Tayambutswas miraculous story would never be complete without the spirited involvement of the Physiotherapy and Occupational Therapy (OT) Department at Parirenyatwa Hospital. Their role began during the time when she was brought into the ICU with multiple fractures in the skull. They had to work hand in glove with the doctors and nurses. From the moment Tayambutswa was brought into the Intensive Care Unit (ICU) they had to constantly monitor her progress, largely focusing on clearing the building phlegm in her chest as to ensure that the air-way was not blocked. Her ability to breathe on her own had greatly diminished and it became an overwhelmingly urgent task to drain the phlegm build up now and then. According to the presiding occupational therapists, they had the pressing fear that the phlegm could clog and block the airway thus depriving her of oxygen. Whilst still in ICU, a Physiotherapist would come to attend to Taya. That Physiotherapist who helped her when she was still in ICU was really surprised to find out that Taya had been discharged. At one time she saw Taya walking and running around, she was very surprised. She said, This is really a miracle, l was her physiotherapist when she was still in ICU. Naturally, physiotherapists and occupational therapists start attending to patient at the acute phase because they have to supervise progress. Most patients in a coma tend to develop chest infections due to stagnation and hence the need to clear the mucus build-up. The occupational therapist that saw through Tayambutswas journey to recovery was Mr Dhakwa who had served for six years as an OT. He reckons that at the material time when Tayambutswa was admitted her Level Of Consciousness (LOC) was 1/15, and that was critically low. She was actually in comatose. Mr Dhakwa later remarked, In my six years of experience I had never seen anything like Tayambutswas case. Actually, as much as we tried to do everything in our power to save her, I didnt think she would be able to walk again. He further highlighted that according to medical books, if someone remains unconscious for more than a week then automatically the prognosis or chance of recovery would be extremely poor. Tayambutswa, had remained in a coma for more than five weeks. The prognosis was just poor because, after more than a month, her LOC remained at 4/15 and even professionals noted that there was very little hope. In the early stages of her arrival at the hospital, the therapists got busy with suctioning the phlegm out of her chest, focusing on the airway. The therapists worked concurrently with doctors. Mr Dhakwa reckons, from the x-rays, that there were multiple fractures on the head. I had never seen anything like that. It was horrific. When my colleague saw the CT scan and how the baby was looking he confessed that he was scared. There was the general feeling that there was no way the child could survive, but we had a job to do. Asked on a scale of 0 to 10 what Tayambutswas chance of survival was, the therapist had put her chance of survival at 0. No person could go on to survive given her state. At the time, many people felt it was still incredible how the doctors would discharge a patient with such a low LOC. Tayambutswa was discharged at a time when she still needed the attention of medical experts. From the specialists point of view, if she could breathe on her own, she could go home. Even at the time that Tayambutswa was discharged her LOC remained at an unimpressive 4/15. She even started Occupational therapy when her LOC was 4/15. The therapist noted that her case had been discussed in depth and there was little hope in her coming back to normal functionality. My first session at physiotherapy and occupational therapy was a hectic one, I was referred from one office to another. Little did l know that the Physiotherapists and the Occupational therapists who saw Tayambutswa and those who got to see her CT scan were actually afraid to attend to her. It was after Tayambutswa had fully recovered that Mr Dakwa told me the truth that his colleagues were actually afraid to attend to her as they feared she could die in their hands. This is how I met Mr Dakwa. He told me that he is the only one that could try to attend to the child as her situation was complicated and that he was to transfer Tayas file from Physiotherapy to Occupational Therapy. He told me that Taya had severe brain and head injury and that her condition was very serious. I got the shock of my life. It had not occurred to me that my daughter could have a brain injury, the head injury was obvious but I had not really thought about the possibility of a brain injury. I then remembered that on the very day of the fall, doctors had tried to explain something to me about brain injury but I did not listen as I did not want to take it. It was only after my sister, who is a physiotherapist insisted that I had to listen to every doctors report such that when I pray I would have a direction for my prayers, that I started to listen to both the negatives and positives of my daughters condition. Mr Dakwa told me that he had never experienced such a case that a person can fell from sixth floor to ground level and survived. He indicated that he would want to go and research first from the library. He then just rolled my child on a mattress. He put some toys in front of her and rang some of the toys that could produce sounds but my daughter never responded. He rang a bell loudly but Taya did not respond. He then told me something that I did not want to hear but had to listen to, as advised by my sister. He told me clearly that my daughter could neither see nor hear. I got the shock of my life though I had noticed in some instances that she did not respond to sounds and movements. That news was devastating. I started imaging how she would go to school and learn as she was not able to see, talk, hear, sit or