient to the normal stresses of care, and includes spinal likely to report better health, to
life. As a result, spinal and joint adjusting, mobilisation, soft-tissue exercise vigorously, and to be
pain become more noticeable, therapy, and rehabilitation.It also mobile in the community. In
injury occurs more frequently and places an emphasis on nutrition, addition, they are less likely to use
easily, and the time taken to heal exercise, wellness, and healthy prescription drugs.
from injury increases. lifestyle improvements.
So what is our biggest concern: Commonly asked
getting old, or feeling old? How are chiropractors questions
trained?
If you haven’t seen a chiropractor
Chiropractors in Australia train at before, you may have a few
university for a minimum of five questions about chiropractic care.
years full time. They learn all the Here are some of the most
basic sciences including: anatomy, common.
physiology, chemistry, physics, Is chiropractic safe for
radiology, orthopaedics, neurology, seniors?
pharmacology and general Chiropractic care is one of the
diagnosis. This is similar to most effective and safe forms of
standard medical training. health care to treat pain caused by
Chiropractors are licensed to take neuro-musculoskeletal problems.
and report on X-rays, with many Chiropractors care for people of all
taking their own on-site. ages, and with all sorts of health
Where chiropractic and medicine complaints and different levels of
differ is in patient management. mobility. The techniques and
Chiropractic focuses on manual treatments used are chosen to suit
care, including spinal adjustment, the needs of each patient.
mobilisation, soft-tissue therapy, More and more, chiropractors are
and rehabilitation, whereas being visited in the first instance
medicine, focuses on by people suffering from
musculoskeletal complaints.
ARTICLE 117 | Healthcare & Medicine
What is the cracking noise? Will chiropractic affect my
Possibly the most frequent balance?
question chiropractors get asked is Chiropractic care can actually help
about the cracking or popping with balance and coordination in
noise that can occur when the the elderly, and can help minimise
spine is being adjusted. There is a the risk of falls. According to the
mistaken belief that chiropractors Australian and New Zealand Falls
“crack” bones. This is definitely not Prevention Society, one in three
true! The popping sound comes adults over the age of 65
from the joints, and occurs when experiences at least one fall a
little gas bubbles move in or out of year. Studies have suggested that
the joint. The pop is similar to a elderly patients under chiropractic
champagne cork being released, care demonstrate better balance
with the sensation afterward often and less dizziness, faster reaction
being one of relief. times, and better coordination.
Recent research demonstrates Does it hurt? Do I need a referral from
that confidence in chiropractic While infrequent, sometimes my GP?
care is not misplaced, especially chiropractic adjustments can make Generally, you do not need a GP
for seniors. A 2015 study of you feel a bit sore. By the time referral to see a chiropractor.
approximately six million people, many people visit a chiropractor, However, if you are eligible to
one million of whom had access to their problems have been building access chiropractic under
chiropractic, found that people up, often for years. Any soreness is Medicare’s Chronic Disease
between 66 and 99 years of age usually similar to how you can feel Management scheme, your GP will
with a musculoskeletal condition after a big morning in the garden, need to refer you to the
were less likely to suffer a or a challenging round of golf; it’s chiropractor in order for up to five
treatment injury under the care of temporary, typically muscular, and visits to be claimed through
a chiropractor than under the care a good sign that you are moving Medicare.
of a primary care physician. So your joints better. Now that you are
chiropractic is safe for seniors. doing something about your Chiropractors also see Department
Your local chiropractors can work problem, your body is letting you of Veterans’ Affairs patients and
well co-managing individual cases know things are different. are able to complete WorkCover
with your GP as part of Medicare’s Chiropractors change their reports.
Chronic Disease Management techniques to suit each person’s
scheme. This means that you can condition and preference. How do I locate a
rest assured that all healthcare Chiropractic care is very gentle, chiropractor?
professionals are working together, and very safe. By working with you You can locate your closest
safely, to help you. to determine which style of care is chiropractor by contacting the
Is chiropractic safe if I have right for you, your chiropractor can office of the Chiropractors’
low bone density or other minimise any discomfort and Association of Australia
health concerns? maximise your improvement as (Queensland) Limited (CAAQLD).
Yes. Your chiropractor can modify quickly as possible. Phone: (07) 3394 8334
your care if you have arthritis or Email: [email protected]
low bone density and osteoporosis. Website: www.caaq.com.au Join www.livewellclub.com.au
Chiropractors take into
consideration the nature of the Visit your chiropractor for safe,
aging spine and health effective, mainstream care.
abnormalities and weaknesses. References available on request from
They utilise gentle, low-force the CAAQLD Office.
adjusting techniques, mobilisation, Email [email protected] or call 07
stretching, and exercise programs. 3394 8334.
About CAAQLD
The Chiropractors’ Association of Australia
(Queensland) Limited (CAAQLD) is the premier
body representing chiropractors in Queensland,
and is the only state-based representative
association for chiropractors in Queensland.
It is CAAQLD’s goal to empower Queenslanders to
experience a healthier life through chiropractic
care, and to uphold the highest standards of care
and professionalism in research, education and
practice.
Healthcare & Medicine | 118 ARTICLE
Dementia
What to do if you
See The Signs
in yourself or your loved one
This article describes the early signs of dementia. What you should be
worried about and if you see the signs in either yourself or your loved ones
what you should do about it.
According to Sanjeeta Mackrani, Business displaying the symptoms of dementia. According to
Development Manager of Alzheimer’s Sanjeeta, “Sometimes when a spouse does notice
Queensland, “From our experience and signs and symptoms, other members of the family
discussions with families, it seems to take 3 to 4 can be dismissive and often reply that, ‘there is
years before dementia is finally diagnosed. nothing wrong with Dad’”.
However, there are early signs such as memory
loss, confusion about times and places and A person who is displaying symptoms of dementia
difficulty in doing otherwise familiar tasks.” may be hesitant to see their GP. They may be aware
of their difficulties and frightened of the outcome
It can be difficult to know when dementia starts of a trip to the doctor, so reassurance is key. Early
because initial symptoms can be mild. Small diagnosis, education, information and
warning signs can often be missed by the spouse understanding by family and friends is essential.
or the spouse compensates for the person
Dementia Feature
Common Symptoms of Dementia
Although each person is affected in a different way, these are some common symptoms
of Dementia:
Memory loss, especially for recent events
Difficulty finding their way around
Problems finding the correct words
Poor concentration
Problems learning new ideas or skills
Trouble using logic during a conversation
Problems in judging distance, for example missing the edge of a chair
Difficulty co-ordinating movement
Psychological changes such as becoming bored or irritable
Source: Extracted from the Bupa publication, Caring for Someone Living with Dementia
Unfortunately, diagnosis is not easy according to techniques, a short ten minute memory assessment
Sanjeeta “And even if you do visit the GP in time, such as the Mini Mental State Examination (MMSE)
many may be hesitant to give a diagnosis of will not detect the cognitive decline. The accuracy of
dementia, partly because in the early stages where MMSE may not be as high as one would like.”
the individual has developed compensatory
ARTICLE 119 | Healthcare & Medicine
Early diagnosis, education, information
and understanding by family and
friends is essential.
