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May <strong>2020</strong><br />
Volume 23 / <strong>Issue</strong> 1<br />
<strong>SNN</strong>Spinal Network News<br />
COVID-19 VOLUNTEER STORIES FIGHTING FATHER TIME<br />
We Look at the Impact of<br />
the Global Pandemic<br />
We Pay Tribute to our<br />
Army of Volunteers<br />
Ageing with a Spinal<br />
Cord Impairment<br />
7 8 32<br />
Limitless<br />
We talk to Jezza Williams on Inclusive Tourism
NEW ZEALAND SPINAL TRUST 2<br />
Contents<br />
3<br />
20 Books by Christmas<br />
Peter Thornton<br />
19<br />
Man’s Best Friend<br />
Helping People with SCI Find Independence<br />
5<br />
<strong>2020</strong> Supporting Positive Futures<br />
Hans Wouters<br />
22<br />
Empathy and Grit<br />
Gavin Rolton’s Recovery to Fulltime Work<br />
7<br />
How the NZST Rallied Together<br />
During the Global Pandemic<br />
25<br />
Cory Newman<br />
Rock and Roll all Night, and Party Every Day<br />
8<br />
Our Volunteers<br />
The Backbone of the NZST<br />
26<br />
No Ordinary Guy<br />
We Catch up with Golfer Guy Harrison<br />
12<br />
A Man on a Mission<br />
Jezza Williams on Inclusive Tourism<br />
29<br />
The Stats on Spinal Cord Impairment<br />
you Need to Know<br />
17<br />
Telling it like it is<br />
Teina Boyd<br />
30<br />
Resource Centre<br />
New Additions<br />
18<br />
A Special Thanks to<br />
John Miller Law<br />
32<br />
Fighting Father Time<br />
Ageing with an SCI by Lynn James<br />
EDITORIAL TEAM<br />
Peter Thornton<br />
Hi my name is Peter Thornton, I am so proud to be the<br />
editor of this great magazine. I believe it is a publication<br />
that has the power to change lives. I am writing the<br />
final updates on this <strong>SNN</strong> from lockdown as we all look<br />
to prevent the spread of COVID-19. Stay home and stay<br />
safe everyone, we will get through this together.<br />
CONTRIBUTING WRITERS<br />
Peter Thornton<br />
Hans Wouters<br />
Bernadette Cassidy<br />
THANKS FOR THE IMAGES<br />
Thanks to: Teina Boyd,<br />
Attitude Awards, Jezza<br />
Williams, Gavin Rolton,<br />
Mobility Dogs, Rachael<br />
Andrew Hall<br />
Teina Boyd<br />
Lynn James<br />
Walker and Guy Harrison<br />
for the photos in this issue.<br />
Bernadette Cassidy<br />
Kia ora, my name is Bernadette Cassidy, it’s a<br />
pleasure to be part of the <strong>SNN</strong> Editorial Team.<br />
Hopefully by the time you receive your copy we will<br />
be out of the lockdown and getting back to some<br />
normality. Stay safe, Kia Kaha.<br />
Patrons of the New<br />
Zealand Spinal Trust,<br />
Sir Tim Wallis (left) and<br />
Trevor Harrison (right).<br />
SPINAL NETWORK NEWS is<br />
published by the NZ Spinal Trust<br />
Send your contributions to:<br />
The Editor SPINAL NETWORK NEWS<br />
c/- New Zealand Spinal Trust, Private<br />
Bag 4708, Christchurch 8140<br />
Tel: (03) 383 9484<br />
Email:<br />
peter.thornton@nzspinaltrust.org.nz<br />
Web:<br />
www.nzspinaltrust.org.nz<br />
Copy Proofing: Jackie Grimshaw<br />
Cover Photo: Jezza Williams, of<br />
MakingTrax, shows what is possible<br />
with a never-say-die attitude.<br />
Disclaimer: The views expressed<br />
in SPINAL NETWORK NEWS are<br />
those of its contributors. They do not<br />
necessarily represent the opinion<br />
of the members of the Editorial<br />
Committee or the policies of the<br />
New Zealand Spinal Trust.
SPINAL NETWORK NEWS 3<br />
20 Books by<br />
Christmas<br />
Peter Thornton<br />
Editorial<br />
It is my favourite time of the day. I wake up at<br />
6am to eat my porridge and peaches for brekkie<br />
with my two princesses—it always amazes<br />
me how much energy children have first<br />
thing in the morning—before I begin my day.<br />
I walk for a few minutes down the road to catch the NX1<br />
Bus into the heart of Auckland City. Finally, I take my<br />
seat, unpack my bag and get my book out. Life with two<br />
kids under the age of four and a busy job means it is pretty<br />
hectic most days, but this is my time. I open my book to<br />
find the folded page and, immediately, I am taken to<br />
another place. It is pure escapism. This column was<br />
written before the COVID-19 virus spread around the<br />
world, but this period of lockdown highlighted that, even<br />
in the most chaotic time, there is nothing quite like<br />
escaping in a good book.<br />
The beauty of reading is<br />
whatever the text is, it is<br />
interpreted differently<br />
by everyone.<br />
When I worked on the North Shore, about a 10-minute<br />
drive from my home, I would cross over the Northern<br />
Motorway and look at the queue of cars as far-as-the-eyecould-see<br />
and be thankful I was not heading in that<br />
direction. Not anymore. Well, it helps that now, instead of<br />
driving, I make my journey on the much-improved<br />
Auckland bus network which has changed the lives of<br />
many in the city. Anyway I digress.<br />
Already, in <strong>2020</strong>, I have read some brilliant non-fiction<br />
novels. I re-read Ken Follet’s <strong>master</strong>piece Pillars of the<br />
Earth, which is set in the middle of 12th century Britain and<br />
into the heart of drama, conflict and tragedy as Kingsbridge<br />
Cathedral is built. More recently, it was difficult to put<br />
down Jeffrey Archer’s Prisoner of Birth. What a novel! It<br />
had so many twists and turns all the way to the last page.<br />
Also, John Grisham’s latest thriller The Guardians is as<br />
good as readers expect from one of the best.<br />
Whenever I put my book down, it is as though I have<br />
pressed “pause” on a gripping movie, and I can’t wait to<br />
find out what happens next. The beauty of reading is:<br />
whatever the text is, it is interpreted differently by<br />
everyone. Our minds take the text and fill in the blanks<br />
from our own lives to complete the picture of the story.<br />
Every day at this part of my journey, I pause from<br />
reading—no matter what is happening at that point in the<br />
book. I look up and just take it all in. The view of<br />
Auckland City across the stillness of the Harbour first<br />
thing in the morning is breath-taking. I soak up the view<br />
and am thankful to be living in our incredible country.<br />
Anyway, back to my book. I used to enjoy reading, but<br />
now I LOVE it. It has become an obsession, and I’ll admit<br />
there have been more than a few times when I have<br />
I have set the goal of reading 20 books by<br />
Christmas, are you with me?<br />
almost missed my bus stop, because I am just somewhere<br />
else entirely. One of the best parts of the summer holiday<br />
every year is being lost in a book, which takes away any<br />
stress and worries, so why not do that every day?<br />
I look around the bus and there are plenty of people<br />
pouring over their cell phones – no one talks to anyone<br />
anymore – and I want to shake them and let them know<br />
what they are missing. I think better of it—one day they’ll<br />
figure it out.
NEW ZEALAND SPINAL TRUST 4<br />
Every morning at a certain point I stop reading and look outside. I reflect and know that I am lucky to live here.<br />
Professor Alan Clarke knew a<br />
thing or two… he understood<br />
the importance of good<br />
information. It is all about<br />
empowering people to be in<br />
charge of their own journey.<br />
Technology—smart phones, the internet, social<br />
media—have advanced our society in ways we never<br />
imagined possible, but it is not all to our betterment.<br />
Sadly, our generation (together with many other factors)<br />
will be defined by the obsession of being on the phone, an<br />
exhaustive amount of time spent on social media, and not<br />
really talking or listening to one another.<br />
Of course I know I am not breaking news here—that<br />
reading is a wonderful way to spend one’s time—but, too<br />
often, we forget how good simple pleasures are.<br />
Professor Alan Clarke, the esteemed founder of the New<br />
Zealand Spinal Trust, knew a thing or two. No one needed<br />
to tell him twice about the value of reading. As we<br />
celebrated our 25th Anniversary in 2019, former NZST<br />
CEO and Chairman, Andrew Hall, wrote of the Library at<br />
the Allan Bean Centre.<br />
“Professor Clarke was an academic, a surgeon/scientist, so<br />
he understood the importance of good information. He<br />
would say ‘To be able to take charge of your own<br />
rehabilitation, you need the right information, and only<br />
so much information is available out of a person’s mouth.’<br />
The information often needed is in books or on the<br />
internet so, in that respect, a library—which is so much<br />
more than just books in the modern sense—is all about<br />
empowering people to be in charge of their own journey.”<br />
Well said.<br />
Reading has improved my life no end. I have more<br />
concentration at work, and I sleep better. Rather than<br />
swiping through countless apps on my iPhone moments<br />
before bed, which only winds my mind up, these days I<br />
read until I can’t read anymore and fall sound asleep<br />
moments after my head hits the pillow.<br />
I am a better writer from reading (well you can be the<br />
judge of that, I guess!), and I find my mental capacity is<br />
growing with each novel.<br />
Most importantly, I am setting a better example for my<br />
daughters. Charlie (4) and Georgie (2) are beautiful little<br />
girls, who soak up everything around them like a sponge.<br />
An example of showing them to read, rather than<br />
resorting to my phone or watching telly as a default, is<br />
much more powerful than telling them what to do. We<br />
have noticed a difference. There are no screams anymore<br />
of “Five more minutes!!!” when the TV is switched off.<br />
They are filling their days with play and, when it comes to<br />
bed time, we are reading as many books as we can before<br />
they can’t keep their eyes open anymore.<br />
In every <strong>SNN</strong>, we outline the Latest Additions to the NZST<br />
Resource Centre. Don’t skip over it. Visit the Resource<br />
Centre and find something of interest.<br />
Three books down. I have set myself the goal of reading<br />
20 books by Christmas. And, don’t worry, I won’t be<br />
rushing through them. I’ll make sure I enjoy the genius of<br />
each one…. Are you with me?
