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ISSN 1175-4753<br />

<strong>SPINAL</strong> <strong>NETWORK</strong> <strong>NEWS</strong><br />

December 2013 Volume 16 No 3<br />

Inside:<br />

Survey results p. 10<br />

Samoa Trip p. 14<br />

Summer garden p. 16<br />

Bowel health p. 21


CONTENTS<br />

EDITORIAL TEAM<br />

1 – Editorial<br />

2 – Ben’s blurb<br />

4 – NZST programmes<br />

6 BAIL/Catwalk<br />

9 Thanks Bob Parker<br />

10 Survey results<br />

14 Samoa trip<br />

16 Summer garden<br />

19 ACC updates<br />

21 Bowel health<br />

24 Book review<br />

25 Funders<br />

Bernadette Cassidy<br />

Suzanne REISER<br />

Hi, my name is Bernadette Cassidy and I am<br />

delighted to be part of the Spinal Network News<br />

Editorial Team. As the Library & Design Service<br />

Manager I am passionate about how libraries<br />

and how having access to quality and timely<br />

information empowers people ‘to reshape their<br />

lives’.<br />

Hi, my name is Suzanne Reiser, and I am a<br />

former patient of the Burwood Spinal Unit<br />

where I spent 4½ months with Guillain-Barré<br />

Syndrome. I have since been involved with<br />

volunteer work at the BSU and am delighted to<br />

be part of the editorial team.<br />

Hi, my name is Trudy Mulligan and I’m the Design<br />

Consultant for the NZ Spinal Trust. I have a<br />

Bachelor of Fine Arts majoring in design. I am also<br />

an exhibiting artist. I enjoy being a part of the team<br />

that produces this publication.<br />

CONTRIBUTING<br />

WRITERS<br />

Ben Lucas<br />

Bernadette Cassidy<br />

Mel Kelly<br />

Hans Wouters<br />

Raymond Burr<br />

Katie Farman<br />

John Bourke<br />

Debz Mitchell<br />

Trudy Mulligan<br />

TRUDY MULLIGAN<br />

Claire Freeman<br />

Hi, my name is Claire Freeman and I am employed<br />

full time by the Canterbury District Health Board<br />

as a Graphic Designer and Medical Illustrator.<br />

I have a Masters in Health Science, Otago<br />

University and plan on pursuing more study.<br />

<strong>SPINAL</strong> <strong>NETWORK</strong> <strong>NEWS</strong> is published by the NZ Spinal Trust<br />

Send your contributions to:<br />

The Editor <strong>SPINAL</strong> <strong>NETWORK</strong> <strong>NEWS</strong><br />

c/- New Zealand Spinal Trust, Private Bag 4708, Christchurch 8140<br />

Tel: (03) 383 7540 , Fax: (03) 383 7500<br />

Email: johnny.bourke@nzspinaltrust.org.nz<br />

Web: www.nzspinaltrust.org.nz<br />

Patron of the<br />

New Zealand Spinal Trust,<br />

Sir Tim Wallis<br />

DESIGN & LAYOUT: Trudy Mulligan, and Claire Freeman<br />

PRINTER: The Caxton Press<br />

DISCLAIMER:<br />

The views expressed in <strong>SPINAL</strong> <strong>NETWORK</strong> <strong>NEWS</strong><br />

are those of its contributors. They do not necessarily<br />

represent the opinion of the members of the Editorial<br />

Committee or the policies of the New Zealand Spinal<br />

Trust.


EDITORIAL<br />

Welcome to the third and final edition of the Spinal Network News for 2013. The end of the<br />

year always arrives quickly, and it is no different for the team at the SNN. I must pass on a<br />

huge thank-you to the editorial team: Trudy Mulligan, Suzanne Reiser, Claire Freeman, and<br />

Bernadette Cassidy for their commitment to designing and putting together this magazine<br />

throughout the year.<br />

In this issue, we have a number of interesting articles to keep<br />

you going over the summer break. We have updates from<br />

the New Zealand Spinal Trust and the CEO, Ben Lucas; an<br />

interesting insight into SCI in Samoa from a group of NZ health<br />

professionals; nutrition tips for a healthy bowel; and updates<br />

from ACC.<br />

We also review the fantastic response to our readers’ survey on<br />

page 10. This feedback has provided us with a great platform on<br />

which to build the foundations of a magazine that’s interesting,<br />

relevant, and informative for its readers. In our review, we<br />

summarise some of the main themes and share some examples<br />

of the comments we received. One major theme that came<br />

through in the feedback you sent was, wanting to hear more<br />

personal stories of others with a SCI. Comments often referred<br />

to how others with a SCI can be a source of unique advice and<br />

understanding, no matter how long one has had a SCI. I agree,<br />

and can think of countless times where others with SCIs have<br />

provided me with advice and ideas about traveling, parenting,<br />

physical access issues, increasing my independence, and even<br />

something as simple as tips to avoid bladder infections (drink<br />

more water!). Others with a SCI can provide ideas on the small,<br />

day-to-day activities of living with a SCI, but can also serve as<br />

examples of what types of life can be achieved in the long term.<br />

crash. In the book, Rob talks about his life prior to the accident,<br />

how the accident disrupts his family’s life, and how he, his wife,<br />

and young sons, attempt to return to their life living in the<br />

unrelenting outback of Australia.<br />

In 2014, we aim to have more stories that explore the personal<br />

experience of SCI. To help us, please get in touch if you, or<br />

someone you know, has a story to tell. We can help with the<br />

writing aspects. Also, please feel free to send letters to the<br />

editor regarding anything you read in the SNN, or any other<br />

SCI-related issue on your mind.<br />

From all the SNN team, have a safe and enjoyable summer.<br />

Johnny Bourke<br />

Editor<br />

johnny.bourke@nzspinaltrust.org.nz<br />

Along these lines, we review the book When the Dust Settles<br />

on page 24, written by Rob Cook. Rob is an Australian man<br />

working on a remote cattle station in the Northern Territory<br />

who learns to live with C4 tetraplegia following a helicopter<br />

1


EDITORIAL<br />

Welcome to the third and final edition of the Spinal Network News for 2013. The end of the<br />

year always arrives quickly, and it is no different for the team at the SNN. I must pass on a<br />

huge thank-you to the editorial team: Trudy Mulligan, Suzanne Reiser, Claire Freeman, and<br />

Bernadette Cassidy for their commitment to designing and putting together this magazine<br />