In addition to getting an early • Educate and seek entry to Whilst there is currently no Dementia Feature
diagnosis, Alzheimer’s aged care services early. known cure for Dementia, early
Queensland has useful Often people wait for a crisis diagnosis and the steps outlined Join www.livewellclub.com.au
suggestions for both the person point before seeking services. earlier can help to manage the
affected and their carers: situation in the best possible
• Carers and their loved ones way. Some medications could be
• Seek out carer support groups should sort out their financial effective in slowing the rate of
in your area status and be aware that progress of the disease. There
there is a contribution to care are also several organisations
• Remain physically active, have that they may need to make. and support groups who can
a healthy diet, and continue help both sufferers and their
to engage in • Dementia is a progressive carers. There is extensive
community/social life. disease and it is best to put in research being done in many
place legal formalities such as countries both looking for an
• If you are feeling distressed, enduring powers of attorney effective therapy and looking for
seek the support of a as early as possible ways to slow the progress of
counsellor. Your specialist Dementia.
should be able to refer you to • Do what you can to slow down
one and there is also Carer’s the progress of dementia. If you need further information or
Queensland Counselling Music therapy, physical
support. activity, brain exercises and guidance, you can contact
good nutrition are believed to
• Be aware that the incidence be methods to reduce the Alzheimer’s Queensland.
of depression and anxiety is rate of decline.
increased in people with www.alzheimersonline.org
dementia
tel: 1800 639 331
Healthcare & Medicine | 120 ARTICLE
Alzheimer's Disease
Its Origins and Treatment Prospects
Professor Jürgen Götz, Director, Clem Jones Centre for Ageing Dementia
Research (CJCADR) at the Queensland Brain Institute explains the current
status of research into the prevention and cure of dementia
Dementia Feature Dementia is a general term psychiatrist and neuropathologist Around the same time, the
for the decline in mental Alois Alzheimer described his Czech psychiatrist and
ability that is severe first case, a patient named neuropathologist Oskar Fisher
enough to interfere with our Auguste Deter, who died soon described plaques and tangles
daily life. Common signs of after of presenile dementia. in senile (i.e. late onset) forms of
dementia include memory loss, Post-mortem examination of her dementia. Today we know that
decreased or poor judgement, brain revealed two pathological both presenile and senile
confusion in relation to time or changes which were named dementia are clinically and
place, loss of communication plaques and tangles. Their histopathologically very similar,
skills, difficulties in planning or visualization was made possible except that the former starts
solving problems and with the development of new much earlier. Presenile dementia
inappropriate behaviour. histological staining methods is caused by gene mutations
that had recently been and today we know that Auguste
Alzheimer's disease is the most developed. Emil Kraepelin, the Deter carried a mutation in the
common form of dementia, then Director of the Royal presenilin gene.
accounting for approximately Psychiatric Clinic in Munich,
70% of all cases. Unfortunately, Germany, where Alzheimer was After Alois Alzheimer's and Oskar
dementia is on the rise, reaching employed, published a textbook Fischer's discoveries, there was
dramatic proportions. A major in 1910 and named presenile a standstill for many decades
reason is that age is the most (i.e. early onset) dementia after until, in a second wave of
important risk factor for the Alzheimer. discoveries, in the 1980s, new
disease, a down-side of the
increased life expectancy of
many societies, including that of
Australia. In fact, Australia is
placed among the top 10 OECD
countries as far as life
expectancy is concerned.
By 2030, there will be over
560,000 people with dementia
in Australia alone, and almost
1 million by 2050. Worldwide
figures suggest that 36 million
people are currently living with
dementia, and it has been
predicted that within two
decades, dementia will become
the third greatest source of
health and residential aged care
spending.
Our knowledge of Alzheimer's Prof. Jürgen Götz, Director, Clem Jones Centre for
disease dates back to 1907, Ageing Dementia Research (CJCADR) at the Queensland Brain Institute - right.
when the Bavarian-born
Research Assistant Matt Pelekanos is on the left
ARTICLE 121 | Healthcare & Medicine
Alzheimer's disease is the most common
form of dementia, accounting for
approximately 70% of all cases.
biochemical methods were of dementia. Current treatments, As the Director of the Clem Dementia Feature
developed that helped to identify including acetylcholinesterase Jones Centre for Ageing
the peptide amyloid- β (or Aβ) as inhibitors and memantine, are Dementia Research (CJCADR) at
the major constituent of the mainly symptomatic, but the Queensland Brain Research,
plaques and the protein tau as strategies that directly target I oversee several research
the major constituent of the the underlying pathology are groups whose goal is to
tangles. Close to a decade later, currently in development. These understand the pathogenesis
a third wave of discoveries was approaches, which aim either to of Alzheimer's disease, using
aided by new sequencing and prevent the accumulation of Aβ cellular and animal models,
genetic methods, allowing the and tau, or to assist in their in order to develop novel
identification of gene mutations clearance, include blockade of therapeutic approaches. This
(including in the aforementioned Aβ generation with β-secretase includes the development of
presenilin) in familial cases of inhibitors, and targeting of novel vaccines for the tau
Alzheimer's disease and Aβ, and more recently tau, pathology of the disease and a
related dementias such as with active and passive novel scanning ultrasound-based
frontotemporal dementia, which immunization. However, should approach that greatly assists in
helped to pave the way for passive immunization prove the clearance of Aβ from the
so-called transgenic animal effective, the cost will be a brain of Alzheimer's mouse
models, that carry these gene critical issue; extrapolating its models and the restoration of
mutations, develop a mild form use in cancer, the estimated memory functions. It is hoped
of Alzheimer's disease (or cost exceeds US$25,000 per that one of these approaches
frontotemporal dementia) and patient per year. Not only will will advance into clinical trials,
have since been instrumental in this cost challenge the health- not necessarily to completely
the development of new care systems of many countries, halt the disease, but to delay it
therapeutic strategies. but it will also raise ethical to such an extent that it does
issues about how to make these not manifest clinically within the
At present, there is no cure for vaccines widely available. lifetime of at-risk people.
Alzheimer's disease or any form
In March last year, the University of Queensland “I think this really does fundamentally change Join www.livewellclub.com.au
announced that scientists had found that non- our understanding of how to treat this disease,
invasive ultrasound technology could be used and I foresee a great future for this approach.”
to treat Alzheimer’s disease and restore
memory. “The method uses relatively inexpensive
ultrasound and microbubble technology which
Clem Jones Centre for Ageing Dementia is non-invasive and appears highly effective.
Research director Professor Jürgen Götz said The approach is able to temporarily open the
the new treatment method could revolutionise blood-brain barrier, activating mechanisms that
Alzheimer’s treatment by restoring memory. clear toxic protein clumps and restoring
memory functions.
