Case Studies

Case 1

Patient: Dr. M.H.
Patient Condition: Parkinson’s & Alzheimer’s Diseases
Patient Age: 70
Program Duration: 7 years | 1997 - 2004
Location: Hamburg, Germany | Patient’s Home
Language: German
Capacity: Private
Team Members: 0
Tools: Mobility Exercises, Psychosocial Support (including Reading, Storytelling & Musical Interactive Engagement),
Eating and Swallowing Support (Monitor & Assist). Fine Motor Skill Treatment. Ad-Hoc Medical Attention in Coordination with Attending Medical Doctor.
Routine: 2.5hr sessions each day, Mon-Fri
Methodology: Consisting of stretching, body activation exercises for balance and strength, 30-45min walks, and 20-30min interactive engagement utilising reading, storytelling and music. 30-45min fine motor skill treatment (twice a week). Attending medically as far as possible in coordination with attending medical doctor.
Results: Reduced patient deterioration, stabilised patient with care till end-of-life.
References: Karin Handloser (wife, now deceased, reference letter available), Katja Handloser (daughter)

Case 2

Patient: Mrs. G.W.
Patient Condition: Elderly lady with beginning stages of Dementia
Patient Age: 80
Program Duration: 3 years | 2000 to 2003
Location: Hamburg, Germany | Patient’s Home
Language: German
Capacity: Private
Team Members: 6
Tools: Full-Time Care in Collaboration with the Attending Medical Doctor. Mobilisation and Comprehensive Physical Exercise. Psychosocial Care, Travel Assistance. Walking Assistance. Organisation and Care of the Household. Establish Surroundings for Nursing Requirements in Relevant Domiciles in Team Collaboration. Organisation of Holidays. Preparation of Nursing Documentation. Acquainting New Co-workers with the Work.
Routine: 21hrs per week
Methodology: Consisting of stretching, body activation exercises for balance and strength, 30 min walks and 20-30min interactive engagement utilising reading, puzzles, conversation, outings, and travel. 30-45min fine motor skill treatment (twice a week). Attending medically as far as possible in coordination with attending medical doctor.
Results: Reduced patient deterioration, stabilised patient with care till end-of-life.
Reference: Peter Rindsfus, Lawyer (Guardian)

Case 3

Patient: Mrs. G.S.
Patient Condition: Elderly
Patient Age: 81
Program Duration: 2 years | 2010 to 2012
Location: Cape Town, South Africa | Patient’s Home
Language: German
Capacity: Private
Team Members: 0
Tools: Mobility Exercises, Psychosocial Support (Including Interactive Engagement: Reading, Writing, Storytelling)
Routine: 3 days a week, 3hrs each day
Methodology: Consisting of stretching, body activation exercises, 30min walks, 60min interactive engagement utilising, writing, reading, storytelling and baking cakes. Attending medically as far as possible with attending medical doctor.
Results: Reduced patient deterioration, stabilised patient with care till end-of-life
Reference: Dr. Birgit Schlegel (Daughter)

Case 4

Patient: Mrs. G.T
Patient Condition: Elderly lady with failing eyesight using a walker.
Patient Age: 91
Program Duration: 2.5 years | 2013 to 2015
Location: Cape Town South Africa | Care Facility
Language: German, English
Capacity: Private
Team Members: 0
Tools: Mobility Exercises, Psychosocial Support (including crossword puzzles, reading & conversations. Fine Motor Skill Treatment.
Routine: 2 hr sessions 3 days a week.
Methodology: Consisting of stretching, body activation exercises for balance and strength, 20min walks, and 45min interactive engagement utilising reading and crossword puzzles. 20min fine motor skill treatment (twice a week).
Results: Reduced patient deterioration, stabilised patient with care till end-of-life.
Reference: Allan Taylor (Son)

Case 5

Student & Patient: Ms. K.M.H
Patient Condition: Down Syndrome
Student Age: 14
Program Duration: 3 years | 2014-2016
Location: Cape Town, South Africa | St. Cyprians High School
Language: English
Capacity: Private and Collaboration with School Staff within School System
Team Members: 0
Educational Tools: Inclusive Education Support, Tutoring All Subjects, Speech Exercises, Behavioural Education, Educational Facilitation, Excursion and Extra Mural Activity and Engagement, Mobility Exercises.
Routine: Mon-Fri, during School Hours, 7.30am-3pm
Methodology: Supporting and developing independence in all aspects as much as possible. K.M.H, previously had a facilitator sitting next to her in class and writing everything down for her. I changed this within the first 6 months of working with her, ensuring that she would participate in as much as she could, and write her own notes. I would tutor her between and after lessons. Rearranging her room from child-like to a teenage appropriate room. Ensuring she participated in school activities without excessive monitoring.
Results: Completed her Matric year. Participated in the inter-schools concert with her violin. Sustained transformation from previously low to new high improved emotional management, body language, educational and social capability, and confidence.
Reference: Val Hoy (Mother)

Case 6

Patient: Mr. C.S.
Patient Condition: Progressive Supranuclear Palsy (PSP) and Multiple System Atrophy.
Patient Age: 65
Program Duration: 2021-2024
Location: Cape Town, South Africa | Patient’s Home
Language: German, English
Capacity: Private
Team Members: 2 (24hr Carers)
Tools: Develop and Manage Program Plan with Team. Mobility Exercises Psychosocial Support (including Interactive Engagement: Reading, Conversations Drawing, Painting, Pottery), Eating Swallowing Support (Monitor and Assist), Body Movement Practices, Speech Practice Exercises, Art Exercises, Fine Motor Skill Treatment. Ad-Hoc Medical Attention in Coordination with Attending Medical Doctor, Attending Doctor Visits.
Routine: 4hrs each session, 4 days per week.
Methodology: Consisting of stretching, body activation movement for balance and strength, 45min walks, and 60min interactive engagement utilising reading, drawing, painting pottery. 30-45min fine motor skill treatment (twice a week). Attending medically as far as possible in coordination with attending medical doctor, attending doctor visits.
Results: Reduced patient deterioration, stabilise patient
References: Judy Schlegel (Wife), Dr. Birgit Schlegel (Sister) Dr. Oliveira (attending Doctor),
Margot van der Wielen, (Palliative Care Professional Nurse).

Case 7

Patient: Mrs. A.J.
Patient Condition: Dementia
Patient Age: 62
Program Duration: 2024-2025, might still continue in an adjusted form online Location: Cape Town
Language: German, English
Capacity: Private
Team Members: None until now
Tools: Mobility Exercises, Psychosocial Support (Including Reading, Puzzles, Communication Assistance including answering Whatsapp messages, Storytelling, Musical Interactive Engagement), Art Exercises, Organisation of the household, Ad-hoc medical attention in coordination with the medical doctor.
Routine: 5 hours on a Tuesday and Thursday every week
Current: Testing working online with an adjusted program
References: Rudi Junge (Husband)