Your SlideShare is downloading. ×
Brain Injury Awareness Day; Trauma, Rehab and Recovery
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×

Introducing the official SlideShare app

Stunning, full-screen experience for iPhone and Android

Text the download link to your phone

Standard text messaging rates apply

Brain Injury Awareness Day; Trauma, Rehab and Recovery

810
views

Published on

Brain Injury Awareness Day, June 17th, 2010; Ottawa, ON; Trauma, Rehab and Recovery Power Point, val lougheed

Brain Injury Awareness Day, June 17th, 2010; Ottawa, ON; Trauma, Rehab and Recovery Power Point, val lougheed

Published in: Education, Health & Medicine

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
810
On Slideshare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
7
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Val Lougheed Northern Lights Canada 1-800-361-4642 www.northernlightscanada.ca [email_address] Trauma, Rehabilitation, and Recovery ~ Keep Your Fork ~
  • 2. “ You don’t want your impairments to define you – you want them to inform you.” (Hanita Dagan, personal communication, 2005)
  • 3.
    • www.slideshare.com/vlougheed
    #NLCAN www.northernlightscanada.ca/about/about-val-lougheed/be-still
  • 4. Agenda
    • Beginning …
    • Middle …
    • End …
  • 5. Brain Injury Awareness
    • What does it mean to recover and return to work?
    • Why can I do to recover and return to a life that includes work?
    • What can we do to facilitate recovery and a return to work?
  • 6. Rated PG-113 People Strongly Cautioned! May contain bad language, brief nudity, sexual overtones, and drug usage.
  • 7. Beginning My Story
  • 8.  
  • 9.  
  • 10.  
  • 11. Sept. 9, 2003 - morning
  • 12. Sept. 9 – p.m.
  • 13. Sept. 15 2003 – Jan. 19 2004 Journey Back to Life
  • 14.  
  • 15.  
  • 16.  
  • 17.  
  • 18. February 2004 – Present Starting Point
  • 19. Identity Disintegration and The Re-organization of Self March 2004
  • 20. “ In the aftermath of traumatic life events … [the] sense of self has been shattered.” (Herman, 1992, p. 61) “ An existential crisis …” (Hanita Dagan, personal communication, 2005)
  • 21. Sliding Down the Slope (Dalhousie, March 2005) 783,762 prescriptions for OxyContin ™ dispensed in Canada Nov. 2003 – Oct. 2004 OxyContin ™ is one of Canada’s 3 most-prescribed narcotic painkillers 2003 OxyContin ™ earns Purdue more than $1 billion U.S. 2002 Approved in Canada 1996 Purdue Pharmacy (USA) launches OxyContin ™ – controlled-release formula 1995 Oxycodone ™ developed in Germany Early 1900’s
  • 22.  
  • 23. A Foothold
    • Mild – moderate ABI
    • Depressed (dysphoria)
    • Working memory problems
    • Hiding pain
    1 st Neuropsychological Assessment June 2004 -- Results
  • 24.  
  • 25. Rescued in the Valley of Despair Head Injury Program Oct. – Dec. 2004
  • 26.  
  • 27. HIP Oct to Nov – Full-time December – Part-time
  • 28. GRTW – The Plan Jan. 3 – Feb. 7, 2005 (5 weeks)
  • 29. GRTW – The Reality
  • 30. GRTW – The Reality
  • 31. GRTW – The Reality
  • 32. GRTW – The Reality
  • 33. GRTW – The Reality
  • 34. GRTW – The Reality
  • 35. GRTW – The Reality
  • 36. GRTW – The Reality
  • 37. GRTW – The Reality
  • 38. Rescue Attempts
    • Case Manager
    • Job Coach
    • Colleagues/Friends/ Psychologist
  • 39. Sliding Back Down Into The Abyss
    • Non-compliance
    • Malingering
    • Trying too hard
    • Not trying hard enough
    2 nd Neuropsychological Assessment May 2005 -- Edmonton
  • 40. Lesson ASSUMPTIONS REVEAL BIAS
  • 41.
    • Mild – moderate ABI
    • Good prognosis
    • Post-Traumatic amnesia
    • Pain?
    • Depression?
    • “ Adjustment Disorder with Anxiety and Depressed Mood”
    3rd Neuropsychological Assessment August 2005 -- Calgary
  • 42. Symptom Overlap (co-morbidity) (Michael Sullivan, Centre for Research on Pain and Disability, McGill University, September, 2006) Pain, Trauma, Depression, ABI
  • 43.  
  • 44. Oct. 3 – Dec. 11
  • 45.  
  • 46. Pain Research 1600’s – Rene Descartes (philosopher)
  • 47. Pain Research 1950’s – Wilder Penfield (brain surgeon)
  • 48.  
  • 49. Pain Research Patrick Wall (physiologist) Ronald Melzack (psychologist)
  • 50. Pain Research
    • Gate Control Theory
    • Acute and chronic pain
    • Pain sensation travels up the central nervous system to the brain through a “gate”
    • “ Gate” – triggered by cell changes – sends descending messages that alter sensory input
    • Pain isn’t pain until it reaches the brain
    • Emotions, context, etc. affect pain sensations
    • Pain is a negotiable, individual experience
    • Pain centres in the brain – they just keep moving around
    • (Jackson, 2002, p. 21)
  • 51. Pain – The Future SCN9A (Globe and Mail, March 24, 2007) Glia Cells (Scientific American, November, 2009) Poppy Genes (U of Calgary -- Calgary Sun, March 15, 2010)
  • 52.  
  • 53.  
  • 54.  
  • 55.  
