OBJECTIVES
- Identify, Describe How Clients and Families Come to your
Practice
- Identify , Describe and Discuss Addiction, Mental Health ,
Chronic Pain and Process Disorders
-Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
-Identify how we as clinicians, behavioral health care professionals identify our clients
OBJECTIVES:
Identify, Describe How Clients and Families Come to your Practice
Identify , Describe and Discuss Addiction, Mental Heath , Trauma , Chronic Pain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
At the end of the presentation, you will be able to:
Identify, Describe and Discuss, How Clients and Families Come to your Practice
Identify Describe and Discuss Addiction, Mental Health, Trauma, Chronic Pain and Process Disorders
Identify how Trauma, Shame, Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves
Identify how Growing Up in An Alcoholic Family can effect one
Review evidence based strategies
Identify and Differentiate trauma as both objective and subjective and how it effects people over the life span
Recognize how trauma can be precipitating factor which leads to a substance use disorder and vice versa the activities one engages in the midst of a substance use disorder can be traumatic
Identify and Describe Addiction per ASAM new definition
Describe and Discuss Qualitative Methods of Inquiry and Family Mapping as a Way into Story
OBJECTIVES:
Learning how to care for ourselves and not being attached to the problem to find joy in recovery.
Letting Go of what we cannot control.
Learning about SA, MH, CP and other Disorders and how they effect us all.
Identify external motivators and collateral processes for the resistant client
Learn alignment strategies using Motivational Interviewing and Solution Focused Therapy
Practice the art of Crucial Conversations
Practice Parallel Processes
Identify Emotional Attunement
Practice Reflective Listening and Speaking
Identify Ways to Integrate these strategies into your practice
Care Advocacy for the client in treatment
OBJECTIVES:
Identify, Describe How Clients and Families Come to your Practice
Identify , Describe and Discuss Addiction, Mental Heath , Trauma , Chronic Pain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
At the end of the presentation, you will be able to:
Identify, Describe and Discuss, How Clients and Families Come to your Practice
Identify Describe and Discuss Addiction, Mental Health, Trauma, Chronic Pain and Process Disorders
Identify how Trauma, Shame, Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves
Identify how Growing Up in An Alcoholic Family can effect one
Review evidence based strategies
Identify and Differentiate trauma as both objective and subjective and how it effects people over the life span
Recognize how trauma can be precipitating factor which leads to a substance use disorder and vice versa the activities one engages in the midst of a substance use disorder can be traumatic
Identify and Describe Addiction per ASAM new definition
Describe and Discuss Qualitative Methods of Inquiry and Family Mapping as a Way into Story
OBJECTIVES:
Learning how to care for ourselves and not being attached to the problem to find joy in recovery.
Letting Go of what we cannot control.
Learning about SA, MH, CP and other Disorders and how they effect us all.
Identify external motivators and collateral processes for the resistant client
Learn alignment strategies using Motivational Interviewing and Solution Focused Therapy
Practice the art of Crucial Conversations
Practice Parallel Processes
Identify Emotional Attunement
Practice Reflective Listening and Speaking
Identify Ways to Integrate these strategies into your practice
Care Advocacy for the client in treatment
This presentation was given at CORE in Amelia Island, FL in 2016. Presentation objective:
Identify, Describe & Explain Resistant Clients
Learn alignment strategies using MI, SFT, Daring way & Rising Strong strategies
Practice Crucial Conversations
Identify Role of Shame and the Practice of Empathy and Compassion
Show how these strategies may be integrated into practice using case examples
Newer Drugs emerging
Clinical Practices shifting to recovery management models
DSM V -Basic assumptions being questions
Triple Threat
Evidenced based principles in practice
Technology as a healing helper
OBJECTIVES
To Talk about Family, Friends, & Recovery
To Show Ways in Which Family and Friends May Engage In Healthy Communications
To Demonstrate ways in which Families, Friends can take care of themselves
OBJECTIVES:
If I were starting an adolescent treatment center what would I want to make sure adolescents and families learn?
Identify and Describe How Families Arrive at your door.
To Demonstrate the Power of Family Mapping and the Art and Science of Portraiture.
Clinical and Reverse Interventions - what are these and how to do?
