Issue 1 | November 2023
health
Faircape Group 5th Floor, The Terraces, 25 Protea Road, Claremont, 7708 Tel: 021 815 5700 For queries contact enquiries@faircape.co.za Production Team: Editor: Robyn Van Schalkwyk Designers: Melanie Reyneke, Mhlanguli Gcobo Copywriter: Robyn Van Schalkwyk Photographer: Hean Prinsloo Additional copy: Marchelle Wessels, Sasha Prinsloo, Chenel Kruger-Nel, Sara Van Velze, Andrew Kleyn www.faircapehealth.co.za
Contents About Faircape Health
4
Pillars of Excellence
6
Occupational Therapy
8
Uniting Expertise for Superior Healthcare
10
Meet Our Support Staff: The Backbone of Care
12
Our After-ICU Care Team
14
A Tribute to Julian Daniels: Breathing Easy
16
Pulmonary Hypertension Symposium
18
Breathing life Back In
19
Cancer Conqueror
20
Striding Towards a Better Tomorrow
22
Resilience in Motion
24
Evolving the Brain’s Potential
26
WorkWell Functional Testing
28
Innovating Subacute Rehabilitation
30
www.faircapehealth.co.za
3
About Faircape Health Faircape Health Tokai Rehabilitation provides restorative care and rehabilitation in a purpose-built facility for those recovering from injury or surgery.
What makes us different? Our team makes us different. Our integrated team of medical professionals, includes independent practices which collaborate seamlessly to deliver holistic healthcare. Our facility includes a multidisciplinary team of on-site: •
6 Full-time Doctors, Nurses and Carers
•
12 Dedicated Physiotherapists and 7 Occupational Therapists
•
Medication dispatched by our onsite Tokai Health Pharmacy
•
Nutritional meals planned by our Group Dietitian
•
Full-time Social Workers, Speech Therapists, Discharge Planners, Rehabilitation Coordinator
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Faircape Healthcare
Our rehabilitation mission is to drive goals and outcomes. We believe that setting clear goals and measuring outcomes are essential components of rehabilitation. This ensures the best possible care for our patients. Our rehabilitation programmes use the International Classification of Functioning, Disability, and Health (ICF) framework, Goal Attainment Scaling (GAS), and the Modified Barthel Index to measure the outcomes of each patient. On arrival at Tokai Rehabilitation each patient is; •
Assessed by a Registered Nurse
•
Has a rehabilitation plan and goals developed by Multidisciplinary Team
•
Set a discharge date and post discharge follow-up clinic date
The ICF Framework: The framework was developed by the World Health Organisation and is a comprehensive model that helps us understand the impact of health conditions on an individual’s functioning and disability. It encompasses three main components:
01 02 03
Body Functions and Structures: We assess which body structures have become impaired and which functions have been affected by the health condition. Activities and Participation: We evaluate how these health conditions affect an individual’s daily life and participation in society. Environmental Factors: We consider the influence of the physical, social, and attitudinal environment on an individual’s functioning.
Goal Attainment Scaling (GAS): Goal Attainment Scaling is a method used to set personalised rehabilitation goals with patients. Instead of relying on generic goals, GAS allows us to work with patients to define specific, achievable objectives that are meaningful to them. Each goal is assigned a numerical score, and we continually monitor progress. This approach ensures that our rehabilitation plans are patient-centred and outcome-driven. Modified Barthel Index: The Modified Barthel Index is a widely recognised tool for measuring an individual’s level of functional independence in performing activities of daily living, such as bathing, dressing, and mobility. This index assists in assessing and tracking patients’ progress. The Modified Barthel Index can be used to quantify changes in a patient’s functional abilities over time.
www.faircapehealth.co.za
5
Excellence
PILLARS OF
Collaborative Excellence Uniting Expertise for Better Healthcare at Faircape Health
Tokai Physiotherapy, was founded in 2021 by Marchelle Wessels and Megan Albert. Since then, the practice has expanded into a hub of healing and innovation. Each member of the physiotherapy team brings a unique set of expertise and special interests, creating a comprehensive approach to rehabilitation that is second to none. The extraordinary passion, compassion, and determination of the team make them truly different. Where expertise meets passion: Our physiotherapists believe that every patient is unique. We uphold the highest standards of care and are committed to efficacy and an evidence based, innovative approach to physical rehabilitation. The extraordinary passion, compassion, and determination of the team makes us truly different. At Tokai Physiotherapy, we’re proud to stand out from the crowd, and our dynamic team of 12 physiotherapists is at the heart of what sets us apart.