  • 56.
    • Limbic System
    • The centre for emotional expression
    • (Prigatano, 1999, p. 132)
    • Amygdala - attaches emotional tags to memories
    • (Dr. Suffield, personal communication, 2004)
    • Hippocampus - controls the laying down of new memories
    • (Ramachandran & Blakeslee, 1998, p. 15)
    • Hypothalamus – controls the outward expression of emotions
    • (Ramachandran & Blakeslee, 1998, p. 177)
    Trauma Research
  • 57. “ In every encounter, basic trust is in question.” ( Herman, 1992, p. 92) “ Survivors feel unsafe in their bodies – and in any relationship with other people.” (Herman, 1992, p. 160) Rehab & Recovery
  • 58. Trauma Personal Experience
    • Dissociation & Cocoon = Safety
    • System on High Alert Always = Survival
    • World is black & white = Trust
    Trust (Safety) = Love No Trust (Life Threatening) = Hate
  • 59. Trauma Personal Experience
    • Listen to me
    • Understand me
    • Respect me
    • Are competent
    I trust (love, feel safe with, will try hard for) practitioners who:
  • 60.  
  • 61.  
  • 62. “… depression [caused by trauma] is not the same as ordinary depression.” ( Herman, 1992, p. 118) Depression
  • 63. “ Emotions are not in the head – they are in every cell in the body.” (Pert (1995), in Bolen, 1996, p. 7) Pscyhoimmunoendocrine Network
  • 64.  
  • 65.  
  • 66.
    • Affects more than IQ ….
    • We are sensitive to changes in higher cerebral functioning
    • Very important to a person’s sense of self
    • Touches core … of a person’s self-esteem
    • (Prigatano, 1999, p. 58)
    ABI
  • 67. Back to Wilder Penfield – 1950’s ABI Localizationist
  • 68. Paul Bach-y-Rita – 1934 – 2006 Scientist and Rehab Doctor Neuroplasticity - 1969
  • 69. Michael Merzenich Neuroplastician Neuroplasticity
  • 70. Harnessing the Power
  • 71.  
  • 72. “ The words and attitudes of others … are potent. They help or hex healing and recovery.” “ Expectations are powerful.” “ Neutrality can be deadly.” (Bolen, 1996, p. 94) Body-Mind Connection
  • 73. Quantum Connection
    • The Living Matrix
    • A type of energy exists that has previously gone unnoticed.
    • Cells/DNA influence matter through this form of energy.
    • DNA Phantom effect. Braden, 2007, p. 45
  • 74. “ Loss of identity can evoke a personal crisis, creating a need for change.” (Ornelas, in Smith & Johnson (Eds), 1997, p. 172) The Re-Organization of Self Identity Research
  • 75. Scaling the Canyon
  • 76. Sept., 2005 Waskesiu
  • 77.  
  • 78.  
  • 79.  
  • 80.  
  • 81. Breast Cancer Reconstructive Surgery March 2006
  • 82. Convocation M.Ed. -- June 2006
  • 83. Back in “a” Saddle September 2007
    • Officially change role/ title
    • Re-organize NL
    • Work part-time
  • 84.  
  • 85. Brain Injury Awareness Resilience
    • Ability to return to original form after being bent (bounce back)
    • Thriving in constant change, ability to be:
        • Flexible
        • Creative
        • Adaptable
        • Learn from experience
    • http://www.resiliencycenter.com/articles/5levels.shtml
  • 86. Brain Injury Awareness Rehabilitation (habiter – to live inside) “ Rehabilitation is the learning to live inside not only one’s body, however it is after an injury or illness, but inside one’s very being.” (Kabat-Zinn, in Meili, 2003, p. 241)
  • 87. Brain Injury Awareness Recovery Crombez, October, 2003 Focus on the person [inside] Healing Focus on the illness/ impairment [outside] Curing
  • 88. Be Still
  • 89. Brain Injury Awareness
    • What does it mean to recover and return to work?
    • Why can I do to recover and return to a life that includes work?
    • What can we do to facilitate recovery and a return to work?
  • 90. Keep Your Fork
  • 91.
    • Northern Lights Canada is a person-centred organization committed to providing innovative, responsive links to real work.
    • We offer 4 major divisions of service:
      • Vocational Rehabilitation Services
      • Employment Services
      • Employer Services
      • Corporate Training
    • For more information, please contact us:
    • 1-800-361-4642
    • www.northernlightscanada.ca
  • 92. Voc Rehab Canada (VRCAN) is a national consortium of experienced regional vocational rehabilitation companies. VRCAN provides customers with single-point access to VR services anywhere they are needed in Canada, whether on an individual service or contract basis. Member companies include: For more information, please feel free to contact us at 1-800-361-4642 Rehabilitation Focus Genesis Rehabilitation Ltd. Diversified Rehabilitation Group Western Rehabilitation Specialists Inc. Occupational Rehabilitation Group of Canada (ORGOC) Northern Lights Canada CVE Inc. OPTIMA Rehabilitation Rehabilitation Alternatives Limited / Vocational Alternatives Software Advantage Rehabilitation Consultants Ltd. Sandra Preeper & Associates Argus Management Consultants, Inc.
  • 93.