Sunday, 16 April 2023

Barley graduates - He did it! We did it!

These photos share a glimpse of the utter delight we experienced on the special occasion of Barley's graduation:

Sarah-Hope and her Barley

 
Libby and Sarah-Hope with Barley and the Honey's Garden trainers

 
The girls with Barley and his foster parents, Dean and Sharna

 
And.. the service dog certificate!

In order for Barley to graduate, he had to pass an assessment. This included performing the main tasks he does for Sarah-Hope in three different locations (home, school and at the local shopping centre). It also required him to passing his public access test, which includes assessing that:

- the dog enters, rides and exits any transportation in a safe and controlled manner

- the dog can calmly and confidently enter, ride and exit an elevator

- the dog does not bump shelves or interfere with any merchandise

- the dog can leave dropped food items on the floor when passing

- the dog can maintain calmness among the many distractions in the shopping centre 

- the handler can position the dog as to not disrupt the flow of business when sitting at a table

- the dog can go calmly and confidently into a public restroom and not cause a disturbance

- the dog can maintain appropriate service dog behaviour in the presence of children playing or other dogs

These are just some of what the dog needs to be able to do... it takes hours of exposing the dog to public settings and training him to restrain himself to stay and obey his handler so that they can respond to their person's needs instead. 

Barley was an absolute star and smashed his test! Will this mean that Barley will perform perfectly for Sarah-Hope from now on? 

No:) It is up to us to keep up the level of obedience, task training and public access exposure. Barley isn't a robot and we'll likely need help to integrate Barley into a new school or setting one day. We've got to keep up the good rhythms and habits that we've established... so it is true to say that we did it! And that we'll need to keep doing it!

How much this guy has grown since he was a pup (pic below from trainers as we didn't know him back then!) - what a beautiful dog he has grown into in three years!

Huge thank you to Honey's Garden for their support on the journey; Barley's foster family who just loved and believed in him so; those who generously helped to sponsor Barley's training costs; family, friends and neighbours who have had to patiently adjust with us to having a furry member of the family; church and school friends who've either been so brave embracing Barley as a regular presence, or restrained in accepting they can't enjoy him as any pet - this has been a full community project and we're so grateful!



Sunday, 22 January 2023

Q&A: What’s the story with Sarah-Hope and Barley, her service dog?

What’s the story with Sarah-Hope and Barley, her service dog?

Sarah-Hope has a condition where she was born without any arm bones, knee caps or cruciate ligaments. She does have little hands, walks on her knees, and has naturally adapted to be incredibly functional despite her physical disabilities. However, as she gets older, movement is increasingly taxing on the body. Barley performing tasks for her gives her some independence as she matures.

Honey's Garden for Medical Alert Dogs is training a beautiful golden labrador, called Barley, as a multipurpose service dog for Sarah-Hope. The tasks that Barley helps Sarah-Hope with are:

·      To retrieve and carry objects for her

·      Pick something up off the floor for her (as in the picture above)

·      Open doors

·      Brace (stand still and strong), so she can lean against him when trying to stand

·      Comfort

Will he bite me? Does he bark?

Barley will not bite. He is a very gentle dog. He may bark if he is scared or uncertain, as this is his instinct. However, he is always corrected when he barks as protection is not part of the work he is trained to do for Sarah-Hope. We help Barley be introduced to new people by giving him high value treats which create a positive association and make sure that we approach them rather than them approaching Barley as that can be seen as intimidating.  

How is his training going? What are we busy working on at the moment?

It’s going well. Since Barley moved in to stay with us in July 2022, he has really settled down beautifully. 

When he graduates, Barley should be able to perform his tasks reliably for Sarah-Hope at home and in public. Dogs don’t generalise automatically, so as there are various life changes, we’ll likely have to train him for new contexts. 

As a family, we’ve been working on developing the habits and routines that will set Barley up to succeed. Barley should be with Sarah-Hope as much as possible in terms of their bond. He is also doing tasks that we would usually do for her… so we have to stop that in order for Barley to do them!

Can I touch him?

No. When Barley’s working jacket is on, he is only allowed to be touched by Sarah-Hope and the other family member helping her. 

Can I feed him?

No. Only Sarah-Hope or the family member helping her can feed Barley. If food is on the floor or ground, he is required to leave it. 

Is Barley working when he is just lying down?

