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<strong>April</strong> <strong>2022</strong><br />
Volume 25 / <strong>Issue</strong> 1<br />
Te Tarahiti Manaaki Tuanui<br />
<strong>SNN</strong>Spinal Network News<br />
AARON EWEN REFLECTS<br />
ON HIS REMARKABLE<br />
RECOVERY<br />
MEET OUR OWN PARA<br />
CHAMPION RACHAEL<br />
HENDERSON<br />
BOB SYMON ON<br />
MANAGING PRESSURE<br />
INJURIES<br />
The Power<br />
of the Mind<br />
NZ Paralympian Gareth Lynch<br />
on the magic of meditation
NEW ZEALAND SPINAL TRUST 2<br />
Contents<br />
Getting out of Your Comfort Zone<br />
3 21<br />
Editorial<br />
5<br />
6<br />
9<br />
12<br />
14<br />
18<br />
Supporting Positive Futu<strong>res</strong><br />
Hans Wouters—CEO NZ Spinal Trust<br />
Taking off the P<strong>res</strong>sure<br />
Bob Symon<br />
Finding Hope after Tragedy<br />
Aaron Ewen’s comeback story<br />
What Can I Do?<br />
Kevin, Ann and the 188 Christmas cakes<br />
How Meditation can help with Managing Pain<br />
Gareth Lynch<br />
Doing the Impossible<br />
Tetraplegic Andrew Leslie runs 5km<br />
25<br />
28<br />
30<br />
33<br />
34<br />
35<br />
Meet our Team<br />
Rachael Henderson relives her Paralympics glory<br />
Riding in the Rain<br />
Fundraiser brings in more than $23k<br />
Resource Centre<br />
New Additions<br />
Working Well Together<br />
Dr Johnny Bourke on the caregiver—patient relationship<br />
Hamish Ramsden<br />
Column on Accessible Accommodation<br />
The Things I Wish I had Known at the Start<br />
Hamish Ramsden<br />
Funders and Sponsors<br />
EDITORIAL TEAM<br />
Peter Thornton (Editor)<br />
CONTRIBUTING WRITERS<br />
Peter Thornton<br />
Dr Bernadette Cassidy<br />
Hamish Ramsden<br />
Su Marshall<br />
Hans Wouters<br />
Dr Johnny Bourke<br />
Bernadette Cassidy<br />
Hans Wouters<br />
THANKS TO THE FOLLOWING<br />
FOR IMAGES IN THIS MAGAZINE<br />
Getty Images /<br />
Paralympics NZ<br />
Bob Symon<br />
The Goat<br />
Gareth Lynch<br />
ACC<br />
Johnny Bourke<br />
Shane Wenzlick / Phototek<br />
Su Marshall<br />
Graeme Brown<br />
Su Marshall<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: Bernadette Cassidy<br />
and Su Marshall.<br />
Cover Photo: Gareth Lynch<br />
rep<strong>res</strong>enting New Zealand at the<br />
Tokyo Paralympics. Credit Getty<br />
Images / Paralympics NZ<br />
Disclaimer: The views exp<strong>res</strong>sed<br />
in SPINAL NETWORK NEWS are<br />
those of its contributors. They do not<br />
necessarily rep<strong>res</strong>ent the opinion<br />
of the members of the Editorial<br />
Committee or the policies of the New<br />
Zealand Spinal Trust.
SPINAL NETWORK NEWS 3<br />
Getting Out of Your<br />
Comfort Zone<br />
Peter Thornton<br />
Editorial<br />
DOING IT TOUGH: The waterfall climb during The Goat is notoriously challenging. Credit: The Goat.<br />
I am in a place called the Hurt Locker. I’m<br />
somewhere deep in the Tongariro National<br />
Park climbing a rocky mountain and I’m in a<br />
bad way. Both of my hammies are cramping.<br />
I’m having dizzy spells. My water has all but<br />
run out and I am running on empty.<br />
I am half-way up a steep rocky traverse and I am not sure I<br />
am going to make it. About 20 met<strong>res</strong> to the left of me a<br />
friendly South African woman recognises my plight. She<br />
shouts across the mountain: “Just take it five steps at a<br />
time.” I s<strong>low</strong> everything down. I fol<strong>low</strong>ed my comrade’s<br />
advice and eventually I got to the top of the mountain.<br />
My gosh. I’ve never done anything so hard in all my life.<br />
As I look into the distance I can see my fel<strong>low</strong> runners<br />
way, way in the distance at the top of a mountain much<br />
higher than the one I have just conquered. My body is<br />
totally broken and then there is another climb to<br />
overcome. And then another one. It’s relentless.<br />
Welcome to The Goat. The hardest trail run in the<br />
country of 20km from the Whakapapa Ski field to Turoa.<br />
There is 1000m of vertical ascent. It is a battle in every<br />
sense of the word.<br />
I know by now that my preparation was nowhere near<br />
good enough for this challenge and I am starting to<br />
wonder if I “have GOAT what it takes”.<br />
—Peter Thornton<br />
I could feel my heart beating<br />
in my chest. I was scared<br />
and it was a great feeling.<br />
I have no-one to blame but myself. I was having a random<br />
Friday afternoon chat with an old mate Chris Baker on<br />
Facebook when the ad for The Goat popped up. Foolishly,<br />
I said “I’ve always wanted to do that run”. Chris, who ran<br />
the very first Goat 18 years ago, came back five minutes<br />
later with “I’ve just signed up, I’ll see you there”.<br />
We all need someone like my mate Chris in our lives.<br />
Someone who just signs up and does it and takes you<br />
along for the ride.<br />
I remember standing in the queue for the toilets at the<br />
start line of The Goat and I was genuinely nervous. I could<br />
feel my heart beating in my chest. I was scared and it was<br />
a great feeling.<br />
How often these days do we take on things that will really<br />
challenge us? There’s the old famous saying of “Do<br />
something every day that sca<strong>res</strong> you”. It’s a great mantra<br />
to fol<strong>low</strong>.
NEW ZEALAND SPINAL TRUST 4<br />
Living in your comfort zone is all about doing what is safe<br />
and easy: you know what the outcome is going to be. But<br />
outside of our comfort zone is where we learn, grow and<br />
where we really live.<br />
Aaron Ewen, who last month made his debut in Para<br />
alpine skiing at the Winter Paralympics, had a mate like<br />
Chris Baker. Only six months after he sustained a spinal<br />
cord impairment, Aaron’s good friend Cole called him<br />
and said they were going to Mt Ruapehu for a weekend of<br />
skiing, and he was coming with them.<br />
Aaron talks about that trip being an eye opener and<br />
somewhat of a disaster, but it was the start of something.<br />
Without that moment, he might not have rep<strong>res</strong>ented<br />
New Zealand on the world stage.<br />
More often than not, that moment of accomplishment can<br />
spur you on to achieve many other things.<br />
I had a good mate who struggled with dep<strong>res</strong>sion and<br />
anxiety for a long time. He was a very capable guy, but he<br />
was having trouble overcoming his anxiety.<br />
One year, out of the blue, he signed up for the Auckland<br />
Marathon and he started running. He was unemployed at<br />
the time and the marathon gave him a goal to work<br />
towards and something to look forward to. He achieved<br />
the marathon and it proved to be a turning point. In all<br />
aspects of his life, he has never looked back.<br />
One person who never wants to live in the comfort zone is<br />
Andrew Leslie. He is just not wired that way. Andrew<br />
sustained a spinal cord impairment in a mountain biking<br />
accident two years ago. His family was told that he would<br />
be in a wheelchair for the <strong>res</strong>t of his life. It was a reality he<br />
never accepted.<br />
On 18 March, Andrew attempted and completed running<br />
5km around a park in Karori. What a special moment it was.<br />
Talking to Andrew has inspired us to create some new<br />
content in <strong>2022</strong> which captu<strong>res</strong> this story for people living<br />
with spinal cord impairment. It is about encouraging<br />
people to just try, give it a go.<br />
It is all about breaking down the barriers of what people<br />
have been told is possible by their own determination,<br />
work ethic and curiosity. Watch this space.<br />
Of course, it’s much easier to say than do. And if you are<br />
reading this in one of our Spinal Units then you are<br />
thinking that’s all good and well for them, I am miles<br />
away from that.<br />
—Peter Thornton<br />
More often than not, that<br />
moment of accomplishment<br />
can spur you on to achieve<br />
many other things.<br />
THE FINISH LINE: It was an amazing sense of accomplishment.<br />
Credit: The Goat.<br />
That may be the case. But fol<strong>low</strong> Hamish Ramsden’s<br />
advice. Hamish (our columnist), has 30 years of lived<br />
experience with an SCI. He has written a piece called<br />
“The things I know now that I wished I knew then”. It<br />
provides invaluable advice for people straight after their<br />
spinal cord impairment. Hamish says “you will get<br />
through this” and “don’t look back, concentrate on today<br />
and look to tomorrow.”<br />
It doesn’t have to be rep<strong>res</strong>enting New Zealand at the<br />
Paralympics or learning how to run again. It could be<br />
something like getting back into work fol<strong>low</strong>ing your<br />
injury or illness, re-connecting with an old family<br />
member or taking up a new hobby.<br />
I’m coming up the final section of The Goat – a stretch<br />
they call “Mama’s Mile” (in that you are so broken you just<br />
want to call your Mama). The clock ticks over five hours as<br />
I make my final steps over the finish line. I am sore. But<br />
man, the feeling of accomplishment is unbelievable.<br />
I will be back to take on this bastard of a run again and<br />
post a more <strong>res</strong>pectable time.<br />
But for now, I am happy. I signed up for one of the<br />
toughest events in the country. I was pushed to my limit,<br />
and I <strong>res</strong>ponded. I know it will be the start of something<br />
in <strong>2022</strong>. I’ll use it as a reminder to seek out opportunities<br />
to push out of my comfort zone.