SPINAL NETWORK NEWS 5<br />
Supporting<br />
Positive Futures<br />
Hans Wouters<br />
CEO’s Column<br />
Hans Wouters, CEO of the NZ Spinal Trust with Su Marshall, new Fundraising Manager<br />
standing in front of the new mural outside the Burwood Spinal Unit.<br />
I had the considerable privilege recently to<br />
meet a middle-aged woman who, just days<br />
before, had one of the most powerful life<br />
shocks anyone can have.<br />
Her husband, best friend and father to their children had<br />
fallen six metres on to his head. He was now paralysed<br />
and in an induced coma in an ICU ward. As we spoke, she<br />
was calm, yet despite a brave face there was fear and<br />
uncertainty all over it.<br />
In the eight days since taking this dramatic fork in their<br />
road, she had drawn all sorts of dire conclusions about<br />
their future, based on her limited understanding of<br />
tetraplegia. With us at the time was the father of a young<br />
lad who was about to be discharged from the Spinal Unit.<br />
His contribution to our conversation was profoundly<br />
effective and comforting—been there, done that, got<br />
through it!<br />
As I carefully shared stories of past patients who had<br />
presented similarly and the dramatic differences in<br />
outcome, she began to see that, in fact, most who sustain<br />
a spinal cord impairment can and do have a positive<br />
future. There is no doubt, of course, that it will be one<br />
heck of a journey and a monumental challenge for her and<br />
her whānau.<br />
I have to say it no longer amazes me how—when faced<br />
with seemingly insurmountable obstacles and life<br />
changing difficulties—almost all people find a way. As Sir<br />
The end result is truly<br />
spectacular... with a vibrant<br />
mural depicting many<br />
examples of positive life after<br />
spinal cord impairment.<br />
Winston Churchill famously said: “If you are going<br />
through hell, keep going!”. Hope is the key that unlocks<br />
the door of possibility and people can find that hope in<br />
their heart. Our team can help people move from hopeless<br />
to hopeful and support their positive future because,<br />
although they may not see it just yet, they do have one.<br />
When the Burwood Spinal Unit was renovated recently, it<br />
was decided the wall containing Spinal Trust images<br />
should be freshened up as well. The end result with our<br />
new logo and imagery is truly spectacular, with a vibrant<br />
mural depicting many examples of positive life after<br />
spinal cord impairment. We hope the cheerful images will<br />
be uplifting and encouraging for the patients and their<br />
whānau, as they pass by them many times each day.<br />
With over 80 per cent of our income coming from
NEW ZEALAND SPINAL TRUST 6<br />
donations and grants, revenue generation is the key to our<br />
sustainability. Recently, Su Marshall, the National Grants<br />
Manager at SPCA, decided to bring her many years of<br />
fund-raising experience to us, and has taken the full-time<br />
role of NZST National Fund-raising Manager.<br />
We are thrilled with the appointment and, in the first two<br />
months, Su has already made her mark, securing a<br />
significant sponsorship with advanced rehabilitation<br />
technology supplier, Permobil. Permobil have taken a step<br />
up from being a backpack sponsor to a Platinum sponsor<br />
for the next 12 months, and we are thrilled to have Owen,<br />
Grant and Andrea behind our organisation and helping us<br />
support positive futures. Thank you for your support<br />
Permobil; we look forward to working together with your<br />
great team.<br />
After three-and-a-half years operating out of a 3 x 3m<br />
Portacom, our Resource Centre (formerly known as the<br />
Allan Bean Centre Library) has a new home right next to<br />
our Peer & Whānau Support and Vocational Rehab teams.<br />
The location being on the main route from the Spinal Unit<br />
to the Physio Gym puts us in a prime location to deliver<br />
this important service to patients, whānau and hospital<br />
staff. I am incredibly excited by this development, as it<br />
puts all three key services next to each other, allowing us to<br />
refer a visitor, swiftly and effectively, to the other services<br />
and staff when required. Be sure to visit Bernadette,<br />
Nancy, Jackie and team and peruse their latest materials<br />
specialising in disability and rehabilitation, including<br />
spinal cord injury, brain injury and many other topics.<br />
Also available is computer training, loan of tablets,<br />
portable DVD players and much more.<br />
As I write, the Covid-19 Coronavirus has the globe by the<br />
throat and the impact is profound. We are distributing,<br />
via our website and Facebook pages, spinal cord<br />
impairment-specific information to keep you safe and<br />
avoid becoming ill with the virus. I wish all our readers<br />
a healthy <strong>2020</strong> and, as always, invite you to contact me<br />
with any thoughts, ideas, and concerns or just to say “Hi”.<br />
Hope is the key that unlocks<br />
the door of possibility and<br />
people can find that hope in<br />
their heart.
SPINAL NETWORK NEWS 7<br />
Covid-19<br />
The Response of the NZST Team to a Global Pandemic.<br />
We are also thinking about<br />
our colleagues at the hospital<br />
and spinal units. They are the<br />
true heroes of this time.<br />
home. So, when the Government made the official<br />
announcement on Monday 23rd March, we put our plans<br />
into action. My team and I now continue to support our<br />
clients from our homes—we’re making the most of this<br />
highly connected world … Facebook, Zoom, Skype, email,<br />
the humble phone … you name it, we’re using it.<br />
A NZST meeting on Zoom where some of the<br />
finest hats were proudly on display.<br />
Our always humorous NZST CEO Hans<br />
Wouters has made sure everyone has kept<br />
their sanity and wellbeing intact during<br />
the lockdown.<br />
The team bought into a mindset of being grateful and,<br />
ironically, in many ways were better connected during<br />
isolation. In week one of the lockdown, Hans sent out a<br />
“battle plan” for the team which is below. What followed<br />
was a month of friendship, laughter, and some of the best<br />
hats you’ve ever seen on a Zoom call. Above all, there was<br />
a resounding feeling that we will get through this together.<br />
“Don’t panic Mr Mannering!”<br />
You may well have to be of a certain vintage to fully<br />
understand that reference, but the basic message<br />
stands—don’t panic.<br />
We are using all this technology to stay connected to each<br />
other as well—in uncertain times it is easy to hunker down<br />
and take self-isolation too far. We have a Zoom meeting<br />
permanently set up and we refer to it as our Zoom Lounge<br />
… we ‘meet’ there for coffee and a chat every working day.<br />
It is so popular some team members are even coming in on<br />
their days off.<br />
And we are also thinking about our colleagues at the<br />
hospital and spinal units. They are the true heroes of this<br />
time. Them and all the essential workers—many on<br />
minimum wage, yet willing to remain at their post so our<br />
country has a fighting chance of beating this pandemic.<br />
When you head out to pick up your essentials, please<br />
remember the danger they are exposing themselves to<br />
every single day. Treat them as the heroes they are. Thank<br />
them for their courage. And reward them with the<br />
kindness and compassion they deserve.<br />
We are all doing our bit to get our beloved country through<br />
this—some are having to do more than others. Let’s<br />
ensure their bravery is not wasted.<br />
Let’s stay home and save the world.<br />
Kia kaha,<br />
Hans Wouters<br />
NZ Spinal Trust CEO<br />
I feel a little like we have all joined the Home Guard—our<br />
job is to protect the vulnerable, the weak, the elderly,<br />
ourselves! … and defeat this virus. And to think we can do<br />
that with something as simple as staying home? Let’s not<br />
muck this up! How often do you get a chance to save lives<br />
by sitting on the couch watching telly?<br />
In the week before lockdown was introduced, we worked<br />
out our battle plan to ensure everyone could work from<br />
For all useful COVID-19 information for the SCI<br />
community visit: nzspinaltrust.org.nz/covid-19
NEW ZEALAND SPINAL TRUST 8<br />
An Army Making a<br />
World of Difference<br />
Volunteers—The Backbone of the New Zealand Spinal Trust.<br />
The key is making<br />
a difference.<br />
“I am amazed at their huge hearts, their kindness and<br />
compassion for others. Their patience, when working with<br />
others who sometimes don’t have the physical or mental<br />
ability to keep up. It is great to have so many volunteers<br />
with such a wide range of skills and experience that they<br />
can bring to help and support others who need it.”<br />
Rachael’s role managing the volunteer programme within<br />
Burwood Hospital is diverse and demanding. Among<br />
many other things, Rachael recruits and co-ordinates<br />
volunteers, designs the rosters, conducts orientation<br />
sessions and training, develops new roles and manages<br />
volunteer events. Just like her army of volunteers and,<br />
indeed, the entire team at the NZST, she loves rolling up<br />
her sleeves and doing whatever is necessary.<br />
Rachael Walker said it was nice for her team to be recognised at the<br />
Canterbury Volunteer Awards for the work they do for the Spinal Trust.<br />
Rachael Walker is constantly blown away by<br />
the kindness of the New Zealand Spinal<br />
Trust (NZST) Volunteer force.<br />
The volunteer service is jointly administered by the NZST<br />
and the Canterbury District Health Board (CDHB), with<br />
approximately 130 volunteers based at Burwood Hospital.<br />
Behind the scenes in the kitchen, in the Resource centre,<br />
in the garden, in the pool, and all spaces in between, the<br />
volunteers are there beavering away, giving their time and<br />
energy to the Trust. They all share a common bond of<br />
helping others.<br />
“The key is making a difference,” said Rachael, the<br />
Burwood Volunteer Co-ordinator. “It is why we have so<br />
many amazing volunteers that give so much of their time<br />
and energy, because they are making a difference. This is<br />
also prominent in our Burwood Volunteers by-line:<br />
”Helping People—Changing Lives”. Volunteers are<br />
looking for roles which are satisfying and worthwhile.<br />
“I love my job, no two days are the same, and we have so<br />
many people giving their time to support our work. We are<br />
forever grateful to them for their time. There is no doubt<br />
that we couldn’t do what we do every week without them.”<br />
Their efforts were recognised recently when they won an<br />
Appreciation Award at the Volunteering Canterbury Awards.<br />
“Part of my role involves co-ordinating external volunteers<br />
for the Employer Supported Volunteering, organised<br />
through Volunteering Canterbury,” explains Rachael.<br />
This involves a group of staff from a business, in which<br />
case, a company will be supported to complete a day of<br />
volunteering. Volunteering Canterbury matches a<br />
business/group with a project.<br />
“Some of the projects at Burwood have involved garden<br />
projects and painting. We provide any equipment needed<br />
and it is a good day for all involved.”<br />
Rachael said there are a huge number of benefits<br />
associated with the project, apart from connecting with<br />
the community and completing much-needed projects.<br />
For the business, it provides an opportunity for new<br />
experiences and a greater awareness of the needs of<br />
others. It’s a unique team-building experience, which<br />
encourages individuals to adopt action towards different<br />
attitudes towards inclusivity, compassion, and empathy.
