Having a new diagnosis of a rare chronic condition will take some time to adjust.
There are some helpful things that you can do for yourself to make management of ANCA Vasculitis easier.
It is good to understand that you will go through a lot of different feelings.
These may include frustration, anger, anxiety, fear, vulnerability, and even being ashamed of being ill. Some patients feel a sense of loss and grief and may even deny the fact that they are ill. Feelings of uncertainty also occur quite frequently during a time when so much change is being experienced. Tearfulness at times can be expected. If may vary in length as to how long your process your feelings. Support from family and friends is important.
Many patients with long term illness suffer from some degree of low mood or depression. This is a normal phenomenon and is often transient.
When a problem persists this should be discussed with your GP or consultant. A short course of anti-depressants may be prescribed. Occasionally counselling may be indicated.
The NHS has a helpful down load on low mood/depression that is helpful and practical.
https://www.vasculitis.org.uk/wp-content/uploads/2019/08/LowMoodandDepression.pdf
Talking to others with the same experience can help and make you feel part of a community. This is where you will make friendships with people who understand what you are going through, share experiences and learn about the condition.
It is helpful to look up as many websites as you can to gain as much information. There are a number of credible websites around the world, they are listed under links on this website.
The websites have video links which are helpful and the information about ANCA vasculitis is well presented.
It is also helpful to pass this information on to your family and friends so that they understand what you are experiencing.
Have a good repport with your medical professionals so that you can communicate your symptoms well.
The following link takes you to a guide on how to help you make the most out of your Rheumatology / Specialists appointments. It is well presented . https://connectedrheumatology.com/the-productive-rheumatology-appointment-guide
Some patients may experience pain. It is best to speak to your consultant at the onset and arrange pain relief and management.
The following is a link to Health Navigator NZ for the management of chronic pain.
https://www.healthnavigator.org.nz/health-a-z/c/chronic-pain/
There are two major types of stress: stress that’s beneficial and motivating, and stress that causes anxiety and even health problems.
There are a number of helpful ways to relieve stress and you have to find something that suits you personally .The following link to health Navigator NZ on how to cope with stress is very good.
https://www.healthnavigator.org.nz/health-a-z/s/stress/
Adapting to life with vasculitis can be a challenge which will become easier the more you know about it. Most people can cope more effectively with the changes in their lives if they understand what is happening and why.
In most cases life will be different but not necessarily worse.
Emotions, relationships and sexuality can come up on open vasculitis forums here a link to the UK Vasculitis UK that is helpful.
https://www.vasculitis.org.uk/living-with-vasculitis/emotions-relationships-sexuality
Healthline
Call Healthline on 0800 611 116 for free advice from trained registered nurses. They are specialists in assessing and advising over the phone. Phone calls are free from within New Zealand. Healthline which is provided by the Ministry of Health is available 24 hours a day, 7 days a week. 31
Call Healthline if you are:
feeling unwell – but not sure whether you need to see a doctor
needing some urgent advice about a family member or friend who is sick
on holiday and want to know where the nearest doctor or pharmacy is.
If you need to talk to someone in your own language, Healthline can usually arrange this using an interpreting service.
Care Plus
Care Plus is a primary health care funding initiative to support people with high health needs due to chronic conditions, acute medical or mental health needs, or terminal illness. This is administered by the Ministry of Health. Ask your GP if you are eligible.
Podiatrists
You may require some help with your feet. You can get help through a referral from your GP or rheumatologists to a hand therapist. Or you can go privately.
Find one in your area https://www.podiatrynz.com/find-a-podiatrist
Mobility Parking Permits
You may be eligible for a mobility car parking permit if:
You are unable to walk and always require the use of a wheelchair, or
Your ability to walk distances is severely restricted by a medical condition or disability. If for example, you require the use of mobility aids, experience severe pain, or breathlessness, or
You have a medical condition or disability that requires you to have physical contact or close supervision to safely get around and cannot be left unattended. For example, if you experience disorientation, confusion, or severe anxiety.
Your doctor needs to confirm your eligibility, unless you have a long-term permit.
https://www.ccsdisabilityaction.org.nz/mobility-parking
Ministry of Health Home Care Support
The Ministry of Health may be able to help you with support in your own home, with a range of services available if you meet the eligibility criteria, see the links below.
Home and Community Support Services
Home and Community Support Services are services funded by the Ministry to help you live at home. They can help with both household management and personal care.
Household management may include help with:
meal preparation
washing, drying or folding clothes 33
house-cleaning, vacuuming and tidying up.
Personal care may include help with:
eating or drinking
getting dressed or undressed
getting up in the morning or getting ready for bed
showering or going to the toilet
getting around your home.
Community Residential Support Services
Community Residential Support Services are one of a range of support services funded by the Ministry of Health. These services assist disabled people to live in a supported community environment.
Equipment and Modification Services
Do you have difficulty doing everyday activities? If you or someone in your family has a physical, intellectual, sensory (vision or hearing) or age-related disability, you may be able to get some equipment or modifications to your home or vehicle to assist you.
Individualised Funding
Individualised Funding is a way of paying for Home and Community Support Services which lets you directly manage the resources you’ve been allocated for disability supports.
Work and Income
ANCA vasculitis may make it very difficult for you to work due to a limitation on your physical functioning, mobility, dexterity or stamina.
Work and income may be able to support you while you’re not able to work and help you realise your work goals. When it’s right for you and your family, they can help you find part-time or full-time work, get training, or become self-employed.
See overview of available services https://www.workandincome.govt.nz/work/health-and-disability-job-support/job-search-help-if-youre-disabled-injured-or-have-a-health-condition.html
Help with living expenses
Work and Income may be able to help you with living costs if you’re not able to work, or are working fewer hours because:
you have a health condition, injury or disability
you’re caring for someone with a health condition or a disability
Community Services Card: A card that can help you and your family with the costs of health care. You’ll pay less on some health services and prescriptions. See https://www.workandincome.govt.nz/products/a-z-benefits/community-services-card.html
Residential Support Subsidy: A subsidy for residential care needed because of a physical, intellectual, or psychiatric disability. See www.workandincome.govt.nz/eligibility/health-and-disability/residential-care.html
Shop on line for aids
Go online for help in the kitchen, bathroom, bedroom, home living, mobility, and sensory, everything you can imagine:
Mobility Centre www.mobilitycentre.co.nz
Independent Living www.ilsnz.org/Products
Having ANCA vasculitis, a chronic disease, can cause depression and anxiety
See the Ministry of Health's web page for getting help with these conditions. If you prefer just to talk to a someone living with ANCA vasculitis, call Dianne Purdie on 04 479 5548