SPINAL NETWORK NEWS 5<br />
Supporting<br />
Positive Futu<strong>res</strong><br />
Hans Wouters<br />
CEO’s Column<br />
Joy and laughter are<br />
superpowers that drive<br />
wellbeing.<br />
—Hans Wouters<br />
tears, anguish and soul searching there is so often joy,<br />
laughter and some of the most funny and meaningful<br />
moments that are remembered for life.<br />
When enduring serious illness or injury, tragedy and<br />
hardship, moments of joy and laughter are <strong>res</strong>torative and<br />
are well worth seeking out and embracing. One of the<br />
great guitar players of the world Carlos Santana says, "If<br />
you carry joy in your heart, you can heal any moment."<br />
Hans sharing some cake with our awesome volunteers.<br />
"Get back to work! I don't pay you nothing<br />
to do nothing"<br />
I am often heard saying this to our wonderful volunteers<br />
with a cheeky grin on my face. It reminds me of our<br />
founder paraplegic Professor Alan Clarke stating he had a<br />
rugby injury because he was adjusting his TV aerial to<br />
watch an All Blacks game when he fell from his roof and<br />
broke his back. Although I never met him, I imagine he<br />
had a smile on his face when he told people this too.<br />
Fun is one of my top five values and I think having a sense<br />
of humour, joy and laughter are super powers that drive<br />
wellbeing. When new people I meet find out where I work,<br />
they often get a serious, solemn look on their face, <strong>low</strong>er<br />
their voice a bit and say things like "Oh, that must be a<br />
really tough job" or "that must be a really sad place to<br />
work". On the other hand, I regularly hear from people<br />
who have actually experienced the spinal unit say that<br />
they can't believe how much joy and levity is easily found<br />
there - it is surprising to them!<br />
The thing is, sadness and joy are not mutually exclusive,<br />
they can and often do dwell together and that is ok. The<br />
grief a new patient and their whānau can experience is<br />
well documented and all too often the sense of loss is very<br />
powerful. The fascinating thing is that amidst many<br />
This of course has nothing to do with guitars, but it is a<br />
great truth. Joy is a very useful tool for your life and if it is<br />
not in your toolbox already, I encourage you to find it - it<br />
will serve you well.<br />
I wrote this to our team towards the end of last year.<br />
Kia ora team, I really need to eliminate one word from<br />
my vocab and need your help please. The word is "Wheelie".<br />
I have been very mindful of our ‘Walking SCIs’ especially<br />
since we brought the story of five of them to you in our<br />
annual campaign last year. For a long time, I have used one<br />
catchall term for all people with an SCI – “Wheelie”. Sure, it<br />
is easy, friendly and sounds fun, a term of endearment<br />
really, however it does not in fact cover everyone.<br />
The walkers aren’t wheelies….Andrew Hall says they are<br />
“nearly wheelies” and I have heard some agree with that.<br />
But I wonder how they feel when they hear me using the<br />
term ‘wheelie’ for the spinal community of New Zealand?<br />
Not the best I should imagine. I am not showing empathy<br />
towards them when I use the word and in fact in some ways,<br />
I am confirming the isolation they sometimes feel from the<br />
spinal community at large. Therefore, I wish to remove this<br />
from my conversation and really do want you to call me on<br />
it if you hear me use the word please. I do not have a<br />
satisfactory ‘one word’ replacement yet and may not find<br />
one either – open to suggestions of course.<br />
So <strong>SNN</strong> reader, if you have a suitable replacement do let<br />
me know. If it is a 'wheelie good one' it may get used from<br />
time to time. Arggh! There goes my sense of humour<br />
again.
NEW ZEALAND SPINAL TRUST 6<br />
Under P<strong>res</strong>sure<br />
Q and A with Bob Symon on Managing P<strong>res</strong>sure Injuries<br />
never recover back to the point to where you were prior to<br />
having that injury. That escapes some people. That’s why<br />
it’s so important to prevent the p<strong>res</strong>sure injury happening<br />
in the first place. Prevention and early treatment are so<br />
important. Prevention can be making sure you have<br />
appropriate equipment for your injury level and lifestyle<br />
and your body is correctly positioned. Points to fol<strong>low</strong><br />
that decrease the risk of these injuries occurring.<br />
What is very important in my skin care routine and skin<br />
care management, is the collaboration with whānau and<br />
carers – discussing skin health morning and night, daily.<br />
What sort of situations may cause a p<strong>res</strong>sure injury?<br />
Bob Symon and his wife Janet. Credit: Bob Symon.<br />
Bob Symon has almost 40 years’ experience<br />
in a wheelchair so when he offers advice,<br />
it pays to listen. In 2021 the New Zealand<br />
Spinal Trust board member was invited by<br />
ACC to be a member of an expert panel on<br />
p<strong>res</strong>sure injuries. Bob was happy to pass on<br />
his lived experience. The end <strong>res</strong>ult was the<br />
‘P<strong>res</strong>sure injury in spinal cord injury: consensus<br />
statement’. It’s a comprehensive document.<br />
It recognised that a consistent approach to p<strong>res</strong>sure<br />
injuries in people with SCI across Aotearoa was needed. It<br />
also outlined the unique characteristics of our<br />
community creates specific risks around p<strong>res</strong>sure<br />
injuries. We caught up with Bob, a C5/6 complete<br />
tetraplegic, to talk about p<strong>res</strong>sure injuries and how<br />
important prevention is.<br />
Bob, with your lived experience of SCI, can you give us<br />
some insight into p<strong>res</strong>sure injuries and how best to<br />
manage them?<br />
A p<strong>res</strong>sure injury occurs because of impeded blood-f<strong>low</strong><br />
in the body. That is a <strong>res</strong>ult of something applying<br />
p<strong>res</strong>sure on that part of the body or the injury itself. What<br />
happens as that p<strong>res</strong>sure is prolonged, the blood-f<strong>low</strong> and<br />
the damage to the area increases.<br />
One of the important things that has to be realised with<br />
p<strong>res</strong>sure injuries is once you get a p<strong>res</strong>sure injury you<br />
Over the 35 years that I’ve been in a wheelchair, even with<br />
continuous careful skin monitoring, I have experienced<br />
multiple p<strong>res</strong>sure injuries. Those have ranged from hours<br />
to weeks for recovery. Examples of causes experienced<br />
have been tight shoes, sitting on an aeroplane’s seatbelt,<br />
matt<strong>res</strong>s malfunctions, hospitalisation in non-spinal<br />
ward with inadequate turning, knees jammed under a<br />
table, and my body – scoliosis causing p<strong>res</strong>sure points on<br />
parts of my wheelchair.<br />
A p<strong>res</strong>sure injury can occur through something simple<br />
like being transferred onto a seat of a boat that is really<br />
hard. Hopping onto an aeroplane and doing up the<br />
seatbelt across your lap, no one was in the neighbouring<br />
seat and oblivious, I sat on that seatbelt, that was an<br />
example of how easily they can happen. You need to be<br />
cognisant of what position your body is in at all times,<br />
aware of environment at all times. You need to know what<br />
body part might be at risk. Constantly checking.<br />
I recommend reading the ‘Consensus Statement’<br />
document (Link on Pg 7) that was published in November<br />
2021. I contributed to the discussion and the prevention<br />
approach, a collaboration between practical user<br />
experience, clinicians’ expertise, and common sense from<br />
different perspectives. I thoroughly enjoyed being part of<br />
the expert panel. The final document covers off the<br />
recommended approach to p<strong>res</strong>sure injuries for people<br />
living with an SCI. It was coordinated and funded by ACC<br />
which was great to see.<br />
—Bob Symon<br />
Once you get a p<strong>res</strong>sure injury<br />
you never recover back to the<br />
point to where you were prior<br />
to having that injury.
SPINAL NETWORK NEWS 7<br />
Prevention is your first<br />
and most powerful tool.<br />
What is the impact of a p<strong>res</strong>sure injury?<br />
—Bob Symon<br />
P<strong>res</strong>sure injuries can have a significant impact on a<br />
person’s health and wellbeing. And that has a f<strong>low</strong>-on<br />
effect. When I go onto bed<strong>res</strong>t, my care plan must change,<br />
support increases. My role within the family changes<br />
from an enabler (Dad the taxi) to a dependent. My mental<br />
health deteriorates. The number of people required to be<br />
involved, organisation of appointments, the financial cost<br />
to my family, and the health tax dollar spend must<br />
increase. Any p<strong>res</strong>sure area is a life changing event.<br />
that basic knowledge can give you a big head start. That<br />
also means keeping on top of the best practice, an area of<br />
SCI that people don’t know a lot about.<br />
I’m looking forward to the next iteration of the consensus<br />
statement with ACC and the opportunity to contribute in<br />
the expert panel once again. It is providing very helpful<br />
and much-needed information in an accessible format for<br />
any person living with the effects of spinal cord<br />
impairment.<br />
Recommended<br />
approach<br />
to p<strong>res</strong>sure<br />
injuries in SCI<br />
If people sustain a p<strong>res</strong>sure injury for the first time,<br />
what advice would you give them?<br />
You know your body best, however don’t try and manage it<br />
by yourself. If you’re not experienced in p<strong>res</strong>sure injuries,<br />
then don’t try to lead your own recovery because your pool<br />
of information can be dated or wrong. It will put you in a<br />
position where you make if not wrong decisions, not the<br />
best decisions and then you will suffer from the p<strong>res</strong>sure<br />
injury for a longer time. Trust the people that deal with<br />
p<strong>res</strong>sure injuries, day-in, day-out. Seek out their advice.<br />
The first thing I would recommend is to be aware of what<br />
you can do to prevent a p<strong>res</strong>sure injury happening in the<br />
first place. I have been very cautious my entire life but I<br />
have still had three serious p<strong>res</strong>sure injuries. All of them<br />
have been situations where they are unavoidable. Things<br />
have happened that I just didn’t know about.<br />
Prevention is your first and most powerful tool. The<br />
second one is if you notice that you have a p<strong>res</strong>sure area<br />
in a routine check you must identify the cause otherwise<br />
you will put yourself in the position where you are<br />
aggravating that injury. You need to know why it is there.<br />
Seek immediate advice on best treatment practice for the<br />
p<strong>res</strong>sure area. The third thing that you need to do is to get<br />
someone to advise you on the best ways to avoid that<br />
injury going forward. It might be from an occupational<br />
therapist, physiotherapist, or your GP. I would fol<strong>low</strong> their<br />
advice closely and I would continue to get it checked until<br />
it is fully healed.<br />
How else can people prevent p<strong>res</strong>sure injuries?<br />
Read the P<strong>res</strong>sure injury<br />
in spinal cord injury:<br />
consensus statement<br />
www.acc.co.nz/assets/<br />
acc8305-pi-sci-consensusstatement.pdf<br />
Having that knowledge before they occur is important.<br />
You need to understand the impact they can have on your<br />
life. It not only impacts on you, but it can have a profound<br />
impact on your whole family. Having that knowledge<br />
about what they rep<strong>res</strong>ent and knowing your own being is<br />
crucial. Just things like basic severity of p<strong>res</strong>sure injury,<br />
and skin return. So, when you engage with your doctor,<br />
you can engage with them from a point of view that isn’t ‘I<br />
don’t know what that mark means’, you can actually say<br />
how the skin returned within two seconds of p<strong>res</strong>sing it,<br />
and whether that is normal or not normal. Just having
NEW ZEALAND SPINAL TRUST 8<br />
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SPINAL NETWORK NEWS 9<br />
From Tragedy to<br />
Rep<strong>res</strong>enting NZ<br />
on the World Stage<br />
The remarkable comeback of NZ Winter Paralympian Aaron Ewen<br />
THE NEED FOR SPEED: Aaron Ewen is fearless in Para Alpine skiing. Credit: Getty Images / Paralympics NZ<br />
Aaron Ewen is sitting in the snow at the top<br />
of Mt Ruapehu and the feeling is hard to put<br />
into words.<br />
Only six months after suffering a life-changing<br />
injury – and hearing those unforgettable words ‘You’ll<br />
never walk again’ – it’s an emotional experience to be in<br />
this environment.<br />
For the first time since his injury, he feels free.<br />
“When I first turned up to the mountain it was unreal,”<br />
says the happy-go-lucky 25-year-old.<br />
“The f<strong>res</strong>h air, looking at the view, all of that, it was such a<br />
great experience for me.<br />
“But man I sucked. My mate spent the whole time picking<br />
me up off the ground. Cheers to Cole. It probably wasn’t<br />
the best day for him.”<br />
He left the mountain feeling sore and deflated.<br />
But that day ignited Aaron’s love for sit-skiing and there<br />
was much more to come.<br />
“I made a silly mistake”<br />
As a teenager Aaron was a promising mountain-biker.<br />
In February 2013, shortly after his 16th birthday, he<br />
suffered a huge crash at one of the national rounds,<br />
sustaining a spinal cord injury which left him without<br />
movement in his legs.