SPINAL NETWORK NEWS 9<br />
“The end result is better employees, better individuals<br />
and better communities,” said Rachael. “The award was<br />
one of appreciation and recognition from Volunteering<br />
Canterbury for contributing to the above project.”<br />
However, volunteering is not just a one-off project at the<br />
Trust. The volunteers are the people who keep the place<br />
ticking over and give the Trust its heartbeat.<br />
What advice do you have for others who would like<br />
to volunteer?<br />
Think about what types of activity you enjoy, what skills<br />
and experience you have to offer, what causes are<br />
important to you, and how much time you would be<br />
willing to commit. Currently, at Burwood, we have<br />
vacancies for gardeners and pianists, your name can be<br />
added to our waiting list and we’ll contact you when an<br />
opening comes up. Also, visit: www.volunteeringnz.org.nz<br />
and www.seekvolunteer.co.nz.<br />
therapy dogs. The word KURI is the Māori word for an<br />
extinct Polynesian dog. Assistance dogs are a part of what<br />
they do at the dog centre.<br />
“I chose to volunteer for the Spinal Trust, as my partner’s<br />
mother was paralysed after a suicide attempt, when he<br />
was a child,” she said.<br />
“During her time in recovery at Burwood, she attempted<br />
again and succeeded. So, the mental health side of it all is<br />
very important to me, and I needed to do something to<br />
make a difference.”<br />
And she is making a difference.<br />
Shannon visits the Burwood Spinal Unit on a Thursday<br />
morning to catch up with a few special, regular patients<br />
with whom she is working, and meets a few new patients.<br />
“I usually just ‘go with the flow’. ‘Ellie’, the Lovehound<br />
Spaniel which I take in with me, seems to guide me<br />
towards who needs her the most”, she laughed. “We spend<br />
a couple of hours usually. She snuggles on the beds and<br />
loves to be stroked.”<br />
Shannon also works for Canine Friends, and she is busy<br />
rehabilitating her Mum, who suffered a stroke a few<br />
months ago. She said it is important for her to make the<br />
effort to help the NZ Spinal Trust.<br />
“The highlights are the patients’ and families’ smiles when<br />
they see Ellie, and seeing people recover and eventually<br />
leave hospital. I’m very proud to be part of this team.”<br />
She said there are some challenges with volunteering,<br />
such as finding the time and interesting things to say, and<br />
the right connections in conversations.<br />
However, she wouldn’t change it for the world, and said<br />
anyone who is able should try to support the Trust with<br />
their time.<br />
“I would advise anyone looking to volunteer to do so, as<br />
the loneliness and boredom can be very hard for some<br />
patients. Everyone enjoys company and you can make a<br />
difference just by being there.<br />
Shannon McGarry encourages anyone who is interested in being a<br />
volunteer to give it a go because “the loneliness and boredom can be<br />
very hard for some patients”.<br />
Shannon McGarry has a personal reason why<br />
she volunteers with the New Zealand Spinal<br />
Trust each week.<br />
The dog groomer and trainer/behaviourist became a<br />
volunteer two years ago, when she began taking therapy<br />
dogs into Burwood Hospital for a visit.<br />
The highlights are the<br />
patients’ and families’<br />
smiles when they see<br />
Ellie, and seeing people<br />
recover and eventually<br />
leave hospital.<br />
She became involved with her work place ‘’KURI”, which<br />
is a dog centre that provides training in healthcare and
NEW ZEALAND SPINAL TRUST 10<br />
was ‘hired’ to push the book trolley around the various<br />
wards on Friday afternoons—with another volunteer—so<br />
patients could choose books and magazines to read. Some<br />
years later, age and creaking bones made me think twice<br />
about continuing that role.<br />
However, before the Allan Bean Centre was demolished, I<br />
had also helped people to acquire computer skills. Now, I<br />
help out on Thursday afternoons at the Resource Centre,<br />
doing whatever tasks Bernadette might leave me. These<br />
include enrolling new Library members, answering the<br />
telephone, filling the back-packs with various items given<br />
to Spinal Unit patients when they leave the Units, or<br />
helping staff and visitors with requests for books, CDs,<br />
DVDs or to use a laptop.<br />
I also keep the Spinal Network News archives up-to-date,<br />
so various articles and photographs from different issues<br />
can be uploaded to the NZST website. After each <strong>SNN</strong><br />
issue is printed, along with other volunteers, I spend a fun<br />
morning putting address labels on envelopes and<br />
enclosing the latest issue of the Spinal Network News. We<br />
are ‘rewarded’ with coffee/tea and cakes!<br />
Jackie Grimshaw, a typically humble volunteer who<br />
works hard behind the scenes of the NZ Spinal Trust.<br />
Jacqueline Grimshaw—the proof-reader.<br />
When Bernadette Cassidy wrote and said she and Peter<br />
Thornton were keen to do an article about me in my role<br />
as a volunteer at the New Zealand Spinal Trust and proof<br />
reader for the Spinal Network News, I asked myself the<br />
question “Why me?” I am a volunteer doing work I enjoy. I<br />
was going to write “just a volunteer” but then decided no<br />
volunteer needed that kind of description. In New<br />
Zealand and elsewhere, many organisations would not<br />
survive without volunteers.<br />
The road to my present jobs has been a little adventurous,<br />
with life, my secretarial skills and a love of language<br />
taking me on a few different pathways. Before arriving in<br />
New Zealand in October 1971, I was educated and trained<br />
in the UK, and worked for two years at the UN in Italy<br />
before emigrating to Canada and then to NZ.<br />
Christchurch was always a favourite city so, when my<br />
partner, Ted, retired in 1990, we moved south from<br />
Auckland. I looked for paid employment, without success,<br />
so went volunteering with Age Concern Canterbury for<br />
about ten years. A friend then suggested becoming a<br />
member of SeniorNet Canterbury Inc. I was later elected<br />
to that organisation’s Committee and became a tutor—all<br />
voluntary. It was going along nicely until the 2011<br />
earthquake, when the Society lost its premises.<br />
Proof-reading the Spinal Network News has also educated<br />
me. Reading those personal stories of accidents and<br />
injuries sustained, plus the perseverance and strength<br />
required by the people involved to recover, has made me<br />
ask myself many times “Jack, what on earth are you<br />
complaining about…….?”<br />
The knowledge gained has not only ‘opened my eyes’ to<br />
the number and type of injuries people have sustained, it<br />
has also made me aware of the many financial hurdles the<br />
New Zealand Spinal Trust has to overcome to provide the<br />
services so needed in the community.<br />
Back in May 2019, I celebrated a milestone birthday and<br />
was surprised and quite overcome when, the following<br />
Thursday, I went as usual to join other staff for afternoon<br />
tea, only to find it was a birthday party! No cake would<br />
have been large enough for 80 candles, but I did manage<br />
to blow out the ones on my cake!<br />
Volunteering is just so rewarding; as well as helping the<br />
community in general or an organisation in particular, to<br />
volunteer gives much pleasure and satisfaction, plus an<br />
opportunity to meet people, have a laugh, and is my way<br />
of contributing to society while I still can.<br />
Volunteering is just<br />
so rewarding.<br />
Another friend then mentioned that a volunteer was<br />
needed for the Mobile Library at Burwood Hospital, so I<br />
spoke with Rachael Walker (Volunteer Co-ordinator), and
SPINAL NETWORK NEWS 11<br />
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NEW ZEALAND SPINAL TRUST 12<br />
A Man with no<br />
Boundaries<br />
Jezza Williams Recovered from a near Fatal Accident to Inspire<br />
others that Anything is Possible in Inclusive Tourism.<br />
Jezza Williams is a glass half full kind of guy and it has seen him create Inclusive<br />
Tourism company MakingTrax. Photo Credit: Attitude Awards.<br />
Jezza Williams is a man on a mission.<br />
The 43-year-old—Director of MakingTrax—<br />
is focused on changing the tourism industry<br />
in New Zealand.<br />
The self-confessed adrenalin junkie was recognised in<br />
December for his achievements, when he was awarded the<br />
Attitude Entrepreneur Award at the annual event in<br />
Auckland. In Jezza’s true down-to-earth style and<br />
manner, he has no interest in an individual accolade, but<br />
the award was confirmation of the ground-breaking work<br />
that MakingTrax has done.<br />
“Getting the award means the work we’re doing is quite<br />
important,” he said. “It means there is a need in this<br />
industry for something like what MakingTrax is doing,<br />
and it brings far more awareness about what inclusive<br />
tourism is and how we can create more and more<br />
opportunities for everybody in New Zealand.”<br />
The award celebrates a person with a disability who has<br />
developed his or her own business or social enterprise.<br />
Jezza certainly fits the bill. If ever there was someone to<br />
personify the power of positive thinking, Jezza is your<br />
man. Through his business, he educates tourism operators,<br />
and showcases how to make adventures accessible.<br />
“I call it ‘inclusive tourism’, not ‘accessible tourism’,” he<br />
said. “Accessibility is not about what we do. It’s beautiful<br />
that people have ramps and toilets etc., but that’s not<br />
what MakingTrax is about. It’s about the experience so, to<br />
make an experience possible, all you need is education,<br />
information, co-operation and when needed and only<br />
when needed, some adaption.”<br />
Getting the award means<br />
the work we’re doing is<br />
quite important.