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Faircape Healthcare
Neurology Physiotherapists: Our neurology physiotherapists have undergone extensive training, including the prestigious Bobath course. This specialised knowledge allows them to provide cutting-edge care to individuals with neurological conditions, ensuring that they receive the most effective and personalised treatments. Orthopaedic Physiotherapists: Our orthopaedic physiotherapists have undergone rigorous training in orthopaedic-related surgeries and injuries. Working in close collaboration with orthopaedic surgeons ensures that patients receive a seamless continuum of care, from surgery to rehabilitation, resulting in a faster and more effective recovery. Cardiorespiratory Physiotherapists: Our cardiorespiratory physiotherapists have enhanced their expertise by completing courses through the American Association of Cardiovascular Pulmonary Rehabilitation. This advanced training equips them to provide specialised care for patients with heart and lung conditions, improving their overall quality of life and well-being. Breathlessness and Respiratory Physiotherapists: The unique skills of our two Bradcliff breathing trained therapists assist individuals in managing breathlessness and respiratory conditions as well as regain control over their breathing, facilitating a better quality of life. Amputee Rehabilitation Physiotherapists: Two of our physiotherapists specialise in amputee rehabilitation. They work closely with Malcolm Freedman and Associates to maximise prosthetic rehabilitation, ensuring that our patients regain their mobility, independence, and confidence. ICU Survivor Rehabilitation (PICS) + Physiotherapists: Our ICU Survivor Rehabilitation team collaborates with key professionals, including Psychologists, Occupational Therapists, and Speech Therapists, to address the cognitive, emotional, and physical impairments that often follow an ICU stay. We believe that true healing goes beyond treatment; it involves personalised care, empathy, and a commitment to our patients’ well-being. We’re dedicated to the success of our patients every step of the way.
www.faircapehealth.co.za
7
Occupational Therapy
at Faircape Health Vital to enhancing lives during rehabilitation, Occupational Therapy, combines creativity and science to improve overall well-being.
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Faircape Healthcare
Wheelchair seating: An individual who has difficulty in mobilising within the home environment or within the community may require a wheelchair for mobility and occupational engagement needs. A wheelchair is not a one size fits all device. Every individual has different environmental, postural, sizing and occupational needs. Our Occupational Therapy team has 6 therapists trained in basic seating and/or intermediate seating. Cognitive assessments and screenings: We have five certified Occupational Therapists able to administer the MoCA (Montreal Cognitive Assessment or MoCA) Test. The MoCA has been validated as a highly sensitive tool for early detection of mild cognitive impairment (MCI) in numerous peer-reviewed studies for over 20 years. MoCA has been widely adopted in clinical settings and used in academic and non-academic research around the world. Hand therapy: Occupational Therapists have the knowledge and skills in fabricating and fitting splints and orthotic devices to support hand function and healing. These devices can be crucial for immobilisation, protection, and functional improvement. The restoration of hand function is essential for performing everyday tasks and maintaining independence. Several of our Occupational Therapists have performed short courses in hand therapy to improve their knowledge and skills in this field. Driving: One of the occupational therapists, Anne Scott, is currently enrolled in a driving course offered by the Driver Fitness Coalition. Functional Capacity Evaluations: A Functional Capacity Evaluation (FCE) is a comprehensive objective test of an individual’s ability to perform work-related tasks. An FCE is an integral part of the return to work process. Sasha Prinsloo, head of Tokai Occupational Therapy, is a WorkWell certified provider able to conduct FCE’s. An FCE reflects current research and clinical evidence in the fields of functional testing and worker compensation. Assistive devices: Occupational Therapists play a pivotal role in the prescription and utilisation of assistive devices to enhance the independence of individuals in their daily activities. Our approach encompasses assessment, prescription, customisation, training, and ongoing support. We also assist with motivations to funders for specific assistive technologies that may be needed. Palliation: Simone Bezuidenhout one of the Occupational Therapists completed a course in palliation care in 2023. Occupational Therapy plays a vital role in palliative care by helping individuals maintain their quality of life through adaptive strategies and interventions that address their physical, emotional, and functional needs.
www.faircapehealth.co.za
9
Un i t i n g E x p e r t i s e
for Excellent Healthcare Faircape Health is positioned to provide world-class care. Our teams of medical professionals collaborate on treatment plans for optimal clinical outcomes. Each possessing a unique blend of skills and expertise, our remarkable leaders illuminate the path towards innovation and patient-centred care, standing as pillars of excellence.
