Thursday, October 18, 2012

The journey



It has been an emotional and tiring journey through this last semester. Going from a class that had so much segregation and transforming into an amazing class who can achieve anything. We were branded as a class who had too many behavioural problems and we fought that battle and proved that wrong.

Coming into this semester I told myself ``this is psych, you rock it so now own it`` - this confidence boost of course coming from when I achieved 100% in a psychiatrics test the semester prior. The prac venue I was placed at was amazing. It had its ups and downs...and I shed tears but looking back I wouldnt have changed it. It made me grow as a person and look inward to what I should change in my life. My supervisor has been nothing less than amazing and has molded us in ways I never would have imagined.

Walking into Northbay Lodge for the first time everyone was so loving and I was so happy. I never thought at that time that love being  showed was more than meets the eye and I`d want to throttle one of them. But soon the curtain needs to drop and you see the truth. After
countless number of inappropriate gestures to my prac group and many social skills sessions we eventually saw some change.Slowly but surely. Theres still lots of improvement to be made...but as always baby steps.

The improvement I have seen in my clients alone has been amazing. And i hope they will improve when Im no longer there.

We invited  chairman, social worker and manageress from the facility to come watch our presentation of the leisure programme we are implementing into the facility. He was a huge pat on the back to see these 3 people who we have feared say they are proud of what we have done. It makes me proud of what I have done too.

We can all achieve great things within a short period of time if we put our minds to work. And the prac group I have been with has really shown that. We've all made it to the end.. after we often thought of giving up. But it sure as hell was one bumpy ride getting here.

Writing this blog has shown me how to analyize my thoughts. I so often question things but dont ever say it out loud... but would I not make such a change if I actually act out on these thoughts? But there is a time and place for everything. And people dont always take it the right way...so for now... I'll just keep my thoughts inward until I find a way to make the change.

Celebrating Differences on Casual Day

Once a year in September there comes a time when we all buy our stickers and help raise funds for the disabled people, of all colours, shapes and  differences. It is a remarkable cause to support and this year we did this in our own special way at Northbay Lodge (a facility for mentally disabled adults in Durban).

Preparation for this day began almost two weeks prior with activities and refreshment planning. This all revolved around the theme ``all aboard``. So we enouraged everyone involved including the people at Northbay Lodge to dress according to this theme in red, blue and white. And my prac group that organized this all dressed up as sailors, captains, pirates, fancy cruise liner passangers  and everything sea. The residents of the lodge all came in their own special twist of the sailor theme. (it was amazing to see)

Our refreshments consisted of freshy squeezed orange juice,marie biscuits made to look like fish, cupcakes with the red and blue theme, bran muffins and fruit skewers.

Our activities were: captain says (a spin off of simon says), pin the hat on the sailor, parce the parcel (where everyone got a prize in every layer), we also had a dancing session with old 80`s and 90`s music and  photo booth with a huge chest of props for you to dress up in for your photos.

This photo booth went amazingly as we found the residents letting go and being allowed to act silly without it causing problems. We had to run our photobooth for an extra hour than the scheduled time because of the excitement around this photobooth. Residents even started bringing their own cameras to capture the moment. And of course when anotheer group of students from another venue came and tried to take over our photobooth, this caused more excitement amoungst the residents.

That day we saw different sides to the residents of Northbay Lodge.We saw the fun silly sides to pople. Some residents were even pretending to sword fight and die using the pirate swords.

It just goes to show even people with disabilities love to let go and be care free. Its really something to admire-how a person with so many issues can be so care free. We dont always need to be in control of everything. The change starts within, if you love who you are and control who you are it will start to manifest in the things you do . This way you wont need to change and control everything - because everything will be perfect already.

Wednesday, October 17, 2012

Going to a Narcotics Anonymous meeting


A friend of mine went through rehab and on discharge was advised to attend Narcotics Anonymous meetings. Since she was anxious about this I offered to tag along and give her some support, since I had been there through the downward spiral and rehabilitation.

FYI: Narcotics Anonymous meetings have taken over Alcoholics Anonymous meetings and they have now been combined with drugs and Alcohol in the Narcotics Anonymous meetings. Shorter known as NA meetings.

Arriving in and old church with the parking lot so full, it already put pressure on my friend. The parking spaces were small and the worry over scratching your car coupled with the anxiety of meeting new people in a situation such as this was enough to send her home. After a pet talk and some encouragement we walked into this hall filled with people all smiling at us. And instantly they wanted to know what happened.

