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26 October 2018
Dr Annamarie van Jaarsveld believes occupational therapy is important
Dr Annamarie van Jaarsveld believes occupational therapy is important for personal well-being.

On 27 October the profession of occupational therapy is promoted and celebrated internationally. The theme for this year is “Celebrating our global community.” Due to the theme of this year occupational therapists form all over the globe will be able to join in the World Federation for Occupational Therapy Virtual Exchange webinars.
 
Occupational therapy promotes health and well-being through occupation. The overarching goal of occupational therapy is to enable people to participate in the activities of everyday life that is meaningful to them. Occupational therapists work with people and communities in an effort to enable people of all ages to live life to its fullest by helping them maintain and/or promote health, and prevent (or live better with) injury, illness, or disability. 

Common occupational therapy interventions include helping children with disabilities to participate fully in school and social situations, helping people recovering from injury to regain skills, and providing supports for older adults experiencing physical and cognitive changes. Occupational and social justice along with occupational deprivation are core within the profession as it relates to oppression or restrictions to participation in occupation impacting on well-being and quality of life. 

Taking the lead in Sensory Integration research

Dr Annamarie van Jaarsveld is a lecturer in the Department of Occupational Therapy, and she is at the forefront of research in sensory integration, a specialist field within occupational therapy. Apart from completing her PhD on the curriculum design of a South African professional master’s degree qualification in sensory integration, she is also heading the South African leg of a large international study in collaboration with sensory integration experts all over the world.

Dr Van Jaarsveld explains: “The Evaluation of Ayres Sensory Integration (EASI) is a new test which aims to be a first of its kind in the field of sensory integration and occupational therapy. It will be inexpensive, electronically accessible and practical, and standardised on an international population which includes a South African sample. This will make the test accessible and useful for therapists in South Africa to be able to assess sensory integration related function of all South African children in a valid and reliable manner.” 

In addition to being the South African lead on the international EASI standardisation study, Annamarie was selected as the chairperson of the Board of Council Meetings of the International Council for Education in Ayres Sensory Integration (ICEASI). She is also the International Liaison on the board of the South African Institute for Sensory Integration. 

Annamarie’s passion for sensory integration and the application of a highly researched and specialised subfield where the expertise and guidance are provided by a first-world country is not only evident in her research, but also in various community projects that she is involved in. One such a project, Back to Urth Playgrounds, aims to make sensory integration relevant to the needs of South African children and their families struggling with sensory integration issues within the realities of diverse contexts. Through the designing of sustainable playgrounds based on sensory integration theory, building the playgrounds in collaboration with the community and other stakeholders, and equipping educators and caregivers with knowledge on how to encourage children to use the playgrounds, Annamarie has contributed to making the potential of sensory integration-based intervention accessible to the most under-resourced of areas. 

With the 27th of October being International Occupational Therapy Day, Annamarie says: “Sensory integration is not only the best researched field within occupational therapy, providing more and more best practice evidence through rigorous research, it is also becoming more available to children and families from all walks of life – indeed exciting times ahead for this field of practice and it remains a privilege to be involved in it”.  

News Archive

UFS cardiologists and surgeons give children a beating heart
2015-04-23

Photo: René-Jean van der Berg

A team from the University of the Free State School for Medicine work daily unremittingly to save the lives of young children who have been born with heart defects by carrying out highly specialised interventions and operations on them. These operations, which are nowadays performed more and more frequently by cardiologists from the UFS School of Medicine, place the UFS on a similar footing to world-class cardiology and cardio-thoracic units.

One of the children is seven-month-old Montsheng Ketso who recently underwent a major heart operation to keep the left ventricle of her heart going artificially.

Montsheng was born with a rare, serious defect of the coronary artery, preventing the left ventricle from receiving enough blood to pump to the rest of the body.

This means that the heart muscle can suffer damage because these children essentially experience a heart attack at a very young age.

In a healthy heart, the left ventricle receives oxygenated blood from the left atrium. Then the left ventricle pumps this oxygen-rich blood to the aorta whence it flows to the rest of the body. The heart muscle normally receives blood supply from the oxygenated aorta blood, which in this case cannot happen.

Photo: René-Jean van der Berg

“She was very ill. I thought my baby was going to die,” says Mrs Bonizele Ketso, Montsheng’s mother.

She says that Montsheng became sick early in February, and she thought initially it was a tight chest or a cold. After a doctor examined and treated her baby, Montsheng still remained constantly ill, so the doctor referred her to Prof Stephen Brown, paediatric cardiologist at the UFS and attached to Universitas Hospital.

Here, Prof Brown immediately got his skilled team together as quickly as possible to diagnose the condition in order to operate on Montsheng.

During the operation, the blood flow was restored, but since Montsheng’s heart muscle was seriously damaged, the heart was unable to contract at the end of the operation. Then she was coupled to a heart-lung machine to allow the heart to rest and give the heart muscle chance to recover. The entire team of technologists and the dedicated anaesthetist, Dr Edwin Turton, kept a vigil day and night for several days.

Prof Francis Smit, chief specialist at the UFS Department of Cardiothoracic Surgery, explains that without this operation Montsheng would not have been able to celebrate her first birthday.

“After the surgery, these children can reach adulthood without further operations. Within two to three months after the operation, she will have a normal active life, although for about six months she will still use medication. Thereafter, she will be tiptop and shortly learn to crawl and walk.”

Mrs Ketso is looking forward enormously to seeing her daughter stand up and take her first steps. A dream which she thought would never come true.    

“Write there that I really love these doctors.”

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