walk. I was really affected. Mr Dakwa told us to come the following Monday. He had only told me one positive thing during that session. He said the only good sign is that there is life. He later told me after Taya had fully recovered that he was not really telling the truth when he said there was a sign of life, he had just wanted to comfort me. To him on that day, there was no life. Still in my devastating state, we proceeded to the queue to see the Neurologist. Whilst we awaited our turn to get in, I explained to my mother- in- law how affected I was by the condition that my daughter was in. My mother- in-law indicated that Taya was far much better than other children she had seen that day. This did not console me, because I had noticed that the occupational therapist had paid more attention and given more time to the other kids than he had done on Taya. To me this meant that the Occupational therapist had actually seen more hope on them than on my Taya. When our turn to see the neurologist came, he indicated that Taya had greatly improved. I was surprised to hear that after all the negative reports that l got from the Occupational Therapist. The Neurologist told me that, Surely she is greatly improving because this child was very critical. He said that it was a good sign that she could eat and was no longer having seizures. However, this did not help me as the occupational therapists report had disturbed me a lot. I then requested for a referral note to visit the eye specialist at the hospital since the Occupational therapist had only referred Taya to an ear specialist. My sister Mary from the UK who is a Physiotherapist phoned to inquire about the proceedings at the hospital. I told her of the negative Occupational Therapists report and the positive Neurologists report. I told her, I was surprised why the reports were so different. She explained to me that the reports were coming from two different specialties. The Neurologist was giving a report that concerned his area and surely Taya had improved. The Occupational therapist was also giving a report based on his observations and Taya was very far from recovery. She informed me that the occupational therapist has the role to improve or maintain skills of individuals for day-to-day activities and in that regard, Taya had not improved as she did not have those independent skills for day to day activities. My sister went on to explain that a person should be independent in life, thus the role of the Occupational Therapist in this case was to try and bring Taya to life, so that she could become independent in daily life skills. We later proceeded to the eye unit where we were told that we were supposed to see the Optician the following year since bookings for that year end were already full. Upon hearing Tayambutswas story, they felt pity for her and booked her for that particular day. The ophthalmologists thoroughly examined her with all their machines and indicated that there was nothing wrong with her eyes but she could not see because of her brain damage. I asked if there was hope that one day she could see and I was told that if it happened that she could see of which they could not promise, it would be after a very long time, probably after six months. I was told to buy glittering toys in order to sensitise her sight. On the next day we went back to the hospital to have her ears checked. The ear specialist rang a bell a number of times but there was no response. We were then referred to a private clinic where she was supposed to have a test done on her to ascertain the cause of her hearing impairment. We proceeded straight to the clinic and we were told that the procedure had to be done while she was put on sleep. I was given the quotation for the procedure but did not have the kind of money that was required so l needed to take the quotation to my medical aid provider. My husband later told me that he was against the procedure. I thought that the thought of his daughter being put into sleep when he didnt know whether she was going to be able to rise again or not scared him. I was however determined to look for the money for the procedure. I followed my sisters instructions that l should listen carefully to every report and have an idea of how to pray. I prayed that Taya could hear and see again. I concentrated on that prayer for about three days. On Saturday l bought more of the toys that I thought would help my daughters sight and hearing. We were no longer staying at my husbands young brothers place as we had moved to Warren Park D. When I entered the room where my daughter was, l greeted her as usual, l was shocked, she responded by looking at me. I then realised that she could hear and see as she was also following the direction of the toys. I had prayed that in my next visit with Taya the Occupational Therapist was supposed to be shocked to see that Taya could hear and see, and my God answered that prayer. It is very fortunate that the hearing procedure was never done on Taya because after three days from the day she was to undergo the operation, she could hear and see. In the UK my sister and her church members were also praying for such miracles. I am sure that everyone at my workplace who knew about Tayas predicament was praying for her. I shared the great news of my daughters progress with everyone who asked about her. (A true Story. Source: The Miraculous Story of Tayambutswa by Dr Chipo Mutongi and Learmore Zuze, Harare, 2017). QUESTION ONE a. Identify knowledge workers in this case study (5 marks) b. Why were the reports of the Occupational Therapist and Neurologist different? (5 marks) c. Giving reference to the case study, identify knowledge sources. (10 marks) d. How can knowledge workers in the case study be effectively and efficiently managed? (10 marks) e. What advise can you give in terms of knowledge harvesting basing on the case study? (10 marks)