Power Point presenttion at the Stroke Recovery Association Workshop in Edmonton, May 29, 2010

1. Val Lougheed Northern Lights Canada Trauma, Rehabilitation and Recovery -- The Next Steps ~ Keep Your Fork ~ 1-800-361-4642 * www.northernlightscanada.ca * vlougheed@northernlightscanada.ca

2. “ You don’t want your impairments to define you – you want them to inform you.” (Hanita Dagan, personal communication, 2005)

6. Rated PG-113 People Strongly Cautioned! May contain bad language, brief nudity, sexual overtones, and drug usage.

7. Beginning My Story

11. Sept. 9, 2003 - morning

12. Sept. 9 – p.m.

13. Sept. 15 2003 – Jan. 19 2004 Journey Back to Life

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

24. Losing My Grip My IWRP August 2004

26. Rescued in the Valley of Despair Head Injury Program Oct. – Dec. 2004

28. HIP Oct to Nov – Full-time December – Part-time

29. GRTW – The Plan Jan. 3 – Feb. 7, 2005 (5 weeks)

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. GRTW – The Reality

41. Lesson ASSUMPTIONS REVEAL BIAS

43. Symptom Overlap (co-morbidity) (Michael Sullivan, Centre for Research on Pain and Disability, McGill University, September, 2006) Pain, Trauma, Depression, ABI

45. Oct. 3 – Dec. 11

47. Pain Research 1600’s – Rene Descartes (philosopher)

48. Pain Research 1950’s – Wilder Penfield (brain surgeon)

50. Pain Research Patrick Wall (physiologist) Ronald Melzack (psychologist)

52. 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)

58. “ 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

63. “… depression [caused by trauma] is not the same as ordinary depression.” ( Herman, 1992, p. 118) Depression

64. “ Emotions are not in the head – they are in every cell in the body.” (Pert (1995), in Bolen, 1996, p. 7) Pscyhoimmunoendocrine Network

68. Back to Wilder Penfield – 1950’s ABI Localizationist

69. Paul Bach-y-Rita – 1934 – 2006 Scientist and Rehab Doctor Neuroplasticity - 1969

70. Michael Merzenich Neuroplastician Neuroplasticity

71. Harnessing the Power

73. “ 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

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

81. Breast Cancer Reconstructive Surgery March 2006

82. Convocation M.Ed. -- June 2006

84. The Next Steps

86. The Next Steps -- 2 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. The Next Steps - 3 Recovery Crombez, October, 2003 Focus on the person [inside] Healing Focus on the illness/ impairment [outside] Curing

88. Be Still

90. Keep Your Fork

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.