Trr pacific coast brain injury conf. prezi format

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Power point version of Trauma, Rehabilitation and Recovery -- It Takes a Village; Pacific Coast Brain Injury Conference, Vancouver, February 15, 2012

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  • Northern Lights Vocational Services www.nlvs.ca 1-800-361-4642
  • Trr pacific coast brain injury conf. prezi format

    1. 1. Val Lougheed Northern Lights Canada Real Work * Real People * Real Results Real People with Real Lives It Takes a Village Trauma, Rehabilitation and Recovery – ~ Keep Your Fork ~ 1-800-361-4642 * www.northernlightscanada.ca * vlougheed@northernlightscanada.ca
    2. 2. “ You don’t want your impairments to define you – you want them to inform you.” (Hanita Dagan, personal communication, 2005)
    3. 3. <ul><li>www.slideshare.com/vlougheed </li></ul>#NLCAN www.northernlightscanada.ca/about/about-val-lougheed/be-still
    4. 4. Agenda <ul><li>Beginning … </li></ul><ul><li>Middle … </li></ul><ul><li>End … </li></ul>
    5. 6. February 2004 – Present Starting Point
    6. 7. Be Still
    7. 8. Agenda <ul><li>Beginning … </li></ul><ul><li>Middle … </li></ul><ul><li>End … </li></ul>
    8. 9. It Takes a Village <ul><li>What does it mean to recover? </li></ul><ul><li>What can I do to recover and return to a life that includes work? </li></ul><ul><li>What can we do to facilitate recovery and a return to work? </li></ul>
    9. 10. Rated PG-113 People Strongly Cautioned! May contain bad language, brief nudity, sexual overtones, and drug usage.
    10. 11. Beginning 1978
    11. 14. VIDEO CLIP Val being interviewed in Minden
    12. 16. Sept. 9, 2003 - morning
    13. 17. Sept. 9 – p.m.
    14. 18. Sept. 15 2003 – Jan. 19 2004 Journey Back to Life
    15. 24. Dominant Themes <ul><li>Narcotic Pain Killers </li></ul><ul><li>Pain </li></ul><ul><li>Trauma </li></ul><ul><li>Depression </li></ul><ul><li>ABI </li></ul><ul><li>Methods of Helping </li></ul><ul><ul><li>Return to Work </li></ul></ul><ul><ul><li>Life </li></ul></ul>
    16. 25. February 2004 – Present Starting Point
    17. 27. The Re-organization of Self March 2004
    18. 28. “ 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)
    19. 29. Sliding Down the Slope
    20. 30. Sliding Down the Slope
    21. 32. A Foothold <ul><li>Mild – moderate ABI </li></ul><ul><li>Depressed (dysphoria) </li></ul><ul><li>Working memory problems </li></ul><ul><li>Hiding pain </li></ul>1 st Neuropsychological Assessment June 2004 -- Results
    22. 33. ABI – Measuring Loss Subjective Report – difficulty retrieving words and communicating ideas Objective Report – above-average performance on neuropsychological measures (Prigatano, 1999; p. 59)
    23. 34. Losing My Grip My IWRP August 2004
    24. 36. Rescued in the Valley of Despair Head Injury Program Oct. – Dec. 2004
    25. 38. GRTW – The Plan Jan. 3 – Feb. 7, 2005 (5 weeks)
    26. 39. GRTW – The Reality
    27. 40. GRTW – The Reality
    28. 41. GRTW – The Reality
    29. 42. GRTW – The Reality
    30. 43. GRTW – The Reality
    31. 44. GRTW – The Reality
    32. 45. GRTW – The Reality
    33. 46. GRTW – The Reality
    34. 47. GRTW – The Reality
    35. 49. WSPE Work-Site Performance Evaluation©
    36. 50. Sliding Back Down Into The Abyss <ul><li>Non-compliance </li></ul><ul><li>Malingering </li></ul><ul><li>Trying too hard </li></ul><ul><li>Not trying hard enough </li></ul>2 nd Neuropsychological Assessment May 2005 -- Edmonton
    37. 52. Test Results <ul><li>Mild to Moderate ABI </li></ul><ul><li>Pain? </li></ul><ul><li>Depression? </li></ul><ul><li>Motivation? </li></ul><ul><li>“ a high flyer” </li></ul><ul><li>“ phobic avoidance” </li></ul><ul><li>Future plans – “live off dividends” [from company] </li></ul>
    38. 53. Lesson ASSUMPTIONS REVEAL BIAS
    39. 54. <ul><li>Mild – moderate ABI </li></ul><ul><li>Good prognosis </li></ul><ul><li>Post-Traumatic amnesia </li></ul><ul><li>Pain? </li></ul><ul><li>Depression? </li></ul><ul><li>“ Adjustment Disorder with Anxiety and Depressed Mood” </li></ul>3rd Neuropsychological Assessment August 2005 -- Calgary
    40. 55. Symptom Overlap (co-morbidity) (Michael Sullivan, Centre for Research on Pain and Disability, McGill University, September, 2006) Pain, Trauma, Depression, ABI
    41. 57. Oct. 3 – Dec. 11
    42. 59. Pain Research 1600’s – Rene Descartes (philosopher)
    43. 60. Pain Research 1950’s – Wilder Penfield (brain surgeon)
    44. 62. Pain Research Patrick Wall (physiologist) Ronald Melzack (psychologist)
    45. 64. 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)
    46. 68. “ 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
    47. 70. DISSO CIA TION Trauma Research
    48. 71. VIDEO CLIP Adrenaline: Flight or Fight Response Trauma Research
    49. 72. Fight
    50. 73. Freeze