Share Standard Vocabulary Families need to know Family Change Agreements - What are these - when to use?
OBJECTIVES
-Who-s Your Family? Describe and Define using Family Maps
-Learn how to have open ended Conversations through the Art & Science of Portraiture
-Teach the us of Memoir as a way to learn to live with Possibility & Affirm Resilience.
OBJECTIVES
Identify, Describe and Discuss Trauma and Collective Trauma Describe and Discuss how Holidays are being altered by Covid 19 Identify and Describe How to deal with Holiday Stress
Dr. Louise Stanger of All About Interventions describes SFT, motivational interviewing and parallel processes to help addiction professionals integrate these transformational processes into practice.
OBJECTIVES
To articulate your philosophy of practice
Review Duty to Warn, Duty to Protect & Privilege Communication
Explore Ethics in Todays world-Opioid Crisis - Me Too- Legalization of Marijuana - Medication Assisted Treatment
Explain, Describe & Differentiate Digital Policies and Ethics for Licensed Clinicians
View Social Media & Advertising in Digital Age
Evaluate Tele Psychology
Examine The Emergence of Open Notes as an Ethical Issue
OBJECTIVES
Revisit Shame and How it effects Ones Story
To Demonstrate How Addiction and Shame are Intertwined
To Illustrate the Power of Story Telling Through Family Mapping
To use Portraiture as Inquiry
As a seasoned interventionist, I’ve seen clients from both sides of the mental illness/substance abuse spectrum as well as clients with an avalanche of additional problems that I describe as the TRIPLE THREAT, those who suffer from a tertiary issue either as a result of a prior condition (i.e. disorder or illness) or that one that is exacerbated by additional factors (i.e. physical, legal, traumatic, etc.). These folks and their families present a diagnostic quandary with their kaleidoscope of competing and equally important issues.
Describe and Define Standard of Care & Ethics
Describe and Define Laws
Identify Top Ethical Issues visa vie Snowball Sample
Recommend Ethical Decision
Making Models
CARE Challenge Providers to Develop Mission, and Ethics Statements for Behavioral Health Care Centers
The objections of this presentation include: to experience and practice motivational interviewing, learn motivational interviewing styles and principles and see how it integrates into everyday practice.
Identify, Describe How Clients and Families Come to your Practice
Identify, Describe and Discuss Addiction, Mental Health , Chronic P ain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about Themselves
Identify how we as clinicians, behavioral health care professionals identify our clients
This presentation was given at CORE in Amelia Island, FL in 2016. Presentation objective:
Identify, Describe & Explain Resistant Clients
Learn alignment strategies using MI, SFT, Daring way & Rising Strong strategies
Practice Crucial Conversations
Identify Role of Shame and the Practice of Empathy and Compassion
Show how these strategies may be integrated into practice using case examples
Newer Drugs emerging
Clinical Practices shifting to recovery management models
DSM V -Basic assumptions being questions
Triple Threat
Evidenced based principles in practice
Technology as a healing helper
OBJECTIVES
To Talk about Family, Friends, & Recovery
To Show Ways in Which Family and Friends May Engage In Healthy Communications
To Demonstrate ways in which Families, Friends can take care of themselves
OBJECTIVES:
If I were starting an adolescent treatment center what would I want to make sure adolescents and families learn?
Identify and Describe How Families Arrive at your door.
To Demonstrate the Power of Family Mapping and the Art and Science of Portraiture.
Clinical and Reverse Interventions - what are these and how to do?
Share Standard Vocabulary Families need to know Family Change Agreements - What are these - when to use?
OBJECTIVES
-Who-s Your Family? Describe and Define using Family Maps
-Learn how to have open ended Conversations through the Art & Science of Portraiture
-Teach the us of Memoir as a way to learn to live with Possibility & Affirm Resilience.
OBJECTIVES
Identify, Describe and Discuss Trauma and Collective Trauma Describe and Discuss how Holidays are being altered by Covid 19 Identify and Describe How to deal with Holiday Stress
Dr. Louise Stanger of All About Interventions describes SFT, motivational interviewing and parallel processes to help addiction professionals integrate these transformational processes into practice.