throughout the year.<br />

In this issue, we have a number of interesting articles to keep<br />

you going over the summer break. We have updates from<br />

the New Zealand Spinal Trust and the CEO, Ben Lucas; an<br />

interesting insight into SCI in Samoa from a group of NZ health<br />

professionals; nutrition tips for a healthy bowel; and updates<br />

from ACC.<br />

We also review the fantastic response to our readers’ survey on<br />

page 10. This feedback has provided us with a great platform on<br />

which to build the foundations of a magazine that’s interesting,<br />

relevant, and informative for its readers. In our review, we<br />

summarise some of the main themes and share some examples<br />

of the comments we received. One major theme that came<br />

through in the feedback you sent was, wanting to hear more<br />

personal stories of others with a SCI. Comments often referred<br />

to how others with a SCI can be a source of unique advice and<br />

understanding, no matter how long one has had a SCI. I agree,<br />

and can think of countless times where others with SCIs have<br />

provided me with advice and ideas about traveling, parenting,<br />

physical access issues, increasing my independence, and even<br />

something as simple as tips to avoid bladder infections (drink<br />

more water!). Others with a SCI can provide ideas on the small,<br />

day-to-day activities of living with a SCI, but can also serve as<br />

examples of what types of life can be achieved in the long term.<br />

Along these lines, we review the book When the Dust Settles<br />

on page 24, written by Rob Cook. Rob is an Australian man<br />

working on a remote cattle station in the Northern Territory<br />

who learns to live with C4 tetraplegia following a helicopter<br />

crash. In the book, Rob talks about his life prior to the accident,<br />

how the accident disrupts his family’s life, and how he, his wife,<br />

and young sons, attempt to return to their life living in the<br />

unrelenting outback of Australia.<br />

In 2014, we aim to have more stories that explore the personal<br />

experience of SCI. To help us, please get in touch if you, or<br />

someone you know, has a story to tell. We can help with the<br />

writing aspects. Also, please feel free to send letters to the<br />

editor regarding anything you read in the SNN, or any other<br />

SCI-related issue on your mind.<br />

From all the SNN team, have a safe and enjoyable summer.<br />

Johnny Bourke<br />

Editor<br />

johnny.bourke@nzspinaltrust.org.nz<br />

2


EDITORIAL<br />

Welcome to the third and final edition of the Spinal<br />

Network News for 2013. The end of the year always<br />

arrives quickly, and it is no different for the team at the<br />

SNN. I must pass on a huge thank-you to the editorial<br />

team: Trudy Mulligan, Suzanne Reiser, Claire Freeman,<br />

and Bernadette Cassidy for their commitment to<br />

designing and putting together this magazine throughout<br />

the year.<br />

In this issue, we have a number of interesting articles to keep<br />

you going over the summer break. We have updates from<br />

the New Zealand Spinal Trust and the CEO, Ben Lucas; an<br />

interesting insight into SCI in Samoa from a group of NZ health<br />

professionals; nutrition tips for a healthy bowel; and updates<br />

from ACC.<br />

We also review the fantastic response to our readers’ survey on<br />

page 10. This feedback has provided us with a great platform on<br />

which to build the foundations of a magazine that’s interesting,<br />

relevant, and informative for its readers. In our review, we<br />

summarise some of the main themes and share some examples<br />

of the comments we received. One major theme that came<br />

through in the feedback you sent was, wanting to hear more<br />

personal stories of others with a SCI. Comments often referred<br />

to how others with a SCI can be a source of unique advice and<br />

understanding, no matter how long one has had a SCI. I agree,<br />

and can think of countless times where others with SCIs have<br />

provided me with advice and ideas about traveling, parenting,<br />

physical access issues, increasing my independence, and even<br />

something as simple as tips to avoid bladder infections (drink<br />

more water!). Others with a SCI can provide ideas on the small,<br />

day-to-day activities of living with a SCI, but can also serve as<br />

examples of what types of life can be achieved in the long term.<br />

Along these lines, we review the book When the Dust Settles<br />

on page 24, written by Rob Cook. Rob is an Australian man<br />

working on a remote cattle station in the Northern Territory<br />

who learns to live with C4 tetraplegia following a helicopter<br />

crash. In the book, Rob talks about his life prior to the accident,<br />

how the accident disrupts his family’s life, and how he, his wife,<br />

and young sons, attempt to return to their life living in the<br />

unrelenting outback of Australia.<br />

In 2014, we aim to have more stories that explore the personal<br />

experience of SCI. To help us, please get in touch if you, or<br />

someone you know, has a story to tell. We can help with the<br />

writing aspects. Also, please feel free to send letters to the<br />

editor regarding anything you read in the SNN, or any other<br />

SCI-related issue on your mind.<br />

From all the SNN team, have a safe and enjoyable summer.<br />

Johnny Bourke<br />

Editor<br />

johnny.bourke@nzspinaltrust.org.nz<br />

3


NZST Programmes<br />

CONNECTING PEOPLE<br />

Hi again, I am so pleased that summer<br />

is here; I’m loving the warmer<br />

temperatures and getting outside in the<br />

garden more often. Speaking of gardens,<br />

slowly but surely we are getting on with<br />

our Burwood Spinal Unit garden project<br />

which you may remember us talking<br />

about a few issues back. The guiding<br />

influence and manager of the project<br />

is Les Gray, with the wonderful Shirley<br />

Stead by his side organizing volunteers<br />

to help with removing sand and replacing<br />

it with healthy soil. We plan to start<br />

planting-in very soon with the aim of<br />

creating a holistic environment that<br />

everyone will enjoy. So watch this space.<br />

We are still working on helping to<br />

resolve the issues that our members<br />

have with regard to being able to access<br />

wheelchair taxis when needed; so please<br />

keep your stories coming in. The more<br />

information we have, the more effective<br />

we can be when working with Total<br />

Mobility to help them understand what<br />

the issues are. Please email Debz at: deb.<br />

mitchell@nzspinaltrust.org.nz<br />

Pat and I had a productive trip north in<br />

July; we went to places we have not been<br />

before, namely: Taupo, New Plymouth,<br />

Hawera, Whanganui, and Napier. We also<br />

stopped in at Hamilton for lunch and<br />

met up with some great people. Our<br />

journey north got off to a rough start, as<br />

we nearly ripped off our muffler whilst<br />

disembarking the inter-island ferry!<br />

However, this turned out to be a blessing<br />

in disguise, as we discovered that one<br />

of our tyres was not in good shape and<br />

would probably have blown on the next<br />

leg of our journey which could have<br />

been disastrous! So, in the end, we were<br />

grateful for the message the muffler gave<br />

us... we would have had no idea until it<br />

was too late... a massive thanks to the<br />

muffler repairman.<br />

I want to thank Bob Knox in New<br />

Plymouth for all his continued support;<br />

he spread the word for us and put in a<br />

lot of effort which is hugely appreciated.<br />

Thank you also to Muir Templeton for<br />

having us to stay in his lovely home, and<br />

for spreading the word in his area.<br />

It was really great getting to know<br />

people a bit more<br />

and seeing so many<br />

familiar faces and<br />

some new. It is well<br />

worth the effort to<br />

do these trips. If we<br />

missed you and you<br />

want to make sure<br />

we see you next time,<br />

please let us know.<br />

We may not have you<br />

in our Connecting<br />

People database.<br />

We are updating<br />

details for our new<br />

database and are asking that anyone who<br />

has changed their contact details, such<br />

as home and/or email address, phone<br />

number; please let us know so that we<br />

can be up-to-date and also to ensure<br />

you will not miss any emails. You may<br />

hear, or may have already heard from us<br />

regarding this.<br />

All of us here at Connecting People<br />

wish all of you a very merry and safe<br />

Christmas and a positive and bright new<br />

year! We will be coming to a town near<br />

you next year!<br />

Thanks from Debz and the wonderful<br />

team here at Connecting People.<br />

Debz Mitchell<br />

4


Allan Bean Centre Library Hours<br />

Monday to Friday 9.30am – 5.00pm<br />

Saturday 9.00am – 1.00pm<br />

Sunday 1.00pm – 4.00 pm<br />

For more information about the<br />

library and information service, phone<br />

us on: 03 383 9484, or email us at:<br />

abclibrary@burwood.org.nz<br />

LIBRARY UPDATE<br />

Here is this month’s<br />

list of new books<br />

available from the<br />

Allan Bean Centre<br />

Library.<br />

Not a member?! It’s<br />

free to join! Just phone<br />

us on:<br />

03 383 9484,<br />

or email us at:<br />

abclibrary@burwood.<br />

org.nz.<br />

We will happily post<br />

books out to you.<br />

Book of the Month!<br />

“The Luminaries”, by Eleanor Catton – Winner of the 2013 Man Booker Prize.<br />

Set in 1866 during New Zealand’s gold rush, the plot follows the tale of Walter Moody,<br />

who stumbles into a secret meeting where 12 men discuss unsolved crimes.<br />

The Luminaries is an astonishing feat of storytelling, an intricately crafted novel that<br />

takes readers behind the scenes of a mystery to reveal how destiny is reshaped when<br />

circumstances shift, but everything remains connected.<br />

“Bertie’s Guide to Life and Mothers”, by Alexander McCall Smith<br />

This is the latest addition to McCall Smith’s Scotland Street series, which first appeared<br />

as a daily column in The Scotsman newspaper, and was later collected into book form.<br />

It’s always great to reconnect with these denizens of Edinburgh, and this book doesn’t<br />

disappoint. Once more, we catch up with the delightful goings-on at the fictitious 44<br />