NEW ZEALAND SPINAL TRUST 10<br />
He was at a race in the Hunua Ranges in Auckland. He<br />
was tired and he had a preventable crash.<br />
“It was towards the end of the practice day and I made a<br />
silly mistake,” he says. “I ended up wrapping myself<br />
around a tree.”<br />
Aaron was lying prone on the trails. He was scared and in<br />
shock. He knew that he’d suffered a major injury and he<br />
couldn’t move.<br />
He was taken by ambulance to Middlemore Hospital<br />
where he spent six days before being transferred to the<br />
Auckland Spinal Rehabilitation Unit in Otara for a five<br />
week stay.<br />
“They helped me with physio and adapting to life in a<br />
wheelchair which was mean, but I was still pretty<br />
determined that I was going to walk again.”<br />
“A turning point in my rehab”<br />
The first thing Aaron noticed when he arrived at the<br />
Auckland Spinal Rehabilitation Unit was that he was the<br />
youngest person in the Unit by some distance.<br />
He felt fortunate that he was only in hospital for such a<br />
short time as it meant he could start physiotherapy and<br />
try to make some gains.<br />
“Most people lose everything and have to start from<br />
scratch,” he says.<br />
“I was quite lucky with the whole rehab situation because<br />
I hadn’t lost too much muscle and body weight. Usually,<br />
you spend more time in hospital and you waste away.<br />
That made the physio a lot easier and I didn’t have to<br />
rebuild the muscle.”<br />
—Aaron Ewen<br />
I needed to stop being in<br />
denial. About five weeks in I<br />
was still like ‘I am definitely<br />
going to walk again’.<br />
His physical development wasn’t the only rehabilitation<br />
going on. He was also taking on the mental battle.<br />
For a young man who had been fit and active his whole<br />
life, it was hard to accept he’d be in a wheelchair<br />
going forward.<br />
“I needed to stop being in denial that it was going to get<br />
better. About five weeks in I was still like ‘I am definitely<br />
going to walk again’,” he says.<br />
“It’s a weird one. Most injuries you can see an end point<br />
but this one there is no end point”.<br />
“Half a year went by and my old man told me you have got<br />
to accept that it is what it is and move on, otherwise you<br />
are going to be stuck in the same place. That was a<br />
turning point I guess.”<br />
Aaron encourages anyone going through rehabilitation<br />
from a major injury to take their time.<br />
Aaron’s life was turned upside down when he sustained an SCI in a mountain-bike crash. Credit: Getty Images / Paralympics NZ
SPINAL NETWORK NEWS 11<br />
Belinda Ewen could not be more proud of her son. Credit: Getty Images / Paralympics NZ<br />
“I still have the record of the fastest out [of the Spinal<br />
Unit] which is sick, that’s my claim to fame,” he says with<br />
a laugh.<br />
“But I definitely struggled when I left and got back home. I<br />
needed more time.”<br />
ACC has played a leading role in Aaron’s rehabilitation.<br />
Finding a new passion<br />
One day, Aaron got a call from Cole, a mate he knew from<br />
mountain-biking. He said ‘we’re going skiing at Turoa<br />
this weekend and you’re coming too’.<br />
Aaron had a ski lesson and his new passion was born.<br />
“Thanks heaps to that family who did that for me,” Aaron<br />
says.<br />
It was important that he wasn’t treated any differently<br />
fol<strong>low</strong>ing his injury. His good friends still took him<br />
everywhere and didn’t bubble wrap him. His parents were<br />
the same.<br />
“That helped heaps. I was treated just like everybody<br />
else.”<br />
Sport has always been a big part of Aaron’s life. He needed<br />
to fill that void.<br />
He stayed positive by keeping active and hanging out<br />
with mates.<br />
“I wasn’t positive all of the time,” he laughs. “The longer<br />
the rehab went on, the better it got. Finding sports and<br />
hanging out with mates proved to be huge for me.”<br />
He moved to Wanaka for the 2015 ski season, he spent a<br />
few months at the Cardrona Alpine Resort mastering the<br />
sit-ski.<br />
Flying the Kiwi flag<br />
—Aaron Ewen<br />
Finding sports and hanging<br />
out with mates proved to be<br />
huge for me.<br />
Fast forward to <strong>2022</strong> and Aaron competed at the Beijing<br />
<strong>2022</strong> Paralympic Winter Games.<br />
It was a hugely proud moment to be named alongside<br />
Paralympians Adam Hall and Corey Peters.<br />
“I was stoked to be named in the New Zealand team and<br />
rep<strong>res</strong>ent the Kiwis overseas,” he says.<br />
He finished with an 11th place in the Men's Downhill<br />
Sitting and ninth place in the Men's Slalom Sitting and<br />
Men's Super-G Sitting. A great effort.<br />
Aaron loves everything about the sport. “Skiing is a fully<br />
independent sport where you can drive up the mountain<br />
by yourself and then drive home which is what I love – it’s<br />
full freedom.”<br />
Aaron, who hails from the small Waikato town of Tuakau,<br />
spends most of his year working as a bike mechanic.
NEW ZEALAND SPINAL TRUST 12<br />
What Can I Do?<br />
Our new column which highlights ways people can help<br />
What Anne Did<br />
For sale: delicious, rich christmas cakes just $40, with<br />
all profits going to the New Zealand Spinal Trust, a<br />
charity close to my heart.<br />
This story starts in 2019 when Anne P<strong>res</strong>cott’s partner of<br />
25 years had a motorcycle accident which <strong>res</strong>ulted in<br />
paraplegia. Kevin spent three months at the Burwood<br />
Spinal Unit for recovery and rehabilitation. And Anne<br />
was there for most of it – supporting Kevin’s efforts and<br />
working out her own new future … everyone’s affected by<br />
a spinal cord impairment.<br />
GIVING BACK – Anne’s contribution to the NZST from selling<br />
her cakes is well received. Credit: Su Marshall.<br />
We get asked this a lot. Sometimes it’s more<br />
of an existential question, but often the<br />
person genuinely wants to find something<br />
concrete they can do to help, to feel useful, to<br />
make a positive difference … and so, here’s<br />
our new regular column highlighting<br />
different ways folks have found to ‘do<br />
something’.<br />
“It was a struggle. Coming to terms with it. It’s certainly<br />
been tough telling other people – friends and that … some<br />
people probably still don’t realise the impact it has!<br />
But I do know that the NZST team were really supportive<br />
– even when I wasn’t ready to talk about it, they made<br />
sure there was someone there. And Kevin found them<br />
really helpful - just chatting about things like chair<br />
maintenance, work options, parking permits, housing<br />
modifications, managing pain – the sorts of things that<br />
become part of life when you’re in a wheelchair. But also<br />
about cars and dogs and home renos over a coffee.<br />
—Su Marshall<br />
At home in her commercial<br />
kitchen Anne went to work in<br />
the lead up to Christmas 2020.<br />
THE FINAL PRODUCT – Anne’s cakes were a big hit at Christmas time.<br />
Credit: Su Marshall.