SPINAL NETWORK NEWS 13<br />
Jezza is speaking from experience. He was working as a<br />
canyoning guide in Switzerland, when he slipped off a<br />
rock and sustained a spinal cord injury becoming a C5<br />
tetraplegic.<br />
He remembers that day well. Prior to his injury, Jezza<br />
worked all over the world as a river guide—on every<br />
continent, on every big river you can think of.<br />
He was also a canyon guide in the Swiss Alps. Canyoning<br />
is a sport where athletes traverse steep canyons from the<br />
top to the bottom of the canyon. “If we can jump it, we’ll<br />
jump it. If we can slide it, we’ll slide it. If we can’t do<br />
either, then we’ll repel,” he said.<br />
“I’ve been jumping off stuff since I was knee-high to a<br />
grasshopper. You push the limits when you’ve been doing<br />
this your whole life and, just one small error, one<br />
mistake…. One day I was at the top of the waterfall and<br />
went to do a big jump out and boom—instead of doing a<br />
beautiful superman dive—I ended up doing a lovely flip. I<br />
didn’t quite make what I needed to do, hit my head on the<br />
rocks on the way down and smashed my C5-C6. I didn’t<br />
just break them—I mean like shattered those monkeys—<br />
and then fell into the waterfall and was tumbled around,<br />
so I’m pretty bloody lucky to be alive really.”<br />
Jezza does not do hyperbole. He was lucky to be alive. He<br />
was rescued by REGA, the Swiss mountain rescue outfit,<br />
and was then admitted to a Swiss medical institute.<br />
Jezza had stared death in the face. He had a neardrowning<br />
experience, a collapsed lung seven times, he<br />
couldn’t breathe, and was in a coma for four weeks before<br />
his rehabilitation began.<br />
“My body couldn’t decide whether or not to kick in, but<br />
then it woke up slowly in intensive care in a Swiss<br />
rehabilitation centre. I was there for 11 months getting my<br />
shit together before coming back to NZ,” Jezza said in his<br />
matter-of-fact manner.<br />
He committed to his rehabilitation mentally and<br />
physically, and prepared himself for his new life in his<br />
“beautiful wheelchair”. Jezza has not looked back,<br />
turning his attention to helping others and making a<br />
difference in Aotearoa.<br />
Jezza, who has worked in adventure tourism for 20 years,<br />
said many outdoor companies don’t realise how simple it<br />
is to adapt an activity to a client, and that’s where<br />
MakingTrax comes in.<br />
“I’ve been an outdoors guy for over half my life. I had my<br />
accident in 2010 at the age of 35 so, obviously, with<br />
MakingTrax, I had more expertise in developing<br />
companies and developing the inclusive tourism<br />
movement.”<br />
MakingTrax founded the Directory of Inclusive Tourism,<br />
which contains all the information about the companies<br />
they work with. Therefore, people can read it to find out<br />
what is available and then make their own decision<br />
whether or not they would be suited to doing that activity.<br />
“For example, skydiving is very simple. We have harnesses<br />
that can bring the knees right up to the chest on landing<br />
and hold the legs together… in the past, landing was<br />
always dodgy, but now it’s extremely safe,” he said.<br />
“With paragliding we have the same thing. We have<br />
buggies for some companies. With the ski chair at<br />
Franz Josef, nobody was able to get out of the helicopter<br />
straight on to the glacier. So we made a ski chair, which<br />
is really simple. We just put skis on an old wheelchair<br />
we had. We also have rafting harnesses, so we can do<br />
Jezza Williams says helping people with a disability overcome their perception<br />
of what they can do is hugely rewarding. Photo Credit: Jezza Williams.
NEW ZEALAND SPINAL TRUST 14<br />
Taking Flight – “Seeing somebody think they can’t do something and then achieve<br />
it is ground-breaking,” said Jezza Williams. Photo Credit Jezza Williams.<br />
white-water rafting, multi-day trips, single-day trips, right<br />
up to class 3.”<br />
MakingTrax also trains the companies to attract<br />
clients—“If the company is part of the MakingTrax<br />
movement, they have me as their consultant, and they<br />
can contact me at any time if they need any information<br />
or if they need assistance with booking a client”.<br />
Jezza said it is about creating a destination. He is trying<br />
to gather as much information and attract as many<br />
companies as he can, and then build as much<br />
infrastructure as is required to make the industry<br />
complete.<br />
“As they say, ‘Build it and they will come.’ It’s like going<br />
back 50 years to when we first started, adventure tourism<br />
in NZ. We are doing exactly the same thing, but it’s<br />
inclusive.” The inclusive tourism industry is a world away<br />
from where it was at its inception in 2010. Jezza<br />
remembers trying to find some options—emailing,<br />
calling—and getting nowhere.<br />
“There wasn’t much available back then,” he said. “There<br />
was jetboating and bits and pieces, but there was nowhere<br />
for people to find it.”<br />
MakingTrax is changing all that. They give their seal of<br />
approval to the outdoor companies who deliver to a<br />
What we’re trying to do is<br />
make sure everybody can<br />
do the same things.<br />
certain standard. This links to the Inclusive Tourism<br />
Directory. Jezza describes this as similar to TripAdvisor<br />
but for an inclusive tourism market.<br />
“It’s definitely increasing, but it has a long way to go,” he<br />
said, summing up. “New Zealand still has issues, we still<br />
don’t have good public transport, and we still don’t have<br />
inclusive or accessible campervans. New Zealand is the<br />
campervan capital of the world but, even with all the big<br />
companies, none are accessible.”<br />
Jezza, a regular speaker at conferences and a conduit for<br />
Tourism New Zealand, wants to educate people. About one<br />
billion people worldwide have a disability; one in four<br />
Kiwis. There are 750,000 wheelchair users in the US alone.<br />
“What we’re trying to do is to make sure everybody can do<br />
the same things.”<br />
“There is a lack of knowledge in the industry. They are<br />
scared they might hurt somebody; they are scared<br />
something might go wrong; and they are too scared to<br />
make a decision for the client. In the bigger picture, if you<br />
took somebody on a trip to any of our superb activities in<br />
New Zealand, it would be safe and easy. It’s the same for<br />
someone who has a disability and for someone who hasn’t.”<br />
Jezza always tells people to go and check out wheelchair<br />
rugby to see what a body can handle, and it removes any<br />
misconceptions.<br />
“When people think about a disability, they have this<br />
thought which comes to mind, and it’s what society has<br />
shoved down their throats for years and years, and it’s not<br />
true. However, we’re getting there and, with a lot of work<br />
and an opening-up of the mind-set of the industry, we’re in.”<br />
Jezza said the moment when disabled people overcome<br />
their fear or their perceived limitations is incredible to<br />
experience first-hand.
SPINAL NETWORK NEWS 15<br />
Jezza Williams knows the work MakingTrax is doing in important.<br />
Photo Credit: Jezza Williams.<br />
“Oh! Man! It’s a very rewarding job what we are doing—<br />
giving people the opportunity to do something they never<br />
thought would be possible. It is probably one of the most<br />
amazing things about MakingTrax.”<br />
Jezza lights up when he talks about the experiences of<br />
young people and children. He recently took a boy,<br />
Hayden, who had Locked-in Syndrome, to Queenstown<br />
on an adventure. Hayden went on the canyon swing, did<br />
some aerobatic flights and all sorts of other crazy things.<br />
He also took Abi—a young tetraplegic from America—<br />
skydiving, canyon swinging and on a host of other<br />
activities.<br />
“Just seeing that transformation, seeing the spark in<br />
people’s eyes, seeing that they can really do these things,<br />
for me it’s massive. I am a C5 tetraplegic, you know; if I<br />
can do the activities, then anybody can do them.”<br />
Jezza believes the moment someone jumps out of a plane<br />
skydiving, or takes the leap-of-faith to go canyonswinging,<br />
it is a life-changing moment. Over-coming that<br />
fear changes their perspective of what is possible in their<br />
life ahead.<br />
“I think many people undervalue the possibility. It’s<br />
always the mind-set; everything is the mind-set. It<br />
doesn’t matter who you are. If you sit thinking about<br />
something that you’ve never experienced in your entire<br />
life, of course you will be anxious; you will worry about it<br />
and think, can I do this?<br />
“Seeing somebody think they can’t do something and<br />
then achieve it is incredible. They take that into their<br />
everyday life and the future with them. They won’t, in the<br />
future, say ‘I can’t do this!’ They’ll think, actually I’ve<br />
skydived, even though I thought it was pretty dangerous,<br />
or I’ve been rafting, for goodness sake, going down a Class<br />
3 rafting trip, it’s unbelievable. It blows me away and it<br />
amazes the industry, and that’s the best part about it.<br />
Seeing somebody think they<br />
can’t do something and then<br />
achieve it is incredible.<br />
That’s why I love showing the shock factor, showing what<br />
is really possible.”<br />
Jezza has advice for anyone who sustains an SCI. It gets<br />
easier. At the start it’s pretty overwhelming. So, just<br />
concentrate on small goals, which are achievable all the<br />
time and, when you’re looking at the bigger picture, it will<br />
blow you away what you’ll be able to achieve. Always look<br />
at the positives; always look at what you can do. At the<br />
start you’ve no idea; doctors aren’t God; they don’t<br />
understand; just believe in yourself because you know<br />
there are two ways to go—the hard way or the easy way.<br />
So, if you believe in yourself and believe in what’s<br />
possible, then you’ll blow your socks off at what you can<br />
achieve. I’ve achieved some pretty big things—I’ve done<br />
the Mongol Rally, 26,000kms; London to Mongolia and<br />
back through Russia. That was pretty epic. I’m also a<br />
licensed paraglider, so my two biggest fears after I had my<br />
injury were that I’d never travel again—and I love<br />
travelling—and the other was I wouldn’t be able to do a<br />
sport independently. I overcame both of them by<br />
believing I could.<br />
Things at Makingtrax have been quiet since Covid-19,<br />
however we are still operating behind the scenes. Very soon<br />
domestic travel will be available, and there are a vast<br />
amount of opportunities for people to get amongst the<br />
outdoor/ tourism sector.
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SPINAL NETWORK NEWS 17<br />
Telling it like it is<br />
Columnist Teina Boyd<br />
Teina was a patient in the Burwood Spinal<br />
Unit nearly six years ago.<br />
The down-to-earth Cantabrian was a recruit for the New<br />
Zealand Police when she fractured her neck at the C5<br />
vertebrae. It changed her life in an instant, but she has<br />
always displayed a never-say-die attitude. In her column<br />
this month, she recollects a lovely encounter with her<br />
10-year old son William.<br />
3.00 am... my door nudges open. One big eye looks at me<br />
through the crack.<br />
“You all right Mum?”<br />
Damn, my coughing must have woken him.<br />
I try to say “yes”, but the coughing is blocking my throat<br />
so, nodding, I cough...which turns into a spew. Closing my<br />
mouth tight, I fall forward, reaching for the end of my bed<br />
where the red bucket lives. Damn it. I pushed it too far<br />
away, as my attempt at escaping the smell without waking<br />
anyone up fails.<br />
DAMN... I can’t reach it.<br />
I was just about to open my mouth and spew on my<br />
blanket, when William ran over, pushing the bucket<br />
under my mouth just in time.<br />
With a yucky groan, I lifted my head to look at him… but<br />
he’s already walking off towards my en suite, unzipping<br />
his onesie.<br />
“Good catch Bubba, thank you”, I say quietly to his back.<br />
Closing my eyes, I feel around my body, while listening to<br />
William fussing around in the en suite. My stomach is still a<br />
little queasy. A few coughs are stuck in my throat, my nose<br />
is blocked, my ears are ringing, and my lungs are tired.<br />
Sweet, at least it’s improving.<br />
Poking my stomach gently, I can feel a few spasms sitting<br />
in there. Awesome… They’ll be helpful.<br />
Sitting myself up, I feel William standing next to me.<br />
All Smiles - Teina Boyd and her 10-year-old son<br />
William share a special bond.<br />
Looking at him, I try not to smile… He’s all gloved up in<br />
his undies holding a wet flannel.<br />
“Bub where are your ...”<br />
Before I can finish asking where his pyjamas are, he has<br />
covered my mouth with the flannel, wiping away the sick.<br />
As he pulls away, he wipes a trail of it into my eyebrow.<br />
He runs back to the en suite, throwing the flannel into the<br />
sink and shrieking about how yuck I am... while I’m<br />
laughing at him with one eye open.<br />
“Throw me the Huggies wipes baby, I’ll do it”<br />
The box literally hits my head and falls into my lap. As it<br />
hits my lap, it sets off a spasm, strengthening my<br />
diaphragm and pushing out the coughs stuck in my throat.<br />
Shocked, we look at each other and crack up laughing.<br />
So grateful for this beautiful<br />
boy, and this awkward,<br />
messy, laughing mess that is<br />
our life with disability.<br />
“I should be a doctor mum!”<br />
Laughing, I wipe my face with the Huggies wipes...”sure,<br />
you’ll fix all the flu, but you will cause a lot of brain<br />
injuries with that technique.”<br />
“One word, mum... helmets”.<br />
As I sputter through coughs and laughs, he tidies up the<br />
wipes, puts them in the bin and washes his hands.