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Faircape Healthcare
TOKAI PHYSIOTHERAPY INC. Marchelle Wessels & Megan Albert Tokai Physiotherapy Inc. is the physiotherapist pratice aligned with Faircape Health Tokai Rehabilitation. They empower patients to achieve their maximum functional goals. Offering
inpatient
and
outpatient
physiotherapy, the practice delivers highquality evidence-based outcomes.
FAIRCAPE MEDICAL Dr Nicole Snyders A
family
physician
passionate
about
preventative medicine, Dr. Nicci has a particular interest
in
internal
medicine,
geriatrics,
rehabilitation and palliative care. Offering value-based healthcare, she leads her team of Doctors, providing patients with the best treatment plans resulting in optimum clinical outcomes.
TOKAI OCCUPATIONAL THERAPY Sasha Prinsloo Sasha
leads her team of Occupational
Therapists in assisting patients return to a fulfilling life through meaningful occupations. After a traumatic event, independence is gained and enabled through different occupational therapy methods. These occupations include daily tasks or activities that need to be relearned and performed on a daily basis.
www.faircapehealth.co.za
11
Faircape Health’s Support Staff
The Backbone of Care:
Hospital Manager
Discharge Planner
Chenel Kruger-Nel is the Tokai Rehabilitation
Daryn Jones, plays a key role in the patient’s
Hospital Manager. Her role includes overseeing
comprehensive rehabilitation journey. Acting as
all patients and staff. Her Master of Business
a bridge between the patient, their family, and
Administration, with a focus on approaches and
the healthcare team. As a qualified Social Worker,
requirements for healthcare leaders to effectively
(BSW UCT), with the goal of promoting the patient’s
lead and manage healthcare ecosystems, has
well-being and recovery while minimising the risk
contributed to the smooth operations at our
of readmission, she facilitates a smooth and safe
facility.
transition of care.
Dietitian
Rehabilitation Coordinator
Toni
Smyth
(BSc
in
Dietetics
and
Human
With a BSc (Hons) from UCT in Physiotherapy,
Nutrition) is Faircape Health’s lead dietitian.
Kate Vlok is our Rehabilitation Coordinator. By
She has contributed to implementing and achieving
facilitating seamless transitions after discharge,
sustainable nutritional plans for rehabilitation
which includes running the follow up clinic, she
patients. This includes healthy eating, weight
supports patients on their recovery journey.
management, nutrition, food service and menu planning. Speech Therapist Tamlyn Bouland, our qualified speech therapist and her team work with patients to improve their communication skills, articulation, and voice disorders. Speech therapy assists rehabilitation patients with communication and swallowing techniques after a traumatising event.
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Faircape Healthcare
Assessment Nurses Our assessment nurses play a pivotal role in our healthcare ecosystem. Their understanding of the intricacies of patient referrals sets them apart. They ensure that each patient’s journey is seamlessly guided to the next step of their medical care.
Carers Our
carers
Nurses help
to
promote
and
extend
Our registered nurses provide care and assistance
independence by assisting with various activities
to patients. They ensure that needs are met
of daily living, including hygiene and mobilisation.
with dignity and respect and that prescribed medications are managed appropriately.
Social Workers
Pharmacists patient
Juanee Pretorius and her passionate team of
needs. The team includes qualified pharmacists
Social Workers safeguard and empower patients
(B. Pharm) and assistant pharmacists (S.Buys)
in their daily lives by supporting them through
who provide guidance on medication use and
changes.
Our
Pharmacists
address
complex
dosage.
The Administrative Team Our administrative team ensures that day-to-
Psychology An aligned practice, Perspectives Psychology
day operations run seamlessly. Handling various
Group aims to strengthen the mental health and
crucial tasks, including managing medical aid
well-being of those experiencing physical health
claims and addressing inquiries, they act as a
challenges.
vital link connecting our specialists, hospital, and patients.
www.faircapehealth.co.za
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Your Guiding Light to Recovery - Our After-ICU Care Surviving a critical illness is a remarkable feat,
years, prompting studies into its complexities.
but for some, the journey doesn’t end in the ICU.