“We’re extremely excited by this innovation of
treating Alzheimer’s without using drug “Research has been conducted using mice with
therapeutics,” Professor Götz said. an Alzheimer’s model, with the next step being
to scale the research in higher animal models
“The ultrasound waves oscillate tremendously ahead of human clinical trials, which are at
quickly, activating microglial cells that digest least two years away,” Professor Götz said.
and remove the amyloid plaques that destroy
brain synapses.
122
YOUR
CHOICES
Dental Care
A HAPPY MOUTH = A HAPPY BODY 123 | Dental Care
Information courtesy of Dental as Anything - www.dentalasanything.com.au Join www.livewellclub.com.au
Dental Care | 124 ARTICLE
Benefits of
Dental Implants
In modern dentistry dental implants are often the best option
to replace lost teeth or teeth that are irrational to treat.
Adental implant is an artificial also used to stabilise ill-fitting inserted porcelain crown or
tooth root consisting of a dentures and to stop the bridge.
titanium screw that shrinkage of the gums and bone.
resembles a tooth root and holds After the healing of the dental
one or more prosthetic teeth. Especially for edentulous patients implant a dentist is taking an
dental implants make a impression and the dental
Missing teeth can be replaced significant change in quality of life laboratory is manufacturing the
with dental implants and will look as four or more implants provide porcelain crowns.
and function like real teeth. a fixed teeth solution, often
Dental implants can replace one named All-on-4. Maintenance of dental implants is
or several missing teeth and offer very important to avoid gum and
a sound alternative to dentures In the All-on-4 concept the bridge bone infection. Regular check-ups
and bridges. Dental implants are can be often mounted the same and oral hygiene visits help to
a long-term solution and can last day. All-on-4 is a proven concept prevent future complications.
a lifetime when properly placed of the permanent replacement of
and cared for. lost teeth with a fixed full-arch Although the success rate of
bridge on four implants that feel dental implants is up to 98%,
Compared to bridges on teeth, and look like natural teeth. there are risks related as with any
with dental implants there is no oral surgery procedures.
need to involve other healthy For the placement of a dental
teeth in the future reconstruction implant into the jaw bone a Not all patients are suitable for
as tooth supported bridges do. surgical procedure has to be dental implants. Compromised
performed using local anesthetic, general health, insufficient jaw-
A tooth-supported fixed bridge, a identical to what is used for bone volume or habits as
common treatment for the loss of fillings or tooth removal. smoking may be a
single or more teeth, requires that contraindication for dental
adjacent teeth be ground down to Modern clinics use 3D-radiology implants.
support the cemented porcelain and specialised surgery planning
bridge. A dental implant replaces software that allow the minimal A thorough consultation, dental
a single tooth without sacrificing invasive placement of the implant examination and planning with a
the health of neighbouring teeth. in order to minimise harm of skilled and experienced dentist or
surrounding tissues. specialist is essential before
Another benefit of dental implants heading for dental implant
is the preservation of the jaw- A dental implant needs on surgery in order to achieve an
bone after a tooth has been average a healing time of 3 to 5 optimal functional and esthetic
extracted. Edentulous areas of months depending on each outcome.
the jaw resorb with time and this individual case. During the
is one of the main reasons of loss healing time the dental implant Courtesy of Dr Dimosthenis Mantokoudis, CEO of
of retention of dentures. and the bone bond together and
Therefore, dental implants are build an anchor for the future the Australian Institute of Dental Education and
Research, AIDER in Brisbane
There is no need to 125 | Dental Care
go overseas for dental
implants anymore -
Affordable Dental
Excellence
Missing teeth? Replace a Denture with Fixed
Dental implants maybe the
solution for you. Teeth on Dental Implants
The AIDER Dental Clinic is a private dental clinic and part of All-Ceramics-on-4 (Metal-Free)*
the Australian Institute of Dental Education and Research
located close to the Brisbane Airport. Made in Brisbane
Under one roof the AIDER Dental Clinic is providing a
comprehensive treatment when it comes to replacing
missing teeth with dental implants: A dedicated team of
experienced specialist prosthodontist, dentists, prosthetist
and dental technicians are working together in an unique
team approach to provide high quality and personal dental
rehabilitation using the latest technology in the field such as
piezo-surgery, 3D-radiology, intra-oral 3D-scanner and
computer-guided surgery.
The AIDER Dental Clinic is offering to their patients the
services of a state-of-the-art in-house dental laboratory to
ensure an optimal esthetic result using only metal-free and
bio-compatible materials. Our ceramic artists take the shade
chair-side to ensure to match the shade and form of the new
reconstruction with the adjacent teeth.
New technology enables with the intra-oral 3D-scanner the Join www.livewellclub.com.au
same-day fabrication of porcelain teeth without the need to
take impressions.
Due to the standardisation of the procedures and the *This above shown treatment option may not be suitable for every person. Individual
in-house manufacturing of the dental laboratory work the results may vary. For further information please visit our website.
AIDER Dental Clinic is able to offer competitive treatment
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Dental Care | 126 ARTICLE
Dentists look after more
than your dental health
We know how important it is to go to the doctor for regular
check-ups and what we should do to keep our bodies in tip-top
shape. But what about our dental health?
Your dental health and How do you check for and is a very easy procedure
general wellbeing are directly oral cancer? that’s completely non-invasive and
linked. Visiting your dentist is does not use rinses or dyes.
not just important for keeping your The VELscope is a machine used
teeth clean and cavity free. It is to screen for oral cancer. This is Who should have a
also critical in the early detection often a free service offered with check-up for oral cancer?
of oral cancer. check-up appointments and only
takes 1-2 minutes during your People aged between 20-39 years
Oral cancer in Australia is on the consultation. should be examined by their
rise, with 4000 new cases dentist at least every three years;
diagnosed each year (Colgate, What’s involved? those over 40 years of age require
2015); almost a 50 per cent screening annually.
increase in 10 years. It is a The VELscope uses a process
particularly nasty form of cancer. similar to a florescent light to Early detection is critical because
diagnose any abnormalities in and exposing oral abnormalities early
Medical practitioners don’t often around the mouth. It is extremely leads to more treatment options,
check for symptoms of oral effective in preventing the disease potentially less invasive or radical
cancer, which is why it is treatments and better patient
imperative to your health and outcomes.
wellbeing to see your dentist
regularly. It’s important in the prevention of
oral cancer to find a dentist who
The best solution is prevention, does the diagnostic screening
which means being proactive with using the VELscope as part of
your dental health. their general consultation.
Story courtesy of Dr Mark Miller,
Dental As Anything,
www.dentalasanything.com.au
What causes oral cancer?