OBJECTIVES
To articulate your philosophy of practice
Review Duty to Warn, Duty to Protect & Privilege Communication
Explore Ethics in Todays world-Opioid Crisis - Me Too- Legalization of Marijuana - Medication Assisted Treatment
Explain, Describe & Differentiate Digital Policies and Ethics for Licensed Clinicians
View Social Media & Advertising in Digital Age
Evaluate Tele Psychology
Examine The Emergence of Open Notes as an Ethical Issue
OBJECTIVES
Revisit Shame and How it effects Ones Story
To Demonstrate How Addiction and Shame are Intertwined
To Illustrate the Power of Story Telling Through Family Mapping
To use Portraiture as Inquiry
As a seasoned interventionist, I’ve seen clients from both sides of the mental illness/substance abuse spectrum as well as clients with an avalanche of additional problems that I describe as the TRIPLE THREAT, those who suffer from a tertiary issue either as a result of a prior condition (i.e. disorder or illness) or that one that is exacerbated by additional factors (i.e. physical, legal, traumatic, etc.). These folks and their families present a diagnostic quandary with their kaleidoscope of competing and equally important issues.
Describe and Define Standard of Care & Ethics
Describe and Define Laws
Identify Top Ethical Issues visa vie Snowball Sample
Recommend Ethical Decision
Making Models
CARE Challenge Providers to Develop Mission, and Ethics Statements for Behavioral Health Care Centers
The objections of this presentation include: to experience and practice motivational interviewing, learn motivational interviewing styles and principles and see how it integrates into everyday practice.
Identify, Describe How Clients and Families Come to your Practice
Identify, Describe and Discuss Addiction, Mental Health , Chronic P ain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about Themselves
Identify how we as clinicians, behavioral health care professionals identify our clients
Intergenerational trauma is the transmission of historical oppression and its negative consequences across generations. There is evidence of the impact of intergenerational trauma on the health and well-‐being and on the health and social disparities facing Indigenous peoples in Canada and other countries.
OBJECTIVES
Identify, Describe and Discuss Addiction, Mental Heath , Chronic Pain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
Identify how we as clinicians, behavioral health care professionals identify our clients
Identify Describe and Discuss Addiction, Mental Health, Trauma, Chronic Pain and Process Disorders
Identify how Trauma, Shame, Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves
Identify how Growing Up in An Alcoholic Family can effect one Review evidence based strategies
Better Communication in Nursing - Ending Nursing Violencegriehl
In Nursing, there exists a culture of lateral violence and bullying, I have finally come to the realization that what we are seeing is the symptom of something much larger, something that starts, grows, and is nurtured with our own participation. We communicate in ways that have the ability to support each other, but we can also communicate in ways that are hurtful, mean, and contribute to a culture of oppression. We need to change our culture.
Navigating Conflict in PE Using Strengths-Based ApproachesCHICommunications
Delivered on May 15, 2024 by the public and patient engagement team from the George & Fay Yee Centre for Healthcare Innovation, this presentation discusses the nuances of navigating conflict in patient engagement.
Learning objectives include:
-Understand the importance of using a trauma-informed approach in patient and public engagement
-Develop a strategy to work with patient and public partners in addressing conflict as it arises
-Employ strengths-based approaches to plan for conflict in your own work
Culture, everybody does it, everybody knows about it, nobody talks about it. Culture is more than food fashion and fun. And Nursing culture is Nursing culture. Focus on the Platinum Rule
Learn about Treatment Without Walls.
We help individuals AND families navigate life’s challenges.
We work in home – to provide support in the family’s environment.
We create healthy long-term dynamics.
We tailor programs that work toward results-oriented living.
We are fully bespoke. We are there for you and your family, wherever and whenever.
We collaborate with the best behavioral health specialists and centers across the globe.
This is the guidebook I wish I had when I was first learning about addiction and mental health disorders when I was a young woman.
It’s the book I give to every client who walks through my door. It is Family Focused, Practical, Hopeful and full of real life examples to help you understand and have the courage to change your experience.