It does not discriminate, affecting individuals in
Faircape Health Tokai Rehabilitation has taken
various ways and to varying degrees, necessitating
the lead in tackling Post-Intensive Care Syndrome
a multifaceted approach to recovery.
(PICS) head-on. Our dedicated team of healthcare professionals PICS can cast a shadow over recovery, leading to
employs a patient-centred approach to changing
physical, cognitive, and emotional impairments.
the lives of patients battling with PICS.
This syndrome has garnered attention in recent
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Faircape Healthcare
From the day of admission until the day of discharge, our attention is on the process of achieving the outlined goals. Our multidisciplinary team discusses the patients goals after the admission assessments on the second day of their stay. The discussion includes; •
The International Classification of Functioning, Disability, and Health (ICF) Framework goal setting
•
Goal Attainment Scaling (GAS) scoring
•
Classification of Rehabilitation outcomes
•
Rehabilitation plan, implementation and discharge date set
•
Goal attainment and effective interventions review
We emphasise holistic care with thorough assessment and communication, and achieve this through: •
Patient discharge report: a summary of treatment for the patient and the family
•
Specialist discharge report: information for treating professionals
•
Post-discharge follow-up appointment: Follow up appointment one month discharge follow-up to ascertain goal maintenance and assist with referrals for continued care
Unlocking Recovery after ICU
Marchelle Wessels, owner and director of Tokai Physiotherapy, and member of the Critical Care Society of South Africa, delivered a remarkable keynote presentation at the prestigious 2023 Critical Care Congress. Her talk, titled ‘Establishing ICU recovery centres’, revolved around the groundbreaking ICU Recovery Centre programme offered at Faircape Health Rehabilitation. She provided essential guidance to doctors regarding referrals for post-ICU care and her engaging presentation left a significant impact on the audience, thanks to a unique visualisation exercise that allowed attendees to step into the shoes of post-ICU survivors. Her presentation showcased her dedication to advancing critical care outcomes and fostering compassion in the medical community. The ICU Recovery Rehabilitation programme at Faircape Health Rehabilitation offers holistic support for post-ICU survivors, bridging the gap between intensive care and everyday life.
www.faircapehealth.co.za
15
Triumph in Pulmonary Rehabilitation
Breathing Easy Julian Daniels - Tribute
In the story of Julian, we find inspiration in the unwavering human spirit, a tale of courage, resilience,
and
the
profound
impact
of
compassionate care. We remember Julian with deep reverence, a man who defied overwhelming odds to grasp a second chance at life through the extraordinary rehabilitation offered by Faircape Health, in tandem with the life-giving Lung Transplant programme at Groote Schuur Hospital.
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Faircape Healthcare
Julian’s journey began with a formidable challenge:
Julian’s triumphs were not just about physical
a diagnosis of cystic fibrosis, a relentless genetic
progress; they were a testament to the human
disorder. This condition threatened to rob him of
spirit’s indomitable will. Each breath he took was a
his breath and dreams. Yet, Julian was not one to
symbol of his determination, and each step he made
surrender to despair. With a determined spirit and
was a testament to his resolve.
unyielding resolve, he embarked on a journey that tested the limits of his strength. In December 2017, Groote Schuur Hospital’s revival of its Lung Transplant programme marked a turning point in Julian’s life. This programme, unique in Africa, provided therapy to uninsured patients like Julian, offering a lifeline where there had been little hope. Without it, Julian’s chances of breathing with ease and constant medical assistance were exceedingly slim. Nevertheless,
Julian’s
path
was
fraught
with
challenges. Eight grueling weeks in the ICU had left him physically debilitated, his muscles weakened,
And then came the day when Julian was ready to face
and his mobility compromised. The road to recovery
the world once more. With tears of joy and gratitude
appeared daunting. Yet, in this dark hour, hope
in his eyes, he left Faircape Health, his sanctuary,
emerged as Groote Schuur Hospital and Faircape
during the challenging journey of recovery. He
Health joined forces to offer Julian a pro bono stay at
embraced his loving wife, who had been his pillar of
our world-class rehabilitation facility. He became the
strength throughout his recovery.
first state patient to participate in our ICU survivor rehabilitation programme.