SPINAL NETWORK NEWS 13<br />
When we got home, I wanted to do something to give<br />
back. And since baking is my ‘thing’ I thought – ‘Why not<br />
sell Christmas cakes?’”<br />
And sell them she did.<br />
At home in her commercial kitchen Anne went to work in<br />
the lead up to Christmas 2020. Cakes were sold to family<br />
and friends, and through the NZST <strong>web</strong>site. A very<br />
healthy $1,000 was donated.<br />
But Anne decided she could do more. So in 2021 she went<br />
out and found sponsors for butter, eggs, flour, dried fruit<br />
… all the ingredients necessary for a delicious Christmas<br />
cake. She wheeled and dealed – anything she couldn’t get<br />
outright donated, she got a discount on! Even the postage<br />
and packaging costs were discounted.<br />
And then she marketed her cakes on the NZST <strong>web</strong>site, to<br />
family and friends, and to businesses to give as corporate<br />
Christmas gifts – over 80 cakes (!) were bought to give<br />
away with Dispute Solutions, Peak Portfolio and Stephen<br />
Hill Motors quick to get on board. When Permobil NZ got<br />
in behind the idea, Anne wondered if she’d bitten off<br />
more than she could chew … “I’d better get cracking in<br />
the kitchen!”<br />
In early December, when Kevin came down to Burwood<br />
Spinal Unit for a check up, Anne came with him and<br />
brought a “p<strong>res</strong>entation cheque” with her. The NZST<br />
team gathered for morning tea (a cuppa and a piece of<br />
cake, of course) and the big reveal … it was still a secret to<br />
us just how much Anne had raised. She told us all she’d<br />
baked over 180 cakes! A huge whoop went up when Anne<br />
turned her ‘cheque’ around to show a final donation<br />
amount of $5,700! Wow!<br />
Anne believes she’ll be ready to bake again at the end of this<br />
year… once she’s had a break. Her cakes are decidedly yum<br />
… our team will all be getting their orders in early.<br />
PS Anne also makes delicious p<strong>res</strong>erves, jams,<br />
muesli and sauces - check out her range here:<br />
www.bottlingshed.co.nz
NEW ZEALAND SPINAL TRUST 14<br />
Meditating my way<br />
Through Pain<br />
NZ Paralympian Gareth Lynch explains how meditation has helped him<br />
ON THE WORLD STAGE – Gareth Lynch with the Wheel Blacks at the<br />
Korean Zonals. Credit: Gareth Lynch<br />
The <strong>SNN</strong> recently met with Gareth to learn<br />
more about his lived experience with spinal<br />
cord impairment (SCI) and his time at the<br />
2020 Paralympics in Tokyo.<br />
In 2016, Gareth sustained a C5-C6 injury while at<br />
university when he jumped off a roof and into a<br />
swimming pool.<br />
Since his injury, Gareth has significant pain issues caused<br />
by a number of factors including his body overheating.<br />
You would think a fast aerobic sport like Wheelchair<br />
Rugby would be out of his reach – especially at<br />
Paralympic level. But as you will find from this article, it<br />
hasn’t held him back.<br />
How does he do it?<br />
Congrats on becoming Paralympian #219. How would<br />
you describe your Tokyo Paralympics experience?<br />
Attending the Tokyo Paralympics was an inte<strong>res</strong>ting<br />
experience, it was unfortunate that Covid made it such a<br />
<strong>res</strong>trictive process. We were entirely confined to the<br />
village unless we were training or competing. We had<br />
very limited interaction with other countries or athletes,<br />
which would have been a highlight. Being able to<br />
experience it all with the team was great, and it was mind<br />
b<strong>low</strong>ing to see the different athletes, a real eye opener.<br />
How long has it been since your injury?<br />
—Gareth Lynch<br />
My SCI journey has been five<br />
years of really thinking deeply<br />
when I’m having issues.<br />
About five and a half years. After my accident I returned to<br />
the University of Canterbury to complete the remaining<br />
two years of my engineering degree. After finishing my<br />
degree, I applied for a number of jobs in Auckland and<br />
received a few inte<strong>res</strong>ting <strong>res</strong>ponses. For example, one
SPINAL NETWORK NEWS 15<br />
company were inte<strong>res</strong>ted in my application, but their office<br />
wasn’t accessible. However, Riley Consultants in Auckland<br />
offered me a position as a Water Resources Engineer. I’ve<br />
been with them for three years. The work I do involves<br />
dams of all types, stormwater infrastructure design and<br />
flood assessments. I work full time and have adjusted<br />
reasonably well. But I find sitting in my chair in the same<br />
position can be tiring and increases my pain levels.<br />
Clearly pain has been a factor since becoming a C5-C6<br />
tetraplegic. How would you describe the impact?<br />
I have an ASIA B classification score and the sensation in<br />
my body has been significantly altered since my injury. I<br />
often feel intense neuropathic pain, burning sensations,<br />
tight muscles in my legs and <strong>low</strong>er back. The pain<br />
fluctuates in intensity with <strong>res</strong>pect to medication levels,<br />
my physical activity, my internal body temperature and<br />
state of mind. These factors all play a part in how I<br />
experience this specific type of pain.<br />
I also get intense bladder spasms which can be extremely<br />
painful and trigger autonomic dysreflexia (AD). The<br />
spasms can last from 15 seconds to a minute and occur at<br />
random times. This usually happens when my body<br />
temperature rises, if I go over a big bump in my<br />
wheelchair or lift something uncomfortably heavy – these<br />
can all be triggers.<br />
What was your pain treatment method upon<br />
discharge? How did you find the medication?<br />
In the Burwood Spinal Unit, I was p<strong>res</strong>cribed gabapentin,<br />
unlike some people with SCI, I experienced very few side<br />
effects. Over the five years I’ve been taking it, I have tried<br />
to reduce the dosage, but when I have, the burning pain<br />
intensifies and becomes unbearable especially when I go<br />
to bed. The dosage of gabapentin I take hasn’t changed so<br />
I think I may have become tolerant to the medication over<br />
time as it often feels like it is not having the same effect.<br />
Was there anything else at the time identified as<br />
potential treatment?<br />
I wasn’t really told of other medications, or treatments<br />
but gabapentin was apparently the most appropriate<br />
medication for nerve pain. No one could actually explain<br />
why I had pain.<br />
Editor’s note: In spinal cord injury patients, chronic pain is<br />
common. It impacts about 70 percent of patients with<br />
one-third of these experiencing severely intense pain<br />
impacting on mood, functioning, and quality of life.<br />
Has your experience of pain changed since your<br />
discharge from the Spinal Unit?<br />
I guess I have become better at dealing with pain, in<br />
particular managing bladder spasms. At the beginning,<br />
the spasms would happen almost daily but now they only<br />
occur about a couple of times a month.<br />
The issues you experienced with body temperature<br />
– was this something you happened upon? Was this a<br />
learning experience?<br />
My SCI journey has been five years of really thinking<br />
deeply when I’m having issues. What are the triggers? I<br />
Gareth Lynch highly recommends using the the Waking Up:<br />
unlock your mind app. Credit: Gareth Lynch.<br />
have had the opportunity to think deeply about a range of<br />
issues and learning about what the triggers are, as well as<br />
having awareness of how my body reacts under different<br />
conditions. When I sleep, I usually don’t have any<br />
blankets on my abdomen, just my upper body. I use a<br />
sheet on cooler nights. This does wonders, if I use a duvet<br />
on my entire body, my bladder will likely overreact and<br />
set off on its uncomfortable tirade.<br />
Humidity can be an issue as it’s more difficult to cool<br />
down and adds an extra element to be aware of. I will<br />
check in with myself and plan ahead. Exercise is<br />
important to me, and I continue to train for my rugby<br />
team which means ensuring I’m as cool as I can<br />
comfortably be by having the aircon on in my car before I<br />
get to the training session and wearing cool and<br />
comfortable clothing. I always keep a water spray bottle<br />
handy for the days when its particularly warm or humid, I<br />
can spray my face and body which acts like sweat (as I am<br />
unable to sweat now). I’ve become better at understanding<br />
my body and recognising when to take action before I get<br />
too uncomfortable. But when I am experiencing bad<br />
bladder spasms, I’ve found cool showers to be the best<br />
solution to reduce my temperature and relax my body. It<br />
took me a while to work out a solution!<br />
Do you deal with persistent pain differently or more<br />
effectively now?<br />
Yes definitely. I am also vigilant about my temperature for<br />
any sharp rises. I constantly assess my pain levels from<br />
both a physical and psychological point of view. The two are<br />
closely linked in my experience: physical pain sensations<br />
affect you mentally and can bring your mood down, ruining<br />
otherwise positive moments. I’ve figured out a number of<br />
coping strategies, I keep physically active, I try to have a<br />
positive mindset and the importance of maintaining<br />
regular contact with my social network.
NEW ZEALAND SPINAL TRUST 16<br />
Learning how the mind works was key for me and using<br />
tools developed through meditation practice enables me to<br />
look at things holistically. There is no point in spending<br />
time dwelling on negative parts of my past, so I try to keep<br />
my mind in the p<strong>res</strong>ent. By doing so, I found myself coping<br />
better with constant adversity faced by all who have an SCI.<br />
How do you do that?<br />
Prior to my SCI I came across a few meditation apps, but I<br />
got into it more deeply after my injury. I find meditation<br />
very beneficial, in particular learning and practising<br />
mindfulness. By this I mean having an awareness of what<br />
thoughts, sensations and emotions are arising in my<br />
mind in the p<strong>res</strong>ent moment.<br />
Through meditation I have been able to understand that I<br />
am not <strong>res</strong>ponsible for the next thought that pops into my<br />
mind, thoughts inherently arise and disappear. Not many<br />
people realise this – in western cultu<strong>res</strong> we commonly<br />
accept the chatter in our brains as our truth and<br />
self-identify with our thoughts whether they are good or<br />
bad. But once you recognise that thoughts arise on their<br />
own you gain control of how you want to <strong>res</strong>pond, and you<br />
are no longer completely at their mercy. I am far from an<br />
expert in any sense, but this is what I have learnt and from<br />
my experience it is reality. For example, I am getting better<br />
at identifying when I am overreacting to something<br />
negative, for example pain or an incident out of my control.<br />
Mindfulness is a powerful tool which al<strong>low</strong>s me to<br />
interrupt thoughts and concentrate my attention on<br />
something else, for example breathing. Focusing on the<br />
breath takes attention away from the pain or negative<br />
thoughts. It’s easy to say and sounds simple but is difficult<br />
to put into practice at first. It’s a skill that can be learned,<br />
the more I practice, the better I become and the more<br />
benefit I gain when I am able to apply it.<br />
I am often able to recognise when I’m experiencing less<br />
pain than usual and that it’s possible to be immensely<br />
grateful to be in less pain than I usually experience.<br />
Meditation teaches me the skill to recognise and pay<br />
deeper attention to my emotions. There is no limit to how<br />
deeply one can feel grateful (for example being in less<br />
pain than usual, or for the people you love in your life). If I<br />
can focus on a positive emotion like gratitude, I feel<br />
better. At first, I wasn’t very good at doing this when I first<br />
started my journey into meditation, but over time I s<strong>low</strong>ly<br />
recognised how the skills I learnt helping me to improve<br />
my life experience.<br />
Regarding mindfulness meditation – do you practice<br />
every day?<br />
It was while I was at the University of Canterbury I was<br />
introduced to the ‘Waking Up: unlock your mind’ app by<br />
Sam Harris, the university also ran free classes. Using the<br />
app helps me develop and sharpen my skills to recognise<br />
and interrupt negative thoughts and prevent<br />
catastrophising, while al<strong>low</strong>ing me to be intentionally<br />
grateful for my life and the people and things in it. At the<br />
beginning I would use mindfulness daily but now I find<br />
three times a week is sufficient unless I have something<br />
specific to deal with or if I’m upset. Then I make time to<br />
practice mindfulness. I usually spend 10 minutes in the<br />
Mindfulness is a powerful<br />
tool which al<strong>low</strong>s me to<br />
interrupt thoughts.<br />
morning or at night, but find great benefit from longer<br />
sessions when I can fit them in.<br />
After my SCI, meditation tools helped me heal mentally, I<br />
felt a devastating loss of my sense of self. Prior to my<br />
injury I would have described myself as an active person<br />
with a number of talents. Post-injury I was no longer able<br />
to do the things I prided myself on. Meditation helped me<br />
identify the inner voice in my head while I was grieving<br />
the loss. This voice would be very negative, telling myself<br />
that I am now a lesser person because my body doesn’t<br />
function the same anymore. By identifying the thoughts,<br />
I noticed my internal dialogue and was able to add<strong>res</strong>s it<br />
using compassion and logic. It was extremely powerful in<br />
changing my self-beliefs and helped me to love and accept<br />
myself again.<br />
What would you say to your peers if they experience<br />
pain issues?<br />
• I would encourage them to get a range of medical<br />
opinions about SCI and the effects on the body. Learn<br />
from the experts. Especially the knowledge in the SCI<br />
community.<br />
• I highly recommend the Waking Up: unlock your mind<br />
app – it’s one of the richest sources of knowledge about<br />
the human experience – it has a 30-day introductory<br />
course, a wide variety of guided meditation styles, a<br />
theory section covering a vast range of topics, and in<br />
depth conversations between Sam and other experts.<br />
• Talk to others with SCI and find out what helped them.<br />
Wheelchair rugby has been such an amazing pathway<br />
for me and has enabled me to connect with others with<br />
an SCI. I attribute so much of my growth, independence<br />
and my ability to cope, in the form of life tips and tricks<br />
from the people I’ve met through rugby. It also provides<br />
awesome social opportunities. I recommend any<br />
person with an SCI to connect with their local<br />
wheelchair rugby club or sports club and talk to others.<br />
• Pay close attention to your body, learn about potential<br />
triggers both physical and psychological, be<br />
intentional about what you want.<br />
• Be curious and open to your experiences.<br />
For more information about the Waking Up app<br />
go to Google play store and Apple App store<br />
to download the app.<br />
https://wakingup.com/<br />
—Gareth Lynch
SPINAL NETWORK NEWS 17<br />
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NEW ZEALAND SPINAL TRUST 18<br />
Conquering a New Challenge<br />
Tetraplegic Andrew Leslie completes a 5km run<br />
HE MADE IT – The moment when Andrew Leslie completed a 5km run. Photo credit ACC.<br />
Two years after sustaining a spinal cord<br />
impairment Wellington tetraplegic completes<br />
a 5km run.<br />
On 18 March <strong>2022</strong>, Andrew Leslie stumbles to the finish<br />
line in an ungainly fashion to a warm round of applause.<br />
He has nothing left in the tank.<br />
“I’m exhausted to be honest,” he says minutes after<br />
completing a 5km run in front of his friends and family<br />
in Karori. “I completely emptied the tank. It wasn’t pretty<br />
at times, but what a sense of accomplishment.”<br />
Two years ago, the 49-year-old broke his neck in<br />
Wellington's Mākara Peak Mountain bike park. He<br />
damaged his spinal cord and became a tetraplegic.<br />
When he was in an induced coma in ICU his family were<br />
told to be prepared for Andrew being in a wheelchair for<br />
the <strong>res</strong>t of his life. It was a reality he never accepted. In<br />
2021 Andrew marked the one-year anniversary by<br />
walking back to the place of his injury to find closure and<br />
“put it to bed”.<br />
One year on, he has achieved the unthinkable. It has been<br />
a challenging and rewarding journey.<br />
It was a really emotional<br />
moment because I knew<br />
I had unlocked it.<br />
—Andrew Leslie<br />
“When I go back two years to where I was lying in the<br />
Burwood Spinal Unit to where I am now, I can’t believe it.<br />
I feel extremely lucky that I have had this sort of recovery.<br />
I know it doesn’t happen for everyone. Every spinal cord<br />
injury is different.”<br />
ACC has played a leading role in Andrew’s rehabilitation,<br />
helping him every step of the way.<br />
“The ongoing support from ACC has been a real plank in<br />
my recovery,” he says.<br />
“I love everything about running, I love how it feels. I love<br />
being in those environments. I love the fitness I get from it…<br />
to get that ability back has been an emotional experience.”