Yes. Between performing tasks for Sarah-Hope, Barley will be required to stay in his place until he is released. It is hard work for a dog to stay “ready and on duty”, especially with interesting activity taking place around them. 

How is a service dog different from a pet?

A service dog is a working animal. For any working animal, such as a search & rescue / police / conservation dog, you can expect that 80% of the time they are in training in order for them to perform the other 20% of the time. There are much higher expectations of obedience and a Silver Canine Good Citizen award for obedience has to be obtained in order to become a service dog. The bond with the person they work for is essential so they are the only person that feeds them, and they also connect and play. 

Barley is given ‘free time’ to just enjoy being a dog, but the same level of obedience is expected.

What if the dog needs to go to the toilet?

Barley will go to the toilet before going into public with Sarah-Hope. He may also be taken for a toilet break if out for a long period of time. Barley does not go to the toilet with his working jacket on. The family member helping Sarah-Hope with Barley will take him to the toilet. Libby is the main handler of the dog at school. 

You can find out more about service dogs and the amazing pioneering work that Honey’s Garden for Medical Alert Dogs does on https://medicalalertdogs.co.za/

Wednesday, 20 April 2022

Grade 4 - increased energy and independence needed for the intermediate phase of school

Sarah-Hope transitioned from a government to an independent school during the pandemic so our focus for the last couple of years has been adjusting to a different curriculum and learning methodology rather than physical adaptations. 

A child with physical challenges can be expending up to double the energy that typical children do in a school environment just to participate in the programme. This along with the transition to increased independence that all children make in the intermediate phase of school meant that we needed to look at ways to increase physical support for Sarah-Hope. 

 

The air that one breathes


Sarah-Hope was visibly experiencing breathlessness and fatigue. The extra isolation / protection that the pandemic provided meant that we had a gap to make some significant changes in her diet and physical therapy regimes without these being interrupted by illness. However, by October 2021 when the Covid regulations began to relax after the third wave, she got a lung infection followed by another that December. Her paediatrician recommended that we have a follow up scope with a paediatric pulmonologist to relook at her anatomy in more detail.

The brochoscopy and larynscopy confirmed Sarah-Hope’s narrow airways and unusual lung anatomy which made sense of her breathlessness. The existing lung damage in one lower lung was of concern - the damage is irreversible and the compressed lower lung is very susceptible to infection. 

Sarah-Hope also had a check up with her cardiologist - in 2018, he was concerned that the clip that was used to repair her congenital heart defect might be obscuring the entrance to her one lung but since she has grown that is no longer a concern. Although her breathlessness was certain, her heart wasn’t under strain which was a relief. 

 

The main outcome of the investigation was that the doctor motivated for a special nebuliser for Sarah-Hope (PARITurboBOY) used by children with cystic fibrosis:

 



Sarah-Hope nebulises every morning with a few ml of saline. It also has a vibropep attachment - as she breathes in the saline, she breathes out through the vibropep and experiences a vibration through her lungs. This daily treatment improves her lung capacity and increases her energy substantially. She is more mentally alert and able to increase physical participation which is amazing!

 

Embracing physical adaptions 


When Sarah-Hope was a toddler, an OT explained to me that it would become increasingly important over time to provide her with adapted equipment. Sarah-Hope is constantly adapting to her environment so in certain places it will provide immense relief to have equipment that works for her body where the burden isn’t on her to adapt.

When she was younger, I didn’t take this approach. Every solution seemed too difficult to come by. Having certain stipulations about what spoon she should use for optimal functioning, for example, meant that we couldn’t just slot in and be with people where they were when we actually had the capacity to be in community. And managing the difference between the OT / expert’s advice on what adaption should look like and Sarah-Hope’s own problem solving was exhausting. Furthermore, spending money on all sorts of ideas that you don’t know will provide genuine relief was unsustainable. 

 

The introduction of adaptive aids is also a difficult emotional process. For every one, Sarah-Hope would need to come to the point of:

a.              Realising that doing what everyone else does is not optimal for her

b.              Accept / grieve that she was going to need something different

c.              Adopt the aid / device and embrace what it accomplishes for her

d.              Integrate it into our lifestyle

 

As she’s gotten older, Sarah-Hope’s knowledge of her body and her environment has improved dramatically. She’s so up for participating in what is going on that you usually don’t hear her mention comfort. But as adaption becomes increasingly taxing on her body, the relief that supported seating and writing aids provide makes a substantial difference to her endurance. And she actually acknowledges this and can articulate it. The physical strain can be physically detected in her body from the neck down. 

