Trr u of c calgary 010
Upcoming SlideShare
Loading in...5
×
 

Trr u of c calgary 010

on

  • 491 views

Power Point Program for the Vocational Rehabilitation and Disability class at the University of Calgar; Monday, October 18, 2010

Power Point Program for the Vocational Rehabilitation and Disability class at the University of Calgar; Monday, October 18, 2010

Statistics

Views

Total Views
491
Views on SlideShare
491
Embed Views
0

Actions

Likes
0
Downloads
3
Comments
0

0 Embeds 0

No embeds

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Trr u of c calgary 010 Trr u of c calgary 010 Presentation Transcript

  • Val Lougheed Northern Lights Canada Trauma, Rehabilitation and Recovery – Vocational Rehabilitation and Disability ~ Keep Your Fork ~ 1-800-361-4642 * www.northernlightscanada.ca * vlougheed@northernlightscanada.ca
  • “ You don’t want your impairments to define you – you want them to inform you.” (Hanita Dagan, personal communication, 2005)
    • www.slideshare.com/vlougheed
    #NLCAN www.northernlightscanada.ca/about/about-val-lougheed/be-still
  • Agenda
    • Beginning …
    • Middle …
    • End …
  • Vocational Rehabilitation and Disability
    • What does it mean to recover?
    • What 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?
  • Rated PG-113 People Strongly Cautioned! May contain bad language, brief nudity, sexual overtones, and drug usage.
  • Beginning My Story
  •  
  •  
  •  
  • Sept. 9, 2003 - morning
  • Sept. 9 – p.m.
  • Sept. 15 2003 – Jan. 19 2004 Journey Back to Life
  •  
  •  
  •  
  •  
  • Research
  •  
  • Dominant Themes
    • Narcotic Pain Killers
    • ABI
    • Pain
    • Trauma
    • Depression
    • Methods of Helping
      • Return to Work
      • Life
  • Foundation for Understanding Experience
  • Body-Mind Connection Psychoimmunoendocrine Network
    • The nervous, endocrine, and immune systems are functionally integrated – the brain is only one part of this non-hierarchical network
    • Memories, emotions, behaviours and physiology are all connected at the molecular level
    • (Candace Pert, 1997, p. 171 – 179)
  • February 2004 – Present Starting Point
  • Identity Disintegration and The Re-organization of Self March 2004
  • “ 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)
  • 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
  •  
  • A Foothold
    • Mild – moderate ABI
    • Depressed (dysphoria)
    • Working memory problems
    • Hiding pain
    1 st Neuropsychological Assessment June 2004 -- Results
  • ABI – Measuring Loss “ Pre-morbid intelligence is a crucial variable …” Subjective Report – difficulty retrieving words and communicating ideas Objective Report – above-average performance on neuropsychological measures (Prigatano, 1999, p. 59)
  • Losing My Grip My IWRP August 2004
  •  
  • Rescued in the Valley of Despair Head Injury Program Oct. – Dec. 2004
  •  
  • HIP Oct to Nov – Full-time December – Part-time
  • GO TO WORK
  • GRTW – The Plan Jan. 3 – Feb. 7, 2005 (5 weeks)
  • GRTW – The Reality
  • GRTW – The Reality
  • GRTW – The Reality
  • GRTW – The Reality
  • GRTW – The Reality
  • GRTW – The Reality
  • GRTW – The Reality
  • GRTW – The Reality
  • GRTW – The Reality
  • Rescue Attempts
    • Case Manager
    • Job Coach
    • Colleagues/Friends/ Psychologist
  • Sliding Back Down Into The Abyss
    • Non-compliance
    • Malingering
    • Trying too hard
    • Not trying hard enough
    2 nd Neuropsychological Assessment May 2005 -- Edmonton
  • Test Results
    • Mild to Moderate ABI
    • Pain?
    • Depression?
    • Motivation?
    • “ a high flyer”
    • “ phobic avoidance”
    • Future plans – “live off dividends” [from company]
  • Lesson ASSUMPTIONS REVEAL BIAS
    • Mild – moderate ABI
    • Good prognosis
    • Post-Traumatic amnesia
    • Pain?
    • Depression?
    • “ Adjustment Disorder with Anxiety and Depressed Mood”
    3rd Neuropsychological Assessment August 2005 -- Calgary
  • Symptom Overlap (co-morbidity) (Michael Sullivan, Centre for Research on Pain and Disability, McGill University, September, 2006) Pain, Trauma, Depression, ABI
  •  
  • Oct. 3 – Dec. 11
  •  
  • Pain Research 1600’s – Rene Descartes (philosopher)
  • Pain Research 1950’s – Wilder Penfield (brain surgeon)
  •  
  • Pain Research Patrick Wall (physiologist) Ronald Melzack (psychologist)
  • 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)
  • 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)
  •  
  •  
  •  
  •  
    • 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
  • “ 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
  • 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
  • Trauma Personal Experience
    • Listen to me
    • Understand me
    • Respect me
    • Are competent
    I trust (love, feel safe with, will try hard for) practitioners who:
  •  
  •  
  • “… depression [caused by trauma] is not the same as ordinary depression.” ( Herman, 1992, p. 118) Depression
  • “ Emotions are not in the head – they are in every cell in the body.” (Pert (1995), in Bolen, 1996, p. 7) Pscyhoimmunoendocrine Network
  •  
  •  
    • 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
  • Back to Wilder Penfield – 1950’s ABI Localizationist
  • Paul Bach-y-Rita – 1934 – 2006 Scientist and Rehab Doctor Neuroplasticity - 1969
  • Michael Merzenich Neuroplastician Neuroplasticity
  • Harnessing the Power
  •  
  •  
  • “ 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
    • Hypothalamus
    • Peptides
    • Receptors
    • Biochemical Events
  •  
  • Quantum Connection
    • The Living Matrix -- 1995
    • 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
  • “ 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
  • Scaling the Canyon
  • Sept., 2005 Waskesiu
  •  
  •  
  •  
  •  
  • Breast Cancer Reconstructive Surgery March 2006
  • Convocation M.Ed. -- June 2006
  • Back in “a” Saddle September 2007
    • Officially change role/ title
    • Re-organize NL
    • Work part-time
  •  
  • Vocational Rehabilitation and Disability 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
  • Vocational Rehabilitation and Disability 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)
  • Vocational Rehabilitation and Disability Recovery Crombez, October, 2003 Focus on the person [inside] Healing Focus on the illness/ impairment [outside] Curing
  • Be Still
  • Vocational Rehabilitation and Disability
    • What does it mean to recover?
    • What 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?
  • Keep Your Fork
    • 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
  • 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.
  •