SPINAL NETWORK NEWS 19<br />
Learning to run again<br />
Andrew had a seed of hope after coming out of hospital.<br />
“I had a remarkable recovery within hospital. I was able to<br />
get from my wheelchair to walking and that gave me a lot of<br />
confidence. That I could continue to improve and recover.”<br />
It was then he floated the idea to his physio at the time. It<br />
was a well-planned and deliberate process. Andrew<br />
started in a highly supportive environment. He began in a<br />
hydrotherapy pool. He prog<strong>res</strong>sed into a rehabilitation<br />
gym at Keneperu Hospital and then onto a treadmill<br />
where he was supported by a harness.<br />
Almost a year ago he took his preparation out on the park.<br />
It was a big milestone. “It was about having enough<br />
confidence so I could push it a bit further in an<br />
unsupported environment,” he says.<br />
Over the past few months, Andrew has gone from<br />
<strong>res</strong>tricted movement to the running motion he can<br />
complete now.<br />
“In the early days I was trying really hard to run. I would<br />
go from walking to tell myself ‘try to run’. Looking back at<br />
some videos on it, it wasn’t a run. [laughs]. It was kind of<br />
like I was marching. My knees were a bit higher than my<br />
walking gait. It wasn’t happening. Which is a similar<br />
place to where I was before I started to walk.<br />
“The question kept popping into my head so how do I run?<br />
My body wouldn’t flick into running. I would try to make<br />
it run. It just wasn’t happening.”<br />
“A watershed moment”<br />
Andrew was getting increasingly frustrated. Around the<br />
same time, he was having recurring dreams about running.<br />
“I could feel what it felt like to run. My brain was trying to<br />
work it all out. I just needed to find the right focus and<br />
approach to let it all happen.”<br />
He described it as a “watershed moment”. He said to<br />
himself ‘maybe you are overthinking this’.<br />
“I felt like I just needed to let go. I had to let my body run. I<br />
knew it was in there somewhere I just had to find the<br />
mental cue to unlock it.”<br />
Andrew <strong>res</strong>earched other methods to prog<strong>res</strong>s his<br />
rehabilitation. He has invested in neurophysics, yoga<br />
therapy to go with physiotherapy. It was a game changer.<br />
“The theory is that your body knows what to do, you have<br />
just got to have confidence in it for that to happen. Your<br />
brain can find a way to send the messages where it needs<br />
to. You have got to move aside and let it happen.”<br />
There was a moment at Karori Park – using all of those<br />
strategies he had learned - where it all clicked. “It was a<br />
really emotional moment because I knew I had done it, I<br />
had unlocked it. All of a sudden it felt like running.”<br />
“You can always improve your position”<br />
From there Andrew built up to running 100m, 1km and in the<br />
build up to the run on Friday 18 March he completed 4km.<br />
He says being able to run again has helped his<br />
self-esteem. “To know that I can challenge myself and<br />
A FAMILY AFFAIR: Andrew with his dad Arnold and mum Marie. His sister<br />
Helen ran the 5km with him. Photo credit ACC.<br />
meet those challenges. That is huge for my confidence.”<br />
Hans Wouters, the CEO of the New Zealand Spinal Trust,<br />
described Andrew’s feats as “remarkable”.<br />
“From being told he might never walk again to running<br />
5km in only two years is an amazing achievement,”<br />
says Hans. “This is testament to Andrew’s remarkable grit<br />
and determination.”<br />
“The New Zealand Spinal Trust is proud to have played a<br />
role in Andrew’s rehabilitation during this time. Each of<br />
the 220 spinal cord impairments sustained by New<br />
Zealanders each year are different, and everyone is on<br />
their own unique journey to improve their overall health.<br />
“Andrew’s achievements in such a short space of time are<br />
quite remarkable.”<br />
Andrew is sharing his story to help others. He wants to<br />
show people what is possible. “Maybe there is something<br />
in my story for others. I’m not suggesting that everyone<br />
with a spinal cord injury can run. Everyone is on their own<br />
unique pathway. The message I want to convey is don’t<br />
stop trying. Believe that you can improve your situation.”<br />
Making a difference for others<br />
Andrew is the CEO of Recreation Aotearoa. They are<br />
focused on making a difference to New Zealanders living<br />
with a disability.<br />
He is recruiting a new staff member who will focus on<br />
improving the accessibility of active recreation. This will<br />
be primarily outdoor recreation and also focus on<br />
facilities and play spaces.<br />
“Because of the work I do I am fully aware that I can be<br />
influential in changing the system to help improve access<br />
for people with a disability into recreation.”<br />
Andrew says being in the outdoors can be a hugely<br />
important part of a person’s rehabilitation. “It fuels the<br />
mind, body and soul,” he says. “There is a strong desire to<br />
make a difference in that area around Aotearoa. In my<br />
role I act as a connector and a facilitator.<br />
“It has been huge for me. I want others who are living with<br />
a disability to have that experience.”
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SPINAL NETWORK NEWS 21<br />
Meet Our Team:<br />
Rachael Henderson<br />
We learn more about the remarkable life of our Team Administrator<br />
A LOCAL LEGEND – Rachael Henderson (second from right) is a popular member of the NZST Team.<br />
Every time the Winter Paralympics is staged,<br />
it brings back a flood of memories for Rachael<br />
Henderson (nee Battersby). It takes her back<br />
to a time when she was on top of the world.<br />
We took a walk down memory lane with Rach<br />
to talk about becoming a three-time gold<br />
medal winner and life these days. In <strong>2022</strong>,<br />
the NZ Para legend is a mother of three kids<br />
and a valued member of our team.<br />
What is it like to look back as a Paralympic champion?<br />
How often do you get your medals out?<br />
My medals are framed on our wall at home. Being a triple<br />
gold Paralympic medallist is just a part of who I am!<br />
When I watch the Paralympics on TV, I get quite<br />
emotional. I can vividly remember the butterflies and<br />
—Rachael Henderson<br />
Everybody who is part of our<br />
team is so kind, genuine and<br />
passionate about what we do.<br />
the excitement of racing. I think everybody could learn a<br />
lot from watching the Paralympic Games. To be<br />
reminded where there’s a will, there’s a way, and never say<br />
never! There is always somebody worse off or dealing with<br />
something we can’t see. I grew up being told, “can’t was a<br />
swear word”. I’m proud to be a Paralympic champion. I’m<br />
proud of my journey and the <strong>res</strong>ults of those before me,<br />
and those who have fol<strong>low</strong>ed.