Smoking and drinking Ageing
high levels of alcohol
Sun exposure
Gum disease or (in the case of lip cancer)
poor oral hygiene
Family history of oral cancer
Infections
HPV (human papillomavirus)
Poor diet
127 | Dental Care Join www.livewellclub.com.au
With
Dental Care | 128 Oral Health Affects
The Rest Of Your Body
As we grow older so do our teeth, yet dental care and hygiene
seem to get less focus as life goes on. However, dental health is
connected to the whole body and it is important to remember
that your oral care is a key part of keeping yourself in tiptop
shape. Below are 9 reasons why dentistry should be a priority for
you and your loved ones.
1. Heart Disease pneumonia in adults. By disease, hinders the body’s
breathing in bacterial droplets ability to use insulin. High blood
Research suggests that there is found in the mouth into the sugar can also lead to gum
some correlation between gum lungs, those over the age of 65 infection, leading to a vicious
disease and heart disease and are more prone to the condition. cycle between poor teeth and
that maintaining good oral Combating this bacteria could be poor health. Regular dental
hygiene is a factor in the battle as simple as maintaining good checkups and good oral care can
against heart attacks, strokes, oral hygiene with regular help prevent this.
and other cardiovascular brushing, flossing, and mouth
conditions. rinses. 4. Darkened Teeth
2. Pneumonia 3. Diabetes As we age the bone-like tissue
that underlies our enamel
Poor oral health has been Periodontitis, or severe gum changes as a result of our diets.
connected to higher rates of
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Staining can occur, as can 7. Root Decay So how do we avoid all these 129 | Dental Care
thinning of the outer enamel layer, nasty issues? Effective and regular
leading to yellowing and darkened Acid in foods can lead to the decay visits to the dentist are
teeth, and eventually cavities, of the roots that hold our teeth in paramount. You may be
pain, and decay. place. This is very common in predisposed to dental issues, or
those over the age of 60, with may be affected by medication,
5. Gum Disease their gum-lines receding and their lifestyle, or injury. It is a good idea
roots being left exposed to decay. to visit your dentist every 6
The food and plaque left in our months after the age of 60 so that
teeth, as well as the use of 8. Uneven Jaw they can stay on top of any issues
tobacco, poor diet, ill-fitting you may encounter. If you are
dentures, anemia, cancer, and If teeth are lost and not replaced already having trouble, or if you
diabetes, can all lead to gum with false teeth, the rest tend to encounter any pain or discomfort,
disease. Gum disease can, in turn, drift and shift to the open spaces consult your dentist to set up an
lead to tooth loss and decay as left in the mouth. This can lead to appropriate routine to maintain
well as pain and inflammation that an uneven jawbone which can, in your oral health.
makes eating and drinking turn, lead to bite issues and a Improving your dental care at
uncomfortable. change in appearance. home is easy. Brush twice a day,
floss regularly, and rinse with an
6. Dry Mouth 9. Denture Related antiseptic mouthwash once or
Stomatitis twice a day. Dentures should be
Taking medications, as well as cleaned daily.
cancer treatments, can lead to dry Poor fitting dentures, bad oral Keep your mouth happy and never
mouth. Saliva is needed to sustain hygiene, and the build up of stop smiling!
oral health as it protects teeth Candida Albicans, a fungus found
from decay and alleviates the risk in the mouth, can lead to O50s
of infection through the control of inflammation of the tissue Australian Over 50s Living & Lifestyle Guide
bacteria, viruses, and fungi. underlying a denture. This can be
Having a dry mouth can affect this very uncomfortable.
process and lead to poor oral
health.
Join www.livewellclub.com.au
130
YOUR
CHOICES
FiPtenressosn &al LCeairseu,re
ARTICLE 131 | Personal Care, Fitness & Leisure
Great Sporting
Options In Your 50s and 60s
Sport is for the young. That’s a sentiment expressed far too often.
It should be replaced with this – sport is for everyone. For those in
their 50s, 60s, and beyond, it can be easy to just accept that as
your years advance, your opportunities for healthy living and fun
sporting activities diminish.
With this in mind, let’s play team games, and there are high impact here, all that’s
take a look at some of some great options out there. All required is good coordination,
the enjoyable sporting you need to do is involve yourself and that can be learned at any
options available for those in groups and sports which are age. While bowling can be
heading into retirement age, or appropriate for your health and enjoyed individually, it really
for those who are already there. fitness level. These can include: comes alive as part of a team.
There are many leagues and
Team Games Bowling: Whether it’s ten pin social clubs around the country
where you can enjoy bowling, so
We’ll start with team games bowling or on a green, this is a research your local community
because it’s the type of sport great sporting option for those and you’re bound to find one
most people associate with worried about high impact near to you.
being younger. But you can still activities like running. There’s no
Join www.livewellclub.com.au
Personal Care, Fitness & Leisure | 132 Table Tennis: Tennis is another Swimming: For some, this is
great option for those 50 plus, but the king of sports for those at Golf: We’ll end on a classic. Golf
table tennis is an even better one. retirement age and above.
While standard tennis requires a lot Swimming has been shown time is often a firm favourite among
of running around, table tennis and time again to be an those 40 and up. It requires skill,
does not require that level of excellent way to stay fit while usually involves a social side, and
athleticism. It can improve your protecting your bones and joints is very easy on the legs. In fact,
reaction speed and does work up a from impact. Swimming clubs many golf courses will provide golf
sweat when played at a fast tempo. are popular, but if you don’t want buggies for those unable to walk
Like bowling, table tennis can be to take part in them then you between the holes. For those who
played as part of a team, with can happily track your own can, golf provides countless hours
doubles tournaments proving progress by visiting a local of solid exercise and enjoyment in
popular. the outdoors. It can also be played
swimming pool. competitively, singles or as a
Volleyball: Another great team team, and so is a great all round
Cycling: One of my favourites. option.
game, and while it requires a level
of mobility, there are leagues for all Cycling is a fantastic way to see Enjoy Yourself
ages and fitness levels. Volleyball the countryside and city
encourages team play and apart landscapes while getting fit. It’s Sports are about enjoyment,
from the odd jump occasionally, it low impact, yet you can build up feeling great, and, for some,
is actually less strenuous on bones your cardio just as well as competition. There’s no reason
when compared to running or through running. Cycling clubs you need to give any of this up just
football. bring cyclists of all experience because you have a few more
levels together and even take miles on the clock. Today, people
Low Impact Sports part in competitive races. are playing sports at all ages, so
Obviously there is the initial why get left behind? Enjoy
If you are specifically worried about costs of cycling equipment, but yourself!
high impact sports, then there are after that it’s a relatively
some enjoyable low impact options inexpensive hobby, and can be O50s
which can be great for your health enjoyed on single paths or on the Australian Over 50s Living & Lifestyle Guide
and sense of well being. These roads, though care should be
include: taken.
Race Walk: If you have a
competitive itch you need to
scratch but have issues with your
joints or back, then race walking
could be for you. It simply involves
fast paced walking, but under race
conditions, so you’ll be looking to
either beat other competitors or
record your personal best times at
events. Some running clubs have a
walking programme in place where
you can meet fellow walkers and
even make new friends.