Objectives
Describe and Discuss major
Gen Z issues :
Isolation Bullying, Cutting,
Vaping, Texting ,Self Harm
Teen Suicide
Alcohol, Marijuana and Other
Drug Use
Tips for Parents and Counselors
OBJECTIVES:
To describe and explain Gen Z in COVID 19
To highlight the differences between Gen Z and Millennials
To explore the problems of Anxiety and Depression in this group
Demonstrate, Recognize, Define and Identify what we mean by aging
Describe Substance Use Disorders (Marijuna, Alcohol & Opioids)
Identify Mental Health Issues (Depression & Anxiety, Grief and Loss, Suicide )
At the end of this session, participants will be able to:
Identify and define their philosophical orientation
Become Acquainted with Appreciative Inquiry
Identify Intergenerational patterns in their clients
Assess the value of Portraiture as a qualitative mode of inquiry to gain valuable data about an individual and family themes as a nonjudgemental way into story
Demonstrate pictorially family resilience and wounds and use this as broad map for clinical interventions ( in private practice, in interventions and in behavioral health centers
How do you discover joy and gratitude and move forward in life with purpose and hope? We explore these and other issues related to addiction, mental health, chronic pain, and trauma.
OBJECTIVES:
Examine the history of suicide in the medical professional and how that differs from other groups
Look at variables which contribute to physician burn out
Describe and Discuss Depression, Stress and Anxiety in the Medical Community
Describe how Addiction, Depression and Anxiety and Suicide Effect Families
OBJECTIVES:
To describe and explain Gen Z
To highlight the differences between Gen Z and Millennials
To explore the problems of Anxiety and Depression in this group
OBJECTIVES:
Demonstrate, Recognize, Define & Identify what we mean by “AGING”
Identify special considerations for this population including :
Substance Abuse (Alcohol & Opioids) Mental Health (Depression & Anxiety), Grief and Loss,( loss of a loved one or function) , Suicide
Other Physical Maladies -Chronic Pain-Knees, Hips, Shoulders , (Heart Diabetes, Hypertension, Cataracts, Glaucoma , Dementia, Alzheimers
Problematic Gambling, Financial Issues
OBJECTIVES
Recognize and define high wealth, high touch, high service
Explain with case examples, 12 evidenced-based points to take into consideration when working with high net worth clients
Illustrate how trauma interfaces in their lives
Introduce Collective Intervention Strategies- CIS
Evaluate treatment options for those impaired- Concierge & Inpatient
Develop, Family, Friend Solution Focused Recovery Plan
More from Louise Stanger Ed.D, LCSW, CDWF, CIP (18)
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
4. About Dr. Louise Stanger
• Clinician-Educator
• Interventionist
• Author-Falling Up A Memoir
of Renewal- Amazon
• The Clinicians Guide to
Addiction Interventions-In
press Routhledge
• Widow, Wife, Mother,
Grandmother
• Soul Cycler adventurer
9. Objectives
Identify, Describe How Clients and Families Come to your Practice
Identify , Describe and DiscussAddiction, Mental Heath ,
Chronic Pain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment
, Grief and Loss Effect Ones Story about Themselves
Identify how we as clinicians, behavioral health care professionals
identify our clients
10. Objectives
• Identify, Describe and
Demonstrate CIS
• Define & Describe & Identify
how shame, trauma,
addiction, mental & physical
health effect families
• Demonstrate the power of
family mapping & science of
portraiture in CIS
• Share invitational vocabulary
16. ASAM March, 2011
A Primary Chronic Disease of
the brain reward, motivation,
memory and related circusy
Dysfunction leads to Biological,
psychological, social and
spiritual manifestations
Individual pathologically
pursing reward or relief thru
substances
17.
18. Chronic Pain
133 million People Experience Chronic
Pain
1 in 5 globally
153 Billion was spent on adolescent chronic
pain
65% of all people experience chronic pain
once in their life
75 % of all heron users started with a
prescription
155 people die daily
22. Definitions of Trauma
Overwhelming experiencing that
cannot be integrated and elicit
animal defensive mechanisms and
dysregulated arousal
“A stress that causes physical or
emotional harm that you cannot
remove yourself from”
Larke Huang , Director of Health
Care Equity at SAMSHA
23. Trauma is objective
What happened ( My
father killed himself, My
baby dies of SIDS, I was
date raped , humiliated etc
24. Trauma is subjective :
How do I perceive the situation ?