As an outsider without an addiction it was overwhelming of me, so I could just imagine what it felt like for her. Imagine having 45 people all rushing over to you wanting to know your story before they even know you name. I understand that they want to create this caring environment for you to share your story, but shouldn’t that be a gradual process? After all you don’t know these people from a bar of soap and if it was me, I wouldn’t be so happy to just blurt out my problems that lead me here so easily.

They even insisted that I didn’t have to say I was here for support and that I could tell my story and it’s a safe environment so I could admit I have a problem. After protesting that I really don’t have a problem for about 10 minutes they gave up. (ANNOYING).

The people at the meeting took another tactic and started telling us their stories, and as I sat there I thought to myself this is like what we see in movies. The stories they took us were like taking it out of a novel or movie, although I don’t doubt that they true it just felt so dramatized. After knowing what had happened that lead my friend to this hall I couldn’t help but shout in my mind…REALLY???, at some of these people as they told their story. One story that stuck in my head was a girl who became addicted to drinking mouthwash.

It was nice to see the racial integration within the setting. All colours of this rainbow nation we live in coming together to admit there is a problem we need to deal with. But surely these leaders of this organization should know that a person that newly sober and out of rehab doesn’t want to be overwhelmed by too many questions. It’s a process to building trust so that people share their stories, because frankly having 45 faces staring at you expecting you to share can make you want to run in the opposite direction.  

I liked the fact that they give you little disc with numbers for the amount of days that you are involved with NA. So of course my friend got one with 1 on it. But that made me think again about how this is out of a movie…. The man who’s lost everything putting his disc down with 100 days written on it while sipping on his bourbon.

The meeting consisted of a leader reading a lesson and then sharing how his experience related to the lesson then opening the floor to say how your related to it too, but how many different ways can you say your substance abuse was due to this or that? The stories all sounded the same after a while.

Since no sharing was done on our behalf we tried to make a quick and hasty exit after this bombardment. But two girls cornered us and insisted we tell them what happened, which of course lead to the story of the death of a boyfriend and my friend in frantic sobs. Not everyone wants to relive those memories. The drugs were there to numb it in the first place.

Although I admire these people for admitting their problems. I must admit that their tactics for new comers is also overwhelming. It is a process to get someone to trust and open up in such an environment and sometimes by coming across so strongly, you force the person not to return so that they don’t have to feel that anxiety and uneasiness again. Maybe some intervention is needed there to perhaps show them there are better ways of doing this than getting all involved in someone’s business, because wanting to be someone’s best friend after 2 hours of meeting them can be a little too much.

The journey to recovery is a slow and painful one, but it begins with admitting you have a problem.

Living a day as a disabled person

Arriving at campus on the morning of the 21st February and fetching the wheelchair, as I was allocated the disability of being a paraplegic, made me more award of the accessibility of our campus and the slopes and levels that are on our campus. We were fetched at the Anatomy bus stop and being enthusiastic we thought we would act out this disability early and wheel ourselves down to the bus stop. We soon discovered that we had no access after a point and there was only stairs. We then discovered how unequipped the university buses are for people in wheelchairs and the driver even making a comment of “I can’t have people in wheelchairs on my bus”. It really made me take notice of my campus and how so many places on my campus are far too difficult to access for people with disabilities.

Arriving at Pavilion I had difficulty adjusting to my wheelchair and quickly discovered how a wheelchair that is not fitted properly for my body measurements can be highly uncomfortable. My armpits kept getting hit by the handles as the back was too low. I was very slow in the wheelchair and my arms got tired quickly from wheeling.

I firstly went to Mr Price to try on clothes. I found the staff very helpful and in fact one of the male workers wanted to follow me around to ensure I got the items I needed. When in the change rooms I discovered that the first change room is in fact wheelchair friendly although turning the wheelchair around inside the stall and closing the door of the stall was very difficult to do. I however found the staff at Mr Price very accommodating and always warning me if I was about to crash into something. Mr Price is built on two levels and they have put an elevator in place to access the levels. However I did find that they kept parking a clothing rack in front of the elevator as the elevator was next to the change rooms and when I wanted to use the elevator I had to ask the assistant to move the rack.

I found the other shoppers at Mr Price almost judgemental of me and kept staring with different expressions which made me very self-conscious. One lady just kept smiling awkwardly as if she wanted to say something but couldn’t. When I saw my friends in Mr Price I started laughing and chatting to them and got looks from people for laughing and being happy. I felt like they were blaming me for being happy in a wheelchair.