NEW ZEALAND SPINAL TRUST 18<br />
“Can I sleep with you now, Mum?”<br />
He’s all zipped back into his onesie, looking hopeful.<br />
“Yeah babe, but grab yourself something from the<br />
treasure bag first”.<br />
His smile is huge, “Thanks Mum!”<br />
He sprints off down the hallway to find a treasure from his<br />
bag, and I know he’s pulled out a packet of Pokémon<br />
cards, when I hear his quiet “yusssss”<br />
Shuffling back to my room with his head down inspecting<br />
his haul, he climbs into bed with me and curls up at the<br />
other end of my bed with his head on my legs.<br />
Listening to him chatter away about his new shiny<br />
Pokémon and a legendary Pokémon, I start to fall asleep...<br />
until he jumps up and runs back to the bathroom.<br />
Beginning to sit up, I think the worst—I’ve made him sick.<br />
But no. Somehow, he’s just remembered that I will still be<br />
tasting vomit. He walks out of the bathroom with a tube<br />
of toothpaste and tells me to open up.<br />
“Oh wow, thanks babe!”<br />
Silence, as he squeezes it into my mouth with a huge grin.<br />
No place like home.<br />
“Is that another treasure bag mum?”<br />
Nodding at him with a toothpaste-filled smile, I can’t help<br />
but wonder if I’m raising a nurse or a hustler.<br />
So so so grateful for this beautiful boy, and this awkward,<br />
messy, laughing mess that is our life with disability...<br />
wouldn’t change it for the world.<br />
Thank you John Miller Law<br />
thousands of clients—they are well known for effective<br />
results in resolving accident compensation disputes from<br />
Tribunal Reviews right through to the Court of Appeal. As<br />
well as personal injury compensation matters, JML also<br />
specialises in Mental Health Law in the Wellington region.<br />
John Miller.<br />
In 2018 the <strong>SNN</strong> introduced ‘Your Rights with<br />
John Miller Law’ to our members. The aim of<br />
the section was so that people who have<br />
sustained an SCI could get expert legal<br />
advice for problems they may have.<br />
John Miller Law (JML) was founded in 2001 by New<br />
Zealand’s leading ACC law expert and former senior law<br />
lecturer at Victoria University. JML has represented<br />
Since 2018, JML have answered<br />
a number of your questions and<br />
provided practical advice. They<br />
are taking a break for <strong>2020</strong> -<br />
the <strong>SNN</strong> would like to<br />
wholeheartedly thank John<br />
Miller, Beatrix and the team for<br />
all their help and support over the<br />
last two years.<br />
You can still contact them directly for<br />
any specific queries: info@jmlaw.co.nz<br />
or (04) 801 5621. Alternatively you can<br />
contact the NZ Spinal Trust’s very<br />
own Ask Dr.B online information<br />
service. Please reach out to Dr. B<br />
for any information support you<br />
may need – email: bernadette.<br />
cassidy@nzspinaltrust.org.nz<br />
John Miller.
SPINAL NETWORK NEWS 19<br />
Man’s Best Friend<br />
Mobility Dogs Offer People with a Spinal Cord Impairment<br />
Huge Support and Companionship.<br />
Cuteness overload: Mobility Dogs place 10 -12 dogs each year. Photo credit Mobility Dogs.<br />
Mobility Dogs have the tagline “Life<br />
Changing Loyalty” and it is hard to<br />
disagree—there is nothing quite like the<br />
company of “man’s best friend”.<br />
Mobility Dogs are trained to offer practical support,<br />
companionship and security. They transform the lives of<br />
people living with disabilities. For many, a Mobility Dog is<br />
a step in the right direction to integrate back into society.<br />
Natalie Ramm, the Senior Canine Coordinator for<br />
Mobility Dogs, has worked for the Charitable Trust for the<br />
past 16 years as a volunteer, part-time and now full-time.<br />
We caught up with Natalie to discuss how people who<br />
have sustained a spinal cord impairment could sign up for<br />
a Mobility Dog and how their new companion could<br />
change their lives.<br />
What are the benefits of having a Mobility Dog?<br />
When thinking about a Mobility Dog people often<br />
recognise the physical benefits or tasks, with which they<br />
can assist, but there are many secondary benefits we tend<br />
to overlook. Many clients report feeling a sense of loyalty<br />
and companionship, less isolated and a greater level of<br />
independence with their Mobility Dog. We also know dogs<br />
aid in overall health and well-being and increasing<br />
participation in activities with our dogs.<br />
How does the process work in terms of signing up?<br />
For anyone interested in applying for a Mobility Dog they<br />
can visit our website and click on Apply Now. They will be<br />
given the option of applying online or sending us an<br />
initial email to find out more. One of our team will then<br />
be in touch.<br />
The best part is<br />
witnessing and knowing<br />
that our dogs truly make<br />
a difference.
NEW ZEALAND SPINAL TRUST 20<br />
What is the best part about your job?<br />
The best part is witnessing and knowing our dogs do<br />
really make a difference. Our clients find a best friend<br />
and, together, they create greater independence and<br />
access within the community.<br />
How did you first become involved with Mobility Dogs?<br />
As cliché as it sounds, one day I saw an Oprah Winfrey<br />
show about Mobility Dogs in America. The difference<br />
dogs were making touched me, and lit a spark at a time<br />
when I was learning to live with and manage depression<br />
and anxiety. The rest, as, they say is history. I contacted a<br />
number of people trying to set up Mobility Dogs in New<br />
Zealand and, slowly, I found my passion as the Trust’s<br />
vision became a reality.<br />
How can the dog be of assistance to someone with<br />
spinal cord impairment?<br />
Our dogs are trained to assist at home and in the<br />
community. They retrieve and carry items, open doors,<br />
press buttons and alert someone should the client need<br />
assistance. Our dogs are trained to work beside people<br />
using a manual or power chair, and can be trained to<br />
assist with wheelchair-pulling and to provide assistance<br />
with transfers for some.<br />
How many dogs are available compared with the<br />
demand for them?<br />
The waiting time, once an applicant has completed the<br />
process and has been accepted, is between six and 18<br />
months. We place 10 – 12 dogs each year, and the demand<br />
for a trained Mobility Dog is continuing to grow.<br />
Above and below: The Mobility Dogs give people with a spinal cord<br />
impairment the confidence to live a full life.<br />
What advice do you offer people with spinal cord<br />
impairment who are considering a Mobility Dog?<br />
My best piece of advice is to contact us. There is no<br />
commitment when applying, and we appreciate people<br />
asking questions about the dogs, the process, how a<br />
trained dog can help them and what is involved. Keep in<br />
mind that having a Mobility Dog in your life is a<br />
wonderful and rewarding experience. However, the<br />
timing has to be right. We would recommend 12 – 18<br />
months after a significant spinal cord injury. This allows<br />
time for the person applying for a dog to adjust to their<br />
new circumstances. The dogs require routine and<br />
consistency. This is best achieved when everything is in<br />
place and a routine established.<br />
What advice would you give people on the street when<br />
Mobility Dogs are around?<br />
My advice would be: please do not distract the dogs when<br />
they are training or working to pass their public access<br />
assessments and, for the safety of the team and public,<br />
our dogs must ignore any and all distractions. The public<br />
can really help by resisting their desire to make eye<br />
contact, speak to, whistle or in any way distract the dogs.<br />
For more information visit: www.mobilitydogs.co.nz.