Relationship to early child-
hood experiences -and
Alcoholism
Adverse Childhood
Experience- 17,000 patients -
Kaiser- effects of trauma are
cumulative and one of most
destructive forms is recurrent
calling and humiliation
26. What do your Clients Say about
Trauma ????
Verbal abuse
Physical abuse
Witnessing a tragedy
Not being told about something
Accidents
Divorce
Death
27.
28. Getting Emotionally Hooked
When I Experience X
I Feel- Body Sensation
I Think -Whats my go-to
thought process
Behavior-What do I do?
29. Folks Are More Then Their Trauma
Questions about life role
Your place in life
Coupled with a sense of loss
Perhaps we have lost a core
part of ourselves
Sometimes we become still
and quiet
30.
31. Shame
Shame is that intensely painful
feeling of believing we are
flawed and therefore
unworthy of love and
belonging.
I am not good enough
Brene Brown
32.
33. Guilt
Have you ever stolen
anything ?
Had guilty thoughts ?
Have you ever lied?
Made up a confabulation?
38. Loss and Grieving
Loss -Something of Value is
gone
Grief = Total response to an
emotional experience related to
loss
Breavement- Subjective
response by loved one
Mourning -behavioral response
41. My Philosophy Of Treatment
Sheldon Kopp.
Existential
Strength Based
Gift of the Buddah
42. Sheldon Kopp
The therapist can interpret, advise, provide the emotional
acceptance and support that futures personal growth , and
above all can listen…actively and purposefully, responding
with the instrument of his trade, that is with his personal
vulnerability of his own tumbling self. This listening is
that which facilitates the patients telling of his tale that
can set him free.”
44. Philosophy
Strength based-it begins by looking for what is good and healthy
and assumes the expression of goodness will always be laced with
imperfections.
Collaborative qualitative inquiry- The researcher becomes part
of the conversation -Become witness to the conversation
The Context -where the interview takes place becomes part of
the portrait -Human experience is framed shaped by the setting.
Discovering the tension between life, loss and liberation.
46. Invitation is to
Wholehearted living
Strength based
Cultivates Curiosity
Owning Your Story
( Falling down and Rising
UP)
To look at our SFD and
Confabulations
47. Family Mapping Is the Way In
Story is our way home
“We are the authors of our own
lives
We write our own daring endings
We craft love from heartbreak
Compassion from shame
Grace from disappointment
Courage from failure
Showing Up is our Power
54. Why CIS?
• Collective - In that to be successful there must be a
team of Families, Friend, Collegues, Associates,
business partners , managers or co-workers
assembled to bring about change
• Intervention- In that we seek to move (i.e/ motivate a
person to a place of change)
• Strategy, in that nothing is set in stone ; we may adapt
the process as needed
55. • Strength Based
• Solution Focused
• People are Teachable
• Change is Possible
• The Present is Important
• We can rise to our best
possible self
Philosophical Underpinnings
58. Theoretical Strategies
• Motivational Interviewing
• Cognitive Behavioral
• Acceptance & Commitment
• Values Clarification
• Solution Focused
• 12 Step or other Self help
• Mindfulness
• Breathing
59. Counseling Skills Used
•Listening- Empathy
•Genuine
•Unconditional Positive Regard
•Concreteness
•Reflecting- Echoing Key words
•Body Language
•Open Ended Questions
•Paraphrasing- Summarizing
•Counselor Self Disclosure
•To Do Not Harm
60. Collaborator
“I am the mirror who reflects back their pain, their fears their
voices. I am the inquirer who asks difficult questions, who searches
for evidence and patterns. I am the companion on the journey
bringing my own story to the encounter, making possible an
interpretive collaboration, I am the audience who listens , laughs ,
weeps an applauds. I am the spider women spinning their tales.. I
am the therapist who offers cathaersis support and challenge… I am
also the stage manager coordinating the intersection of three plays-
the story teller, the narrator and the readers inviting your voice to
the drama” Sara Lawrence Lightfoot
61. Interventions Include a Village of
Potential Change Agents
Participants are experts
Value Driven
Solution Focused
Evidenced Based
Interventionists job is to bring
people together for the common
good and to identify SA, MH
and other issues
63. Families are taught
• The nature of substance
abuse process and mental
health disorders. If
appropriate about chronic
pain syndrome or other
medical legal problems
• The way an intervention is
conducted
• The active and instrumental
part they have in moving
someone to change
70. Interventions Include a Village of
Potential Change Agents
Participants are experts
Value Driven
Solution Focused
Evidenced Based
Interventionists job is to bring
people together for the common
good and to identify SA, MH
and other issues
71. Clinician Interventionsist
Must Be able to :
• Develop a Team
• Do a Family Map that engages everyone
• Do a Retrospective -bio-psycho-social
• Develop case strategy
• Create Treatment Plan & Placement
• Case Management
• Follow with Aftercare
• Facilitate Family Engagement in the
healing process
• Have Concierge Capabilities
• ETHICS are Paramount
72. Beliefs an individual or
group makes about
what constitutes proper
behavior
Standard of Conduct
Make sure you know
83. Qualitative Questions
Tell Me about ………..