 

The challenge of writing without arms


Without arms, handwriting is incredibly taxing on the body. The constant rotating of the trunk from side to side, along with having to move from the top to the bottom of the page makes writing in any book hard work. A piece of paper is easier to move along and up and down to where the writing hand is although you ideally need the other arm to stabilise the paper. 

Because of the lack of arm length, Sarah-Hope’s head is very close to the page and she isn’t able to have a whole page perspective when she looks at her work. A slanted desk would be better in terms of her having her view of her page - but then the top of the page is even further away from her hand. Using prestik or a clip to secure the page would mean it isn’t easy to shift the page around to another position. 

 

Having said all this, Sarah-Hope’s handwriting is beautiful and if you saw it you would never actually guess that it was hers. The school she is at has a big focus on writing and I wanted her to get the benefits from this while it was still physically viable for her. 

 

Sarah-Hope had already started experimenting with typing on her iPad in Grade 3 and her teacher remarked that she was able to keep up with her class this way. This reduces the anxiety of falling behind and helps her to keep her attention on her work. 

 

Ergonomic set up in the classroom 


The advice we got from Sarah-Hope’s OT and physio was to:

  • Start with her seating. The right seating solution is the foundation to the set up
  • Then work out the positioning of the iPad / keyboard etc so that she can be supported to concentrate for an extended time


We had a height adjustable chair provided by the amazing team at ShonaQuip. 

 


The lateral supports Sarah-Hope’s trunk. One doesn’t realise how much children with arms use them for postural support - Sarah-Hope is always working really hard to hold herself up.

 

Onto the chair, a stabilo cushion was placed. This support for her trunk muscles allows for better breathing which is the foundation of being able to participate.

 

In the end we decided that using the iPad as a screen and typing with a synced keyboard positioned close to her hand (using a music stand) would allow the best positioning. 

 

Other physical support


Sarah-Hope aims to wear her full leg orthotics at school for an hour most days of the week. This sustained stretch helps not only the muscles but the joints and skin too. 

 

She has started using the wheelchair at school during break times and has absolutely loved the opportunity to gain greater access to the playground and enjoy movement. When her wheelchair isn’t available she uses her ride-on device, Zain.

 

Sarah-Hope's sister and friends in class assist with her set up - I'm hugely grateful to them for their care and support, as is Sarah-Hope.

 


Thursday, 2 December 2021

Celebrating ten years of life!

 Friends, join me in celebrating a decade of this phenomenal child's life!


Ten years ago, I was bracing myself for Sarah-Hope's birth with not much more than a memorial service planned in preparation. She was in such a bad condition in the womb, there was no reasonable expectation that she would survive. 
 
But against all odds she did, and what an amazing young girl she has grown into! She has incredible determination, engages deeply and is such fun! 

I can't adequately describe how grateful I am for Richard and Libby on this journey. Richard has led me in embracing and celebrating... and stretched my capacity to navigate complexity. Libby is a well of life, pure joy to the soul, a genuine friend and delight. Our family life as the four of us has only developed more recently (prior to that we were graciously held together by extended family, friends and community as we lurched from crisis to crisis), yet I'm so grateful it has and look forward to how the story unfolds.

What a provocation Sarah-Hope's life has been - for me; scientific, educational and faith communities; neighbours, family and friends. May she continue to point us to the One who gave her life against all odds and who will surely continue to provide for and sustain her.
 

 

Wednesday, 1 December 2021

We've applied for a service dog!

Sarah-Hope has been through various animal stages. First she wanted a horse. I made it quite clear that that would not be in the realm of possible. I think she thought that asking for a bunny next would be a safe bet as a couple of neighbours in our complex have them. But I didn't budge on that either. She was then getting very interested in dogs and I did feel that a service dog could be a really special companion for her one day. You would typically only get a service dog when you're 18 and can handle it independently. However, Honey's Garden for Medic Alert Dogs opened up a new possibility - because the person needing a medic alert dog (for seizure response) could be a child, they use a model where another parent / family member can be the main handler. 

