01/01/2026
At IMFUDU Health & Renewal, geriatric health outreach and home-based care form a core part of the Practice’s work and have been among the most formative and humbling areas of service delivery.
Much of this work happens quietly - outside hospitals, away from academic wards, and often beyond public recognition. It involves entering homes where bodies are tired, memory is fading, families are stretched thin, and time has become both precious and uncertain. This kind of care requires clinical discernment, cultural sensitivity, patience, and the capacity to sit with what cannot always be “fixed.”
The Practice often reflects on patients such as Nkgono Madiboko, who lived with dementia and Parkinson’s disease. In moments of clarity, she would say:
“Ngaka, ke kopa ha ke shwa, ke batla hoba ledimo e nang le kgotso.
Ha ke batle gore moya waka o zulazule.”
(“Doctor, when I die, I ask to become an ancestor at peace.
I do not want my spirit to wander.”)
There is no biomedical metric for such a request. No clinical scale that fully captures its depth. Yet it is profoundly diagnostic. It speaks to dignity, continuity, fear of fragmentation, and the deeply human need for a coherent and peaceful ending.
At times, this work involves supporting elders through decline - managing chronic conditions, psychosocial distress, ancestral dissonance, and spiritual disorientation. At other times, it involves accompanying elders and their families through the end-of-life process, including what, within African epistemologies, is understood as the Passover: the transition from physical life into the ancestral realm.
Specialist traditional health practice is not often clearly defined or widely understood. It is not declared early, nor shaped quickly. It is earned through years of practice, ethical restraint, accountability, and a willingness to stand with individuals and families at life’s most fragile thresholds.
Geriatric and end-of-life work continually affirms that healing does not always mean recovery. Sometimes it means containment, translation, and ensuring peace where possible: for the patient, the family, and the lineage.
IMFUDU Health & Renewal remains grateful to the elders who have entrusted the Practice with their care, to the families who have opened their homes, and to the quiet lessons that this work continues to offer; about dignity, humility, and what it truly means to serve.
Still learning.
Still grounded.
Still accountable.