SPINAL NETWORK NEWS 21<br />
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IMPROVING QUALITY OF LIFE
NEW ZEALAND SPINAL TRUST 22<br />
Empathy and Grit<br />
Gavin Rolton considers himself a Normal Kiwi Bloke—he is<br />
showing that a Disability does not Define who you are.<br />
Gavin Rolton says being an open person has helped him in his<br />
role with Drake Medox. Photo Credit: Attitude Awards.<br />
There is no doubt that Gavin Rolton was a<br />
deserving winner of the Attitude Employee<br />
Award in December.<br />
The Wellingtonian, who had not worked for nine years<br />
after being paralysed in a diving accident, was hired by<br />
healthcare company Drake Medox in 2014. He has proved<br />
a fast learner and was recently promoted to Sales<br />
Manager. Gavin, the captain of the Wheel Blacks, New<br />
Zealand’s wheelchair rugby team, is now among the<br />
company’s top performers as the Manager of Drake Medox<br />
Wellington and Palmerston North. “Gavin’s secret for<br />
success is empathy and grit,” said his citation for his<br />
Attitude Award, and showing people that a disability does<br />
not have to define what you are capable of. We caught up<br />
with the 36-year-old from Waikanae on his recovery and<br />
his never-say-die attitude.<br />
What did it mean to win the Attitude Employee Award<br />
in December? What was it like to be called “an<br />
inspiration for others”?<br />
There are so many people out there doing great work, so it<br />
was fantastic to be acknowledged for the work I’ve been<br />
doing, I feel like I’m just living my life and don’t really<br />
consider myself an inspiration.<br />
Tell me about your role at Drake Medox, what does<br />
it involve?<br />
We recruit caregivers for people with a range of different<br />
disabilities, specialising in high needs in home care, it’s a<br />
diverse role.<br />
Your bio on Attitude said you were instrumental in<br />
developing a culture of diversity and empathy, how<br />
did you do that?<br />
I’m a pretty open person and don’t mind sharing my<br />
experiences, this has developed our team to get a good<br />
understanding of clients’ needs.<br />
You struggled at first to find a role post-accident,<br />
could you explain what those times were like?<br />
I started out slowly and enrolled in some study. The study<br />
I did, that didn’t eventuate into work in that particular<br />
field, but helped me develop some good routines and<br />
social skills which helped with confidence down the track.<br />
What were the keys to you finding employment?<br />
Through playing Wheelchair rugby—Dan Buckingham came<br />
to training to ask if anyone was interested in work, as Gay<br />
Barton from Drake Medox had contacted Attitude seeing if<br />
they knew anyone after work. I was really lucky, and didn’t
SPINAL NETWORK NEWS 23<br />
Gavin Rolton says it was a huge honour<br />
being recognised at the Attitude Awards.<br />
know anything about recruitment, and it’s resulted in a<br />
career. I’ve had great help from others along the way though,<br />
sometimes, I just have to ask. I have a great employer and<br />
team, which has definitely helped me succeed.<br />
What was your job before your accident?<br />
I was a tradesman, furniture making, always worked with<br />
my hands, it’s been a big adjustment, changing my mindset.<br />
Take me back to the day of your accident what<br />
happened, and how well do you remember it?<br />
I dived into a river that was very shallow, breaking my<br />
neck. I was lucky that one of my mates noticed early that<br />
something wasn’t right, as I was face down and running<br />
out of air. I knew instantly what had happened and told<br />
my mate I would never walk again. Once I got to hospital,<br />
it all turned very hectic and a doctor confirmed my initial<br />
prognosis. Bang! My life changed in an instant.<br />
What was your rehabilitation like?<br />
I made the most of my time at the Spinal Unit. I feel I kept a<br />
positive attitude and wanted to make the most of learning<br />
the new skills I’d need to work towards a level of<br />
independence. The real rehabilitation starts at home, and I<br />
learnt a lot of tips and techniques from guys at Wheelchair<br />
Rugby. I had my frustrations, as I was really impatient, and<br />
it took years to get to reach where I wanted to get.<br />
You have taken on a role as a leader, what do you enjoy<br />
about that role?<br />
I enjoy the challenges and problem solving. We are a small<br />
team and I see myself as an equal. I think a good leader<br />
utilises everyone’s individual skills.<br />
I made the most of my time<br />
at the Spinal Unit, I feel I<br />
kept a positive attitude and<br />
wanted to make the most of<br />
learning the new skills I’d<br />
need to work towards a level<br />
of independence.<br />
What advice would you offer to others who have<br />
sustained a spinal cord impairment and are looking<br />
to get back into work?<br />
Just go get out there and try something. You’ll be amazed<br />
what opportunities arise. Work has brought a good<br />
balance and normality to my life, and the money in my<br />
pocket definitely helps.<br />
During the lockdown, we’ve kept in touch with clients and<br />
caregivers sending out E-blasts, texts and calls, we have<br />
limited a caregiver to only work with one client instead of<br />
multiple clients to keep bubbles as small as possible and<br />
reiterated the importance of good hygiene, infection control<br />
and hand washing.
NEW<br />
NEW ZEALAND SPINAL TRUST 24<br />
With 100% No Touch Protection,<br />
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VaPro catheters are hygienic by design to help protect patients<br />
from germs throughout the entire catheterisation process.<br />
Protective tip<br />
• helps shield the sterile catheter during insertion from bacteria<br />
located within the first 15 mm of the distal urethra<br />
• helps reduce the risk of carrying bacteria into the urinary tract<br />
Protective sleeve<br />
• allows for catheter to be gripped anywhere<br />
• provides a barrier to the catheter to help keep germs away<br />
For more information or to order a sample * ,<br />
visit www.hollister.co.nz/Vapro or call 0800 678 669<br />
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Prior to use, be sure to read the Instructions for Use for information regarding Intended Use, Contraindications, Warnings, Precautions, and<br />
Instructions. The Hollister logo and VaPro are trademarks of Hollister Incorporated. © <strong>2020</strong> Hollister Incorporated. AUHC240. February <strong>2020</strong>.
SPINAL NETWORK NEWS 25<br />
Sit Down in Front<br />
The Remarkable story of the Attitude Supreme Award Winner.<br />
Cory Newman and his mates loved performing at the Attitude Awards.<br />
Photo Credit: Attitude Awards.<br />
Charismatic punk rocker, Cory Newman, was<br />
proud to claim the Supreme Award at the<br />
Attitude Awards in December.<br />
Now in its 12th year, the black-tie gala event celebrates the<br />
achievements and successes of New Zealanders living<br />
with disabilities.<br />
“This was the last thing I expected,” said Cory, on<br />
receiving the Supreme Award. “I’m completely and utterly<br />
humbled. Who would have thought that a guy in a<br />
wheelchair, from a tiny country town, would get to<br />
experience this? I certainly didn’t!”<br />
Gisborne-raised Cory (16) was born prematurely and has<br />
cerebral palsy, epilepsy and ADHD.<br />
Two years ago, Cory followed his dreams and formed a<br />
band with his high school friends—Sit Down In Front—of<br />
which Cory is the lead singer.<br />
In one of the toughest industries to crack into, Cory and<br />
his band have erupted on to the local and international<br />
music scene. They were placed third at the national<br />
SmokeFree RockQuest and caught the attention of music<br />
legend Jimmy Barnes, who invited them to open for his<br />
band on a recent national tour.<br />
In a touching moment at the Attitude Awards<br />
celebrations, a video message from Jimmy congratulating<br />
Cory was played to the audience.<br />
The high-energy band also performed at the ceremony to<br />
an audience of 650 New Zealanders, which included<br />
many prominent figures from the disability sector.<br />
In addition to Cory’s success with his band, he has excelled<br />
at school, having won awards for academic excellence and<br />
leadership, becoming House Captain in Year 9.<br />
Cory has also completed school cross-country events,<br />
athletics days, school swimming sports and participated<br />
in Kapa Haka groups and a Polynesian club.<br />
“Cory is what we aspire to,” said Attitude Trust Chairperson,<br />
Dan Buckingham. “Someone who lives with disability and<br />
lives the fullest of lives. He has high expectations of himself,<br />
and for those around him to be included in all the activities<br />
with which his peers are involved.<br />
“However, he has gone above merely being involved... he’s<br />
excelled in all his pursuits, whether they be academic,<br />
sports, cultural, performance or the arts.”<br />
Principal sponsor, ACC Chief Executive, Scott Pickering,<br />
said the achievements of this year’s finalists are<br />
impressive: “They are proof of what the power of attitude<br />
is achieving.”
NEW ZEALAND SPINAL TRUST 26<br />
No Ordinary Guy<br />
A Q and A with Guy Harrison at the NZ All Abilities Championship.<br />
Guy Harrison, who suffers from Cerebral Palsy,<br />
plays off an 8.1 handicap at the Napier Golf Club.<br />
If you were looking for a young man to<br />
personify the meaning of resilience, then<br />
Guy Harrison would be your man.<br />
The 18-year-old from Hawke’s Bay has overcome more<br />
challenges than most in his life. Throughout it all, he has<br />
displayed a courageous spirit which has never waned.<br />
When he was three years old, Guy had a febrile<br />
convulsion, which saw him die for 12 minutes before<br />
being resuscitated. When he revived, Guy had to get used<br />
to life with Cerebral Palsy, which has affected his whole<br />
body. Throughout the struggles, Guy has been raised to<br />
see what he can do, rather than what he can’t. One step at<br />
a time, Guy has set his mind to each task and achieved<br />
some remarkable things.<br />
He took up golf at the age of five, after his physiotherapist<br />
advised he should get into a sport with low contact and<br />
plenty of walking. He now plays on an 8.1 handicap at the<br />
Napier Golf Club.<br />
Guy is currently studying for a Bachelor of Sport and<br />
Recreation degree at the Eastern Institute of Technology<br />
(EIT). He also holds down two part-time jobs, one being<br />
the barman at a local sports club and the other working at<br />
a local pub. Recently, he competed in the inaugural NZ<br />
Golf All Abilities Championship in Queenstown—a<br />
tournament that was made possible thanks to funding<br />
from Sport NZ and support from the Halberg Foundation.<br />
We recently met with Guy to talk about his remarkable<br />
journey and how golf changed his life.<br />
Take us back to the beginning, how hard was the<br />
rehab, both mentally and physically?<br />
Because I was so young when I had the febrile convulsion,<br />
this is the way I am, and I don’t know anything different.<br />
Rehab has been a lifelong process, since the febrile<br />
convulsion, and will be needed for the rest of my life. As I<br />
was only three when it occurred, I do not have any<br />
memories which have not included rehab. I had to learn<br />
lots of skills I previously had all over again, such as<br />
walking, talking and simple things, like feeding myself,<br />
were suddenly difficult.<br />
I had very little stability, and found I was falling over and<br />
breaking bones. I could not communicate with Mum and
SPINAL NETWORK NEWS 27<br />
Dad and others, which I found very frustrating. People<br />
did not understand what I wanted or needed.<br />
What was unbelievable, was that I was not diagnosed<br />
until years later, as my parents were told by doctors, “He<br />
is a boy, he is rushing like they do, and he will speak when<br />
he wants to”. Both being teachers, they knew something<br />
was not right, so they kept pushing for me to be seen at<br />
the Children’s Development Centre, and they started with<br />
rehab in the pool, paying for speech therapy and spending<br />
hours helping me to re-learn things.<br />
Once I was diagnosed, things started to happen. I was<br />
given weekly physio and occupational therapy sessions,<br />
both in the pool and in hospital. I started school and my<br />
teacher, through the MOE, arranged for speech therapy<br />
through school and teacher-aide support in my first year<br />
of education. Imagine trying to learn to read, when you<br />
cannot speak properly, as the muscles in my mouth did<br />
not work due to the Cerebral Palsy. When I started school,<br />
I had to learn to write and couldn’t even hold a pencil. I<br />
found the frustration difficult and this did greatly affect<br />
how I felt about myself. However, with support from my<br />
parents, paediatrician and the school, we developed<br />
strategies to help with this feeling of frustration.<br />
My parents had discovered that work in the pool helped<br />
my whole physical being, and so two sessions a week of<br />
swimming are on my weekly agenda. It helps keep me<br />
mobile and strengthens my core.<br />
My parents were told that I needed to walk long distances<br />
as part of my rehab and, for a young four-year old, that<br />
was not that enjoyable. So my Dad, who was a PE teacher,<br />
came up with the idea of taking me to the local nine-hole<br />
family golf course. He thought with it being a sport and<br />
by making it fun, I would get the walking distance I<br />
needed to strengthen my legs and the golf would help<br />
with other things, like my balance.<br />
Presently, due to being so active in running, badminton<br />
and golf, most of my rehab is done with my coaches in<br />
these three sports. I continue with the swimming each<br />
week and have a weekly massage to help with the<br />
constant pain in my legs, and work in the gym.<br />
I started off just wanting to<br />
beat my Dad, and now I have<br />
other goals like, hopefully,<br />
one day representing NZ in<br />
golf at the Paralympics.<br />
Guy said one of the highlights of playing in the tournament<br />
was meeting All Blacks first five eighth Beauden Barrett.<br />
You were three years old when you had the seizure<br />
—do you remember anything about it or the time in<br />
hospital?<br />
It was the night before my third birthday, so I don’t<br />
remember. Dad says it was horrible watching the medical<br />
staff trying to revive me. He thought I was gone, even<br />
though he had given me CPR in the car on the way to the<br />
hospital. Over the next few days I had more seizures, but<br />
none as strong as the first one, so it was a very stressful time.<br />
Mum and Dad couldn’t relax in case I had another one.<br />
When you first started playing golf at five, was it hard<br />
going to the club?<br />
I started at the local nine-hole family course and the<br />
people were fantastic. Once they knew why we were going<br />
and playing most days, they helped me with getting clubs<br />
and a trundler, and kept the price down for Mum and Dad.<br />
A coach was assigned from the main course next door,<br />
and he helped me to develop my swing and supported me<br />
until he left the club. I developed good co-ordination and<br />
loved it when I hit the ball well, and wanted to do this<br />
more and more. I really liked the putting and would<br />
practise this for hours.<br />
What do you enjoy about the game of golf?<br />
Meeting people and playing new golf courses. It is a really<br />
good way to see the country, and I have learnt lots about<br />
the geography of our country. I started off just wanting to<br />
beat my Dad, and now I have other goals like, hopefully,<br />
one day representing NZ in golf at the Paralympics.