I then continued to Mugg and Bean. I enquired with one of the waiters why Mugg and Bean is not wheelchair friendly as the restaurant is on a platform with which the waiter just replied “we never thought about it”.   I went to the ATM to withdraw money which I found extremely difficult as the screen was far away and felt like there was no safely protecting my pin code as everything was exposed. I had difficulty pressing the buttons and seeing what I was doing. Luckily there was no one around to see this as I feel that persons in wheelchairs could easily be robbed at an ATM. A wheelchair leaves a lot of space between the person and ATM and exposes the pin code, as well as if an abled body person had to run off with the money being withdrawn there would be no way for the wheelchair bound person to get the money back as a wheelchair is clumsy and slow.

By that time I had started to get blisters on my hands and the one had started to go raw. So I went to checkers and bought plasters. In checkers I found the isles were big enough for the wheelchair but nothing else and turning around in an isle was impossible without knocking something over. At the cashiers the counters were high and the tellers also start to take pity on you but gossip amongst themselves in Zulu about the condition you are in as well. The tills are also not very easily accessible by wheelchair and I found quite a bit of difficulty doing this.

I then went to the arcade where I watched Kaylee and Hannah play 10 pin bowling. There were ramps going into the arcade however these were steep and found unsure when reaching speeds on these ramps. I took photos of the girls playing 10 pin bowling but all the staff at the arcade came to watch them play to see if these girls in wheelchairs were really able to play or not. Upon completion of playing 10pin bowling we all decided to go play arcade games. The ramp from the bowling alley to the arcade games was too steep and a cleaner had to assist us to get up the ramp. I played a game where you throw a ball in a hoop. The ball bounced off the hoop and rolled away I had to then go after the ball to pick it up, while the time on the machine ran out. The people working in the arcade watched this all happen and didn’t provide any help and as I bent to get the ball off the ground lost my balance and had to correct myself with my feet, which a proper paraplegic wouldn’t be able to do and would have actually fallen out. I was feeling a bit brave after that and decided to play the machine where you test your muscle strength by hitting a hammer on a disc. To find out doing that while sitting is not very easy and I had no real strength to my hits. You could only collect tickets for this if you get a point over 800. I got in the 700’s. The man fixing the machine took pity on me and gave me a stack of tickets from a broken machine for trying. When we cashed in out tickets we had 57 tickets and the 3 of us wanted to get the same thing as a memory, so we asked the lady if she could count it as 60 so we could get the same thing which she readily agreed to because of our condition.

At lunch an old man quickly jumped and moved chairs for us so we could sit around a table and continued to ask questions of what happened and if we are ok. The waitress didn’t know how to handle the situation and hesitated every time before approaching the table. She also kept staring at the wheelchairs and we had to repeat our order a few times as she was distracted by the wheelchairs. I found this quite funny but I could also imagine to a permanently disabled person that this could get annoying and they could feel like they are being put on show.

During my journey around the mall I saw an elderly lady in a wheelchair that smiled and asked how long I had been in the wheelchair for. I found this talk with her encouraging as she was so friendly and full of life even though she was wheelchair bound. Also many people would approach me to tell me where the lifts were.  Although I found lift in the mall were not useful as they took a long time to arrive and were always filled with people with trolleys and these people were not willing to give way for the wheelchair. The bathrooms are not wheelchair friendly on every level of the mall and only specific levels had access to bathrooms for the wheelchair. Some of the ramps I couldn’t manage and had to get out the wheelchair and push it as it is too steep to get up.

At 11.30 I changed disabilities with one of the other girls and went onto having crutches which I found so much easier to manage in terms of accessing places and getting around the mall. I went to the information desk and because I was still with Hannah who was in the wheelchair we discovered how high the desk is in relation to persons in a wheelchair. We asked why this was and the reply we got was because the persons in the information desk can stand up to see you. We enquired as to how they accommodate in the mall for people. The information we got on this was that there are lifts provided and if a person phones in advance they have wheelchairs at the mall which may be used by people and this facility is run by the security guards. However they do not provide people to assist them in the mall and to push them around the mall.  