Sarah-Hope has applied for a multipurpose service dog. This means that the dog would be trained to accomplish specific tasks for her. In her case, it would be largely to assist with carrying and fetching given that she doesn't have arms. 

I called up Lucy Breytenbacht, owner of Honey's Garden, and she agreed to meet us in a park with the dogs that were being raised at the time.


We took a while to get our application in to Honey's Garden, so Sarah-Hope started getting herself ready by training her stuffed dog, Charlie.

After a successful interview, Sarah-Hope has been matched with a beautiful golden labrador, Barley. We are attending weekly training sessions and our first weekend visit is coming up this month. All things going well, Barley could graduate and come to live with us in around the middle of 2022. It is a blessing that we can slowly adjust to having a dog as part of our lives - there will be plenty of updates to come!










Friday, 16 July 2021

The comforting company of cousins

So many have shared with me about the gift of extended family. I live in the same city as my sister and both of our first born children have special needs. While many assumed this would mean that we would be even more of a support to each other, the truth is that we were in such crisis for so many years that we had very little capacity to offer each other anything. When we have the privilege of being away together, the multiple special needs diets, mobility needs and behavioural challenges that we're trying to balance on top of the normal demands of young children adds additional strain. 

But that has recently changed. Our girls are now all a bit older, and they can play together in the most beautiful ways.... they have formed their own little gang.











Tuesday, 16 February 2021

Sarah-Hope's superb sibling

Even if I had heard it before, it's never quite the same as experiencing it - it is not easy being a sibling of a child with additional needs. But today Libby blew my mind.

It was her idea... she decided we should have a special "Sarah-Hope Day". Just because. She would hand make gifts and cards for her. We would bake something she loves. We would make a sign declaring the occasion. We would do things that Sarah-Hope liked. Just because. 

Libby didn't do it with the hope that we would then 'get the hint' and do one for her. She never mentioned that then or to this day. She just decided to celebrate her sister.

 

I've been much more intentional over the last five years to ensure that Libby gets some separate time with me, Rich, her grannies or special friends. These are times when she can enjoy a greater range of possibilities than exist in our home - sometimes more active play or some dedicated individual attention or a different social connection. I've seen her sense of self develop which has been a gift.

But as the empathetic and compassionate person that she is, she really does delight in being with her sister. She'll make anything fun... like taking over Sarah-Hope's walker (it really isn't for you, Libby!)...

Partake in hypnotherapy...

Nap with her sister...

Play for hours in various imaginary games. I had to laugh recently when the girls were playing 'paralympics'. Libby is usually very accommodating playing dolls and dogs with Sarah-Hope... but in this game she insisted that she was blind, with a guidedog, and Sarah-Hope was her helper that ran with her in order to win a medal! I don't think Sarah-Hope quite knew what to do not getting to be the 'disabled' one but she knew her place in the game that day!

Saturday, 19 December 2020

Steady and Fetch - Sarah-Hope's new legs

The year started with us looking into fascia release for Sarah-Hope. One of the wonders of her early years was the natural adaption of her body. One of the scary things going forward into her primary school years is how these adaptive patterns of movement have placed so much pressure on her body and how this can increase physical abnormality if you don't intervene. 

The main problem with her legs is that she has been knee walking and doesn't stand on her feet other than for a quick transfer... her hamstrings had become so contracted that her knees couldn't straighten much more than 90 degrees.

The fascia, sheeth around the muscle, gets knotted and doesn't allow the muscle it's usual freedom. It can be rather painful to release but it is so important for the body - not only Sarah-Hope's legs but her back and neck too with all the bending and reaching they do without having arms to help. 

A new physio had started working with Sarah-Hope in lockdown and trained Richard in this massage since he was now working at home. Every week she was blown away by how Sarah-Hope's body was responding to Richard's massage.  Literally, the angles of her knees were changing!

We also had to try wake up her quads and get them working again...

She also started working with an orthotist to get a full leg brace, with metal hinges made. This would provide fuller support for when she stood in the standing frame. There was also the idea that she may need to wear these at night, or for four hours at a time so that her skin could stretch. 

I have always been resistant to this idea because I couldn't get my head around fighting with Sarah-Hope at night to have braces on when I just want her to sleep peacefully... or strapping her into a stand for hours. To be honest this has come up before - the idea of Sarah-Hope being in full leg braces - and I have probably resisted it the most. 