Tell me about your Family..
Tell me about your
children, family,
Grandparents etc
84. 20
The Wounded Hearts
Secrets & Lies
I LO
Substance Abuse
Legal
Jack
Learning disability
SallySusie
Laura John
MikeJim Sr Mary
Jack Susan
Jena
Jim
Anxiety & depression
Medical
Bullying
Work
RAGE
Religiosity
Perfectionism -
everythinglooks good
Secrets
T
T T
TT
T
T
T
T= Trauma
= Money Issues
Sample Family Map
18
= Affair
Sally
T
died age 38
1614
87. About Sally
• Mother -Father South American, Jewish
descent
• Father Hx of Depression
• Family has 4 children- Sally is the
Subsequent child of an infant death -
Brother died of brain tumor at 9 months,
older brother age 5 dx with autism- PTS
• Bullying, Isolation , No Friends
• Trauma Riding , at School Sexual
Assault
• 4 Suicide Attempts-Disorded Eating-
• Pills & Marijuana
• No Formal Inpatient Treatment
89. Meet Jack and his family
54 yo old retired executive lives
with 29 yo son
Two previous treatment episodes
3 children 19, 22, 29
Wife in process of divorce
Being asked to leave treatment
center as wrong placement
Had to get him fromA -B
90.
91.
92. Families Readiness to Change
In 2 months 3 out of 5 family members were ready to
change
In 7 months 3 out of 5 family members had engaged in
treatment which lasted more then 60 days. 1 family
member went for a 2 week intensive,
2 Private therapists
1 family member refused treatment
94. First major accident age 14
Family History of SA , MH and Molestation
Pain Body, SexualAssault Trainer
For past 9 years has been in and out of treatment
centers
Walking on crutches or not walking at all
95. Maddi gains trust with primary clinician
Maddi gains trust with exercises
Maddi Starts to talk to therapist
Family is confronted with their substance abuse and
their need to detach
Maddi experiences a difference in family
Maddi experiences a Community IntegrationApproach
Maddi could be your next client
108. Resources
Brown, Brene- Rising Strong . Speiegel & Grau International 2015 NYC NY
Brown, Brene, DaringGreatly. Gothom Books 2012
Lawrence Lightfoot,Sarah & Hoffman Jessica .TheArt and Science of
Portraiture. Joey Bass. 1997
LawrenceLightfoot, S. Respect , 1998. Press Books, Mass.
Lawrence, Lightfoot,S. I’ve Known Rivers , Penguin Publishing. Ny 1995
Lawrence, Lightfoot, S Growing Each Other Up, University of Chicago Press.
2016
109. Resources
Kopp, Sheldon- If You Meet The Buddah on the Road , Kill Him,
1982. Penguin House Random House, NY, NY
Stanger, Louise. Falling Up-A Memoir of Renewal 2015, WZY Press
Stanger,http://www.huffingtonpost.com/entry/tricksters-addiction-
you_us_592f0f7ee4b0d80e3a8a329e
Stanger http://www.huffingtonpost.com/entry/what-are-the-
differences-between-trauma-addiction_us_58f4e7aee4b048372700da27
www.allaboutinterventions.com