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CARE COALITION RECOVERY PROGRAM, MENTOR TRAINING SESSION

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CARE COALITION RECOVERY PROGRAM, MENTOR TRAINING SESSION

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  1. John got an excellent opportunity to speak to wounded veterans and their care takers along with about 50 other military personnel and civilians in Tampa Florida this summer.  He spoke on the similarities of treatment with Parkinson’s and head trauma and how music therapy and specifically the playing of the Native American flute may help.  Please enjoy the PowerPoint used in the speech

  2. CARE COALITION RECOVERY PROGRAM, MENTOR TRAINING SESSION

  3. MY NAME IS JOHN YONUSHONIS AND I HAVE PARKINSON’S

  4. Intangibles of Music as Therapy • I can not rotate my right hand over from palm to back • My stamina and breath shortens with time • I can not sequence my right thumb to my right finger but I can play the Native American Flute

  5. WHAT IS A PERSON WITH A CHRONIC, PROGRESSIVE. NEUROLOGICAL DISORDER LIKE PARKINSON’S DOING SPEAKING AT THIS CONFERENCE

  6. Our Goal is to Increase Quality of Life Through Alternative Therapy • While there is no similarity in Parkinson’s and Traumatic Brain Injury in it’s occurrence, … • there is great similarity in the challenges of both.

  7. To Help Reach Our Goal Of Improving The Life Of Service Men And Women • Share my story on Parkinson’s and the Native American Flute • Compare Parkinson’s to a general trauma and establish a connection in treatment • Establish music therapy as a viable source of healing, learn its history • The advantages of the Native American Flute in Trauma in healing

  8. The Walk • This is a story about a man’s walk in life with a flute that helped him overcome some of those physical and mental obstacles … • And a hope it may help many others with neurologic difficulties

  9. Who Am I? • I am not a Doctor and I am not a Music Therapist • I am a man with a chronic progressive neurological disease, that has no cure, who has experienced a change due to a music experience • I want to share that experience

  10. When I Was Young I Read a Story

  11. Promise To Myself After Diagnosis • I would never be embarrassed by the disease • I would tell everyone so as to create awareness • I would live every day to its fullest • I would reach out to help others

  12. What Do You Know About Me Now That You Know I Have Parkinson’s? • Drooling • Stiffness in right side • Bradykinesea (slow) • Anxiety/Depression • Dystonia • Speech Difficulty • Lack of tast and smell • Mycrographis (Can not write) • Decreased facial expressions

  13. TRAUMATIC BRAIN INJURY FROM THE CARE WEB SITE TBI can cause a wide range of functional changes affecting thinking, sensation, language, or emotions.Thinking ( memory and reasoning);Sensation( touch, taste, and smell);Language (communication, expression, and understanding); and Emotion( depression, anxiety, personality changes, aggression, acting out, and social inappropriateness)

 

  14. My Story: Input From My Wife, Ann, At Taos Pueblo

  15. Modern History • James Parkinson • Essay on the Shaking Palsy - 1817 • Involuntary Tremulous Motion, with lessened muscular power, in part not in action and even when supported; with a propensity to bend the truck forwards, and to pass from a walking to a running pace; the senses and intellect being uninjured • Tretiakoff – 1919- discovered deficits in the SN • Late 1950’s and 60’s – dopamine significance recognized

  16. Who Gets PD? • 1 in 100 over 60 years of age • Average age of onset 60 years of age • 15% diagnosed before 50 years of age • Slightly more men than women

  17. What is Parkinson’s Disease? • Chronic progressive neurological disorder • Certain brain cells or neurons in the substantia nigra (SN) die or are impaired • Those neurons produce dopamine • Responsible for coordinated movement and balance

  18. Our Brain • Circuits formed by living cells called neurons • 50 billion neurons • On average 10,000 ends to each neuron • 1/2 transmitters • 1/2 receptors

  19. Our Brain • Neurons not directly connected to one another • Tiny gap between the transmitter end of one cell and the receptor end of another cell • Gap is called a synapse

  20. Our Brain - Messages • Neurons act as a communication network by using chemicals called neurotransmitters • Carry the message across synapses from one neuron to another • Allow nervous system to communicate with muscles and translate thought into motion

  21. Movement • Normally we don’t think about how it is possible for our bodies to move • It just happens when we want it to!