NEW ZEALAND SPINAL TRUST 22<br />
Rachael Henderson was world class in her prime. Photo credit Getty Images / Paralympics NZ.<br />
What was it like to be named in the NZ Winter<br />
Paralympics team?<br />
I used to ski with some of the National Team members,<br />
and thought they were amazing. I was in awe of their<br />
abilities, and knew I wanted to rep<strong>res</strong>ent NZ at a<br />
Paralympic Games. I wanted to be a part of the ski<br />
racing world, and to ski fast. I was named in the team<br />
to rep<strong>res</strong>ent NZ at the 1998 Winter Paralympics in<br />
Nagano, Japan.<br />
It was an incredible experience. I was overwhelmed at<br />
the level of abilities. These athletes were there to test<br />
abilities, to overcome fear, to see what could be achieved<br />
with determination and courage. And it was here I set a<br />
goal to reach the top and win gold!<br />
Two years later at the 2000 World Championships in<br />
Anzere, Switzerland, I won bronze and silver. I was on<br />
track to winning my gold!<br />
But after a couple of friends were killed in separate skiing<br />
accidents, I started to doubt my abilities, and was terrified<br />
of crashing and dying. I had a really hard time with my<br />
training and racing throughout this season prior to the<br />
2002 Games.<br />
I tried so hard to be positive and believe, but it was a real<br />
rollercoaster season. So many friends and family, and<br />
people in the community had helped fund my skiing, and<br />
I was so worried I would let everyone down. It was all in<br />
my head. I know that now, but at the time, I was really<br />
struggling. So, I came home, continued my training, and<br />
spent time with the NZ Sports Foundation. We focused<br />
on my mind, and visualisation skills, and believing in<br />
myself and my abilities.<br />
When I went back to the States for my last year of training<br />
and racing, I remember the feeling so well. I felt like I was<br />
ready for whatever came my way. Nothing was going to<br />
knock me over. Throughout the whole season – I led the<br />
World Cup Circuit and was on the podium at every race!<br />
So going into the Paralympics, I expected to do well. I<br />
knew gold was very much within reach.<br />
Your <strong>res</strong>ults at your second Games were amazing –<br />
three gold medals – were you b<strong>low</strong>n away by what you<br />
achieved at Salt Lake City in 2002?<br />
I knew I could win gold in 2002. I was in absolute control<br />
of my <strong>res</strong>ults. My attitude and confidence would be the<br />
win or loss. I look at my skiing career as a stepping stone<br />
process. I started at the back of the pack fighting an<br />
unfair factor system, to s<strong>low</strong>ly reaching the top and<br />
dominating throughout my last year of competition. For<br />
the 2002 Salt Lake City Paralympics I was there to win!<br />
I’m incredibly proud of my <strong>res</strong>ults in Salt Lake City.<br />
But I’m also so proud and grateful for all the<br />
Paralympians who rep<strong>res</strong>ented New Zealand in the years<br />
It’s the most incredible<br />
feeling to be in the cold,<br />
ripping down the hill.<br />
—Rachael Henderson
SPINAL NETWORK NEWS 23<br />
I recently saw a photo<br />
of a woman in the start<br />
gate with no arms, and I<br />
couldn’t stop crying!<br />
—Rachael Henderson<br />
before me. We were not funded as well as other countries,<br />
and disabled athletes were never seen as equals alongside<br />
our own able-bodied athletes.<br />
But that has changed, and I like to feel that we all had a part<br />
to play in how Paralympic athletes are now seen, funded,<br />
and <strong>res</strong>pected. Funding my training and racing was hard,<br />
but on reflection, I wouldn’t change a thing. I was in it to<br />
win it, and it was all on my shoulders. I had support from<br />
my mum, family and friends, and people within the<br />
community. Without a doubt – it was a team effort!<br />
How did you first get involved in Para skiing?<br />
At six years old, I was climbing a tree with my twin sisters.<br />
I got up but couldn’t get down. Mum stood at the bottom<br />
and said “if you can get up – you can get down”. She<br />
wasn’t sure if that was the right way to approach the<br />
situation – so reached out to CCS (now known as CCS<br />
Disability Action) for some advice. They sent her some<br />
details on Disabled Skiing, and the <strong>res</strong>t is history! I have<br />
so many incredible memories growing up in this<br />
environment.<br />
What do you love about skiing?<br />
It’s exhilarating. It’s the most incredible feeling to be in<br />
the cold, ripping down the hill. Our three children have<br />
been skiing since they were very little. I love spending<br />
winter days exploring the mountains with family and<br />
friends. The conversations, and family time together is<br />
special and full of memories. I now find myself standing<br />
at the bottom of the chairlift at the end of the day trying<br />
to get them back to the car – but they desperately try for<br />
the last lift of the day – the same as I was at their age!<br />
Take me back to the day of your accident,<br />
what happened?<br />
At four years old, I wasn’t wearing a seatbelt, and the door<br />
wasn’t closed properly. As we went around a corner, I<br />
rolled out of the car with barely a scratch on me. I ended<br />
up with a brachial plexus injury. My left arm was<br />
completely paralysed. At the time, I had therapy to see if<br />
any nerves would repair and get some movement back in<br />
my arm. But I never regained any movement. The first<br />
night mum and dad took me home from hospital, mum<br />
tried to cut up my food. I said: “Don’t do that – I can do<br />
it.” Mum knew I would be ok!<br />
Rachael Henderson: “Our NZ Spinal Trust team is one of a kind.”<br />
You decided to have your left arm amputated, how<br />
hard was that decision?<br />
The first day I met my coach in Winter Park in Colorado –<br />
he asked me what movement I had in my arm. I said<br />
nothing. And he asked: “Why have you still got it?”. After<br />
spending three months training five days a week with the<br />
most dedicated athletes from all over the world, I saw<br />
everyone taking arms and legs off, getting out of<br />
wheelchairs, and tearing up the snow day after day. It was<br />
then that I knew I would have my arm amputated. I was<br />
also very self-conscious of my arm, and people would<br />
stare and ask questions. Since having it amputated, I feel<br />
like there is nothing to look at!! Mum always knew I<br />
would make this decision, but she wanted it to be my idea!<br />
What is a typical day for you these days?<br />
I’m a busy mum to three beautiful children. My day starts<br />
at 4.15am when I train a 5am circuit at Saints Functional<br />
Fitness in Rangiora. It’s such a great way to start the day!<br />
I then juggle work at the NZ Spinal Trust, and very busy<br />
afternoons with my three kids who are all sport mad.<br />
Editor’s note—The brachial plexus is the network of nerves<br />
that sends signals from your spinal cord to your shoulder,<br />
arm and hand.
NEW ZEALAND SPINAL TRUST 24<br />
You have been working part-time with NZST for<br />
nearly five years, what do you enjoy about it?<br />
The NZ Spinal Trust is one of a kind. Everybody who is<br />
part of our team is so kind, genuine and passionate about<br />
what we do. We make a huge impact on people’s recovery<br />
as they navigate a whole new way of living with a spinal<br />
cord impairment. I feel lucky to be part of a team that<br />
ca<strong>res</strong> so deeply.<br />
winning three gold Paralympic medals. We are all in<br />
control of our lives. Our attitude will determine whether<br />
we win or lose, whether we’re happy or sad! We can all<br />
learn from each other. Be kind - we need more kindness<br />
in our lives.<br />
What advice do you offer to others who have had a<br />
moment of adversity?<br />
I guess we all face some form of adversity - different<br />
struggles through life. Some you can see, and some you<br />
can’t. We must remember to smile, be kind and<br />
supportive of everybody. We all have a story to tell!! I<br />
often find it hard when people call me inspiring. I’m just<br />
out there doing my thing. I never asked for one arm, but it<br />
has also never held me back. I feel fortunate and proud to<br />
be part of the disabled world - to have travelled the world<br />
rep<strong>res</strong>enting New Zealand, making lifelong friends, and<br />
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SPINAL NETWORK NEWS 25<br />
All For a Good Cause<br />
Seven legends brave the wet and the cold to ride for 24 hours<br />
A real team effort – thanks to everyone who made the Arapuke fundraiser happen. Credit: Graeme Brown - Vision Media.<br />
You don’t have to be mad to support the<br />
New Zealand Spinal Trust (NZST) but<br />
sometimes it helps.<br />
On 5 February to 6 February (Waitangi Day) a group of<br />
likely lads put their bodies on the line. They rode the<br />
Arapuke Mountain Bike Trails in Palmerston North for<br />
24 hours.<br />
The fundraiser was led by the Glentworth family.<br />
Jayden Glentworth was a patient in the Burwood Spinal<br />
Unit two years ago fol<strong>low</strong>ing a mountain bike accident on<br />
the Arapuke Trails.<br />
It was a life changing moment and it has been a<br />
challenging time for Jayden and the Glentworth family.<br />
But they are not looking back. Jayden, his dad Mark, their<br />
mates Brenton, Chris, Dave, Andy and our CEO Hans were<br />
—Mark Glentworth<br />
Spinal injuries can happen<br />
to anyone at any time and to<br />
people from all walks of life.<br />
back at the scene of his crash to make a positive difference<br />
for those who helped them.<br />
Now riding for 24 hours straight as a group (each of the<br />
guys rode for 8 hours – they would ride for one hour and<br />
<strong>res</strong>t for two hours) is a hard enough challenge in itself,<br />
and then there was the weather. It rained and rained. And<br />
it rained. For almost the entire duration the conditions<br />
were miserable.
NEW ZEALAND SPINAL TRUST 26<br />
Andy, Jay and Hans having fun in the rain. Credit: Graeme Brown - Vision Media.<br />
Still the guys didn’t complain. They rolled up their sleeves<br />
and got stuck in.<br />
In all, they raised more than $23,000 for the New Zealand<br />
Spinal Trust. An incredible effort.<br />
At 3am, in the relentless rain, Mark and our fearless leader<br />
Hans stopped for a quick chat on what it was all about.<br />
They were soaked to the skin and had smiles as wide as<br />
their faces.<br />
“We have just come back from an hour bike ride up and<br />
down the hill,” Hans said dryly, with a laugh.<br />
Mark chipped in: “We’re just about to go for another<br />
hour-long ride up and down the hill.” They both laugh.<br />
“We’re here to support the New Zealand Spinal Trust,”<br />
says Mark. “There are two reasons for this ride: the first is<br />
fundraising so they can continue their awesome work.<br />
And secondly, it’s about raising awareness of the<br />
incredible work that they do.<br />
“Spinal injuries can happen to anyone at anytime and to<br />
people from all walks of life. We have been directly<br />
affected by a spinal cord injury. This amazing man [Hans]<br />
leads the Trust and he has given us and many other<br />
people incredible support.<br />
“The Trust is just full of a great bunch of people who we<br />
love dearly and that is why we are here.”,<br />
Hans, a keen cyclist, travelled from Christchurch to<br />
Palmerston North to be part of the event. He wanted to<br />
show his thanks.<br />
ALL WRAPPED UP:<br />
It was wet and cold in<br />
Palmerston North for<br />
the ride that went for 24<br />
hours. Credit: Graeme<br />
Brown - Vision Media.
SPINAL NETWORK NEWS 27<br />
“We support positive futu<strong>res</strong> for people who have had a<br />
spinal cord impairment and their whānau,” he says.<br />
“A lot of people think that life is just not worth living after<br />
a spinal injury but if you look at Mark’s son Jayden, it is<br />
totally worth living. Many, many others have shown us<br />
that same thing.<br />
Fuelled by gratitude, everyone had worked hard, had a<br />
blast and raised a lot of awareness and much needed<br />
money – mission accomplished!<br />
“They have found a new path and we support them on<br />
that new path.<br />
“It is awesome what the Glentworth family have done for<br />
us and we are so truly grateful.”<br />
The money raised will help the Trust pay their<br />
amazing team.<br />
The NZST team provide practical and emotional<br />
support and encouragement to the many New Zealanders<br />
living with the effects of spinal cord impairment<br />
including the 220 or so new patients we see each year in<br />
the spinal units.<br />
“We work to move forward and embrace positive futu<strong>res</strong><br />
and our team are a big part of that journey,” says Hans.<br />
“As a small charity that needs to fundraise more than<br />
half of our funds every year, we really do appreciate<br />
this support.”<br />
At the end of the 24 hours it was still raining and the<br />
smiles on the team photo said it all.<br />
—Hans Wouters<br />
A lot of people think that life<br />
is just not worth living after<br />
a spinal injury but if you look<br />
at Mark’s son Jayden, it is<br />
totally worth living.<br />
You'd go a long way to find a young man with a better attitude than Jayden Glentworth. Credit: Graeme Brown - Vision Media.