    51. 74. <ul><li>“ Survival Central” </li></ul><ul><li>(Rothschild, 2000, p. 46) </li></ul><ul><li>Amygdala - Implicit memory </li></ul><ul><ul><li>storage of emotions and sensory reactions </li></ul></ul><ul><li>(Rothschild, 2000, p. 20) </li></ul><ul><li>Hippocampus – Explicit memory </li></ul><ul><ul><li>creates memories of actual sequence of events </li></ul></ul><ul><li>(Rothschild, 2000; p. 28) </li></ul>Trauma Research Limbic System and Memory
    52. 75. <ul><li>Stress Hormones </li></ul><ul><li>Amygdala - Implicit memory </li></ul><ul><ul><li>storage of emotions and sensory reactions </li></ul></ul><ul><li>(Rothschild, 2000, p. 20) </li></ul><ul><li>Hippocampus – Explicit memory </li></ul><ul><ul><li>creates memories of actual sequence of events </li></ul></ul><ul><li>(Gunnar & Barr, 1998) </li></ul>Trauma Research Limbic System Under Threat
    53. 77. Trauma Personal Experience <ul><li>Dissociation & Cocoon = Safety </li></ul><ul><li>System on High Alert Always = Survival </li></ul><ul><li>World is black & white = Trust </li></ul>Trust (Safety) = Love No Trust (Life Threatening) = Hate
    54. 78. Trauma Personal Experience <ul><li>Listen to me </li></ul><ul><li>Understand me </li></ul><ul><li>Respect me </li></ul><ul><li>Are competent </li></ul>I trust (love, feel safe with, will try hard for) people who:
    55. 81. “… depression [caused by trauma] is not the same as ordinary depression.” ( Herman, 1992, p. 118) Depression
    56. 82. Candace Pert, 1997; pp. 171 -- 179 Psychoimmunoendocrine Network
    57. 85. Affects more than IQ …. Touches core … of a person’s self-esteem (Prigatano, 1999; p. 58) ABI
    58. 86. Back to Wilder Penfield – 1950’s ABI Localizationist
    59. 87. VIDEO CLIP Story of Paul Bach-y-Rita’s dad Paul Bach-y-rita Neuroplasticity Video Clip; link to Neuroplasticity – YouTube; bren49764 00 – 2:20
    60. 88. Paul Bach-y-Rita – 1934 – 2006 Scientist and Rehab Doctor Neuroplasticity - 1969
    61. 89. Michael Merzenich Neuroplastician Neuroplasticity
    62. 90. Harnessing the Power
    63. 93. <ul><li>METHODS OF HELPING </li></ul>
    64. 94. “ The words and attitudes of others … are potent. They help or hex healing and recovery.” “ Expectations are powerful.” (Bolen, 1996; p. 94) Body-Mind Connection
    65. 95. VIDEO CLIP Esther Sternberg Dr. Esther Sternberg Demo Reel – YouTube; 00 -- .36
    66. 96. Cortisol and Immune Cells Sternberg, 2001; p. 112
    67. 97. <ul><li>Hypothalamus </li></ul><ul><li>Peptides </li></ul><ul><li>Receptors </li></ul><ul><li>Biochemical Events </li></ul>
    68. 99. Quantum Connection The Living Matrix Braden, 2007; p. 45
    69. 100. “ 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
    70. 101. Scaling the Canyon
    71. 102. Sept., 2005 Waskesiu
    72. 107. Breast Cancer Reconstructive Surgery March 2006
    73. 108. Convocation M.Ed. -- June 2006
    74. 109. Back in “a” Saddle September 2007 <ul><li>Officially change role/ title </li></ul><ul><li>Re-organize NL </li></ul><ul><li>Work part-time </li></ul>
    75. 111. It Takes a Village Resilience <ul><li>Ability to return to original form after being bent (bounce back) </li></ul><ul><li>Thriving in constant change, ability to be: </li></ul><ul><ul><ul><li>Flexible </li></ul></ul></ul><ul><ul><ul><li>Creative </li></ul></ul></ul><ul><ul><ul><li>Adaptable </li></ul></ul></ul><ul><ul><ul><li>Learn from experience </li></ul></ul></ul><ul><li>http://www.resiliencycenter.com/articles/5levels.shtml </li></ul>
    76. 112. It Takes a Village 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)
    77. 113. It Takes a Village Recovery Crombez, October; 2003 Curing Focus on the illness/ impairment [outside] Healing Focus on the person [inside]
    78. 114. Be Still
    79. 115. It Takes a Village <ul><li>What does it mean to recover? </li></ul><ul><li>What can I do to recover and return to a life that includes work? </li></ul><ul><li>What can we do to facilitate recovery and a return to work? </li></ul>
    80. 116. Keep Your Fork
    81. 117. <ul><li>Northern Lights Canada is a person-centred organization committed to providing innovative, responsive links to real work. </li></ul><ul><li>We offer 4 major divisions of service: </li></ul><ul><ul><li>Vocational Rehabilitation Services </li></ul></ul><ul><ul><li>Employment Services </li></ul></ul><ul><ul><li>Employer Services </li></ul></ul><ul><ul><li>Corporate Training </li></ul></ul><ul><li>For more information, please contact us: </li></ul><ul><li>1-800-361-4642 </li></ul><ul><li>www.northernlightscanada.ca </li></ul>
    82. 118. 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 Argus Management Consultants, Inc. Sandra Preeper & Associates Advantage Rehabilitation Consultants Ltd. Rehabilitation Alternatives Limited / Vocational Alternatives Software OPTIMA Rehabilitation CVE Inc. Northern Lights Canada Occupational Rehabilitation Group of Canada (ORGOC) Western Rehabilitation Specialists Inc. Diversified Rehabilitation Group Genesis Rehabilitation Ltd. Rehabilitation Focus

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