At the start of lockdown, she was struggling to stand for 10 seconds... and five months later, due to physio input and Richard doing regular fascia release, she started walking!

Here is a video that Richard put together of her progress made from May - September 2020:





Once this incredible milestone was reached, we wanted to make the most of it! Walking for a minute or two inside was easy enough with level ground. But what if Sarah-Hope wanted to walk outside? Given the uneven surfaces and how tiring it would be to build up this capacity, the physio recommended we get a grillo walker to support her. 

It arrived just in time for our December trip to Knysna. Cousins Katie and Nicola were so sweet partaking in this daily walk with us, and even helping get her orthotics off her at the end.





 


Friday, 4 December 2020

Knee races to celebrate Sarah-Hope turning 9 years old

Sarah-Hope knew exactly how she wanted to celebrate her 9th birthday. We were going to play games. Games on our knees! Everyone should have a turn to race Sarah-Hope on her terms...

We had an egg and spoon race, and some relays on the grass at Granny's house. I'm not sure why I was so surprised but Sarah-Hope smashed her able-bodied friends! Her stability on her knees and ability to balance is astounding. She certainly has to practice it everyday, but it still isn't easy!

You go girl!



Tuesday, 12 May 2020

New diet, new life!

Lockdown played a trick on me. I had actually been on cooking strike for years... truly... all the gut issues had sent me over the edge and far away from the place where I thought about providing a family meal. Sarah-Hope lived on oats, biltong, peas, sweet potato and butternut&carrot squish. And also more oats. 

But with Sarah-Hope's iron having been so low at the start of the year, we realised that the problem wasn't just getting the iron into her body... it was her body's capacity to absorb and use it. 

We decided to go a new route and consulted with an integrative GP. We did an organic amino acid urine test which confirmed that there was more fermenting happening in her gut than actual digesting. Her ability to take in fats in particular was worrying, as this is what would provide a more sustainable source of energy. 

So we started a new diet, with plenty of supplements, with the aim of seeing her gut healed, and food absorbed so that she would once again look like a well nourished child. Although oats and butternut and peas might typically be seen as healthier foods... they weren't for her at this point. Her diet was more 'keto' in the morning, and she was allowed some carbs in the afternoon. 

There was (and still is!) a lot of cooking required. 

Breakfast -  Egg and broccolli / cauliflower / marrows for breakfast (oats twice a week with crushed nuts)

Snack - Sweet potato, animal protein, green veggies

Lunch - Same as snack

Afternoon Snack - rice cakes and avo

Supper - White rice, veggies

Only two fruit a day.  In fact, if she needed a snack and I tried to give her fruit she'd say, "Mom, I'm only allowed two fruit a day and I've had my portion." So no short cuts for me!

Breakfast and Lunch were to be followed by an intake of MCT oil through her stomach tube. We started with 0.5ml and a few months later we were on 7.5ml so there was real improvement in her fat intake and her energy was fantastic! She was lasting a whole morning at school now, and her hair was growing and getting thicker. In fact, Sarah-Hope's diet seemed so revolutionary that Richard is now on it too. 

But the most beautiful thing about this... now that we were actually cooking... and sitting down and eating together... was what this was doing for us as family. Being nutritionally and relationally nurtured is amazing. Have even had it written on my blackboard on my kitchen window...

nurture 

nourish

connect

invest

flourish





 





 

 


Wednesday, 15 April 2020

Pandemic schooling

During the second term when schools were shut due to lockdown, I took the opportunity to bring Sarah-Hope over to the primary school in town where Libby was. It was definitely going to simplify my life logistically by having Sarah-Hope there although there were losses too (e.g. not a wheelchair accessible campus etc). But the remote learning term gave me a chance to transition Sarah-Hope to a different curriculum which was a gift. 

Apart from any of the three of us devolving into tears at various points in the remote learning phase, it was wonderful to get right into learning without the logistical barriers of accessing school with devices and arranging for support to be put in place. I could see that without all these logistics Sarah-Hope had more brain capacity for the actual academic learning. And I could finally sit and actually read with her and do some homework. 

As it became clear that schools were going to reopen, I had to sit with the sense of dread regarding Sarah-Hope getting sick. She already has existing lung damage so does fall into the category of more vulnerable children in terms of COVID-19 and the thought of her having another physical set back was awful... especially at a time when we were regaining ground in her academics. 