“Exercise and Make Your Fitness & Massage for your health
Body Flow Like A River”
Remedial Massage Therapy & Personal Training
General Functional Fitness
Cardio Call: 0403 355 113
Weigh Loss
Flexibility [email protected]
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Contact: Grant Wood Dip P.E. www.facebook.com/GreenOlivePersonalFitness
Tel: (07) 5578 1320, Mob: 0433 097 604
Restart 133 | Personal Care, Fitness & Leisure
Exercise Program
Why do we on average become more stiff and less supple as we
age? Apart from hormonal changes, what physical changes occur
that result in more frequent aches and pains and reduced
physical capacity?
Essentially, the body is a deterioration will increase. “I would highly recommend the
reactor; a reactor to the Conversely, feed our body Restart Exercise Program to keep
environment around us, the regular, stimulating, enjoyable fit in your twilight years.”
movement that we feed it, the 3-dimensional movement, we will
posture that we live in, the become stronger, more mobile “Since undertaking this controlled
challenges that we stimulate it and more flexible, and suffer exercise program, I don’t have to
with. Understanding this concept with less aches and pains along visit my Doctor or Physiotherapist
is key to becoming responsible for the way. on a regular basis anymore and I
maintaining important elements can now enjoy a relatively normal
of human function, including The need for regular movement is and active lifestyle.”
muscle strength, joint stability never as important as it is as we
and mobility, bone density, enter our older years. Remaining “If you have long term pain that
aerobic fitness, balance and independent relies on our ability affects your life then you have
spatial awareness. to be functionally strong and able nothing to lose but heaps to gain
to complete activities of daily by trying the services offered by
If we pursue a sedentary lifestyle, living without an increased risk of Restart.”
predictably our rate of physical injury or falls.
Personal Care, Fitness & Leisure | 134 ARTICLE
Yoga at Any Age
As a teacher, teaching yoga youth are regained. This is not a Maintaining flexibility
to Seniors is particularly battle against old age but rather
rewarding. You learn as a regaining of the original This is more about the ability to
much as you teach. There is an suppleness of the spine. The perform daily tasks with
art to ageing gracefully and there spine is capable of moving in minimum discomfort than the
is no one better to teach this five directions – forward, ability to put a foot behind the
than a Senior. backward, sideways, slightly head. My students simply want
upwards and rotation. It is to be able to get down on the
There is a misconception that important that a yoga class has floor to play with the grand kids,
classes need to be slower and a combination of these wake up in the morning without
place more emphasis on the movements. feeling stiff and reaching up
breath for older students. The without an ache in the shoulder.
term “Gentle Yoga” is often used Strengthening the core
to describe classes for older Synchronising breath
students. This term is often Yoga practice is often linked to and movement
misunderstood and confused flexibility but the more important
with restorative yoga which is an aspect is stability. Maintaining a Staying connected to the breath
entirely different practice. It is strong core (not just abdominal whilst practicing and following
not necessary to oversimplify the muscles) will protect and the way the spine functions
practice for older students. They support the lower back, link the during the process of breathing
do not need to be on their backs upper and the lower body and allows students to understand
for most of the class. In short, make the entire structure more their bodies. The expansion of
my classes for older students balanced, stable and efficient. the body during inhalation and
focus on the following five needs lengthening during exhalation,
Balancing originating from the spine is the
of older students: basis of my teaching.
The capacity to balance
Maintaining the mobility diminishes with age. Falling can I know from working with older
of the spine be devastating for older students students that most will benefit
both physically and mentally. It is from longer warm ups, slower
The function of the spine is to important to continuously work pace, simpler poses and some
elongate and it is in this on maintaining or developing the predictability in sequencing. My
lengthening, its elasticity and ability to balance. students prefer to start on their
back, do some breathing work at
the end, have longer relaxation
and minimal sitting on the floor.
Some students prefer to work
seated on a chair and using the
chair for support. It is important
to understand the individual
needs and limitations and
develop a practice that works. It
is important for older students to
communicate their needs to the
teacher and inform them if
something is causing them
discomfort or pain. A well trained
and a Yoga Australia registered
teacher will be able to develop a
class with the appropriate
variations for older students.
Shyamala Benakovic is CEO of Yoga Australia
and a qualified Yoga teacher.
www.yogaaustralia.org.au
6 Reasons to Practice Yoga in Your 135 | Personal Care, Fitness & Leisure
50s, 60s, 70s and Beyond Monica Deane – Cultivate Calm
Yoga East Brisbane
If you’ve never tried yoga before, it might seem pretty intimidating to
walk into a yoga class with all those flexible people. But in reality,
people of all age, shape and size practice yoga.
There’s a lot more to a yoga class than stretching 3. Improves balance
– it’s an all-round workout for your mind and your
body. Yoga can improve our balance to prevent falls. It
strengthens our feet and legs and improves our
1. Yoga lowers stress awareness of how we carry our body and how it moves.
Numerous studies have proven a regular yoga practice 4. Increases bone density
to be effective in lowering blood pressure. Most yoga
classes incorporate deep breathing exercises which Yoga is a weight bearing exercise which helps to slow
slow down our breathing rate, slow our heart rate and bone thinning associated with osteoporosis.
calms our nervous system. This conscious, mindful
breathing lowers blood pressure and helps us to fee 5. Alleviate menopause symptoms
more relaxed.
Certain yoga poses can help with menopause
symptoms including hot flushes, anxiety and insomnia.
2. Improves flexibility 6. Keeps the mind sharp
As we age we lose flexibility and suppleness in our Recent research has proven Yoga is better than brain
muscles and joints – affecting our range of motion. A training to prevent Alzheimer’s and Dementia. People
regular yoga practice develops flexibility in key areas: who practise yoga regularly are also less likely to be
backs of legs, hips, back and shoulders. depressed and anxious.
5 yoga classes $30
Beginner classes
Meditation
Seniors welcome
www.cultivatecalmyoga.com.au
0406 476 950
963 Stanley Street East, East Brisbane
Personal Care, Fitness & Leisure | 136 ARTICLE
Help Revitalise Your Skin
As we age our skin does too. Some people love their wrinkles, their
smile lines, their age spots; they are stories on the skin of a life
well lived. However, if you are not a fan of your ‘grace lines’ then
there is plenty you can do about it.
To start, we must first great too, as are avocados for A great tip is to add an oil such
understand why our skin their healthy Omega oils. as rosehip oil to your bathing
ages. As we become older routine. This will help your skin
our skin gets thinner and dryer, UVA and UVB lights are the most retain moisture and assists with
losing its elasticity and its ability harmful to the aging process, but elasticity. Pick a moisturizer that
to protect itself from damage. luckily for us SPF50+ is easy to is made for anti-aging but bear in
This process can be slowed or come by and the market is mind that they are often heavier
sped up by various health and saturated with high-quality and thicker in texture than other
lifestyle factors, and genetics products. Whenever you plan for products. It is a good idea to
also play a huge role in how well your day, be sure to include have a lighter moisturizer with
we age. sunscreen, water, and some sunscreen for the day, and a
healthy fruits and vegetables. heavier moisturizer for nighttime.