NEW ZEALAND SPINAL TRUST 28<br />
The NZ All Abilities Golf Championship was run by New Zealand Golf thanks to funding from Sport NZ.<br />
...yes I have Cerebral Palsy,<br />
but it is no excuse not to reach<br />
my full potential in life.<br />
What is the strongest part of your game?<br />
My mental side, my ability to stay calm and focused.<br />
Scrambling to recover after a bad shot. People say this is<br />
what I am good at, too.<br />
How did playing golf help you in the early years, when<br />
you were just starting to walk?<br />
The golf was a game. For me this appealed, being a little<br />
kid, and it was something I did with my Dad. I did not<br />
realise at the time it was rehab and its importance it was<br />
playing in my life.<br />
How much have your parents in helped you over the<br />
years? Have they instilled that belief in you?<br />
Mum and Dad have been great. They have helped me<br />
understand who I am and that ‘yes I have Cerebral Palsy,<br />
but it is no excuse not to reach my full potential in life’.<br />
They have instilled in my sister and me the importance of<br />
perseverance, and not giving in when it gets tough.<br />
Mum gave up work, when I needed the extra help, and she<br />
spent many hours waiting at hospital appointments, pool<br />
and therapy sessions, and both Dad and she have spent so<br />
many hours helping me with all my rehab, school work<br />
and all the things associated with having CP.<br />
Dad has been a rock, taking me wherever I needed to be<br />
and supporting me in my sporting dreams. When things<br />
are getting tough, he is there and says what is needed to<br />
stop me feeling sorry for myself. I will always treasure the<br />
wonderful trips and experiences we have had.<br />
Now the focus has changed a little, and it is on the<br />
importance of ‘giving back’, which I am doing locally by<br />
supporting other disabled people and being a ‘NZ Halberg<br />
Ambassador’.<br />
What was the highlight of playing in the NZ All<br />
Abilities Championship at the NZ Open?<br />
Playing at three of the top golf courses in New Zealand<br />
and being part of the inaugural All Abilities tournament.<br />
Also, meeting other inspirational people such as caddy,<br />
Steve Williams, and All Black, Beauden Barrett, was<br />
pretty cool.<br />
Does playing in such a tournament give you the<br />
confidence to believe that anything is possible?<br />
Yes, and it was just another wonderful opportunity and<br />
experience for me, as I don’t know how long my body is<br />
going to allow me to do this, so I want to make the most of<br />
every opportunity.<br />
What advice do you offer others who have sustained a<br />
spinal cord impairment?<br />
Anything is possible; don’t give up; follow your dreams<br />
and focus on the positive, no matter how small it is. There<br />
are lots of people out there who will help, you just have to<br />
ask, and you are not alone.<br />
The NZ All Abilities Golf Championship was run by New<br />
Zealand Golf thanks to funding from Sport NZ and support<br />
from the Halberg Foundation. Sport NZ is the largest<br />
recipient of Lotto NZ funding.
SPINAL NETWORK NEWS 29<br />
NZ Spinal Cord Impairment Stats<br />
So how many people acquire spinal cord<br />
impairment each year in NZ?<br />
Working in the spinal cord impaired community, it is a<br />
question more often asked than not, and the answers<br />
vary greatly.<br />
Hans Wouters, the CEO of the NZ Spinal Trust, says that,<br />
over the years, he has heard some extraordinary statistics<br />
regarding the occurrence of spinal cord impairment in<br />
New Zealand.<br />
“In some cases, I have questioned the messenger and have<br />
heard back ‘not sure where that information came from’,”<br />
he said. “I often found it was not even close to what I was<br />
saying.” Now, with the help of the NZ Spinal Cord Injury<br />
Registry (NZSCIR) that scenario all changes. We can all<br />
share the correct statistics and make sure the right<br />
information is being issued.<br />
Key Facts<br />
‘Current Statistics’ year ending 2018 (released Feb <strong>2020</strong>):<br />
• There are just over 200 new spinal cord impairments in<br />
New Zealand each year, around four each week.<br />
Two-thirds are traumatic and one-third non-traumatic.<br />
Traumatic Facts (excluding non-traumatic numbers)<br />
• Common Traumatic causes are: Falls (39%); Transport<br />
(30%); Sports (18%); Other (13%)<br />
• 75% of all traumatic are males; 25% female<br />
• Two-thirds result in tetraplegia; one third in paraplegia<br />
• 30% of Sports are Water Sports/Activities; 22%<br />
Equestrian; 19% Mountain Biking/Cycling<br />
Non- Traumatic Facts<br />
• One-third are female; Two-thirds are male<br />
• One quarter results in tetraplegia; Three-quarters<br />
in paraplegia<br />
“When we present to groups or answer questions on spinal<br />
cord impairment, we should all refer to these accurate facts<br />
captured by the dedicated people at NZSCIR.”<br />
For more information visit: nzspinaltrust.org.nz/nzscir<br />
Length of Stay in Hospital (Median)<br />
• Paraplegics – 69 days / Tetraplegics – 74 days<br />
NB: Length of stay ranges from two days to 258 days. AISA<br />
A tend to stay longer than incomplete.<br />
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NEW ZEALAND SPINAL TRUST 30<br />
Resource<br />
Centre<br />
New Additions – May <strong>2020</strong><br />
The Invisible Load: a guide to<br />
overcoming stress and overwhelm<br />
by Libby Weaver, 2019<br />
The Very Alternative Guide to<br />
Spinal Cord Injury<br />
by Anthony Papathomas & Joe<br />
Robinson, 2015<br />
The guide is a research-based<br />
self-help book that uses humour, real<br />
life quotes and illustrations to<br />
communicate important health<br />
information and ideas in an engaging<br />
and entertaining way.<br />
It is primarily designed to support<br />
people with spinal cord injuries as<br />
well as their family and friends. It<br />
would also be useful to health<br />
professionals looking for accessible<br />
ways to educate patients on life with a<br />
spinal injury.<br />
The Invisible Load examines the day<br />
to day stress that a lot of us<br />
experience. Dr Libby isn’t talking<br />
about trauma, but about the<br />
day-to-day, moment-to-moment<br />
stress that can cause people to feel<br />
overwhelmed. She has a simple<br />
example in the book that explains it<br />
well: you walk past a stack of dishes<br />
in your kitchen. If you aren’t<br />
stressed, you will think it’s just a few<br />
dishes, but if you are already feeling<br />
overwhelmed, you might have a<br />
response like, ‘I can’t keep doing this,<br />
everything is falling apart!’ In the<br />
book, Dr Libby really helps you dig<br />
down and understand what is at the<br />
heart of your stress.<br />
Māori Healing Remedies:<br />
Rongoa Māori<br />
by Murdoch Riley, 2018<br />
This is a useful book with time-tested<br />
Maori herbal therapies, the book is a<br />
useful compendium of proven<br />
therapies, whether for arthritis,<br />
headaches, insect bites, rheumatism,<br />
skin complaints, sore throats,<br />
sprains, wounds etc. Using beautiful<br />
photography by Phil Bendle the<br />
images identify many of the<br />
indigenous plants used by Maori.<br />
Journals/magazines<br />
Forward UK SCI magazine<br />
<strong>Issue</strong> 154 Dec 2019<br />
Forward UK SCI magazine<br />
<strong>Issue</strong> 155 Feb <strong>2020</strong><br />
Nadia: Health & wellbeing magazine<br />
<strong>Issue</strong> 20 Jan/Feb <strong>2020</strong><br />
Nadia: Health & Wellbeing magazine<br />
<strong>Issue</strong> 21 Feb/Mar <strong>2020</strong><br />
New Mobility: Spinal cord injury<br />
complications<br />
<strong>Issue</strong> 315 Dec 2019<br />
New Mobility: Person of the Year<br />
<strong>Issue</strong> 316 Jan <strong>2020</strong><br />
New Mobility: Sex, Wheels &<br />
Relationships<br />
<strong>Issue</strong> 317 Feb <strong>2020</strong><br />
Spinal Network News<br />
vol 22 issue 3 Dec 2019<br />
Sports n Spokes<br />
vol. 46 no. 1 Jan <strong>2020</strong>
SPINAL NETWORK NEWS 31<br />
Life as a Casketeer: what the<br />
business of death can teach<br />
the living<br />
by Francis and Kaiora Tipene, 2019<br />
Life as a Casketeer reveals how<br />
Francis and Kaiora grew up in<br />
families that had few possessions but<br />
were rich with love and tikanga, and<br />
how they came to work in their often<br />
misunderstood profession. It’s also a<br />
book about the Maori world view and<br />
traditional funeral customs. The<br />
Tipenes make death feel less<br />
mysterious and life feel more<br />
precious.<br />
The Heroic Client: a revolutionary<br />
way to improve effectiveness<br />
through client-directed,<br />
outcome-informed therapy<br />
by Barry L. Duncan, Scott D. Miller<br />
and Jacqueline A. Sparks (revised<br />
edition, 2004)<br />
The approach in this book advocates<br />
for the client’s voice in all aspects of<br />
therapy and shows how to tailor both<br />
relational stances and treatment<br />
approaches to each client’s personal<br />
goals. Based on clinical research and<br />
field-tested experience, this book<br />
seeks to challenge therapists to<br />
rethink the process of therapy, recast<br />
clients in their rightful roles as<br />
heroes and heroines in their own<br />
therapy, and help therapists establish<br />
an approach beyond the limits of the<br />
medical model.<br />
How to Talk to Absolutely Anyone:<br />
confident communication for<br />
work, life and relationships<br />
by Mark Rhodes, 2017 (2nd edition)<br />
How to Talk to Absolutely Anyone is<br />
your personal handbook for stepping<br />
up your communication game. Part<br />
confidence coach and part social<br />
manual, this book reveals the<br />
reasons behind your reserve and<br />
offers real, practical ways to break<br />
through the barriers and make a<br />
connection. This new second edition<br />
has been updated to include the<br />
complete 30-day Zero to Hero<br />
Personal Confidence Course, to help<br />
you build your skills and increase<br />
your chances of getting what you<br />
want out of any conversation.<br />
Contact Bernadette Cassidy for more information<br />
bernadette.cassidy@nzspinaltrust.org.nz 03 383 9484<br />
All the listed items are<br />
available to loan from:<br />
The Resource Centre<br />
Burwood Hospital<br />
Covid-19:<br />
Due to the COVID-19 crisis the staff of the NZ Spinal Trust are working<br />
remotely effective from the 23 March <strong>2020</strong>.