After a comforting consultation with the paediatric pulmonologist, we started school. There were only 10 children in the class and she started school right in the peak of the first wave - everything was masked and  sanitised and you weren't allowed to move from your desk... this suited her perfectly! As with many children, 2020 with no flu season was her healthiest winter ever.


Sunday, 1 March 2020

Cape Town Cycle Tour 2020

In 2019, we had signed Sarah-Hope to ride in a Warrior on Wheels buggy for the Cape Town Cycle Tour. There were training rides and buggy fitting sessions and briefings all in preparation. Unfortunately, the weather was wild and the organisers requested those pulling buggies to withdraw, which our team did. Libby had completed her 4km Junior Cycle Tour the week before and Sarah-Hope definitely felt cheated! I sensed that she didn't want to leave her next medal to chance... and that she wanted to use her body to get around the track, even if it meant a much shorter distance! 

And so in 2020 Sarah-Hope did the 1.3km Junior Cycle Tour on Zane and LOVED it! One thing I have learnt about her - she is not one of the children who want to be pulled along by someone else. If she has the energy, she will be out there moving herself!


Here is a picture of Sarah-Hope in her buggy as part of her preparation for the 2019 Cycle Tour (which she didn't participate in after all).



And, of course, the girls created their own buggies for their dolls!


 


 

 

 

Friday, 7 February 2020

Sarah-Hope's School Wheelchair race

This wheelchair race was arranged by Sarah-Hope's Grade 2 teacher, Ms Embalo. This was not a once off event with wheelchairs for the school, however, as they have a real history in inclusion. I was interviewed about our experience at Pinelands North Primary School in terms of navigating wheelchair access for the school inclusion blog:

https://pnpsinclusion.blogspot.com/2020/03/becoming-accessible.html

Becoming Accessible

“It’s the unlocked but closed door that she worries about the most” parent, Leigh Berg, is explaining her daughter’s mental preparation for moving around the school in a wheelchair. I hadn’t thought about it before, but when sitting in a wheelchair turning knobbed door handles is near impossible. An unlocked, but closed door efficiently shuts down her daughter’s independence and literally stops her in her tracks.  

At “School In Action” Day many of us parents encountered children in wheelchairs, problem-solving everyday moments from how to find a reachable writing surface whilst in the wheelchair, to how to get out to the field for lunch. Some of us parents might have received interesting snippets from our own children about what it was like to spend an hour in a wheelchair.

Adapting to a wheelchair

I was eager to find out what school life was like for children who used wheelchairs fulltime. Leigh agreed to share her reflections about her daughter’s experience at PNPS. Her daughter, Sarah-Hope, was born with a feisty spirit, a bright mind, and a body that requires much problem-solving whilst living in a world built for humans with working limbs. Sarah-hope’s arms have not developed, so her well-functioning hands grow from her shoulders. Her legs and feet have proven amazingly adaptive to take on many arm/hand functions, but their structure has also made walking on feet a challenge. Again, with determined adaptability, Sarah-Hope became an adept knee-walker.

Sarah-Hope joined Red Roots in 2018, when walking on her knees was her main method of movement, but during that year it became clear that her legs’ structure required her to use a wheelchair to transition between her classroom and other school places. Leigh remembers the psychological journey of coming to accept the wheelchair, as it meant Sarah-Hope would have to relinquish the independence that knee-walking had offered her, and grieve the fact that, in yet another way, she was “not like the other children”. It took a village of support - Red Roots teachers, her facilitator, school OT and parents - for Sarah-Hope to come to accept the wheelchair. Alongside the emotional process, there was a practical process to find the actual physical spaces where she could navigate her wheelchair. With the help of the OT, routes between the Sarah-Hope’s grade activity spaces were worked out and practice runs were done to prepare her for Grade 1.

Accessibility at PNPS

The school is a single-story building on flat ground, which lends itself to wheelchair movement. However, other intentional changes have been made too. Ann Morton, principal, explains that in 2004 PNPS hired disability consultants to conduct an “access audit” of the school. The report highlighted some immediate and relatively easy changes, which the school proceeded to implement at the time, e.g. making wooden triangles made to fit to either side of the lip in the doorway entrances for wheelchair access. However, many of the recommended changes required budget decisions. Ann ensured that the Access Audit report became a guiding document for the school’s future strategic plans and budgets, including subsequent renovations and building work. For example, correct ramps and door handles were installed in the new art room.