Wrinkles and age spots will These simple lifestyle changes
typically appear on the parts of can help keep your wrinkles at However, if this is not enough
your body that receive the most bay, and they are generally very there is always a surgical route.
sun. This means your face, neck, good for you too! Be sure to check with your GP
hands, and forearms usually and get referred to an accredited
bear the tell tale signs of aging The most obvious anti-aging and well-reviewed dermatologist
before any other part of you products that we see today are before having any procedure
does. You will notice your skin ointments, lotions, and done. The options in the clinic
losing its elasticity and the skin moisturizers. Every supermarket are endless – everything from
will start to sag and perhaps and department store stocks cosmetic tattooing to laser
even mark more easily, and lines anti-aging products, and each resurfacing, skin peels, botox,
will start to form. brand will tell you that they have and even full facelifts are on
the best scientific design to help offer. You can nip and tuck to
If you smoke, do not use keep you youthful. It is an your heart's content; the extent
appropriate sun protection, or overwhelming market and it is to which you go is up to you, just
have a very pale complexion then hard to know the truth about do your research thoroughly
you are more likely to show the which products actually perform before making a commitment to
signs of aging earlier. Excessive well. any invasive procedures.
alcohol consumption and stress,
as well as genetics, will play a If you want the right product, you Wrinkles come with age and they
role in how gracefully you grow first need to look for the right appear on all of us. Aging
old too. These factors lead us product for you. Take into gracefully takes care and
into the first line of defence account your skin type and what patience but is very possible. You
against aging: lifestyle. you need to help keep it healthy. should consider your health and
The basics of every anti-aging lifestyle as well as your beauty
Protecting your skin is key. This skin care regime should include regime when looking at the right
means using sunscreen and 3 things - a gentle cleanser, a anti-aging approach for you.
living in a healthy manner. good moisturizer, and sunscreen. Smile lines, frown furrows, sun
Staying hydrated will assist with You can then add things like eye spots; there are treatments for
the promotion of skin elasticity cream, toner, and serums as you all of it. You can't turn back the
while consuming dark fruits such wish, but the best thing you can clock, but with care and
as blueberries, blackberries, and do is keep it simple. Keep your patience, you can make it look
plums will assist in the skin clean and moisturized and it as if you have.
maintenance of healthy skin. will keep you looking well in
Dark greens such as spinach are return. O50s
Australian Over 50s Living & Lifestyle Guide
Personal Care, Fitness & Leisure | 138 ARTICLE
GOLF begins at ... ?
Most of us know that Tiger Woods started playing golf at the age of
two, giving him the required conditioning for his 13 Major
Championship wins, but do we really have to start golf so early in
life to be able to enjoy it? Apparently not!
Most people in the 'over the magical allure of the sport. This 'welcoming of the newbie' is
fifties' bracket, probably Who would want to do anything probably more evident when
feel a little daunted where they knew the result was bringing in the over-fifties, as the
taking on ANY new endeavour, almost guaranteed? Golf Club Professional and the
especially ones where they are other 'helpers' are aware that this
on public display. Not knowing Fortunately, for people taking up group may be seen as people
the 'rules of behaviour' expected golf for the first time, the 'older who 'should know these things',
of them in a new setting can be hands' who are experienced purely because they are in the
just as off-putting as not being players, are very aware of their mature age bracket.
familiar with the 'Rules of the own inability to 'control' the game
game'. and they all recall their own first For those taking on the game as
faltering steps when trying to a 'mature starter', these
We can all remember times in even make contact with the ball, welcoming procedures at Golf
our lives when we did something let alone control where it went. Clubs can make a big difference
new and just how 'prickly' we felt to the level of enjoyment any new
about being 'first timers'. The These 'older hands' include Club player achieves and a positive
heart beating a little faster, the Professionals, Golf Club step in having the 'try it out
furtive looks around to see what Managers, Club Committee newbie' deciding to keep playing
everyone else was doing, or to Officers and quite often, just the game.
see if anyone had noticed our average Club Members, who
'newness'. This can be even more become 'volunteers', providing The 'introduction process'
daunting when taking on a not- their time and knowledge to contains another very relevant
so-simple sport like golf...at a assist newcomers in getting aspect for the 'mature set'. It isn't
not-so-young age. started. exactly a 'dating program' but it is
certainly a platform for making
However, golf is a game where In today's world of awareness, new acquaintances, who may
nobody can declare they will be the 'introduction' process for new well, over time, become close
at their best on any given day, players is not limited to learning friends.
with even the best of players about how to 'hit the ball' but
knowing they can be at their best includes a walk-through of the Just as importantly as becoming
one day...and the complete facilities, exposure to the comfortable within the golf
opposite the next. 'procedures' around the Club and setting, is of course, being able
golf course, the Rules, the to learn the basics for playing the
In fact the inability for any of us Etiquette and all of the things game and being able to take your
to maintain total consistency in that will allow a newcomer to 'feel place on the golf course with at
our game, not just from one day at home' as soon as possible. least some level of ease, even if
to the next, but even from one not making it to the winner's dais
golf shot to the next, is part of right away.
ARTICLE 139 | Personal Care, Fitness & Leisure
It is often the fear that 'I am too aforementioned 'helper team', parts of it is that we can all just Join www.livewellclub.com.au
old to learn' that puts many who make all the difference in enjoy testing ourselves against
over-fifties off taking up golf, newcomers settling in and our own 'personal best', without
but they are usually not aware 'getting into the swing of things'. the pressure of needing to play
of just how many people take to any pre-set standard, so long
up golf at a later age, because Coaches like Tom and his team as we know the Rules &
they have never had the time or gain as much satisfaction from Etiquette of the game and keep
opportunity to do so in the past. seeing new players get the ball up with the play.