  22. Dopamine • Helps transmit messages from the SN to the striatum • Initiates movement • Controls movement and balance • Makes sure: • Muscles work smoothly, • Under control and • Without extra or unwanted movements

  23. Loss of Dopamine • SN degenerate  • decreased dopamine  • lack of regulation of movement control centers in the brain  • striatum fires excessively  • loss of control of movements  • Cardinal signs become apparent at 70-80% dopamine loss

  24. Other Signs of PD • Small handwriting • Changes in posture – stooped and lack of arm swing • Decreased facial expression • Speech changes • Difficulty swallowing and drooling • Depression/anxiety • Pain • Sleep disturbances • Constipation • Urinary frequency • Sexual dysfunction • Low blood pressure • Fatigue/loss of energy • Changes in mental function over time

  25. TBI Long Term • TBI can also cause epilepsy and increase the risk for conditions such as Alzheimer’s disease, Parkinson’s disease, and other brain disorders that become more prevalent with age. • About 75% of TBIs that occur each year are concussions

  26. Remember A brain that engages in music is changed by engaging in music

  27. Advantages Of Native Flute • Relaxation • Coordination • Breathing Exercise • Social Stimulation • Fun • Portable • Focus on now…Today

  28. Tony In Cameron The Flute And His Father

  29. The Profession of Music Therapy • Began after WW I & II • Musicians went to Veterans Hospitals • Positive patients physical & emotional response • First formal degree program in Music Therapy began in 1950 in the U.S. NIH/NLM US Army, Fitzsimons

  30. MUSIC THERAPY • Music therapy is defined as • “the systematic application of music by the music therapist • to bring about helpful changes • in the emotional or physical health of the client.” and

  31. American Music Therapy Association Defines Music Therapy As: • … the clinical and evidence-based use of music interventions to accomplish individualized goals within a therapeutic relationship by a credentialed professional who has completed an approved music therapy program. • Music Therapy is an established health profession in which music is used within a therapeutic relationship to address physical, emotional, cognitive, and social needs of individuals. 

  32. Active Music Making andMusic Therapy Services:An Early Intervention and Readjustment Program Among Returning Military Personnel and Their Families Sponsored by the American Music Therapy Association and Provided to Families of Davis-Monthan Air Force Base, Tucson, AZ Funded by NAMM, the International Music Products Association with additional funding by the American Music Therapy Association. In kind contributions provided by DMAFB

  33. WHY IS MUSIC USEFUL • PROMOTES WELLNESS • ALEVIATES PAIN • MANAGE STRESS • OUTLET TO EXPRESS FEELINGS • IMPROVE COMMUNICATION • IMPROVE PHYSICAL COORDINATION • FORCES FOCUS ON TODAY

  34. How music promotes the relaxation effect • Biochemical theory • states that music is a sensory stimulus that is processed though the sense of heaing. • Sound vibrations are chemically changed into nervous impulses that • activate either the sympathetic or • parasympathetic nervous system

  35. How music promotesthe relaxation effect • Metaphysical theory suggests • that music is divine in nature.

  36. Music Therapy • the “ability to experience an altered state of • physical arousal and subsequent mood • by processing a progression of musical notes of • varying tone, • rhythm, and • instrumentation • for a pleasing effect.”

  37. THE FLUTE • Increased mental health with necessity to focus • Increased dexterity with playing motion • Increased breathing capacity • Allowed me to share something of beauty with those around me

  38. LUNCH WITH MUHAMMAD ALI BECAUSE OF MUSIC THERAPY

  39. AA

  40. A

  41. PLAY ANYTIME I GET A CHANCE AND TELL MY STORY TO EVERYONE

  42. EXPERIENCESBLESSING SONG • KLAGETOH

  43. EXPERIENCES BECAUSE OF MUSIC THERAPY • KLAGETOH HOGAN

  44. TRAINING • PERSONAL GROUP AND INDIVIDUAL TRAINING BY MYSELF AND VIA CD • CUSTOMIZED FLUTE MAKING IE, LOSS OF LIMB • UPDATED PROGRAMS FOR LEARNING VIA WEB AND CD • MILITARY FLUTE CIRCLES OR JOIN THE LOCAL CHAPTERS

  45. A SPECIAL THANK YOU • TO ALL THAT HAVE SERVED THIS GREAT COUNTRY

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