NEW ZEALAND SPINAL TRUST 32<br />
Ageing with a Spinal<br />
Cord Impairment<br />
You can’t beat Father Time, but here is some helpful information from<br />
Burwood Spinal Unit Clinical Nurse Specialist, Lynn James.<br />
Lynn James, Clinical Nurse Specialist and Dr. Bernadette Cassidy<br />
An individual with Spinal Cord Impairment<br />
(SCI) has many needs which may change over<br />
the course of their life.<br />
In the 1950s/1960s the life expectancy of someone with<br />
tetraplegia could be as little as a few weeks, whilst<br />
someone with paraplegia could live for a few months,<br />
(Anthony, 2002). A sobering thought given that,<br />
nowadays, thanks to medical advances, extra vigilance,<br />
regular screening and monitoring, there is no reason why<br />
someone with SCI cannot live as full and as long a life as<br />
someone without an SCI.<br />
The ‘early days’ post injury and during rehabilitation is<br />
the pivotal time for education and to ensure people are<br />
Pressure injuries are<br />
unfortunately a common<br />
secondary complication of<br />
SCI, regardless of age.<br />
fully armed with as much knowledge and self-care advice<br />
to continue their life as independently as possible.<br />
The self-titled group of ‘oldies’ (wheelchair user for over<br />
10 years) comes with a huge catalogue of knowledge and<br />
self-care tips which are invaluable to the individuals with<br />
newer injuries starting their rehabilitation journey. Their<br />
lived journey advice is so important and must be shared.<br />
It is difficult to cover all aspects of this topic within this<br />
article. However, an outline of some of the areas, which<br />
are shown to be affected more rapidly, are related to<br />
ageing within the SCI community. Hopefully, this will be<br />
an interesting start for further articles to follow.<br />
Insensate skin and the ageing process<br />
Pressure injuries are unfortunately a common secondary<br />
complication of SCI, regardless of age. As a person ages,<br />
skin loses collagen, becomes more dry and fragile and,<br />
therefore, more susceptible to injury. Alongside less<br />
activity due to fatigue, and issues with transfers due to<br />
reduced upper limb strength, there is more risk to<br />
developing a pressure injury. Skin management following<br />
SCI is, from day 1, paramount to ensure healthy skin is<br />
maintained throughout one’s life. It’s not just ‘pressure<br />
about pressure’. The Interdisciplinary Team (IDT) will<br />
educate about the risk of burns, controlling the<br />
temperature in the shower, sun burn, not having hot<br />
drinks on the lap, appropriate fitting footwear and
SPINAL NETWORK NEWS 33<br />
clothing, plus adequate nutritional intake, smoking<br />
cessation or reduction! We advise trying to keep the skin<br />
clean and dry, to continue with regular pressure relief and<br />
skin checks, and to take timely action when any red areas<br />
appear. This may mean a period of bedrest. Periodic<br />
reviews of cushions, seating systems and transfer<br />
techniques can all be captured on Clinic or Outreach<br />
appointments.<br />
Bowel, Bladder and Kidney Health<br />
Kidney and bladder dysfunction was once the major cause<br />
of death for anyone with SCI. (Singhal, Anthony, A, Xiong<br />
and Acland, 2016). Current medical practices, which<br />
include frequent screening, such as ultrasound and other<br />
urodynamic studies, have kept this number to a<br />
minimum. However, life-long monitoring of kidney and<br />
bladder health is essential. Urinary tract infections<br />
(UTIs), bladder or kidney stones are common, due to<br />
in-dwelling medical devices, calcium build-up and<br />
inactivity, to name but a few.<br />
Bowel dysfunction is common in SCI regardless of age,<br />
requiring anything from aperients to physical assistance<br />
to empty the bowel with suppositories, enemas or<br />
trans-anal irrigation and elective colostomy. Bowel cares<br />
can take up to two hours to complete in some individuals,<br />
which not only interrupts their daily life, but also<br />
contributes to fatigue levels. As the person ages, bowels<br />
become ‘lazy’ and sluggish, requiring more and more<br />
intervention. There is a significant risk of them<br />
developing megacolon. (Singhal et.al, 2016).<br />
Bone Health and Heightened Risk of Fractures<br />
Due to a natural reduction in bone density as we age,<br />
osteoporosis is significant. The SCI cohorts are at risk of<br />
more severe bone fractures, following what would be<br />
deemed a relatively minor fall or insult to the leg, and can<br />
have a delayed presentation due to altered pain feedback<br />
due to SCI. If there is indeed a fracture, plaster casts can<br />
be a problem due to risk of underlying pressure areas. It is<br />
necessary to have the plaster cast changed to a bi-valve cast<br />
so the skin can be checked underneath at least once a day.<br />
Bone density testing is widely recommended for<br />
post-menopausal women, people who have a history of<br />
fractures, or if a patient is considering standing practice<br />
after a considerable time in a chair. (MASCIP, 2010).<br />
Shoulder Injury and Pain<br />
Shoulder injuries, due to over use, are also common<br />
following spinal cord injury. Transfers, mobility, and<br />
self-care all rely on some upper limb strength. As<br />
someone ages, their muscle strength will naturally<br />
decline. This can lead to trouble with transfers and using<br />
a self-propelled wheelchair. Pain and trauma are<br />
sometimes unavoidable, but these can have a devastating<br />
impact on the independence of an individual. If this leads<br />
to a reduced level of independence, there may be more<br />
expectation for the spouse of the family member to assist<br />
with transfers, causing more pressure on their bodies and<br />
possible injury, impacting on carer burden.<br />
Diet<br />
Weight loss or weight gain throughout life can impact on<br />
our group of patients. Weight loss can be an obvious sign of<br />
poor nutrition, perhaps depressive or pain-related in<br />
presentation, and can lead to a whole range of other<br />
concerns which need to be investigated. Weight gain is<br />
common, due to inactivity, loss of trunk muscle and less<br />
energy expenditure. Both can present challenges with<br />
wheelchair sizes, positioning, transfers and risk of pressure<br />
injuries. Advice could be sought from a dietician for<br />
guidance on living and eating well with an SCI, if<br />
prominent weight loss or weight gain is becoming an issue.<br />
Fatigue<br />
Fatigue impacts on someone with a SCI significantly, and<br />
can accelerate the longer they are post- injury. This has a<br />
huge impact on their ability to be independent,<br />
physically, emotionally and financially. A person with a<br />
relatively high level of spinal cord injury may have been<br />
reasonably independent throughout their life but, as they<br />
age, they may not recover from illnesses quite as quickly,<br />
and require some carer input at home.<br />
Respiratory Function<br />
Individuals with higher levels of spinal cord injury are at<br />
a higher risk of chest infections and pneumonias. This is<br />
due to the inability to take in deep breaths and reduced<br />
quality of cough due to diaphragmatic involvement at<br />
level of injury.<br />
There is also a high incidence of sleep apnoea with<br />
tetraplegics, who may require a sleep study to be carried<br />
out and are highly likely to require CPAP overnight for<br />
this. Untreated sleep apnoea can lead to cognitive<br />
changes, fatigue etc. Yearly flu vaccinations are not<br />
compulsory but are certainly recommended, especially<br />
for people with high thoracic injuries and cervical injuries<br />
with neurological deficit. (Singhal, <strong>2020</strong>).<br />
Well-being<br />
It is recommended that someone with SCI continues with<br />
health checks appropriate to their age, mammograms,<br />
smear checks, prostate checks, cholesterol, blood sugar etc.<br />
References:<br />
Anthony, A. (2002). Ageing and Spinal Injury. Spinal<br />
Network News. Volume 5, No 2.<br />
MASCIP (2010) – Management of the older person with a<br />
new spinal cord injury: Good Practice guidance. Accessed<br />
February <strong>2020</strong>.<br />
Singhal, R, Anthony, A, Xiong, X and Acland, R. (2016).<br />
Ageing in Spinal Cord Injury. New Zealand Medical<br />
Journal Jul 15; 129(1438):8-11.<br />
Singhal, R (<strong>2020</strong>). Verbal communication regarding Flu<br />
vaccination.
NEW ZEALAND SPINAL TRUST 34<br />
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SPINAL NETWORK NEWS 35<br />
Thank you to our<br />
Funders & Sponsors<br />
The New Zealand Spinal Trust appreciates the generous support of the following<br />
funders. Without their kind support, the Trust would not be able to deliver the<br />
variety of services to assist clients to live independent lives right now.<br />
Permobil is a global leader with over 50 years experience<br />
in providing advanced medical technology and<br />
state-of-the-art healthcare solutions. Today, those<br />
solutions include the sale and rental of power wheel<br />
chairs, manual wheelchairs, power assist and seating &<br />
positioning products.<br />
Healthvision NZ<br />
Rehabilitation Welfare Trust<br />
The Elizabeth Ball<br />
Charitable Trust<br />
FreshChoice Parklands<br />
Air Rescue Services Ltd<br />
NZ Rugby Foundation<br />
Are you a subscriber?<br />
It’s easy to subscribe to the NZST and it only costs $30 a year.<br />
Your subscription helps with the printing of the Spinal<br />
Network News magazine and helps us support the positive<br />
futures of people with spinal cord impairment.<br />
Go to our website home<br />
page and click the yellow<br />
Subscription Button<br />
www.nzspinaltrust.org.nz/shop
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