Dedication

Dedicated to Intensive Care nurses everywhere

Monday, September 21, 2015

A Day in the Life - Rehab by the Numbers - Part four

Continues....






I was conscious of the need to ‘balance’ Carolie’s metabolism.  In yoga and other ancient therapeutic practices, the idea of balancing bodily energies is central to healing.  I was aware of various therapists working in Canberra with a reputation as healers.   

Just as I had organized acupuncturists and a samvahan practitioner to assist balance the natural healing rhythms, I was keen to explore various by-ways of chiropractic techniques, with its focus on nerve function and restoration through adjustments to the spinal column.  I knew that variants of this approach used extremely gentle manipulations of the spine.   

With help from a fellow yoga instructor I arranged for a highly recommended therapist to treat Carolie in the ward room.  I cleared this with the physiotherapist manager, and other therapists.  I checked with nursing managers and the ward social worker.  The neurosurgeons had cleared the way for an acupuncturist to treat Carolie on the high dependency ward.  We assumed this less intrusive technique would present no difficulties for medical staff.  Wrong!

The day of the first treatment was the last.  The therapist moved Carolie to her custom designed table, which was better suited to treating the patient on their stomach.  The technique involved very gentle pressure to the spinal area for fifteen minutes.  Immediately Carolie responded favourably – her breathing was easier and she felt better.   

A senior nurse not in the ‘loop’ decided the therapy was outside the ward regime and rushed off to report to the ward manager, the formidable 'lady-in-charge'.  She descended with great gusto to find the therapy session complete.  She 'ordered' me to meet with her and other colleagues immediately.  “The Queen's croquet ground” with associated threatened ‘head lopping’ loomed large as I prepared for yet another dangerous bend in the labyrinth.*




A rapidly convened meeting confronted me, including the aforementioned senior nurse, one of the physiotherapists (not the manager I had spoken to earlier), a social worker and the 'lady-in-charge'.  It felt like an extraordinary Star Chamber process with me at its centre.  I was asked to explain who the therapist was and the basis for her treatment of Carolie.  I was called to justify myself in a way I found demeaning and disempowering.  

 I knew Carolie would benefit from the treatment course – I had seen her response to the earlier therapies.  After one samvahan treatment her response was overwhelmingly positive.  During the initial treatment of about twenty minutes’ duration Carolie indicated her breathing felt easier and she responded well to the gentle manipulations of her lower spine.   




Despite my reasoned arguments on the obvious benefits the clear message from the  'meeting' was that engagement of outside therapists was against hospital 'policy' and that I would have to seek approval from a rehabilitation specialist to continue. It was also clear the lady-in-charge would brook no opposition to her authority.  I thought of displaced posters and Alice's dismay at white roses that had to be painted red to appease the Queen.  
To be continued....

*              See Carroll, op cit, Ch 8

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