Scotland Street. Alexander McCall Smith’s books are highly recommended.<br />

“Look Gorgeous be Happy: What a Woman Wants”, by Lisa O’Neill<br />

Lisa O’Neill was inspired to create her book after meeting so many women who were<br />

tired, stressed, and unhappy. It’s a handbook for loving the way you look and looking the<br />

way you love. With humour and loads of practical tips, Lisa provides the gentle ‘shove’<br />

so many women are looking for. Find out how to dress for your body type and your<br />

personality. Learn how to get the best from your life and gain a new outlook.<br />

“The Modern Family Survival Guide”, by Nigel Latta<br />

TV presenter, psychologist and bestselling author, Nigel Latta, gives common-sense and<br />

amusing answers to the complex issues surrounding today’s family in its many and varied<br />

forms. Utilising both the best current research about blended families, and over two<br />

decades of clinical experience, Nigel traverses the dilemmas and questions that modern<br />

family life presents.<br />

Bernadette Cassidy<br />

5


NZ Research Community Updates<br />

KALEIDOSCOPE UPDATE<br />

KIA ORA FROM BAIL<br />

I have worn many hats in my working life:<br />

aircraft terminal operations, corporate<br />

recruitment executive, the NZ air force,<br />

vocational rehabilitation, and, would you<br />

believe, part of the management team<br />

for a professional theatre company! I<br />

am passionate about people and life,<br />

and I am lucky, in that I get to facilitate<br />

clients’ discovery that life is for living and<br />

dreams can be achieved (when I am not<br />

behind my desk swimming in a sea of<br />

administration that is!!).<br />

Of late, there has been a shift in client<br />

dynamics on the spinal unit wards,<br />

enabling a great number of projects to<br />

gain momentum. The Kaleidoscope team<br />

has been working on client resources<br />

and workshops, as well as on the<br />

formulation of an employer education<br />

seminar series. The Auckland office<br />

has had some great client success with<br />

new employment and, in Christchurch,<br />

people returning to their pre-injury/-<br />

illness employment. Check out the next<br />

newsletter due out in November for<br />

some insights and stories in the space of<br />

employment<br />

The lead up to Christmas – yes, it is<br />

upon us I am told – can be a time of<br />

relaxation, reflection, and re-connecting<br />

with friends and family. We are all madly<br />

getting the ‘things-to-do’ lists done, so<br />

we can head off on leave. I, on the other<br />

hand, have been exploring professional<br />

development for the team and myself,<br />

and wanted to share with you some<br />

great tips and websites that I have<br />

encountered of late.<br />

• When you write your CV, create a<br />

header with lots of ‘buzz words/skills’,<br />

and then make the text white, and the<br />

document PDF format. If it is uploaded<br />

to a website that HR managers and<br />

recruiters scan (such as Seek), when<br />

they type in the skills they are looking<br />

for, yours will appear a great deal more<br />

frequently.<br />

• If you haven’t been exposed to the<br />

absolutely brilliant sharing-of-ideas<br />

website: TED Talks, check out: www.ted.<br />

com for inspiration, to challenge your<br />

thinking, improve your knowledge on a<br />

huge range of topical issues, or, just for<br />

fun and out of interest. A great person<br />

to start with is Brene Brown, or why not<br />

listen to Steve Jobs talk about his journey<br />

and the phenomenal success of Apple?<br />

• Get interested! Interested in why you<br />

do what you do, what direction your<br />

career is taking, and where you want to<br />

be in 5 years’ time. If that’s too hard, just<br />

think 2014: what’s your focus for the<br />

year ahead? Research companies you are<br />

curious about and interested in. What<br />

are your ‘non-negotiables’ when it comes<br />

to seeking employment?<br />

• At a recent seminar, I received<br />

powerful statistics regarding the<br />

website LinkedIn: 87% of employers<br />

use it frequently and 93% of people in a<br />

position to make decisions / recruitment<br />

agencies have profiles.<br />

Debbie, Meika, Lesley and I, always<br />

have our door open, so contact us to<br />

schedule a meeting if you’re an employer;<br />

pop in if you’re an existing client or just<br />

thinking ‘what now, where to from here?’,<br />

and engage in the wonderful space I get<br />

to call ‘work’.<br />

Mel Kelly<br />

To the readers of Spinal Network News<br />

who do not know us, we are a dynamic<br />

charitable trust committed to improving<br />

the life experience of people recovering<br />

from serious injury and illness. We do<br />

this by facilitating quality research and<br />

innovative approaches to rehabilitation.<br />

The purpose of all BAIL research and<br />

activities is to identify and remove<br />

barriers to independence. Our location<br />

in an office adjacent to the Burwood<br />

Spinal Unit is a real benefit to our work.<br />

However, we have many international<br />

connections, and collaborate from time to<br />

time with our foreign colleagues.<br />

One such current collaboration involves<br />

BAIL’s Research and Strategic Advisor,<br />

Anne Sinnott, and our friends at Spinalis,<br />

in Sweden. Anna-Carin Lagerström &<br />

Kerstin Wahman wrote an outstanding<br />

book entitled “The Art of Healthy Living<br />

with Physical Impairments”. When they<br />

decided it should be published in English,<br />

they turned to BAIL for help.<br />

It is well known that a healthy lifestyle is<br />

fundamental to well-being – both physical<br />

and emotional. This applies particularly to<br />

those who live with physical impairments.<br />

This book was written to inspire and<br />

impart the necessary knowledge to<br />

achieve a more active and healthy lifestyle.<br />

The book provides adapted programmes<br />

based on scientific research and clinical<br />

experience, as well as tips and advice<br />

from individuals living with physical<br />

impairments.<br />

Anne’s assistance in the adaptation<br />

process included travelling to Sweden<br />

for an intensive work period, which<br />

was funded in part by the ANZ Staff<br />

6


Foundation. The work is now not far<br />

from completion and the content is<br />

equally as valuable in English as it is in<br />

the original Swedish. Chapters include:<br />

The Top 10 Tips for a Healthier Life;<br />

Motivation and Lifestyle Change; Food and<br />

Weight Management; Physical Activity and<br />

Exercise; Mindfulness and Thought Training.<br />

Closer to home, we have several studies<br />

in progress around mobility and disaster<br />

response, with a view to improving<br />

responsiveness and reducing risk for<br />

wheelchair users. The earthquakes in<br />

Christchurch certainly alerted the country<br />

to the fact that our wheelchair population<br />

require some careful consideration and<br />

planning when it comes to evacuation and<br />

care in a major disaster. Be sure to check<br />

out our website (www.burwood.org.nz)<br />

for more details about us.<br />

As the year draws to a close, we wish<br />

you all a peaceful Christmas and holiday<br />

period.<br />

Kia kaha – Stay Strong<br />

From Debbie, Hans, Anne, and Brian.<br />

CATWALK<br />

Team CatWalk Crosses the Finish Line in<br />

New York<br />

It was a case of unfinished business for<br />

four runners representing Team CatWalk<br />

in November’s New York Marathon.<br />

After super-storm Sandy put an end<br />

to the 2012 event, the quartet of Ollie<br />

Bradshaw, Dave Copley, Duncan Hawkesby<br />

and Mark Francis, decided to return<br />

and complete the 42.2km distance,<br />

banishing the memory of last year’s<br />

cancellation.<br />

Prior to leaving New Zealand, Hawkesby<br />

told the CatWalk Trust, “I am back to tick<br />

this off my bucket list as part of Team<br />

CatWalk, 2013. Fundraising for a magnificent<br />

cause such as CatWalk is brilliant.”<br />

Hawkesby finished the marathon in just<br />

over three hours, while Ollie and Dave<br />

came home in just over three and a half<br />

hours. The rest of the 11-strong team<br />

also finished the race, with team leader,<br />

Anna Hiatt, saying the entire CatWalk<br />

Team did amazingly well.<br />

“It was so inspiring to be a supporter<br />

alongside 2 million other spectators,<br />

watching everyone truly push their limits.<br />

Congratulations to the entire CatWalk<br />

team, not only for achieving such fantastic<br />

personal milestones, but also for your<br />

incredible support raising over $90,000<br />

for spinal injury research.”<br />

one foot in front of the other. It might<br />

hurt but at least I can use them; that, and<br />

an image of Catriona dancing with her<br />

husband Sam again.”<br />

Team Catwalk was also in New York to<br />

witness American, Tatyana McFadden,<br />

make history with her victory in the<br />

women’s wheelchair race; completing a<br />

sweep of the Boston, London, Chicago,<br />

and New York marathons in a single year.<br />

More than 50,000 runners started the<br />

race through the five boroughs. All of the<br />

runners were given blue ribbons to pay<br />

tribute to Boston. A Boston Marathon<br />

yellow line was also painted alongside<br />

the traditional blue line heading into the<br />

homestretch.<br />

The New York City Marathon returned<br />

after last year’s cancellation due to super<br />

storm Sandy. About 22,000 runners who<br />

had entered last year’s race, returned to<br />

the field for Sunday’s race, according to<br />

the New York Road Runners.<br />

Katie Farman<br />

Wairarapa-based Alex Tomlinson, who<br />

finished the event in just on five hours,<br />

was absolutely thrilled with her efforts,<br />

even when the going was tough.<br />

“When I was really struggling I kept saying<br />

to myself, “remember why you are<br />

here Alex … all you have to do is put<br />

7


System<br />

UPGRADE<br />

The latter part of this year has seen us seriously upgrade our<br />

organisation systems here at NZST. With the help of KOORB<br />

Consulting, we installed a database system (Microsoft<br />

Dynamics CRM) that now ensures we have accurate records<br />

for connecting and communicating with everyone we deal<br />

with. Although we are still learning to drive the new system,<br />

we are thrilled so far with what it can do for us, and are<br />

very excited about its capabilities for the future. We wish to<br />

acknowledge the outstanding effort that KOORB put in, with<br />

special mention of Ian Luxton, our CRM designer, and Kristy<br />

Brown, our account manager.<br />

Essentially, we chose KOORB for a couple of key reasons;<br />

they worked very hard to get to know us and understand<br />

what we do and what we needed the CRM to do for us. We<br />

believed that they ‘got us’ and understood our unique needs<br />

as a not-for-profit organization, and they gave us a lot of<br />

confidence at the outset of the project. They have delivered<br />