Julian’s newfound lease on life, though tragically brief, was a life lived to the fullest. He cherished
Julian’s journey at Faircape Health was nothing
every moment, every breath, every smile with his
short of miraculous. With dedication, he embarked
beloved wife. The Lung Transplant programme at
on a path to recovery that was both physically
Groote Schuur Hospital had provided him with the
and emotionally demanding. Physiotherapy and
opportunity to return home, to be with his wife,
Occupational therapy became his daily companions,
and to savour the joys of life, even if for a too-short
guiding him toward regaining his lung capacity,
moment.
balance, and strength. As we reflect on Julian’s remarkable journey, we salute But the journey was not confined to the realm of
his spirit, courage, and the love that surrounded
the physical. Julian’s rehabilitation programme was
him. His story serves as a powerful reminder
holistic, addressing not only his bodily needs but
of the potential for healing and transformation,
also his nutritional well-being. Guided by a dedicated
even in the face of the darkest challenges. Julian’s
dietitian and nourished by meals prepared by the
legacy endures and stands as a testament to the
in-house catering team, Julian found the strength to
extraordinary resilience of the human heart.
continue his fight.
www.faircapehealth.co.za
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Pulmonary Hypertension Symposium Faircape Health, in collaboration with the Jenna Lowe Trust and the Pulmonary Hypertension Association of South Africa (PHA SA) hosted the first ever Patients’ Perspectives Symposium on 13 May 2023 at the Faircape Health in Tokai Estate, Cape Town. While Pulmonary Hypertension is regarded as a rare disease, it is so often misdiagnosed or undiagnosed that the University of Stellenbosch researchers have estimated the prevalence of PH in Africa may range from 10% to 68%. It is estimated that 75 million people worldwide suffer from PH. Dr. Symons of the Jenna Lowe Clinic at Groote Schuur, the country’s first dedicated PH medical unit, provided an overview and insights into the work of the clinic and their learnings. Beyond organ transplants, there is still no cure for pulmonary hypertension; however, early diagnosis and treatment can drastically change the length and quality of a patient’s life.
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Faircape Healthcare
Breathing Life Back In A Pulmonary Hypertension Success Story With any transplant, the recovery journey requires patience and focused rehabilitation. A rare and often life-threatening disease, pulmonary hypertension affects two of our most vital organs, the heart and lungs. Shortness of breath, lightheadedness, and chest pain are all symptoms of pulmonary hypertension, placing pressure and stress on these organs, straining blood circulation throughout the body. After being diagnosed with pulmonary hypertension shortly after giving birth to her son in 2017, Rafeeqa Lamera’s life drastically changed. Suffering from shortness of breath and lightheadedness, she was repeatedly misdiagnosed with an embolism. After five years of ineffective treatment, in August 2022, she was placed on the transplant list, and in November 2022, she underwent a double lung transplant surgery in the care of Groote Schuur Hospital’s Lung Transplant Programme. Her successful surgery and rehabilitation recovery made her the first pulmonary hypertension transplant survivor. However, after experiencing difficulty in the ICU, the decision was made to transfer her to Faircape Health Tokai Rehabilitation as a pro bono patient. Her rehabilitation team included physiotherapists, occupational therapists, a psychologist, and a team of doctors. The multidisciplinary rehabilitation team’s therapy guaranteed that Rafeeqa’s new organs were being used by a functional body, capable of sustaining her renewed lease on life and returning her to a quality of life that’s meaningful.
www.faircapehealth.co.za
19
Cancer Conqueror An Oncology Success Story
Chad’s journey is an extraordinary testament to the power of the human spirit, unwavering support, and the incredible resilience of a young individual. His inspiring success story has been marked by courage, determination, and the dedication of healthcare professionals. At the tender age of 15, Chad’s life took a sudden and unexpected turn when he began to experience unbearable leg pain in November 2020. Initially attributed to growing pains, the pain grew progressively worse, extending to his legs, back, and neck. After multiple consultations with medical professionals, it became apparent that a deeper medical mystery was unfolding. In March 2021, a new doctor recommended MRI and CT scans, leading to a diagnosis no family ever wants to face: Ewing Sarcoma, a rare form of cancer. Chad embarked on a gruelling journey of chemotherapy and radiation treatments, a journey that would span over a year and be marked by numerous medical complications.
