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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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to my Satellite Accelerator”<br />

NEW ZEALAND SPINAL TRUST 16<br />

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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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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 />

whatever you touch<br />

won’t touch VaPro catheters.<br />

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 />

Limited to 1 per customer. Subject to stock availability.<br />

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 />

Independence is a basic human right and for over 50 years<br />

Permobil has held fast to that belief. We are passionate<br />

about better understanding our users’ needs and<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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