powerfully on that confidence, and have continued to work<br />

hard with us now that the system has gone live.<br />

Second, they are a 100%-Kiwi company, and we love to<br />

support Kiwi business. If you are looking for a new business/<br />

organisation system, we recommend them highly, and would<br />

be happy to chat further about our experience with KOORB.<br />

Hans Wouters - Project Manager


THANKS<br />

Bob Parker<br />

The recent Local Body Elections saw the retirement<br />

of the Christchurch Mayor of the last two terms, Bob<br />

Parker. I couldn’t let this pass without recognising what<br />

Mayor Parker and his wife Jo did, not just for the city<br />

of Christchurch, but also for the NZ Spinal Trust – in<br />

particular, our Connecting People Peer & Family Support<br />

programme.<br />

First, for the city of Christchurch; it is hard for those of you<br />

who live out of town or in other parts of the country, to<br />

know just what impact the series of earthquakes has had on<br />

the people and the fabric of the city. The noise, the power,<br />

the energy: the fact that terra firma which we rely on to be<br />

stable and take for granted, became a violent and frightful<br />

adversary, was something that one had to experience to<br />

truly appreciate. People’s lives were lost, homes destroyed,<br />

roads torn apart, and the city all but demolished.<br />

and, to date, this has exceeded $5,000, with a final payment yet<br />

to be completed. This book is available for purchase from the<br />

NZ Spinal Trust for $30.00.<br />

To Bob and Jo – we thoroughly appreciate all the hard work<br />

you have both done for the city of Christchurch and for<br />

the NZ Spinal Trust, and hope that you enjoy a thoroughly<br />

deserved break from official engagements.<br />

Ben Lucas CEO NZ Spinal Trust<br />

Bob was such a calming presence for the city with his<br />

dulcet, rich baritone voice imparting a sense of calm in the<br />

chaos that was everyone’s lives at the time. His leadership<br />

was just what the city needed over that time of uncertainty.<br />

For the NZ Spinal Trust, Bob was, and still is, a very<br />

good friend. As CEO, Bob invited me to many functions,<br />

providing me with an endless source of networking<br />

opportunities which presented many good leads that have<br />

helped, and continue to add value to the Trust to this day.<br />

Bob’s wife, Jo, was just as avid a supporter of the Trust<br />

and has been a fantastic sport. Jo took part in a celebrity<br />

tandem sulky race behind a full-blown race-horse at the<br />

Canterbury Trotting Cup Race Day amongst a field of<br />

other celebs, coming in second to All Black, Andrew Hoare.<br />

Sitting trackside, it looked incredibly exhilarating and I was<br />

watching with just a twinge of jealousy! Jo also competed<br />

in the inaugural “Freewheelin’ Frenzy 150” wheelchair<br />

race at the Benchmark Homes Festival of Cycling event in<br />

Christchurch last year, winning the title!<br />

Finally, Bob wrote a book called “Ripped Apart, a City in<br />

Chaos”, about his experiences through the quakes. He<br />

kindly donated the royalties from this book to the Trust<br />

9


Survey<br />

RESULTS<br />

Results of the 2013<br />

Readers’ Survey – What You<br />

Told Us…<br />

A fantastic response to our readers’ survey provides a<br />

goldmine of ideas about how to improve the content<br />

of the Spinal Network News<br />

We received an incredible response to our Spinal Network<br />

News readers’ survey which we sent out with the August 2013<br />

issue, so a huge thank you to all those who took the time to<br />

send us your feedback. We now have a wealth of information<br />

to help us put together a magazine that truly reflects what<br />

you – the readers – want to see. Starting in 2014, we aim to<br />

include regular articles that address the areas you requested<br />

and suggested in the survey.<br />

We were very interested to know who is reading the SNN,<br />

and the majority of survey respondents are people living<br />

with a SCI (70%). One (31.8%) or two (50.9%) was the most<br />

common number of readers per household. We were also<br />

very interested in what people do with their copy of the SNN<br />

after they have read it and a massive 54.5% of respondents<br />

said they keep the SNN, with 20% lending it to others, and<br />

19% disposing of it. In this last category, people also remarked<br />

that they gave their copy of the SNN away to doctors’ clinics,<br />

medical centres, and a volunteer-run library. We were also<br />

curious to know, in what format people preferred to receive<br />

the SNN; the most requested option – a whopping 76.9% –<br />

said they want a printed hardcopy. A total of 15.4% requested<br />

an electronic copy, and 7.7% selected both. We hope to explore<br />

options regarding accessing the SNN online next year. We’ll<br />

keep you posted.<br />

We were very interested to know what you thought about<br />

the stories/articles we have in the SNN, and whether you find<br />

them interesting and relevant. A total of 60.5% respondents<br />

said they always find them interesting and, another 37.6% said<br />

they were sometimes interesting. Only 1.8% reported that<br />

stories/articles were hardly ever interesting. In terms of their<br />

relevance, nearly 40% said they found them relevant all the<br />

time, 57% said they were relevant sometimes, and only 4.7%<br />

said they were never relevant.<br />

An important part of this survey was to find out what topics<br />

you, the readers, want to see in the SNN (respondents could<br />

list more than one thing). Almost 70% of respondents said that<br />

they would like to see more articles on health issues, 63.6%<br />

said they would like to see more stories on technology and,<br />

49.1% more on travel issues. Also, 22.7% of readers would like<br />

Question 1<br />

Please select a category that best describes you<br />

Question 2<br />

On average, how many people in your household would<br />

read your copy of the SNN?<br />

I live with SCI 70%<br />

A partner of someone<br />

with SCI 3.6%<br />

A family member of someone<br />

with SCI 5.5%<br />

A carer of someone with<br />

SCI 0%<br />

A supporter of the NZST<br />

13.6%<br />

Other 7.3%<br />

1 31.8%<br />

2 50.9%<br />

3 10.0%<br />

4 2.7%<br />

5 1.8%<br />

More 2.7%<br />

10


to see more sports articles and 20.9% wanted to see more<br />

music and art/s stories.<br />

Survey respondents also gave us lots of very valuable<br />

comments regarding the topics they want to see more of in<br />

the SNN. These include more articles on health issues related<br />

to having an SCI; more personal stories about how people<br />

with an SCI live and manage their daily lives in the community;<br />

practical travel advice; information about SCI research and<br />

employment/study; and, how to find a balance between being<br />

a partner and a carer. The following is a sample of some of the<br />

comments you gave us:<br />

• “…articles on chronic pain and spasms, more health<br />

related articles”;<br />

• “More about what’s happening in the medical and scientific<br />

areas concerning help for people with SCI”;<br />

• “How people are dealing with the workplace”;<br />

• “More stories for family members …how to create a<br />

balance between being a partner and a carer”;<br />

• “More stories about what high-level tetraplegics achieve in<br />

their life”;<br />

• “Perhaps more Internet links for disabled travel. Perhaps<br />

also, you could get readers to rate the disabled rooms in<br />

hotels they have used and build up a list of good ones!”<br />

As mentioned above, many respondents wanted more articles<br />

that explore the personal, lived experience of SCI and want<br />

to know how others manage their lives. Hearing how others<br />

do things and knowing that others face similar problems<br />

was important to respondents. Here are some more of the<br />

comments we received:<br />

• “ …going back to basics for people with an SCI…<br />

regardless of how long a person has had an SCI, it’s good to<br />

be reminded of the basic issues and the journey”;<br />

• “…there are few to no tips and suggestions of how to<br />

cope with everyday life: attitudes to life, etc.”;<br />

• “...biographies of others with an SCI and their new lives”;<br />

• “It’s always good to read and see how others manage their<br />

SCI. It has taken me 10 years and I am still finding new<br />

ways to manage things. Getting ideas from others is always<br />

good.”<br />

A further issue that we have been aware of for some time<br />

now, is the need for more nation-wide stories. The majority<br />

of the New Zealand Spinal Trust’s operations are based in<br />

Christchurch, which can lead to an imbalance: with more<br />

articles orientated towards this end of the country. Readers<br />

commented that:<br />

• “Interesting, but too many Ch-Ch items”;<br />

Question 3<br />

After you read the SNN do you usually<br />

Question 4<br />

Overall, do you find the stories in the SNN interesting<br />

Keep it 54.5%<br />

Lend it to others 20.0%<br />

Dispose of it 19.0%<br />

Other 6.4%<br />

Yes, all the time 60.5%<br />

Sometimes 37.6%<br />

No, hardly ever 1.8%<br />

11


a HUGE thank you<br />

• “More Auckland stories”;<br />

• “I am a little concerned that the SNN neglects the North<br />

Island when it prints regional stories; Ch-Ch features so<br />

much, me thinks that Auckland is non-existent.”<br />

To remedy this situation, we are looking to have more people<br />

based around the country who can and will contribute articles.<br />

If you would like to share a story, please, get in touch with us. If<br />

you have little or no experience with writing, we can help you<br />

to write the article.<br />

On behalf of the SNN team, I would like to say a huge thank<br />

you to all those people who responded to the survey and<br />

wrote in with their ideas, suggestions and requests. We are<br />

really excited! We now feel we have an exciting platform on<br />

which to keep improving the SNN for you, the reader, and we<br />

aim to reflect many of the ideas from this survey starting in<br />

2014.<br />

John Bourke<br />

Question 6<br />

Do you find the stories in the SNN relevant to the areas<br />

in your life?<br />

Question 9<br />

How would you prefer to receive your SNN<br />

Yes, all the time 38.3%<br />

Sometimes 57.0%<br />

No, hardly ever 4.7%<br />

As a printed hard copy 76.9%<br />

As an electronic version 7.7%<br />

Both printed and electronic<br />

versions 15.4%<br />

For Sale<br />

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12


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here in New Zealand. The aim is to provide a bed to<br />

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A king sized split homecare bed is pictured.<br />

We also provide mattresses for improved sleep, pain reduction, easier transfers, and superior pressure care.<br />

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The Molift Smart 150, designed and manufactured in Norway is the world’s lightest alloy folding patient lifter.<br />

