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Today we celebrate Nurses day. I came across the Nurses’ Pledge while doing my research and while most of us did not have to take an oath to do our daily jobs, this reminded me of how much each Nurse has to give of themselves for 12 hours of the day for the patients.

What an honour it is to have such a wonderful team of dedicated staff ensuring that all patients are well taken care of. We salute you and thank you!

Nurses’ Pledge
On 12 May 1820, Florence Nightingale was born in Florence, Italy. Her legacy in not only the science of nursing, but also the art and value of nursing as an independent and recognised profession, is still visible today and is globally celebrated on International Nurses’ Day (12 May) each year. The original Nightingale Pledge, composed in 1893 by Lystra Gretta is an adaptation of the Hippocratic Oath taken by physicians and emphasises the following principles:

  • Leading by example

  • Faithfulness

  • Accountability

  • Accuracy

  • Responsibility

  • Confidentiality

  • Devotion

Here is a version of the pledge as used in South Africa.

Nurses’ Pledge of Service
I solemnly pledge myself to the service of humanity and will endeavour to practise my profession with conscience and with dignity.
I will maintain, by all the means in my power, the honour and noble tradition of my profession.
The total health of my patients will be my first consideration.
I will hold in confidence all personal matters coming to my knowledge.
I will not permit consideration of religion, nationality, race or social standing to intervene between my duty and my patient.
I will maintain the utmost respect for human life.
I make these promises solemnly, freely and upon my honour.


This version is different in a number of respects to the original Nightingale Pledge.  If anyone can throw any light on the origins or history of this updated version, your feedback would be most welcome.  Please email your information to

Source: ©2004-2020 South African Nursing Council (Under the provisions of the Nursing Act, 2005)


International Awareness Day for Chronic Immunological and Neurological Diseases

The International Awareness Day for Chronic Immunological and Neurological Diseases (CIND) is observed on May 12 every year since 1992. Myalgic Encephalomyelitis (ME)/ Chronic Fatigue Syndrome (CFS), Fibromyalgia (FM), Multiple Chemical Sensitivities (MCS) and Gulf War Syndrome (GWS) are collectively known as Chronic Immunological and Neurological Diseases (CIND).

The day is designated to spread awareness among people about CIND and help the world to understand the seriousness of these diseases and conditions. It also aims to assist and educate patients, patient support groups and organizations, healthcare professionals about CIND.

May 12 was chosen as it coincided with the birth date of Florence Nightingale, the English army nurse who inspired the founding of the International Red Cross. Nightingale was believed to have suffered from ME/CFS like illness.

These illnesses, characterized by cognitive problems, chronic muscle and joint pain, extremely poor stamina, and numerous other symptoms, afflict people around the world in alarming numbers.

Myalgic Encephalomyelitis (ME)/ Chronic Fatigue Syndrome (CFS) is a severe chronic illness in which symptoms are increased by physical exertion. Patients with CFS suffer from unexplained recurrent physical and mental fatigue, muscle and joint pain, sleep problems with neurological and cognitive manifestations. For making a diagnosis, symptoms must last for at least six months in adults and three months in children.

Fibromyalgia (FM) is a syndrome of widespread pain, aching and stiffness of muscles, often accompanied by fatigue, sleep disturbances and multiple tender points. Detail information about fibromyalgia can be seen at

Multiple Chemical Sensitivity (MCS) is also known as environmental sensitivities (ES) or intolerance. It is an acquired environment linked condition and is sometimes associated with myalgic encephalomyelitis/ chronic fatigue syndrome and fibromyalgia. The symptoms are reproducible with (repeated chemical) exposure and include headaches, problems with balance and coordination, nervousness, irritability and depressed mood, burning and irritated eyes, stuffy or runny nose, cough, fast or irregular heartbeat, nausea, diarrhoea or constipation, frequent or urgent urination, achy muscles and joints, and rashes.

Management of CIND

Awareness about the disease is important for patients as they learn to manage their illness by using various approaches. Medical treatment and patient’s self-care with healthy lifestyle behaviour can help to cope better with CNID. It includes:

  • Regular exercise plan
  • Proper rest and relaxation
  • Proper sleep
  • Good dietary habits
  • Avoidance of specific known environmental aggravators

Cognitive behaviour therapy and pharmacological treatment may be used with the consultation of physician for the management of symptoms causing major impairment.