I recently experienced seeing a into flight as they do honing up
68-year old take his first the skills of the highly So, the answer to the...'How late
tentative swings and he was competitive players they coach, is too late' question, seems to
quite exhilarated when the ball in fact, it seems the 'older be the old adage'...'You're
actually got airborne, even newbies' provide a special never too late to learn'...and in
though a little off target. He did element to the 'job satisfaction this case...never too late to
have the guidance of a master locker', with the coaches enjoy the learning process.
teacher in Tom Linskey, Head sharing in the joy these new
Coach at Australian Golf players experience with even Peter Clutton
Schools, based at Emerald the slightest improvement in Peter is former professional Golf Coach,
Lakes Golf Club, Carrara. Tom is their game. With golf not being living on the Gold Coast.
a perfect example of the a team sport, one of the best
140
YOUR
CHOICES
Travel & Tours
European
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boot in Southern Italy
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different, consider exploring the world's great food regions. Taking a small boat down the
fascinating south of Italy. Stroll Catalan, Basque and Galician Canal du Midi is a great way of
along the beautiful Amalfi Coast cuisines are all regionally seeing a regional area of southern
and sip cocktails in sophisticated distinct, featuring sumptuous France in depth. The journey will
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of the boot, studded with traditional stew in a small Or heading on to the next town
sumptuous mansions and mountain village and eat your where a medieval fortress awaits
magnificent Roman ruins. way through cosmopolitan cities your exploration? You'll see
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Egypt Land of
Mystery and
Inspiration
A Traveller’s Mini Guide
By Rhonnda Fritz
HolidaysEgypt.com.au
Egypt is a country that is on Egypt and for many who visit, Most tours of Egypt begin in
the bucket list for places to something occurs within them – Cairo which is a very large city of
visit for many people all over something that can be very 83 square miles (and expanding
the world. Some people have a subtle or a tidal wave of rapidly) with 21 million
connection to the pyramids, the experience that envelops them inhabitants. It is actually made
sphinx, the temples (and let’s not and changes their thinking up of several satellite cities. It is
forget the Mummies) that has forever. The best part of Egypt not a picturesque city for tourists
been with them since childhood. though is her people and their but instead it is noisy, dusty,
Others hear the spiritual calling of generosity of spirit. crowded and very chaotic but
Ancient Egypt and are drawn back with a magic and charm that has
to reconnect with their spiritual The question I have been asked been handed down through the
roots. the most in this past year is of millennia. But it is also a modern
course “Is it safe to travel to city with a reasonably good road
Egypt holds mystique for all. Egypt Egypt?” The answer is a system and many beautiful
is a country where you not only resounding Yes! Many media buildings even if they are covered
explore the sites, but because of outlets have been guilty of in dust from the surrounding
the way the ancients built the sensationalising the news that desert. Most people head
temples, tombs and pyramids, you comes out of Egypt. straight to Giza to see the
truly “experience” the energy of
pyramids and the mighty Sphinx Parts of downtown Cairo are
and most tours include the undergoing a huge facelift with
famous Cairo Museum, the home many very old buildings being
of Tutankhamun's treasures, restored. Downtown is a buzz
which is located near Tahrir with many fabulous restaurants,
Square in downtown Cairo. outdoor cafes and cultural
centres where you can
There are some marvellous experience the music and
mosques and exquisite Coptic dancing of Egypt and mingle
churches in Cairo that are worth with the local people. At night
seeing. Certainly you should not thousands of lights turn this
leave Cairo without doing a tour dusty city into a sparkling jewel
of Old Cairo but you will need a and like New York, the city never
local guide, because it isn’t hard seems to sleep.
to get lost in these areas and not
a lot of English is spoken. Many people visit Egypt for just
one day as part of a
The markets such as the Khan El- Mediterranean Cruise. If you just
Khalili bazaar are interesting want to tick the pyramids and
experiences too. You can shop for sphinx off your bucket list, this is
spices, perfumes, jewellery, fine but if you want to
brass, copperware, ceramics, experience Egypt, I would
fabrics including Egyptian cotton suggest you take a longer tour
and many more souvenir items through Egypt.
including replicas of ancient
Egyptian treasures. Be prepared The minimum time to visit Egypt
to hop around and bargain is ideally 10 days if you want to
though. see the pyramids, the sphinx,
museum and take a 3 -4 day
Egyptians are hard sellers and Nile River cruise to see the
will put on the pressure to buy, so temples and tombs, but it is very
don't be intimidated, because rushed. If you want to see the
they respect someone who majestic temples at Abu Simbel
matches them at the bargaining and explore the lesser known
table. So be warned, that the sites that are in and around
Egyptian markets are not relaxed Luxor, you really need 12 - 14
places to shop, but they can be a days.
lot of fun.
Travel & Tours | 146 ARTICLE
Most tour itineraries include luxurious dhahabaya that is your conservatively and cover your
seeing the pyramids and the own small floating luxury hotel arms and legs particularly in
mighty Sphinx and maybe a Nile complete with chef and staff to Cairo.
Cruise visiting the temples and take care of you.
tombs in the South of Egypt and Currency is the Egyptian Pound
along the Nile River. But there is Perhaps you want to visit a and exchange rates are actually
so much more to see and do in remote oasis in the desert or go better in Egypt than here in
Egypt. If you go with a tour diving and snorkelling on the Australia. Mobile phone and
company with the right beautiful coral reefs in the Red internet coverage is good but I
connections in Egypt, you can Sea or laze by the pool doing would suggest obtaining a local
really get to know the real Egypt nothing at a luxurious Red Sea data sim card on arrival. Your
and her people beyond the tourist Resort. Perhaps you want to ride tour guide can usually assist you
sites. You need to plan your Egypt a camel or feel the wind in your with obtaining one.
adventure well and in advance hair riding an Arabian Stallion
and you are advised to go with a through the desert. Perhaps you If going to Egypt has always been
tour company that specialises in would like to Sail the Nile River a dream of yours, or, if you have
Egypt travel to truly get the most on a cruise boat from Cairo all been to Egypt before and you
out of your holiday of a lifetime. the way to Aswan. The choice is would like to return, now is
endless. exactly the right time to go. While
There are tours of Egypt to suit all the tourists have been gone, they
budgets and interests. Perhaps a The best time to go to Egypt is have been building new hotels
5-star luxury tour visiting sites between October and May when and revitalising many of the sites
from one end of Egypt to the the weather is cooler. Dress for as well as opening new sites
other with an extended Nile comfort and for ladies, while it is ready for the return of the
cruises on a privately owned not required, I suggest you dress tourists to this magical land.
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BRISBANE BAY OF ISLANDS EXPLORE OUR 147 | Travel & Tours
CRUISES RIVER CRUISES
Includes morning/afternoon tea and
CRUISING BRISBANE Aussie BBQ lunch BRISBANE RIVER
THE GOLD COAST & MORETON BAY
A fabulous way to see Brisbane’s exciting city and
Experience the Whistunday style waters of Moreton historical landmarks
Bay Marine Park and cruise past the most beautiful
Islands in the Bay. Encounter marine wildlife such as Includes informative commentary and refreshments.
dolphins, dugongs, turtles, sting rays and sea birds. Choose a date and time to suit with a minimum of
Includes stop off on one island for scenic walk or only 40 guests.
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9am - 4pm Morning & Afternoon Tea & BBQ Lunch ADULT $65
delicious lunch included CHILD $35
Booking BRIBIE ISLAND LUNCH CRUISE ADULT $35
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Travel & Tours | 148 ARTICLE
Travel Insurance
for the Over 50s is not always easy
Getting older comes with
many perks, one of which is
more freedom and the time to
travel and explore. However,
travel insurance for the over
50’s can make jetting-off a
complex experience.