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13


SAMOA<br />

Trip 2013<br />

In 2012, a team of health professionals from New Zealand<br />

travelled to Samoa with the goal of empowering people with<br />

a SCI to manage their health conditions. In August 2013, a<br />

team consisting of many of the same people conducted a<br />

follow-up trip to Samoa to see the people from the previous<br />

year and new clients with a SCI. Again, the aim was to impart<br />

knowledge and education to individuals with a SCI and their<br />

families, to help them manage the consequences of their<br />

injuries. I caught up with three members of that team from<br />

the Burwood Spinal Unit to find out about the experience:<br />

Maria van der Heuvel, a clinical nurse specialist; Marian<br />

Lippiatt, a nurse; and Annie Jones, a physiotherapist. In total,<br />

there were seven members in the team, who all travelled<br />

voluntarily and paid their own way, with some subsidy from<br />

Altus Resource Trust for accommodation.<br />

Maria has visited Samoa for the past three years, but for<br />

Marian and Annie, this was their first time on a trip like this.<br />

For Marian, the key motivation was to impart knowledge<br />

to the individuals with a SCI; their family members; and the<br />

health professionals: “(I wanted) to share knowledge about<br />

bladder management, pressure- area management, and bowel<br />

management… I got a shock at how basic things were,<br />

with no rehabilitation or home visits.” Annie had all always<br />

wanted to do volunteer work and, what really appealed to<br />

her, was the potential to help create long-term change: “it<br />

wasn’t like we were going across and then just coming back;<br />

it sounded like there was a whole programme being set up,<br />

and that really appealed to me – we were trying to build<br />

knowledge and work with the locals.”<br />

The team was in Samoa for just over a week and split into<br />

two groups in order to see as many people as possible in<br />

the short time they were there. Maria said they managed to<br />

spend around an hour with each client. During this trip, Maria<br />

saw the benefits of previous trips: “the majority of people<br />

who were in the new client category last time, are now free<br />

of pressure sores, they’re doing transfers properly, and have<br />

good bowel management. They’re even starting to teach<br />

others with a SCI.” Maria suggests that the individuals in<br />

Samoa are very receptive to knowledge and are very thankful<br />

when the New Zealanders come to visit.<br />

The time available for each visit was limited, and Annie<br />

described the visits as “trying to fit six months of<br />

rehabilitation into 1 or 2 hours.” At the start of each visit,<br />

the team would assess bladder, bowel and skin status, then<br />

discuss the management options available for each of these<br />

14


areas. Then, issues such as wheelchair seating were considered,<br />

and the team would try to organise any equipment they<br />

could, including wheelchairs and shower commodes, from<br />

the donated equipment they had. Annie would then give<br />

physiotherapy advice; for example, describing the benefits of<br />

passive stretching. To help pass on knowledge to local health<br />

professionals, two Samoan health workers travelled with the<br />

New Zealand team to observe and learn also.<br />

Many of the differences observed by the team related to the<br />

lack of a rehabilitation process, a lack of equipment, and a lack<br />

of knowledge around management. For example, mattresses<br />

are uncommon in the traditional Samoan house or fale,<br />

and even in hospitals. Wheelchairs were often ill-suited to<br />

individuals needs and were broken or damaged. Hoists were<br />

uncommon, and while some consumables were available,<br />

stocks were limited, and catheters were often used for long<br />

periods of time. This created terrible skin breakdown in<br />

some males who did not secure their leg bags, which dragged<br />

on the ground. Pressure sores were also common and the<br />

team observed some very advanced skin breakdown. They<br />

also observed that medication for spasm and pain was more<br />

or less non-existent. Marian found the access in the home<br />

environments to be very challenging for those with a SCI.<br />

Showers and toilets were often outside and inaccessible, so<br />

could not be used. Toileting and showering were sometimes<br />

performed outside.<br />

Annie noted a very interesting aspect, reporting that she<br />

saw no neglect of individuals with a SCI in terms of love and<br />

care. Even when people had no wheelchair, often spending<br />

most of their time on the floor, or performing their toileting<br />

and showering outside, not one person the team visited was<br />

lacking a caring, loving family. Any secondary complications<br />

were more a result of a lack of knowledge – not knowing<br />

the correct ways to avoid complications, or how to treat and<br />

manage them.<br />

Reflecting back on their experience, Maria, Marian and Annie,<br />

were all very glad they had made the trip, despite the heat,<br />

12-hour days, and all manner of novel insect life! Although only<br />

so much can be achieved in one week, being in a position to<br />

impart knowledge, and sometimes provide equipment that may<br />

improve the outcomes of those with a SCI in Samoa, was a<br />

very special feeling indeed. It is hoped these trips can continue<br />

as they really do help those living in Samoa with a SCI.<br />

John Bourke<br />

15


RAISING<br />

Veggies<br />

Everyone has motivations that<br />

cause an action to be taken. In<br />

my case, this year my Dad died.<br />

He grew vegetables, so now I<br />

must grow vegetables. It’s like<br />

carrying on a legacy. What came<br />

out of that was a desire of my<br />

own to see what I could do, a joy<br />

in seeing things come to fruition<br />

and then the pleasure in the<br />

eating.<br />

16


Lettuce, Beetroot, Radish, Spring Onion, Zucchini,Spinach, Silver beet, Carrots<br />

Raised gardens are a great option for those<br />

with limited mobility. My brother built mine<br />

for me. He then filled it with mushroom<br />

compost, topped off with a veggie mix that<br />

has all the good nutrients that plants need.<br />

I covered the soil with weed mat. (Cats like<br />

bare dirt.) I then cut the weed mat to open<br />

rows for the plants. I planted a combination<br />

of seedlings and seeds. Radishes are<br />

the best. They grow so quickly. If instant<br />

gratification is your thing, then radishes<br />

are the plant for you. Because this is my<br />

first raised garden, and is limited space, I<br />

decided on an intensive farming approach.<br />

With very little regard for how big plants<br />

get, I planted and hoped for the best.<br />

My gardening knowledge is restricted to<br />

what I gleaned off my parents as I grew up.<br />

I grew up on a farm and Dads vegetable<br />

garden was huge, some years encroaching<br />

onto the paddock next to the house. We<br />

had a lot of corn those years. In the city its<br />

different. But still possible. The plants are a<br />

bit over crowded but they seem to be<br />

coping.<br />

These two pages show you just one<br />

corner of the garden. I also have<br />

tomatoes in big pots, strawberries<br />

in bags hanging off the fence and a<br />

patio with potted herbs, nasturtiums,<br />

succulents and petunias. I may have gone<br />

a bit overboard in the first year, but it<br />

feels great!<br />

I bought some snail bait because a snail<br />

ate a sizable portion of one my petunias.<br />

I have aphids on some plants and I use<br />

an organic spray on them. My carers<br />

help me water them and I am planning<br />

an irrigation system. Other than that my<br />

intervention has been minimal. Nature<br />

has taken its course and now I am<br />

provided with a sense of belonging in a<br />

place, another reason to get out in the<br />

sun and salad for tea.<br />

Trudy Mulligan<br />

17


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18<br />

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ACC – SELF-MANAGEMENT:<br />