  • PUBLISHED DATE : Jun 07, 2018
  • CREATED / VALIDATED BY : Dr. Aruna Rastogi
  • LAST UPDATED BY : Jun 07, 2018

For more information on each illness, please see the following pages

Other illnesses that fall under the CIND umbrella include:

  • Addison’s
  • Alzheimer’s
  • Autism
  • Celiac
  • Chronic Myofascial Pain
  • Crohn’s
  • Epilepsy
  • Irritable Bowel Disease (IBD)
  • Lou Gehrig’s (ALS)
  • Lupus
  • Lyme Disease
  • Mold/Biotoxin Illness
  • Multiple Sclerosis (MS)
  • Orthostatic Intolerance (OI)
  • Parkinson’s
  • Postural Orthostatic Tachycardia Syndrome(POTS)
  • Reflex Sympathetic Dystrophy Syndrome (RSD)
  • Ulcerative Colitis



Travel Vaccines and Advice for South Africa

South Africa provides a diverse experience for travelers with a variety of landscapes and cultures.

There are nine official ethnic groups in South Africa. The largest communities include people with European, Asian and multiracial descent.

Due to this large number of different ethnicity, there are 11 official languages. This is the most official languages of any country in the world. There are also many different religions practiced throughout the country.

South Africa hold three major capital cities including Cape Town, Pretoria, and Bloemfontein.

Do I Need Vaccines for South Africa?

Yes, some vaccines are recommended or required for South Africa. The CDC and WHO recommend the following vaccinations for South Africa: hepatitis Ahepatitis Btyphoidyellow feverrabiesmeningitispoliomeasles, mumps and rubella (MMR)Tdap (tetanus, diphtheria and pertussis)chickenpoxshinglespneumonia and influenza.

See the tables below for more information or visit their website on

Recommended Travel Vaccinations for South Africa




Hepatitis A

Food & Water

Recommended for most travelers

Hepatitis B

Blood & Body Fluids

Accelerated schedule available


Food & Water

Shot lasts 2 years. Oral vaccine lasts 5 years, must be able to swallow pills. Oral doses must be kept in refrigerator.

Yellow Fever


Required if traveling from a country with yellow fever transmission.


Saliva of Infected Animals

Vaccine recommended for certain travelers based on destination, activities and length of stay.

Routine Vaccinations for South Africa




Measles Mumps Rubella (MMR)

Various Vectors

Given to anyone unvaccinated and/or born after 1957. One-time adult booster recommended.

TDAP (Tetanus, Diphtheria & Pertussis)

Wounds & Airborne

Only one adult booster of pertussis required.


Direct Contact & Airborne

Given to those unvaccinated that did not have chickenpox.


Direct Contact

Vaccine can still be given if you have had shingles.



Two vaccines given separately. All 65+ or immune compromised should receive both.



Vaccine components change annually.


Airborne & Direct Contact

Given to anyone unvaccinated or at an increased risk, especially students.


Food & Water

Considered a routine vaccination for most travel itineraries. Single adult booster recommended.

Many of the countries surrounding South Africa require proof of yellow fever vaccination for entry. Consult with a travel health specialist to learn if you will need the vaccine.

Malaria is present in some regions of South Africa. Use mosquito repellents, netting and antimalarial s if you are traveling to these areas.

Medical facilities are common and in good condition in urban areas and near game parks. But facilities are limited in rural areas. Most facilities only accept cash payments before a procedure is done. Medicare does not cover these expenses.

Visit the vaccinations page to learn more. Travel safely with Passport Health and schedule your appointment today by calling 1-888-499-7277 or book online now.

Sources: CDCWHO and ISTM


The National Coronavirus Command Council has decided to enforce a nation-wide lockdown for 21 days with effect from midnight on Thursday 26 March. (…) .