NEW ZEALAND SPINAL TRUST 28<br />
New<br />
Additions<br />
<strong>April</strong> <strong>2022</strong><br />
Mental fitness: build your mind<br />
for strength and <strong>res</strong>ilience<br />
every day,<br />
Dr. Paul Wood, 2021<br />
Staying mentally fit, and maintaining<br />
a high level of physical fitness,<br />
involves hard work, effort, and<br />
consistency. Our level of mental<br />
fitness determines how effectively we<br />
can flourish through adversity, realise<br />
our potential, and be happier with our<br />
lives - regardless of what the universe<br />
has in store.<br />
Mental st<strong>res</strong>s is the mind's way of<br />
telling us that what we are attempting<br />
to perform is challenging our<br />
<strong>res</strong>ource. When we experience st<strong>res</strong>s,<br />
we have a choice: we can heed that<br />
signal and give up - or we can<br />
recognise the discomfort we are<br />
feeling is simply nature's way of<br />
enabling us to rise to the occasion.<br />
That terrible time: eye-witness<br />
accounts of the 1918 influenza<br />
pandemic,<br />
by Geoffrey Rice, 2018<br />
A book for our times. New Zealand's<br />
worst public health disaster occurred<br />
in November 1918 when around<br />
9,000 people died in the so-called<br />
'Spanish' influenza pandemic. Read<br />
the accounts of 110 survivors<br />
describing what they saw and what<br />
happened to them in that terrible<br />
time when the victims' bodies turned<br />
black.<br />
Vaccines & Vesicles: a history of<br />
smallpox vaccination in New<br />
Zealand,<br />
by Claire Le Couteur, 2019<br />
This book is a history of how the<br />
government stopped any major<br />
outbreaks largely through the use of<br />
imported and locally made vaccines.<br />
In the 1880s, the Superintendent of<br />
Sunnyside Asylum in Christchurch<br />
set up a vaccine station to<br />
manufacture smallpox vaccine using<br />
calves he infected with cowpox. The<br />
government later established a<br />
vaccine station in Wellington that<br />
made the vaccine up until the 1960s.<br />
It is amazing that what now seems<br />
like an extremely crude product<br />
protected so many people and, along<br />
with isolation measu<strong>res</strong>, stopped the<br />
infection seriously taking hold in<br />
New Zealand.
SPINAL NETWORK NEWS 29<br />
Integrating spirituality and<br />
occupational therapy treatment: a<br />
practical guide,<br />
Dr Laura Ay<strong>res</strong> Hayth, 2015<br />
Occupational therapy and a<br />
spirituality-based approach to<br />
therapeutic intervention are<br />
naturally intertwined. However, even<br />
though it is part of the therapeutic<br />
scope of practice, occupational<br />
therapists are provided with minimal<br />
education in spiritual integration. As<br />
a <strong>res</strong>ult, not many practitioners are<br />
comfortable with this, which is why<br />
author Dr. Laura Ay<strong>res</strong> Hayth wrote<br />
this book.<br />
The book will benefit physical<br />
therapists, speech therapists, and<br />
many other health care professionals<br />
paving the path for them to help<br />
usher in a new mind-body-spirit<br />
wellness paradigm.<br />
The Coward,<br />
by Jarred McGinnis, 2021<br />
After a car accident Jarred discovers<br />
he’ll never walk again. Confined to a<br />
‘giant roller-skate’, he finds himself<br />
with neither money nor job. Worse<br />
still, he’s forced to live back home<br />
with the father he hasn’t spoken to in<br />
ten years. Add in a shoplifting habit,<br />
an addiction to painkillers and the<br />
fact that total strangers now treat<br />
him like he’s an idiot, it’s a recipe for<br />
self-destruction. How can he stop<br />
himself careering out of control? As<br />
he tries to piece his life together<br />
again, he looks back over his past –<br />
the tragedy that blasted his family<br />
apart, why he ran away, the damage<br />
he’s caused himself and others – and<br />
starts to wonder whether, maybe,<br />
things don’t always have to stay<br />
broken after all. The Coward is about<br />
hurt and forgiveness. It’s about how<br />
the world treats disabled people.<br />
Check out our catalogue!!<br />
Visit the Resource Centre catalogue<br />
page – abc.mykoha.co.nz<br />
All of the listed items are available<br />
to loan from the Resource Centre.<br />
We are located on the way to the<br />
spinal gym, call in and see us!<br />
Contact Bernadette Cassidy for<br />
more information<br />
bernadette.cassidy@nzspinaltrust.org.nz<br />
or phone: 022 600 6630
NEW ZEALAND SPINAL TRUST 30<br />
Working Well Together<br />
Living meaningful lives with support workers fol<strong>low</strong>ing SCI<br />
—Dr Johnny Bourke<br />
Research suggests that the<br />
disability support workforce<br />
is often undervalued, prone<br />
to burnout, and experience<br />
disparities in pay and<br />
working conditions.<br />
Dr Johnny Bourke is a disability and rehabilitation <strong>res</strong>earcher<br />
at the Burwood Academy TrustCredit: Dr Johnny Bourke.<br />
Recently, I was asked to write an academic<br />
paper on the topic of human connections and<br />
relationships within rehabilitation. I thought<br />
this would be a great opportunity to shed<br />
light on a hugely important relationship for<br />
many people with SCI - learning to live and<br />
work with support workers, an area I believe<br />
requi<strong>res</strong> more attention.<br />
Fol<strong>low</strong>ing an SCI, a lot of attention is usually given to<br />
achieving as much functional independence as possible,<br />
and of course this is a great goal to aim for. However, for<br />
many people, namely those who live with a great deal of<br />
paralysis, there are limits on what you can physically do<br />
without assistance.<br />
Such people, including myself, often require assistance<br />
with the most fundamental tasks, many of which are<br />
private and intimate. For example, without the help of<br />
another person, many people with SCI simply cannot get<br />
d<strong>res</strong>sed, mobilise from bed, or prepare food to eat. The<br />
stark reality is that the actual survival of a person with<br />
SCI depends on the assistance of another person.<br />
Support workers also help people with much more than<br />
tasks and care around the home. The lives of people with<br />
SCI are exciting, adventurous, and diverse, and support<br />
workers enable people to assert choice and control over<br />
decisions in all areas of life. From what people want to<br />
wear, what food to prepare, to assistance with travel, and<br />
participation in sports, everyone’s life is unique.<br />
An overwhelming majority of support workers conduct<br />
their work with positivity and pride for their clients.<br />
However, the sector is facing many challenges. The<br />
amount of disabled people in New Zealand requiring<br />
support workers, including those with SCI is increasing.<br />
At the same time the number of community support<br />
workers is decreasing. Many people in the SCI community<br />
have told me that finding good quality support workers is<br />
becoming more and more difficult. Both for the people<br />
who find their support workers through an agency, and<br />
those who employ their support workers privately.<br />
COVID-19 has also put the sector under more challenges<br />
for a variety of reasons. At the predicted peak of the<br />
pandemic, a number of support worker agencies expect<br />
potential workforce reductions of between 10 and 25<br />
percent. Also, the close physical space between support<br />
workers and those with SCI increases risk of exposure to<br />
COVID-19, particularly when many people require<br />
intimate support needs with reduced physical distancing<br />
such as help showering and getting d<strong>res</strong>sed.<br />
Considering all of this, it becomes clear that support<br />
workers play a critical role enabling people with SCI to<br />
live a meaningful life. Furthermore, the quality of a<br />
relationship with a support worker can have a huge<br />
impact on the overall quality of life for a person with SCI,<br />
and indeed their whānau. Working together with support<br />
workers is much more than just completing functional<br />
tasks. There are many complex factors at play, including<br />
trust, familiarity and privacy. Be<strong>low</strong> I reflect on some of<br />
my own experience of working with support workers for<br />
the past 17 years, and look at some ways people with SCI<br />
and their whānau can work alongside support workers to<br />
live positive and meaningful lives.
SPINAL NETWORK NEWS 31<br />
Learning to ask for assistance<br />
Clear and <strong>res</strong>pectful communication has been identified<br />
as one of the most important aspects in determining<br />
successful support worker relationships. This may be<br />
communicating the details of tasks you need assistance<br />
with, and also communicating more broad issues<br />
regarding your general expectations concerning the scope<br />
and role of a support worker. For example, how can they<br />
best work within your home to enable you and your<br />
whānau to flourish?<br />
Fol<strong>low</strong>ing an SCI, learning to ask for assistance can be a<br />
weird and challenging experience, and people can feel<br />
awkward “asking carers to do stuff”. Support workers are<br />
often employed to assist with domestic tasks and personal<br />
assistance: d<strong>res</strong>sing, grooming, food preparation etc.<br />
However life is much more than just that! For example,<br />
people travel, they work, have hobbies, play sport and may<br />
have children and/or pets. People require assistance to<br />
participate in the areas of life that are important to them.<br />
People often have to learn both how to ask for something,<br />
and how much can I ask of them? What things are okay to<br />
ask a support worker to do? What is reasonable? Can I ask<br />
them to wash my car? Or help in the garden? What about<br />
helping me to travel, or find an accessible walking track?<br />
If your support workers are employed by an agency, the<br />
company will probably have a policy regarding what a<br />
support worker can and cannot do. Alternatively people<br />
who employ their support workers privately might outline<br />
the scope and expectations of a support worker role in an<br />
advertisement, and/or have an initial conversation with<br />
their support workers to establish clear expectations<br />
about how they can help you to successfully live your life.<br />
Having support workers in the family home<br />
As we know, spinal cord injuries do not just happen to an<br />
individual; the whole family is impacted. It can be<br />
incredibly challenging for whānau to adjust to having<br />
support workers in their personal and family space. Having<br />
people enter into your house every morning and move<br />
about through bedrooms, bathrooms and kitchens can take<br />
a bit of getting used to. Research has shown that despite the<br />
wonderful work that support workers provide, spouses of<br />
people with SCI can yearn for the solitude of their pre-injury<br />
home and feel a real lack of privacy. As Emma McKinney,<br />
whose husband has high level tetraplegia, writes, “At times I<br />
wish they (support workers) would disappear so I can have a<br />
good argument without watching what I say”.<br />
Furthermore, a certain level of familiarity inevitably<br />
develops when a regular support worker spends so much<br />
time involved in such private aspects of one’s life.<br />
Increased familiarity can al<strong>low</strong> easier communication<br />
and understanding of the person and whānau’s<br />
circumstances and needs.<br />
—Dr Johnny Bourke<br />
Clear and <strong>res</strong>pectful<br />
communication has been<br />
identified as one of the most<br />
important aspects.<br />
Johnny says: “Fol<strong>low</strong>ing an SCI, learning to ask for<br />
assistance can be a weird and challenging experience,<br />
and people can feel awkward “asking carers to do stuff”.<br />
Photo credit: Shane Wenzlick / Phototek.