Taking Control of Everyday Living<br />

Muir Spreads His Wings with First Self-management<br />

Purchase<br />

As one of the first ACC clients signed up to the self-management<br />

pilot scheme, Muir Templeton reached an important<br />

milestone earlier this month.<br />

Porirua-based Muir went online and booked a return flight<br />

to the Burwood Spinal Unit in Christchurch. Instead of having<br />

ACC coordinate things for him as in the past, he had control<br />

of the purse strings and charged the fare directly to his selfmanagement<br />

account.<br />

“Previously, my case manager would have orchestrated those<br />

flights for me, forwarding lots of letters and emails. Now, I’ve<br />

got my bank- card and can do it myself. It’s my responsibility to<br />

ensure things like flights are booked. I can also arrange wheelchair<br />

taxi transport at the other end,” he says.<br />

A tetraplegic since injuring himself in a rugby accident in 1975,<br />

Muir is relishing the new-found freedom that self-management<br />

has given him. The upshot, he says, is a greater sense of responsibility,<br />

control, and purpose. The first funds were deposited<br />

into Muir’s self-management account in September and, while<br />

it’s early days, he describes the self-management pilot scheme<br />

as “encouraging”, and is looking forward to making more<br />

purchases.<br />

• Attendant care for personal care tasks such as showering<br />

and dressing;<br />

• Home help with tasks such as cooking, laundry, and cleaning;<br />

• Child-care;<br />

• Medical consumables like gloves or wipes;<br />

• Small items of equipment that need to be replaced within<br />

the following year;<br />

• Equipment maintenance and repairs;<br />

• Travel expenses associated with the person’s injury;<br />

• Regular day activity programmes related to the person’s<br />

injury;<br />

• Podiatry services;<br />

• Pharmaceuticals.<br />

Since being launched in August, the self-management pilot has<br />

been progressing steadily. Fourteen clients are now taking part;<br />

funds are being deposited into specially set up bank accounts;<br />

and pilot participants are purchasing their own goods and<br />

services.<br />

All going well, ACC is hoping to launch the self-management<br />

programme nationwide later next year. If you’d like to know<br />

more about ACC’s self-management pilot, send an email to:<br />

selfmanagement@acc.co.nz<br />

Raymond Burr<br />

“At the moment it’s working really well for me. Organising my<br />

own things gives me a sense of purpose. You can do it in your<br />

own time and in a relaxed manner. I’m sure that others with a<br />

serious injury will respond to it very well.”<br />

More about ACC’s self-management pilot programme<br />

ACC’s self-management pilot involves around 50 clients with<br />

disabilities across the lower North Island pilot region taking<br />

more control over purchasing their own supports and services.<br />

It aims to help people be more independent, with ACC taking<br />

a step back and trusting them to make their own support<br />

decisions.<br />

People on the pilot choose the services and supports they<br />

want to self-manage from their existing ACC package of supports.<br />

This might include:<br />

19


ACC SERIOUS INJURY ADSVISORY GROUP UPDATE<br />

I have been involved with the ACC Serious Injury Advisory<br />

Group (SIAG) since I came to the role as CEO of the<br />

NZST in 2011. It forms part of ACC’s three ‘Voice of the<br />

Consumer’ groups, which includes us as the SIAG. We meet<br />

every two months. When I started, SIAG was made up of<br />

individuals and, at the end of 2012, it changed to include<br />

organisations as well as individuals. To me, it was important<br />

to have the individual’s voice stay in the group to keep it<br />

grounded.<br />

ACC’s Serious Injury category includes spinal cord injury,<br />

traumatic brain injury, multiple amputees, vision impairment,<br />

and serious burns. Of course, I represent SCI. Brain injuries<br />

make up approximately 75% of ACC’s Serious Injury<br />

portfolio; spinal cord injuries approximately 20%; with the<br />

remaining 5% being multiple amputees, vision impairment, and<br />

serious burns.<br />

ACC has identified that there are systemic issues which they<br />

could be doing better on, and they want to improve this for<br />

the benefit of the end users. As a result, ACC has asked us,<br />

as representatives of the SIAG, to identify issues that affect<br />

our population. I went to our Connecting People Facebook<br />

group (check it out – it’s an awesome page!), and received a<br />

massive response which was brilliant. Personally I think it’s<br />

great that you all made the effort and I thank you for that.<br />

You’ll be wondering where we are at with all the issues that<br />

have been brought forward.<br />

other two ‘Voice of the Consumer’ Groups;<br />

• The COG prioritises all the issues, of which a small<br />

number then get presented to the ACC Executive,<br />

which then makes recommendations as to the<br />

action to be taken (realistically the ACC Executive<br />

can only deal with a few issues at a time).<br />

This seems, and is, a lengthy drawn-out process. We are<br />

dealing with a big bureaucracy here. Some issues are simple<br />

internal-process issues and can be addressed immediately;<br />

while others, which are legislative, cannot be actioned<br />

by ACC because the organisation is bound by Central<br />

Government statutes and laws.<br />

ACC is a very large corporation and things move slowly;<br />

however, we, as the SIAG, are working hard to get the main<br />

issues identified and actioned. I take my hat off to ACC for<br />

exposing themselves to constructive criticism in a bid to<br />

improve the outcomes for those of us with a serious injury. A<br />

positive outcome for us as end users is at the heart of ACC,<br />

and I do believe that they are serious about putting things<br />

right. It is a slow process, but it is one we must work with, so<br />

I thank all of you representing SCI for your input and, please,<br />

have patience: in the words of Rachael hunter, “it won’t<br />

happen overnight, but it will happen!”<br />

Ben Lucas CEO NZ Spinal Trust<br />

Briefly, the process is as follows:<br />

• The SIAG identifies the issues;<br />

• These issues get prioritised and we spend a lot of<br />

time making in-depth recommendations to remedy<br />

them. We can only work on a small number at each<br />

meeting;<br />

• The recommendations then get presented by our<br />

Chairman, Pati Umaga, to ACC’s Consumer<br />

Outlook Group (COG). The COG reports directly<br />

to the ACC Executive (Board);<br />

• The COG gets similar recommendations from the<br />

20


TA iQ sets the New Standard<br />

The new TA iQ power chairs are designed to improve your outdoor drive comfort and access, while<br />

providing you with superior functionality indoors.<br />

So why is the TA iQ unique?<br />

Indoors: The TA iQ has the lowest floor to seat height of only 38cm/15”, lower than any other power chair.<br />

This allows you to easily sit at a desk or table, and improves your visibility and floor to ceiling height in a<br />

vehicle. Every TA iQ has the standard specification lift/elevation function of 30 cm (38-68 cm), allowing you to<br />

reach higher cupboards, benches, and basins. With a very small turning radius of only 45 cm, the TA iQ MWD<br />

can spin easily in tight spaces.<br />

Outdoors: The suspension on front and rear is very soft, providing a smoother ride when travelling over bumps<br />

and kerbs. The unique suspension design allows the TA iQ to climb over larger obstacles.<br />

Performance: The TA iQ is one of the fastest powerchairs with a top speed of 12.5km/h which it will reach in<br />

3 seconds. With larger batteries as standard it also has an optimum range of 40km, so you will travel further,<br />

faster.<br />

Designed and manufactured in Denmark with quality European motors, actuators and controllers. Crash safety<br />

tested and approved in Denmark in accordance with international standards ISO 10542-5 and 7176-19 (2008).<br />

Available in mid wheel drive (MWD), rear wheel drive (RWD) and front wheel drive (FWD) configurations.<br />

So if you are evaluating a new power chair you have to try the TA iQ for yourself. You can ask for a<br />

demonstration to purchase direct, or ask your therapist to arrange a MOH or ACC trial, then you decide.<br />