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Faircape Healthcare
Chad’s
spirit
remained
unbroken
throughout. Even as he celebrated his 16th birthday within the confines of a hospital room and navigated the complexities of cancer treatment during the challenging backdrop of a global pandemic, his resilience shone brightly. His enduring optimism was met with the commitment of his healthcare providers, including his devoted physiotherapist, Sara, and the compassionate team at Tokai Physiotherapy. Today, at the age of 17, Chad’s story has evolved into one of remarkable transformation. Thanks to the tireless efforts of his healthcare team and his own determination, Chad not only conquered cancer but also achieved something many thought impossible: he can now walk without crutches. His path to recovery has been nothing short of astonishing. Chad is not only attending school but also navigating life’s challenges with newfound confidence. When needed, he uses a wheelchair with ease, and for shorter distances, he walks independently with crutches. His journey underscores the remarkable progress that can be achieved with courage, perseverance, and a steadfast support network. Chad’s story is a beacon of hope, demonstrating that the human spirit can prevail despite the most daunting challenges. It is an ode to the strength of character, the importance of support, and the transformative impact of dedicated healthcare professionals.
www.faircapehealth.co.za
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Striding Towards a Better Tomorrow Our Faircape Health Orthotic and Prosthetic Specialist
Malcolm Freedman and Associates is the preferred Orthotic and Prosthetic service provider at Faircape Health. With a dedicated team of 5 Orthotists and Prosthetists patients are given access to a wealth of clinical experience and product knowledge. Careful consideration is also given to the patient’s Technological
advances
in
recent
years
to
functional
and
cosmetic
needs,
selecting
modern healthcare has radically altered the role
appropriate components, fabricating, fitting, and
of orthotists and prosthetists, expanding from a
alignment of the orthosis or prosthesis followed
focused technological input to an inclusive set of
by educating the patient on appropriate use to
skills, seamlessly assimilating into the rehabilitation
achieve the best clinical outcome possible.
team as a whole. As a preeminent name in orthotics, the practice has As practicing healthcare professionals, they are
a special interest in the design and manufacturing
able to collaborate in diverse health care settings,
of prosthetic limbs and foot orthotic design for
contributing towards providing the most effective
the management of common conditions such
clinical outcome for patients. The expertise and
as plantar fasciitis, metatarsalgia, hallux valgus,
input of many professional disciplines is often
diabetic footwear, pes planus (flat foot). They are
necessary to best serve the needs of patients and
also passionate about assisting patients through
their families.
their amputation rehabilitation. Their prosthetics and orthotics laboratory is conveniently located at the Kingsbury Hospital in Claremont, where state-of-the-art
equipment
produces
quality
orthopaedic devices for patients. Malcolm Freedman and Associates are the first practice in the Western Cape to have invested in an advanced Run-Time Baropodometric treadmill for in-depth gait analysis and a Spine 3D scan system for assessment of postural asymmetries and spinal disorders such as scoliosis and kyphosis. Their area of expertise includes providing orthotic and prosthetic solutions to patients of all ages with neuromuscular and musculoskeletal impairments that limit functional ability. 22
Faircape Healthcare
A Cape Town based Orthotics and Prosthetics practice, their branches are conveniently located in the city centre and Southern suburbs. Their services also include: •
Digital gait analysis for runners to optimise foot mechanics and select appropriate running shoes
•
Upper and lower extremity orthopaedic and sports injury bracing
•
Corrective bracing for spinal disorders
•
Compression garments for DVT/ Varicose veins/ Lymphodema
•
Orthotic devices for neuromuscular disorders (CP/ Stroke)
•
Breast prosthetics
Their dedicated administrative team engages with all major health care funders in South Africa, including RAF, Discovery Health, GEMS & WCA to obtain authorisation and funding for patients.
Please visit our website on www.orthopro.co.za for more information. Should you wish to make an appointment, kindly contact one of our friendly secretaries on 0214224599 or 0212067877 who will gladly assist you.
www.faircapehealth.co.za
23
Resilience in Motion An Amputee success story Aimed at helping amputees ambulate and operate
Custom-tailored treatment plans are developed by
independently with the use of a prosthetic limb,
specialists with the aim of improving overall physical
amputation rehabilitation assists individuals in
function, exercise tolerance, and quality of life.
returning to their occupations and reintegrating into their social lives. At Faircape Health, our
The phases of amputation rehabilitation are:
amputation rehabilitation treatment regimens focus
pre-operative, amputation surgery, acute post-
on optimising wellness and function.
surgical, prosthetic
"Success is the sum of small efforts, repeated day-in and day-out" Robert Collier
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Faircape Healthcare
pre-prosthetic, prosthetic prescription, training,
community
integration,
vocational rehabilitation, and follow up. Amputation rehabilitation may be a lengthy process, but with commitment, discipline, and a focus on physical function, it’s possible to achieve optimal outcomes and successful limb integration.