I went to both Sportsman’s Wearhouse and Mr Price Sport and enquired if they stocked any equipment that accommodated for people with disabilities. At Sportsman’s Wearhouse a sales rep told me I was the 5th person to come ask him today and that he was sick of the question. So obviously now knowing what this practical was about he had no time to accommodate for me. At Mr Price Sport the people were interested in what we were doing. They told us we were the first students to come in there and when I asked them the same question they said that they didn’t but they had a number of a lady that does adaptions for people with special needs but would need to phone her and ask her permission to give her number to us. Most of the staff of Mr Price Sport were so intrigued by what we were doing and wanted us to fully explain our aim of the day and what occupational therapists do. This gave a vote of confidence to me and these people had never thought of many of the considerations that need to be taken for people with disabilities and found that I gave me something to think about which I pray they will implement into their lives and store.

When walking back across the mall, with Kaylee and Hannah still in wheelchairs, there was a demonstration for an electric massager. The man wanted to do a demonstration on the two girls in the wheelchair.  He firstly wanted to try the massager on Hannah’s legs but when we told him that she has no sensation in her legs he started being conscious of where he was massaging. I felt the education of general people on disabilities was not the greatest, and many people during the course of the day didn’t know how to handle the situation of people with disability adequately.

Overall evaluation of the Pavilion I found the floors slippery and often felt unbalanced on the crutches as they slid out and also found in the wheelchair that adequate traction could not be found in areas of the mall. The access of the mall was terrible and found myself waiting for lifts and wasting time doing this as people with trolleys in the life did not make any effort to accommodate for persons with disabilities. The overall attitude of the people within the mall was discriminating as people looked at you with shame or some people just didn’t care and went about doing their daily activities without taking into account my disability. Some people got irritated when they had to move out the way to make room for the wheelchair to pass.

I felt this exercise gave a good insight into how people with disabilities felt as I got very frustrated at times with the people, area I had to manipulate the wheelchair in, the work surfaces and heights. I felt weak at times and flustered as it took great amounts of upper body strength and stamina to keep constantly going. I was constantly sweating and felt very unlady like doing this.  I was irritated with the people’s behaviour towards disabilities after a few hours at the mall because I found they would look down on me if I was laughing with friends or they would all just look in shame as we struggled pass but never offered help but always made comments like “someone should help you with that”. I found very little people willing to help in stores and often got ignored when struggling to reach for something.

And I now personally know the frustration and endurance it takes to be disabled and shall never take my able body for grated and shall never ignore or show shame for a person with disability as I think it must get frustrating to only get pity from people. But will rather offer my help in a constructive manner that shall help us both.

hearts and homes for pets - the pet therapy story

QUOTES FROM ARTICLES ON PET THERAPY:

``Since the hospital began a canine program early last  year, patients have credited the dogs with improving their moods and motivating them to recover faster. Dogs give patient something to take their minds off the enormity of their problems`` - Ladies Home Journal, 12\01.

``Researchers found even one 30 minute long session of animal assisted therapy reduced loneliness to a statistically significant degree`` -Journal of Gerontology: Medical Sciences, 7\12

 ``Community programs that bring animals and people together for companionship and therapy began in the 1970`s, and are growing rapidly. The introduction of animals into the patients environment is a way of humanizing health care. This is becoming increasing important because the more that high technology is introduced into society, the greater the need for ``high touch``. ``-Naisbitt,1982

SOME OF THE BENEFITS OF PET THERAPY INCLUDE
*decrease emotional pain
*decrease physical pain
*reduces boredom
*reduces anxiety
*promotes responsibility
*allows for a loving environment.
*decrease depression

At the facility Ive been doing my pracital sessions this semester, there are many clients there with behavioural problems. It became a huge problem towards us students, as well as some of the less dominant characters in the facility. Coupled with these people with behavioural problems, there are also people with depression. For this reason we decided to
bring two small dogs to the venue and try some of the theories related to pet therapy.

From the moment I walked through the door with my jack russel (Zoe), the clients became different people. The ones with behavioural problems becames kind and nuturing , and those depressed- well instantly their moods were lifted.

Zoe has quite an attitude on her and tends to be quite a madam, therefore she kept throwing looks at some of the clients when they tried to hold her. But this just encouraged the clients more and made them laugh.

During group therapy we first taught the clients the appropriate way of handling dogs, and let them brush them. We then let them hold, play and give treats to the dogs. Unfortunetly Zoe let me down with this one, as sometimes when giving her treats she likes to hide it for later, and since she lives inside with me she started trying to hide the treat in the couch. Laughing it off i quickly picker her and her treat up and let the clients take her for a walk. Zoe is well behaved on a leash and handled many people walking her well, and because she is a long haired jack russel her hair made quite the impact on some clients. However for some it was a sensory overload and they started getting out of hand.