NEW ZEALAND SPINAL TRUST 32<br />
Johnny says the <strong>res</strong>earch shows that the disability support workforce is often undervalued.<br />
It can also create higher levels of trust and reduce a<br />
person’s energy output through not having to manage<br />
and explain everything. However, overfamiliarity can<br />
sometimes blur the boundaries regarding expectations<br />
and support workers can risk becoming too personally<br />
involved in a person’s life.<br />
Of course, working as a disability support worker has a<br />
number of challenges too. Research suggests that the<br />
disability support workforce is often undervalued, prone<br />
to burnout, and experience disparities in pay and working<br />
conditions. Support workers must enter domestic homes<br />
which can potentially cause them to feel vulnerable and<br />
exposed. Also, because they work independently in the<br />
community there is often little collegial support and<br />
those who work for an agency may receive sporadic<br />
organisational support.<br />
Where to next?<br />
I feel there is room to better prepare people to manage<br />
support worker relationships – both in the training and<br />
education of support workers, but also in coaching people<br />
who will require support workers. In no particular order, I<br />
feel people with SCI, their whānau could be better supported<br />
for working with support workers through the fol<strong>low</strong>ing:<br />
• Learning as much about their impairments as possible.<br />
Enabling people and their whānau to become experts<br />
on their impairments will position them in a better<br />
situation to communicate and articulate their needs to<br />
others, including support workers<br />
• Providing time and information so that people and their<br />
families can practice how to communicate with support<br />
workers in rehabilitation so that they have a taste of<br />
what is to come when in the community. For example,<br />
this might include practice in establishing expectations<br />
surrounding a person’s routine, and negotiating issues<br />
that may arise in a person's day to day life.<br />
• Importantly, service providers could better educate<br />
people on the complex nature of support worker<br />
relationships, beyond the transactional, for example<br />
developing rapport with support workers, negotiating<br />
boundaries concerning familiarity, trust, and learning<br />
to have support workers in a personal and family space.<br />
• A key <strong>res</strong>ource is linking people and their families with<br />
others who have first-hand experience. Other people<br />
with spinal injuries and their families are such a rich<br />
<strong>res</strong>ource of advice regarding questions such as: should I<br />
look for support workers through an agency or privately<br />
employ them? How should I advertise for support<br />
workers? Is it best to have support workers with previous<br />
spinal cord injury experience, or, train somebody up<br />
according to our lives? The Community Peer Support<br />
Program recently implemented by the New Zealand<br />
Spinal Trust will be invaluable in this space.<br />
• Finally, reframing the overall job description of<br />
support workers beyond just helping with personal<br />
ca<strong>res</strong> and domestic tasks, to working in partnership<br />
with people to live positive and meaningful lives.<br />
To further understand the factors that make a great<br />
support worker relationship, colleagues and I are<br />
planning further <strong>res</strong>earch to understand what works<br />
for everybody involved in the sector: people with SCI,<br />
their whānau, support workers, service providers and<br />
funders. By understanding what works for everybody, we<br />
hope to help build a more <strong>res</strong>ilient and positive support<br />
worker sector.<br />
Dr Johnny Bourke is a disability and rehabilitation<br />
<strong>res</strong>earcher at the Burwood Academy Trust, and a Research<br />
Fel<strong>low</strong> at the Ngāi Tahu Health Research Unit at Otago<br />
University. He lives with C4 tetraplegia fol<strong>low</strong>ing a surfing<br />
accident in 2005.
SPINAL NETWORK NEWS 33<br />
Accessible Accommodation<br />
Hamish Ramsden used to write for the <strong>SNN</strong> about 10 years ago. We are<br />
delighted to welcome him back to share his dry and humorous take on<br />
living with an SCI.<br />
—Hamish Ramsden<br />
Years of adjustment has<br />
taught me to not let the little<br />
hurdles turn into big hurdles<br />
that stop us from doing stuff.<br />
Hamish sustained an SCI almost 30 years ago. He has gone on to live a<br />
life full of imp<strong>res</strong>sive achievements. Credit: Hamish Ramsden.<br />
I don’t know how I did it, but I ended up on<br />
one of those accommodation finder <strong>web</strong>sites<br />
trolling through various options about where<br />
to stay in Auckland. It would be easy, you<br />
would have thought, to log onto a site, check<br />
their bedrooms, access any information<br />
about them particularly in regard to their<br />
wheelchair accessibility and if there wasn’t<br />
enough information, then ring them to get<br />
the full details.<br />
Funny though, that on some of these particular “finder”<br />
<strong>web</strong>sites you can’t find the specific hotel or motel’s phone<br />
number, it seems to be guarded by secrecy. So anyway, I<br />
thought I’d better ring the “finder” accommodation<br />
<strong>web</strong>site just to confirm what the room was like. By the<br />
time I got through to them and asked for probably the 21st<br />
time whether the room is accessible, and the toilet and<br />
shower are open plan, which they assured me that it was,<br />
so I booked a room through the site. Luckily, I took a<br />
slightly more expensive option which would pay<br />
dividends later.<br />
Anyway, they told me that they would send a<br />
confirmation email, and all would be sorted. When I<br />
didn’t receive this email after about a month, I thought I’d<br />
better fol<strong>low</strong> it up, but this time I rang the hotel directly<br />
as I’d managed to source their number (again not as easy<br />
as you would assume). So, what did they say? They said<br />
that the bathroom was not accessible, it has got a shower<br />
box. Really, I said, this is ridiculous and anyway, to seal<br />
the deal, the person on the other end of the phone said we<br />
can’t book you in, as we are currently an MIQ hotel, so we<br />
can only take people who are quarantining for two weeks<br />
due to the Covid crisis.<br />
Fantastic I thought, I have just wasted another 20 minutes<br />
of my life getting all this sorted and now I’m going to have<br />
to go through it all over again. My initial cautionary<br />
approach in buying the more expensive option meant I<br />
got my money back from my cancelled <strong>web</strong>site booking (it<br />
doesn’t always pay to be a cheapskate) and I then started<br />
to waste another 20 minutes of my precious life looking<br />
for a new place to stay.<br />
We all want life to be simple right?! We don’t mind putting<br />
in the work but is there really that much ambiguity<br />
around a room’s accessibility, not only around wheelchair<br />
accessibility but even for the whole bloody Covid thing.<br />
Take time and smell the roses everyone keeps telling me.<br />
So, I did, and I do, but sometimes you can end up smelling<br />
the wrong roses, and in some cases, they may even turn<br />
out to be plastic and fake. Still, it’s important not to let<br />
these little mishaps detour me from my enthusiastic<br />
pursuit of getting out and about. Years of adjustment has<br />
taught me, and I’m hoping or assuming others as well, to<br />
not let the little hurdles turn into big hurdles that stop us<br />
from doing stuff. We reprogram ourselves to be positive,<br />
to look past the negatives, otherwise, and you don’t have<br />
to have a disability to feel this, life can get too hard, and<br />
you feel there is just no point.<br />
Right then, I finally got the room sorted, my flight is<br />
booked, wheelchair taxi sorted and I’m off. Let’s get this<br />
trip out of the way and then I’m ready to plan the next one,<br />
which will be a road trip and a ferry crossing. But let’s save<br />
that for another time, I need to go for a lie down.
NEW ZEALAND SPINAL TRUST 34<br />
The things I know now that I wished I knew then<br />
Hamish Ramsden is writing for the <strong>SNN</strong> to help others.<br />
He has been living with an SCI for almost 30 years and he<br />
offers some advice in winning the mental battle.<br />
Things to know in the first seven days:<br />
• That there is always a way through, you will get<br />
through this.<br />
• Sometimes there are just no answers to why stuff<br />
happens, no reason why.<br />
• You are not the first person to experience these<br />
feelings or be in this situation.<br />
• It’s okay to feel like shit, don’t beat yourself up about<br />
it, but look for help if it continues day after day.<br />
• Try not to keep looking back, concentrate on today<br />
and look to tomorrow.<br />
• Try not to compare yourself to other people in the<br />
Spinal Unit.<br />
• You are in control of your own feelings no one else is.<br />
• You need to acknowledge what has happened, you<br />
can’t deny it.<br />
More things I wish I knew after I had settled into<br />
the Spinal Unit:<br />
• Choose to act now; the sooner you can the better—as<br />
one positive comment or activity feeds on itself.<br />
• Don’t try and be positive all the time, perform when<br />
you need to, you need downtime, you need sorrow<br />
time, it’s okay to have bad days.<br />
• Talking does help, let others in, they want to help,<br />
start conversations.<br />
• Try to keep busy in some way. It stops you dwelling too<br />
much on all the negatives and downsides.<br />
• Try to do something positive each day no matter<br />
how small.<br />
• Try to make whatever decisions you can each day, do<br />
not pass them off to other people; for example, what<br />
clothes am I going to wear today?<br />
Back on Track new fourth edition, calling for contributions!<br />
The Back on Track handbook is due for a<br />
ref<strong>res</strong>h. This will be a major revision and will<br />
involve the creation of new chapters and<br />
updating content to ensure the book has the<br />
most current information.<br />
We need your help! You can assist us with the<br />
fol<strong>low</strong>ing:<br />
• Tips and Tricks living with an SCI (men and women)<br />
• What would have been useful to have known at the<br />
beginning?<br />
• Ageing with an SCI – what issues are you facing?<br />
• Rehabilitation – how valuable was physio and<br />
exercise? Is exercise something you do regularly?<br />
• For wāhine – fertility, the challenges of being<br />
pregnant with an SCI and caring for children<br />
• Hope – the power of hope and how it helps with<br />
personal growth.<br />
We would love to hear your insights, anything from a<br />
single comment or anecdote up to a few paragraphs<br />
(500-750 words).<br />
Please email your comments to<br />
bernadette.cassidy@nzspinaltrust.org.nz by 13 May <strong>2022</strong>.
SPINAL NETWORK NEWS 35<br />
Thank you to our<br />
Funders & Sponsors<br />
The New Zealand Spinal Trust appreciates the generous support of the fol<strong>low</strong>ing<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 in<br />
providing advanced medical technology and state-of-the-art<br />
healthcare solutions. Today, those solutions include the sale and<br />
rental of power wheel chairs, manual wheelchairs, power assist<br />
and seating & positioning products.<br />
Access Community Health has been at the forefront of keeping<br />
people healthy and safe in their homes since 1927. Today our<br />
nationwide team of skilled nurses and 3,000 support workers make<br />
over three million visits per year, ensuring people can remain<br />
active and independent in their own homes and community.<br />
Rehabilitation<br />
Welfare Trust<br />
The Elizabeth Ball<br />
Charitable Trust<br />
Air Rescue Services Ltd<br />
Deluxe Box<br />
Riccarton Rotary<br />
Charitable Trust<br />
Crusaders<br />
Canterbury Masonic<br />
Charitable Trust<br />
Cube Design<br />
Rotary Club of Avonhead<br />
A F W and J M Jones<br />
Foundation<br />
F<strong>res</strong>h Choice Parklands<br />
Rotary Club<br />
of Christchurch<br />
Hyman Marks<br />
Charitable Trust<br />
Burwood<br />
Volunteers Trust<br />
Are you a subscriber?<br />
It’s easy to subscribe to the NZST and it only costs $30 a year. Your subscription<br />
helps with the printing of the Spinal Network News magazine and helps us<br />
support the positive futu<strong>res</strong> of people with spinal cord impairment.<br />
Go to our <strong>web</strong>site and click<br />
on the red ‘Donate’ button<br />
www.nzst.org.nz
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