Seat height:<br />

Only 38cm/15”<br />

Suspension:<br />

More comfortable<br />

Safer:<br />

Crash test approved<br />

Higher:<br />

30 cm elevation<br />

Faster and Further:<br />

12.5 km/h, 40km<br />

0800 238 423 www.mortonperry.co.nz advice@mortonperry.co.nz<br />

21


Keeping a<br />

HEALTHY<br />

Bowel<br />

There has been much interest in the book Eat Well Live<br />

Well with Spinal Cord Injury, by Kylie James and Joanne<br />

Smith, since it was reviewed in the April 2013 issue of the<br />

SNN. You can now purchase the e-book for CAN$19.95,<br />

or the hardcopy, for CAN$75, which includes shipping and<br />

handling. To purchase, visit: www.eatwelllivewelwithsci.com<br />

where you can also download three chapters for free.<br />

Good bowel management is one of the most important, and<br />

often challenging, parts of living with a SCI. Diet plays a critical<br />

role in the effective management of your bowel routine. Below<br />

are some tips and recipes taken straight from Chapter 2 of Eat<br />

Well Live Well, which explores nutrition that helps to maintain<br />

a healthy bowel. For more information, you can purchase the<br />

book from the website above, or, you can borrow it from the<br />

Allan Bean Library.<br />

Nutritional tips for a healthy bowel<br />

1) Eat 19-30 grams of fibre a day<br />

Fibre is a critical part of our digestive system; it helps us to<br />

absorb water, provides bulk to the stool and keeps it soft,<br />

making evacuation easier. There are two main types of fibre<br />

and we need both to prevent constipation and improve bowel<br />

function:<br />

Soluble fibre: forms a gel-like substance that makes the<br />

stool softer. Sources of soluble fibre include: apples, apricots,<br />

bananas, barley, beans, berries, figs, grapes, oats, peaches, pears,<br />

peas, and prunes.<br />

Insoluble fibre: adds bulk to the stool which helps matter to<br />

pass through your bowel. Sources of insoluble fibre include<br />

seeds, whole grains, and the skins of many fruit and vegetables<br />

such as the kumara.<br />

3) Take probiotics<br />

Probiotics are good bacteria. Two types that promote<br />

healthy bowel function are Lactobacillus acidophilus and<br />

Bifidobacterium. These bacteria help to ferment fibre to<br />

produce fuel for the cells in your colon. A healthy balance of<br />

probiotics in your bowel can enhance peristalsis (movement)<br />

and prevent constipation. Foods that contain probiotics<br />

include: unsweetened yoghurt, sauerkraut, miso, and pickled<br />

foods. You can also purchase probiotics supplements that<br />

contain Lactobacillus acidophilus and Bifidobacterium from<br />

your pharmacy.<br />

4) Eat 4-5 small meals a day<br />

SCI can disrupt the gastrocolic reflex which promotes<br />

bowel movement. So eating smaller, more frequent meals<br />

throughout the day can help to stimulate the gastrocolic<br />

reflex. Also, to take advantage of the gastrocolic reflex, try to<br />

consume a meal or warm drink about 30 minutes before you<br />

start your bowel routine.<br />

5) Try natural bowel aids<br />

Bran: Eating oat/wheat bran everyday can help to avoid<br />

constipation. Try to avoid too much highly processed bran in<br />

cereals that contain a lot of sugar or salt.<br />

Fresh ginger tea: Ginger can help to stimulate the digestive<br />

system and eases the passage of food through the intestines.<br />

Garlic: Garlic helps to destroy harmful bacteria in the colon<br />

which contribute to constipation.<br />

Liquorice root: This root has a natural laxative effect.<br />

Prunes and apricots: Prunes and apricots can have a laxative<br />

effect, but your body can develop a tolerance to prunes if you<br />

eat them too regularly.<br />

2) Drink 8-10 cups of water a day<br />

Your large intestine is responsible for re-absorbing excess<br />

water back into your body. When you are dehydrated, water<br />

is moved from your colon to serve other body functions,<br />

resulting in more solid stools that are harder to pass. Drinking<br />

8-10 cups of water a day helps to avoid becoming constipated<br />

and helps to maintain a good bowel program. It is also<br />

important to limit alcohol, coffee, and soda (fizzy/soft drinks)<br />

which are diuretics and can contribute to dehydration.<br />

22


Recipes<br />

Summer Bean Salad<br />

This refreshing, quick and easy salad has tons of fibre to<br />

support healthy bowel function. Serves 4.<br />

Ingredients:<br />

• 2 cups of green beans<br />

• 1 can of red kidney beans, rinsed and drained<br />

• 1 can of mixed beans, rinsed and drained<br />

• 1 small red onion, chopped<br />

• 1 tablespoon of cumin seeds<br />

• 2 cups of lettuce<br />

• Dressing: 2 tablespoons of olive oil<br />

Directions:<br />

1. Cook green beans for 1-2 minutes in a pot of<br />

salted boiling water.<br />

2. Drain green beans and refresh in iced water till<br />

cool, remove and pat dry.<br />

3. Place kidney beans and mixed beans into a bowl.<br />

4. Chop green beans and add to the bowl with the<br />

chopped onion and lettuce.<br />

5. Toast cumin seeds in a dry pan till they begin to<br />

brown (this releases the flavour).<br />

6. Add cumin seeds to the olive oil; stir, and pour<br />

over salad.<br />

Yoghurt and Granola Parfait<br />

This is great for breakfast, lunch, a snack, or dessert. The<br />

probiotics in the yoghurt help to address diarrhoea.<br />

Serves 1.<br />

Ingredients:<br />

• 1 cup of plain Greek yoghurt<br />

• ¼ cup of granola (or any muesli and nut mix)<br />

• 1 cup of fresh berries (raspberries, blueberries,<br />

and/or strawberries)<br />

• Extras: you can add sliced almonds or flax seeds.<br />

Directions:<br />

1. Place yoghurt in a bowl.<br />

2. Add fruit and sprinkle granola on top.<br />

Image kindly supplied by: Nicole Engstrom @ What Matters Most Now blog<br />

23


BOOK review<br />

When the Dust Settles<br />

By Rob Cook<br />

Rob Cook has lived between<br />

Queensland and the Northern Territory<br />

all of his life, has worked as a fencer and<br />

bull rider, and, worked one of Australia’s<br />

most remote cattle stations, Suplejack<br />

Downs. Due to the sheer size of cattle<br />

stations in the Northern Territory,<br />

mustering using helicopters is a common<br />

practice. It was during a muster in 2008<br />

that Rob was in a helicopter crash that<br />

fractured his C4 vertebrae, resulting in<br />

