WCMT-Melissa-Kelly

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Appendix 3. Te Whare Tapa Whā - One model for understanding Māori health and that aligns strongly with Kaleidoscopes philosophy and operational guidelines is the concept of ‘te whare tapa whā’ – the four cornerstones (or sides) of Māori health. Explanation of the model With its strong foundations and four equal sides, the symbol of the wharenui illustrates the four dimensions of Māori well-being. Should one of the four dimensions be missing or in some way damaged, a person, or a collective may become ‘unbalanced’ and subsequently unwell. For many Māori modern health services lack recognition of taha wairua (the spiritual dimension). In a traditional Māori approach, the inclusion of the wairua, the role of the whānau (family) and the balance of the hinengaro (mind) are as important as the physical manifestations of illness. Taha tinana (physical health) The capacity for physical growth and development. Good physical health is required for optimal development. Our physical ‘being’ supports our essence and shelters us from the external environment. For Māori the physical dimension is just one aspect of health and well-being and cannot be separated from the aspect of mind, spirit and family. Taha wairua (spiritual health) The capacity for faith and wider communication. Health is related to unseen and unspoken energies. The spiritual essence of a person is their life force. This determines us as individuals and as a collective, who and what we are, where we have come from and where we are going. A traditional Māori analysis of physical manifestations of illness will focus on the wairua or spirit, to determine whether damage here could be a contributing factor. Taha whānau (family health) The capacity to belong, to care and to share where individuals are part of wider social systems. Whānau provides us with the strength to be who we are. This is the link to our ancestors, our ties with the past, the present and the future. Understanding the importance of whānau and how whānau (family) can contribute to illness and assist in curing illness is fundamental to understanding Māori health issues. Taha hinengaro (mental health) The capacity to communicate, to think and to feel mind and body are inseparable. Thoughts, feelings and emotions are integral components of the body and soul. This is about how we see ourselves in this universe, our interaction with that which is uniquely Māori and the perception that others have of us. <strong>WCMT</strong> Research Fellowship 39
Appendix 4. Winston Churchill Memorial Trust Fellowship schedule, May 2014 Sunday Monday Tuesday Wednesday Thursday Friday Saturday 4 5 6 7 8 9 10 TRAVEL CHRISTCHURCH – NEW YORK RUSK CLINICAL AND VOCATIONAL RUSK CLINICAL AND VOCATIONAL BURKE REHABILITATION HOSPITAL REST DAY 11 12 13 14 15 16 17 REST DAY TRAVEL NEW YORK - ZURICH TRAVEL SWISS PARAPLEGIC CENTRE (Schweizer Institut fur Beruffindung) SWISS PARAPLEGIC CENTRE (Schweizer Institut fur Beruffindung) SWISS PARAPLEGIC CENTRE (Schweizer Institut fur Beruffindung) SWISS PARAPLEGIC CENTRE (Schweizer Institut fur Beruffindung) SWISS SPINAL INJURIES ASSOCIATION 18 19 20 21 22 23 24 TRAVEL ZURICH - LONDON REST DAY STOKE MANDEVILLE HOSPITAL (NSIC) STOKE MANDEVILLE HOSPITAL (NSIC) SPINAL INJURIES ASSOCIATION UK Potential observations at Headley Court – Military Rehabilitation Centre Transcriptions and work 25 REST DAY 26 REST DAY 27 REST DAY 28 TRAVEL LONDON – AUCKLAND - CHRISTCHURCH 29 TRAVEL LONDON – AUCKLAND - CHRISTCHURCH 30 COMPLETE 31 <strong>WCMT</strong> Research Fellowship 40
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Page 3 and 4: Contents Executive summary Page 3 I
Page 5 and 6: 3. Ability Awareness Learning Exper
Page 7 and 8: is specialist spinal vocational reh
Page 9 and 10: Four specialist centres were select
Page 11 and 12: with change and uncertainty; the ne
Page 13 and 14: Work Readiness and Job Skills Train
Page 15 and 16: such as buses and trains. The servi
Page 17 and 18: the result of a water incident and
Page 19 and 20: physical and social aspects such as
Page 21 and 22: o It is so important to reintegrate
Page 23 and 24: Stoke Mandeville’s Approach to Re
Page 25 and 26: Following targeted support, the att
Page 27 and 28: for patients, including those not r
Page 29 and 30: the open cafeteria area, in which p
Page 31 and 32: The topics covered will be: • Bas
Page 33 and 34: • Informal talks with NZST staff
Page 35 and 36: My fellowship will contribute to th
Page 37 and 38: Appendix 1. Model Explanation of
Page 39: Whilst Kaleidoscope’s core role i
Page 43 and 44: Friday, May 16 Time Appointment Whe

WCMT-Melissa-Kelly

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