Ann smiles warmly as she recalls how the accessibility auditors, a blind person and a person in a wheelchair, reported their surprise at how the PNPS children were comfortable to approach them and converse with them. This embracing attitude amongst the children was not their common experience when visiting schools. We reflected upon how accessibility is not only found in the design of buildings but also in the hearts of people.

A couple of years after this accessibility audit, Adam joined the school. His reliance on a wheelchair inspired changes to sport, namely boys being included in netball, as well as the introduction of basketball and table tennis. The school play was written to include a part for his wheelchair on stage.

Ann reflects on various ways teachers adapted to include disabled children. Some disabled children, due to weakness or paralysis, require the use of nappies for toileting. Ann has stories to tell about compassionate teachers who, with maximum care and minimum fuss, changed nappies in a way that upheld the child’s dignity. Teachers have been required to make other adaptations too: wearing microphones for deaf children; rearranging the classroom seating for the visually impaired children. I asked Ann if any awareness or sensitivity training had been required to help the staff embrace children with disability. “When a disability is visible and obvious, we have found our staff respond with compassion, care and willingness to adapt; it is the invisible disabilities that remain a challenge for us all, just as they do in general society.”

Redefining weak and strong

Leigh was telling me about an experiential learning activity she had run with a youth group to which Sarah-Hope belong. They had set up running race with a twist: the children had to race on their knees with their arms tied behind their backs. The abled-bodied children eagerly participated but quickly found that the activity was both exhausting and unexpectantly painful. Leigh chuckles as she recalls how Sarah-Hope was decidedly unimpressed with her friends’ excessive moaning given that they were walking on a carpeted floor, where-as she regularly finds herself “kneeing” over stones and tar. The great “aha” moment for the children was that Sarah-Hope is not weak, in fact she is incredibly strong and determined.

It is easy for us abled-bodied people to judge another by what they can’t do, rather than understand how much they have already done just to show up, let alone participate. The wheelchair experience that PNPS arranges once every 2 to 3 years helps give children some insight into this.  

Learning through experience

Thanks to C&E Mobility, who loan wheelchairs to the school for a 2-week period, each child gets an opportunity to navigate school in a wheelchair. Ann introduced the activity during an assembly, which included enthusiastic dramatic performances by the teacher assistants to provoke the children to be mindful about how they engaged in the wheelchair experience. Important wheelchair etiquette includes:

  • ask a person if you may push them before doing so
  • be thoughtful to move bags and belongings out of the way of the wheelchair
  • respect the personal space of the person in the wheelchair.
  • bend down to talk at face level

Ann was clear that this exercise was to allow children to develop empathy for those needing to use wheelchairs, and not an opportunity for feel what is wild races and wheelies in the quad.

Ann reports that children took the activity seriously, bringing her reports on which rooms were inaccessible and needed improvements, e.g. the computer room. The experience inspired children, and teachers alike, to be proactively removing barriers to participation

Racing Together

At the Foundation Phase Athletics Day this year, Sarah-Hope’s class teacher, Suzette Embalo, arranged for one of the races to be a “wheelchair race” in which Sarah-Hope could race against her peers in wheelchairs. Let me end with the letter that Leigh wrote to Ann following the day:

I just wanted to thank you for your efforts to include wheelchairs at the FP Athletics Day this year. When Sarah-Hope and I had night time cuddles on Saturday night, I asked her what her favourite part of the day was. She hadn't said much until that point. But her whole face lit up and she said "RUNNING! I love to RUN RUN RUN and I wish I could do that every weekend". For a child who can't walk on her feet, to have the thrill of 'running' with her classmates was just incredible. She did also say it would have been great if all the children had left their wheelchair brakes on so she could have beaten them all:)

My heart had sunk in January 2019 when Sarah-Hope told me 'Mom! Mom! I'm going for an Athletics trial. My honest response was how do we get you OUT of Athletics day, not INTO it! For the first time in my life, I got to arrive at an event having had nothing to do with how Sarah-Hope would be included in it. I just stood and watched her bravely line up and 'run' in her wheelchair to the cheers of the families present. Having a school space where inclusion can be tried and tested, can fail and reinvent itself, changes her experience of the world and gives her confidence to face it (and us too). What an encouragement!