President Ramaphosa announced that the COVID-19 outbreak has been declared a national state of disaster in terms of the Disaster Management Act. (

For daily updates of countries, territories or areas with reported laboratory confirmed COVID-19 cases, please refer to:

Call centres and hotlines

Temporary Employer-Employee Relief Scheme

Call Centre number is 012- 337 1997 and email

Essential service application portal

All businesses that will be allowed to provide essential services are required to seek approval from the Department of Trade, Industry and Competition (the dtic)  in order for them to trade during the period of the lockdown.

Such businesses are required to apply to the Companies and Intellectual Property Commission (CIPC) Bizportal website at and obtain a certificate from the Commission that allows them to continue trading. The Bizportal website will contain a menu icon listed as “Essential Service Businesses” through which an application can be made to the CIPC.


SASSA call centre (0800 60 10 11)

PostBank call centre (available 24/7) on 0800 53 54 55 to deal with concerns and complaints related to SASSA/SAPO cards – card replacement, PIN resets and non-payment

Call centres and hotlines

Government has a number of call centres and hotlines through which you can:

  • get information about services and programmes
  • report problems or make complaints
  • provide tip-offs to authorities about fraudulent or criminal activities.

Solidarity Fund –

The Fund will focus efforts to combat the spread of the virus, help us to track the spread, care for those who are ill and support those whose lives are disrupted.

For organisations wishing to make any offers of non cash donations kindly contact 0860 001 001 between 8am and 6pm South African time. Alternately you can download the donation form and mail the completed form to A donor consultant will be in touch with you once we have processed your form. For any queries related to non cash donations please contact us on 0860 001 001


Whatsapp: Say “Hi” to 0600 123 456

For medical enquiries: National Institute for Communicable Diseases  0800 029 999


For more information on the Corona virus please visit 

You can also click on the links below to get more information.


Social Stigma COVID-19

7 Ways to prevent the virus from spreading



COVID-19 is on everyone’s mind. Our Director’s, CEO and Management have implemented some guidelines for admissions during this National Lockdown. We urge everybody to be responsible patients as well as citizens during these times.

Please click on the links below for M-Care Optima’s regulations and protocols as well as the COVID-19 Screening test for patients

Coronavirus Information - Nelson Mandela University


A Day for the Elimination of Violence Against Women

Women’s rights activists have observed 25 November as a day against gender-based violence since 1981. This date was selected to honour the Mirabal sisters, three political activists from the Dominican Republic who were brutally murdered in 1960 by order of the country’s ruler, Rafael Trujillo (1930-1961).

Violence against women and girls is one of the most widespread violations of human rights. According to the United Nations, 35% of women and girls globally experience some form of physical and or sexual violence in their lifetime with up to seven in ten women facing this abuse in some countries.

The United Nations General Assembly has designated 25 November International Day for the Elimination of Violence against Women, and has invited governments, international organisations and NGOs to organise on that day activities designated to raise public awareness on the problem (resolution 54/134 of 17 December 1999).

Women’s activists have marked 25 November as a day against violence since 1981. The date came from the brutal 1961 assassination of the three Mirabal sisters, political activists in the Dominican Republic, on orders of Dominican ruler Rafael Trujillo.

In South Africa, 25 November is also the starting day of the 16 Days of Activism for No Violence against Women and Children.


Source: ,


The campaign aims to increase awareness of global antibiotic resistance and to encourage best practices among the general public, health workers, policy-makers and the agriculture sector to avoid the further emergence and spread of antibiotic resistance.

Antibiotic resistance is one of the biggest threats to global health today. It is rising to dangerously high levels in all parts of the world. It is compromising our ability to treat infectious diseases and putting people everywhere at risk.

The World Health Organisation is leading a global campaign ‘Antibiotics: Handle with Care’ calling on individuals, governments, health and agriculture professionals to take action to address this urgent problem.

Working together, we can ensure antibiotics are used only when necessary and as prescribed. Antibiotics are a precious resource that we cannot continue to take for granted—we need to handle them with care.


The Optima Psychiatric Hospital, a healing centre, situated in the Bloemfontein suburb, Hospitaalpark, accommodating 76 patients and is operated by a company consisting of nine partners, all Psychiatrists.

Contact Details

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Phone: 051 502 1800
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