complete tetraplegia. When the Dust<br />

Settles is a detailed tale of Rob’s life<br />

prior to the accident, how the accident<br />

disrupts his family’s life and, how he; his<br />

wife, Sarah; and their young sons; attempt<br />

to return to their life, living in the<br />

unrelenting outback of Australia.<br />

The first section explores Rob’s early<br />

years growing up in a family of seven<br />

children with a hard-working dad and<br />

an equally hard-working and caring<br />

mum. They moved around Queensland<br />

as Rob’s dad followed his work as a<br />

fencing contractor and, before long, Rob<br />

had left school and was working for his<br />

dad. After a falling out, Rob was sent to<br />

his grandparents’ on Suplejack Downs,<br />

where he developed a love for working<br />

in the wide expanse of the outback. As<br />

time passed, Rob lived in Queensland for<br />

24<br />

a period with his wife-to-be, Sarah. He<br />

was a professional bull rider for a time,<br />

but his love of the outback took him and<br />

Sarah back to Suplejack Downs where<br />

they settled and began raising their two<br />

young sons.<br />

The book then follows Rob through his<br />

rehabilitation journey in Adelaide, and<br />

the impact this had on his family – who<br />

rented a house for the duration of their<br />

time in Adelaide. Rob’s recollection of<br />

the hospital, moving from intensive care<br />

to the rehabilitation ward, and meeting<br />

other people with a SCI, will seem very<br />

familiar to readers who have been on<br />

this journey themselves. For example, the<br />

intense trepidation Rob experienced just<br />

crossing the road the first time he went<br />

out for lunch with his family, or wanting<br />

to hold his sons while in his hospital bed.<br />

The remainder of the book follows Rob’s<br />

journey as he and his family attempt to<br />

return to their life on Suplejack Downs.<br />

We see them take a house in Alice<br />

Springs, and Rob writes of the challenges<br />

associated with finding good carers<br />

(sometimes employing family members),<br />

organizing a vehicle, and learning to<br />

cope with the heat of the outback,<br />

secondary complications of autonomic<br />

dysreflexia and pneumonia, and dealing<br />

with health professionals who have little<br />

understanding of tetraplegia.<br />

While much of the book reflects Rob’s<br />

philosophical and positive outlook of his<br />

situation, he does still describe instances<br />

of being frustrated. For example, Rob<br />

invested a lot of emotion in returning<br />

to Suplejack Downs so when he, Sarah,<br />

and the boys, do manage to spend some<br />

time there, it is quite different to what<br />

he expected. Watching the men leave<br />

the homestead for the day and not<br />

being able to go and work the land –<br />

something Rob had known all his life – is<br />

hard to swallow. I appreciated this frank<br />

description of his personal frustrations<br />

and thought Rob could have included<br />

more details regarding the types of<br />

personal frustration he experienced.<br />

Rob found one outlet to channel his<br />

enthusiasm for working in the beef<br />

farming industry. He applied for, and<br />

won, a Nuffield Scholarship. This involved<br />

extensive travel to New Zealand and<br />

South America to visit farms, agricultural<br />

businesses, and industry people, in<br />

various countries. While Rob’s initial<br />

study focus was exploring the dynamics<br />

of emerging beef markets, he changed<br />

and began to look at what options exist<br />

for farmers like him that want to return<br />

to work following a serious injury.<br />

When the Dust Settles is an intriguing<br />

read that balances the personal story of<br />

Rob’s life with many universal aspects of<br />

living with tetraplegia which readers of<br />

the SNN will recognize: the challenge of<br />

returning home; the disruption to family<br />

dynamics; returning to work and an<br />

accessible community; managing health<br />

complications; and being more prepared<br />

when traveling. Attempting to return<br />

to their life in the outback of Australia<br />

gives this story an extra level of appeal,<br />

as it is such an unforgiving environment.<br />

When the Dust Settles would be an<br />

ideal Christmas present to anyone who<br />

likes an adventure story mixed with the<br />

realities of readjusting to life following a<br />

spinal cord injury.


Thank you to our<br />

Funders &<br />

Sponsors<br />

NZ Lotteries Grant Board - $592, 112<br />

The NZST were recently successful in being awarded multiyear<br />

funding which covers three years from the NZ Lotteries<br />

Grant Board.<br />

Flow Hot Yoga - $2225<br />

Are keeping our Peer and Family Support services running<br />

Community Organisations Grants Scheme - $8,400<br />

COGS Boards in the Far North, Waitakere City, Papakura/<br />

Franklin and Coastal Otago are all supporting the<br />

Kaleidoscope Programme in 2014<br />

SkyCity Auckland Community Trust - $25,000 towards<br />

Kaleidoscope costs in the Auckland Region<br />

Grants in 2011, 12 and again in 13 have supported careers<br />

coaching for people in the Auckland area, and helped build<br />

relationships with new recruiters and businesses to help<br />

Kiwis with SCIs find mentors and work placements.<br />

The Harcourts Foundation $5,000<br />

Supporting the Connecting People Garden Project at<br />

Burwood Hospital to create a completely accessible meeting<br />

and social space for patients and visitors<br />

NZ Spinal Trust Supporters<br />

Digiweb Group and Koorb Consulting<br />

Ongoing technical and system support during the rollout of<br />

Stages 1 through 3 of our Digital Strategy including:<br />

Support while hooking into the Canterbury District Health<br />

Board Fibre Cable<br />

Server hosting and ongoing support of our website (Digiweb)<br />

The implementation of a Microsoft Dynamics CRM system<br />

to provide one central, modern database to replace the<br />

28 - yes, 28 - individual databases that were held across the<br />

organisation.<br />

New Zealand Spinal Trust,<br />

Private Bag 4708,<br />

Christchurch 8140<br />

Tel: (03) 383 7540<br />

Fax: (03) 383 7500<br />

info@nzspinaltrust.org.nz<br />

Web: www.nzspinaltrust.org.nz<br />

25

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