At Faircape Health, we encountered a remarkable
Mr. de Jong’s life took a challenging turn when he
and truly unique case that touched our hearts
faced a double amputation due to embolisms in
deeply. It’s a story of unwavering resilience and
both his legs. These hardships followed his battle
the relentless pursuit of a better life. Meet Mr. de
with stomach cancer, which he had successfully
Jong, a double amputee who sought rehabilitation
overcome.
and
physiotherapy
at
Faircape
Health
Tokai
Rehabilitation. His journey is not just a personal
The discovery of the second embolism led to the
triumph but also a pioneering feat for South Africa
difficult decision to amputate, eliminating potential
and our facility.
health concerns. His determination to regain mobility led him to explore the world of bionic limbs, a choice that would change his life. Through the expertise of Malcolm Freedman & Associates, our esteemed orthopaedic prosthetist and orthotist practice, Mr. de Jong was fitted with state-of-the-art
Össur
microprocessor
knees
and bionic limbs. These cutting-edge bionic limbs respond to weight and positioning through special gyroscopes above the amputation level, offering him newfound hope. As an inpatient, the goal was clear: to help him safely navigate his home using these remarkable prosthetic legs, aided by appropriate walking devices. The microprocessor knees not only promote stability and safety but also grant him the gift of a natural and effortless gait, a vital aspect of his rehabilitation. Mr. de Jong’s journey involved intensive work with our multidisciplinary team. Together, they focused on enhancing his balance, endurance, strength, and mastering the specific techniques required for the microprocessor knees, which differ significantly from traditional mechanical prosthetic knees. With the support of his prosthetics, Mr. de Jong achieved remarkable milestones. He was able to traverse five metres with a walking frame, be aided moderately, and stand with minimal assistance while holding the walking frame. His journey serves as a testament to the power of determination and the importance of the right rehabilitation programme.
www.faircapehealth.co.za
25
Evolving The Brain’s Potential
Neurorehabilitation aims to aid recovery from a nervous system event. It minimises and/or compensates for any functional alterations resulting from it. With the goal of achieving the highest level of independence possible, neurorehabilitation wellbeing,
restores
functional
self-esteem,
and
encourages and promotes skills. Faircape
A Neurorehabilitation success story
enhances
Health’s
neurorehabilitation
programme is designed by physiotherapists with
specialised
training,
who
develop
treatment plans tailored to each patient, enhancing general physical function, exercise tolerance, and quality of life.
Sara Van Velze - Senior Physiotherapist Working with a diverse range of patients and their conditions is a rewarding experience for Sara, who began her career at Tokai Physiotherapy in 2021. In the same year, she completed her Cardiac Rehabilitation course with the American Association of Cardiovascular and Pulmonary Rehabilitation. Sara says of her career as a physiotherapist, “My goal as a physiotherapist and what I will always strive for is to instill confidence and empower my patients to take control of their health and their lives using exercise and rehabilitation.”
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Faircape Healthcare
Dedication to providing exceptional care courses
journey will continue. There, he will resume his roles
through the very core of our mission. The
as a loving husband, devoted father, skilled engineer,
heartwarming story of Virgilio, a resilient father
and passionate rapper, armed with the progress
of four from Angola in his mid-40s, showcases
he made during his time with us. Virgilio’s story is
the dedication we have to our patients’ well-
a testament to the power of perseverance and the
being. Virgilio’s journey began when he suffered
unwavering commitment we have to the well-being
a debilitating stroke that left his right arm and leg
of our patients, ensuring they can live their lives to
severely impaired, robbing him of his independence.
the fullest.