Before you set out on an In general, there are three main Being over 50 is a pretty wide
adventure, be it by air, on a levels of cover. These are Basic, age demographic and travel
cruise or a road trip, it is Mid-Range, and Comprehensive. insurance companies recognize
important to find the right cover You need to consider which type this. They will often separate
for you. Unfortunately, cheap of cover suits you best. You must their cover into age groups for
cover is rare for grey nomads to also bear in mind that your ‘seniors’. The first group is
find. Some insurers may not private health insurance in usually for 50+ while others may
even cover you at all if you are Australia, as well as Medicare cater to 60+, and even 75+.
over 75, or if you have any cover, may not be applicable
specific, pre-existing health and when you are abroad. This Each age comes with its own
wellness issues. And let’s face it means that the Australian health health risks. It is just a fact that
at 75 who doesn’t? system is not obligated to assist we are influenced by new health
you with any troubles you concerns as we age. You’ve been
This means that you should be encounter overseas. As a using your body for 50+ years, so
shopping around and asking consequence, it is paramount to it makes sense that some signs
questions. Finding the best cover consider what could go wrong of wear and tear are apparent.
for you means you first have to and how to counter it. This When looking for travel
look for the best cover. If you are means looking into where you insurance it is important that you
lucky, you may be entitled to are going and what activities you acknowledge any health
discounts if you are in good plan to do. concerns you have. Many
health with no previous medical insurance agencies may require
conditions that might influence One thing to look out for when you to undergo a medical check
your travel. shopping for travel insurance is before they insure you, and
whether or not your insurer is others will ask for medical
Be aware that if you do Australian based. If you are certificates from your general
encounter troubles on your purchasing off the internet, then practitioner and/or appropriate
travels, many of the associated check the country of origin for specialists. If you have no issues
costs will have to first be paid for the company as any health then you may get a better policy
by you before being claimed back related repatriation could go via price, but if you have had any
as reimbursements from your a third country. If you are a concerns in the past such as
insurer. This includes hospital travelling Australian, then be stroke, heart conditions, high
stays and theft cover. Ask your sure to buy insurance which in blood pressure…etc then your
provider what their policy on this an emergency will bring you back insurer may raise the total cost.
is, and be sure to check reviews to Australia, not a third country Also keep in mind that if a
on travel insurance policies to e.g. the UK or Singapore. certificate is needed, it will take
make sure you get the best turn- time and you must factor this
around if something goes awry.
into your travel preparation that many policies will not cover be aware of any health 149 | Travel & Tours
timetable. Remember also that travel to the USA and that you conditions that you may have
if a certificate is needed it will may have to pay a separate and acknowledge that your age
usually be at your own cost and premium for this. and health will influence your
is unlikely to be reimbursed insurance.
even if you don’t get the It is recommended that you take
insurance you are seeking. all precautions possible to Do your research into what your
ensure that you are safe from private and public healthcare
Something else to consider any unexpected events. This may cover, and whether or not
seriously is how your destination means packing the right Australia will assist you if you
will affect the cost of your medical supplies and having a get into trouble overseas. Your
insurance. Travelling to safe and secure place to store destination does play a role in
countries with lower levels of your valuables. You should also the final policy so be sure that
sanitation and food hygiene, as pay attention to what you eat you go prepared with all the
well as destinations with and where. right equipment, as well as
extreme weather and higher insurance that covers anything
than normal crime rates will To summarize, travel insurance that may happen.
influence the price of your is important and is something
policy. You need to consider that no traveller should go The key to having a great time
events such as food poisoning, without – grey nomads included. abroad is ensuring that you
pickpockets, robbery, insect- Being over 50 does mean that have great cover before you
borne illness…etc. On top of you will likely have to pay more leave. Look into travel insurance
your age, the destination does for insurance, but shopping and don’t head off without it. Be
play a huge role in determining around will help you find the prepared; never leave without
the final price of your travel best deal and most suitable your passport, your plane ticket,
insurance policy. Keep in mind cover for you. You should also and your travel insurance policy.
Wherever you want to go, or Join www.livewellclub.com.au
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Let us help you with your transfer arrangements, or your tailor
made tour/sightseeing plans and we will create an unforgettable,
wonderful and personalised experience for you.
Talk with real people on the phone.
We can come to your home to plan your well deserved
getaway with you.
We are a Brisbane based company, servicing Brisbane,
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Chau eured Transfers to:
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Email: reservations@chau eur-me.com.au
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Travel & Tours | 150 ARTICLE
Unlocking the Future of
Travel for the Over 50's
It has never been easier to book a holiday and despite the
internet putting a world of choice at our finger tips 83% of
Aussie travellers still choose to put their trust in a travel agent
when it comes to an overseas holiday. There are many benefits
associated with using the expertise of an industry accredited
travel agent, especially for the over 50’s. The Australian
Federation of Travel Agents (AFTA) explores why.
The old saying is look for a travel agent who has interests, needs and budget. In
true: age only been accredited through the fact good advisors have the right
matters if you’re national scheme ATAS which is connections to deliver unique
a cheese. administered by the peak experiences, unbiased
industry body, AFTA. recommendations and provide
In truth, the over 50’s are products that suit. The belief that
perhaps the most engaged and ATAS accredited travel agents are using a travel agent adds to the
active travellers of all with more quite possibly Australia’s best. cost of a holiday is a myth.
than 4.4 million travelling each They are trained to provide tailor-
and every year. They are affluent made travel solutions and a Add to this smorgasbord,
and time rich but there is no personal touch that is invaluable. excellent customer service, loads
denying that they seek a different They are experienced industry of destination knowledge and
experience than a 20-something professionals who have to meet agents being passionate
year-old seeking to rock it out at a strict customer service and travellers themselves are just
rave party in Ibiza! financial criteria each year to some of the reasons that keep
retain accreditation and display travellers coming back time and
To get the most out of a holiday, the ATAS logo, as well as having a time again. And, in the event that
those in the know understand the strong track record of delivering the unexpected happens, such as
benefits of using the right travel expert advice and quality a cruise is cancelled, they know
agent, and it’s not just to help personal service to travellers. what to do and who to contact
navigate the deluge of to ensure minimal disruption to
information. What their expertise The over 50’s attitude to travel is your trip.
can add in the way of value, VIP evolving but there are consistent
attention and recourse should trends which lend themselves to Indeed, they are also there to
something go wrong are just a leveraging the expertise of a support travellers should they
few of the reasons that an expert travel advisor including wanting encounter any mishaps along
travel planners should be sought. to try something new, the desire the way. Travel is an adventure
to experience a destination like a after all!
But how do you know that you’re local, reconnect with a loved one,
using a trusted agent who will to relax and or ensure that their So next time you consider
deliver the experience you seek, holiday isn’t wasted – it’s all travelling, for peace of mind, it is
the best value for money, or about self indulging and enjoying worth looking for the ATAS symbol
arrive at your destination with out their hard earned cash! to ensure your trip is in the best
complication? The answer is to possible hands. ATAS accredited
Knowing this, travel agents, work travel agents can be found online
with travellers to come up with an at www.atas.com.au.
itinerary tailored to their
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