I had to teach the clients that long haired jack russels are the original breed of dog that was God made, and the short silky haired ones we know are man made breeds. This blew their minds so we had a quick discussion on man made vs God made breeds.This is something that really stuck with them.

Overall it was a success and it improved the mood of people and the facility in a whole. We have recommended the facility uses an organization such as ``paws for people`` to bring about more change through pets because the effects and improvement in the clients in the facility we could see immediately.

I would recommend pet therapy in the future.It really works...after all a pet is a friend for life.

Tuesday, October 16, 2012

The language of LOVE

Ever wondered what gets your engine revving? What you appreciate most about people? Well your love language can say quite a  bit about you and what attracts you to other people.

Find out what your love language is by taking the quiz: www.5lovelanguages.com/assessments/30-second-quizzes/love/

The 5 love languages are:
1.WORDS OF AFFIRMATION: actions dont always speak louder than words. If this is your love language, unsolicated compiments mean the world to you. Hearing the words I love you ae important to you, but hearing the reasons behind these words will send you into a skyward spiral. Insults can leave you shattered and are not easily forgotten

2. QUALITY TIME: nothing says I love you like full, undivided attention. Being there for this type of person is critical, but this time was be without distractions. The TV must be off and full attention must be given.

3. RECIEVING GIFTS: Dont mistake this love language for materialism, the reciever of gifts thrives on the love, thoughtfulness, and effort behind the gift.

4. ACTS OF SERVICE: Anything you do to ease the burden of responibilities weighing is an act of service. This speaks volumes to these type of people and the thing they mostly want to hear is let me help you with that.

5. PHYSICAL TOUCH: This language isnt about what happens in the bedroom. This person is a touchy peron. Hugs, pats on the back, and thoughtful touch to the shoulder, arm or face. Physical presence and accessibility are crucial and abuse can be destructive.

I tested my love language as well as my partners, and found out that both our languages are words of affirmation. This really made sense as I love how he was the first person to call me beautiful, and always calls me by this name. On a daily basis we make sure we say something nice to each other and start and everyday with the words i love you.

Its worthwhile taking the test, it gives you insight into your loving side.

Growth Games

We were made to do some growthgames in class for the purpose of improving cohesion within my class as there is quite a noticable segregation within my class. And for the obvious that we would in fact use these growth games within practice especilly when running groups.

During these games it became quite clear who the dominent characters were within the class and who are quite comfortable with being manipulated by these characters. I come from a background that has made me a very independant person and for this reason I often
express my feelings when I feel manipulation is taking place, however some people do not take well to this as they are hard headed.

Our first growth game was a survival game.We were told we were all on a cruise liner and the ship is about to sink, only 5 people can go into the lifeboat so from our group we should choose 5 people who will go aboard the lifeboat.

I found people came up with poor excuses and it came down to a popularity competition. People within my group would not consider logical thinking, and disregarded a lot of things that were being said. It came down to two people deciding who would be chosen and totally taking over. I decided at that point to choose my battles and decided to let them. In the end people were chosen because they couldnt swim and the rest of us could (like in realisty the rest of us could swim back to shore and fight off sharks and death  by drowning - yip thats realistic....NOT) but since people wont think logically in such a situation anyways who cares.

The second session of growth games included games such as talisman, Have you ever, whoosh whoosh woah, and zip zap zop, as well as others. Although I did not have the opportunity to do the growth game I was assigned to do I did find that with the second session more logical thinkng was used and people were more realistic with their answers.

The game have you ever involves a person asking questions of have you ever done this or that, and everyone who has done that specific thing will go to the centre of the circle and find a partner, and if there is one person left over without a partner. This person will then ask the next question....

I found this game united my class a little (not much, but any improval is good improval). People saw that we  all have similar experiences in life, so why should you judge and stereotype by your own superficial assumptions of the person. We are meant to be training to be therapists and we are always told that we should not take our client one dimentionally but take them with a holistic approach. So then why do we treat our colleagues with this narrow minded concepts? Do we not all use the saying theres more than meets the eye? So why do we so easily fall into this trap?

It definitely gives you something to think about.... So lets see what lessons the next set of growth games can show us.