Virgilio found his path to recovery at Faircape
Of her patient, Sara said, “Virgilio was an absolute
Health Tokai Rehabilitation, where our dedicated
treat to work with. I struggle to listen to the music
team embarked on a comprehensive rehabilitation
in our gym without humming or singing along.
journey with him. This included not only the physical
He was the only patient I’ve had who joined me in
aspect of restoring movement to his right side but
singing along, and our sessions were always fun. He
also the vital work of reclaiming his speech through
worked incredibly hard and never shyed away from
intensive therapy.
challenges, which I threw at him often. His friendly smile and laid back nature ensured that he was
Virgilio’s rehabilitation primarily focused on helping
known by everyone in the facility, both staff and
him regain mobility safely and independently,
patients alike.”
whether he required walking aids or not. As an inpatient, Virgilio received relentless support, with physiotherapy sessions twice daily, along with occupational and speech therapy. These sessions aimed at building his strength, enhancing his balance and endurance, and refining his speech tone. Every effort was orchestrated with a singular goal in mind: to enable Virgilio to walk safely on his own by the time he left our care. After an intensive 8-week inpatient journey, Virgilio transitioned to an outpatient status, continuing his rehabilitation with us for an additional three weeks and attending sessions three times a week. Over time, his speech and mobility transformed. Though his affected arm did not fully recover as we had hoped, his determination and our team’s support led to significant improvements. Virgilio regained the ability to confidently express his needs and navigate the world independently, all without the aid of walking devices. With renewed strength, Virgilio returned to his parents’ home in Portugal, where his rehabilitation
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WorkWell Occupational Therapy Functional Testing at Faircape Health Tokai Rehabilitation.
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Faircape Healthcare
A Functional Capacity Evaluation (FCE) is a comprehensive objective test of an individual’s ability to perform work-related tasks, it is also an integral part of the return to work process. Head of our Occupational Therapy department, Sasha Prinsloo is WorkWell certified. WorkWell FCE’s reflect current research and clinical evidence in the field of functional testing and workers compensation. The WorkWell FCE testing includes: •
A traditional comprehensive FCE format to test a full spectrum of general functional abilities,
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Upper quarter FCEs,
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Lower quarter FCEs,
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Spine FCEs,
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Hand FCEs.
If there are not any multiple comorbidities, this FCE testing is more effective and can be used for an early functional evaluation (for decisions regarding transitional or alternative work duties). Testing can also be tailored to test specific job requirements. This will enable us to identify limitations or issues in the worker’s ability to return to their job. Our goal is to provide the information needed relating to an individual’s abilities to match their job requirement.
"A pessimist sees the difficulty in every opportunity; an optimist sees the opportunity in every difficulty." - Winston S. Churchill
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Innovating Subacute
Rehabilitation
Innovation is the driving force behind improving patient outcomes, enhancing quality of life, and reshaping the way we approach healthcare services. Rehabilitation is one area where innovation is having a significant impact. Faircape Health is at the forefront of these innovations, revolutionising the way rehabilitation is delivered. In conjunction with innovations in care, our subacute care enhances patient outcomes, provides quality care, and delivers effective healthcare. At Faircape Health Tokai Rehabilitation, subacute rehabilitation innovation trends and approaches optimise patient recovery and well-being. Healthware In partnership with HealthWare Medical Technology, a leader in software solutions, we have developed a robust platform to internally manage our clinical, administrative, and financial requirements. The seamless integration means information flows smoothly from intake to discharge, enabling clinical care coordination and collaboration between disciplines and departments. BlazePods Controlled by an interactive app, BlazePods use visual cues to stimulate physical and cognitive activity through the use of small, light-up pods. Aimed at sustaining and improving range-of-motion in joints, muscle tone strength, and general healthy lifestyle functionality, the technology is designed for sport, fitness, and therapy fields. Virtual Reality With the integration of Virtual Reality (VR), innovation takes centre stage in our physiotherapy rehabilitation programmes. The cutting-edge technology revolutionises patient outcomes by immersing individuals in therapeutic environments, motivating them to engage in customised exercises, and offering real-time feedback. VR is used in different programmes, including neurorehabilition and Post-Intensive Care. Virtual Reality has improved outcomes related to balance and coordination, confidence, engagement, motivation and compliance. We transform rehabilitation into an engaging and effective journey to recovery.
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Faircape Healthcare
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Innate
P T Y LT D
IN ASSOCIATION WITH
S A S H A P R I N S L O O O C C U PAT I O N A L T H E R A P Y PR ACTICE NUMBER: 1017403
Tokai Physiotherapy Inc Lake M & Associates Physiotherapist Inc. T H R I V I N G
F O R
E X C E L L E N C E