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Rehabilitation without Communication

Rehabilitation without Communication. Harnessing the Power of an Individual’s Non-Verbal Voice. Agenda. Introductions What is the non-verbal voice? Case studies Roy Al Tools to success. Introduction.

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Rehabilitation without Communication

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  1. Rehabilitation without Communication Harnessing the Power of an Individual’s Non-Verbal Voice

  2. Agenda • Introductions • What is the non-verbal voice? • Case studies • Roy • Al • Tools to success

  3. Introduction • Kristin Bouma - B.A. of Psychology, Dordt College, Iowa USA • 1 year experience as a program supervisor for LifePath, Inc, residential services. • 3 years experience as a case facilitator for Brain Injury Services in Outreach Services. A community based service that provides rehabilitation to individuals living in the community who sustained an acquired brain injury. • Stacie Dertinger - Honours B.A. of Psychology Wilfrid Laurier University • 3 years experience with Norfolk Association for Community Living as a house counsellor • 2 years experience with Brain Injury Services as a case facilitator

  4. The Non-Verbal Voice What is the non-verbal voice? Who is a communication champion?

  5. The Non Verbal Voice

  6. Communication Champion

  7. Case Studies Roy Al

  8. Roy Pre injury Post injury His communication breakdown His journey His successes

  9. Roy - Pre-Injury • Age: 70 years old • Grade 10 education • Trained with the Canadian Navy in scuba and deep sea diving • Became captain of his ship • specialized in underwater demolition • Describes himself pre-injury as a “real sailor”

  10. Roy - Post-Injury • Suffered a stroke when he was 56 which left him with Broca’s aphasia • Moved into Long Term Care Home • Divorced • Power of Attorneys, personal care & finance • No control over affect • Difficulties with attention and concentration • Behaviours during activities of daily living • Self reported sadness, frustrations

  11. His Journey • Problem identification process • Communication around pain • General communication • Referral process • Application process • Interim work • Continued collaboration • Requested delay between visits from speech pathologist • Open and constant communication during program development

  12. His Journey YES NO

  13. His Journey

  14. His Journey

  15. His Successes • Increase in positive experiences • Sharing stories and knowledge • Active participation in rehabilitation • Self-report assessments • Goal development • Increased communication with nursing staff • Staff views of Roy’s abilities • Creation of pain rating scale • Referral to Technology Access Clinic

  16. Al Pre Injury Post Injury Communication breakdown His Journey What his successes will look like in the future

  17. Al – Pre Injury • Age 61 • Educated at Queen’s University • Metallurgical Engineering • Employed for 18 years at Dofasco as a Metallurgical Engineer • Married with 2 children • Athletic – competed competitively in curling. Recreationally in golf, baseball and skiing.

  18. Al – Post Injury • Sustained an Acquired Brain Injury (at 40years) which left him with global aphasia • Divorced and relationships with daughters required supervision • Required to live with his mother • Easily frustrated and angry • Unemployable • Lost driver’s license • Limited social and recreational activities • Did not associate with “being disabled,” became isolated and withdrawn, unwilling to try anything new

  19. Communication Breakdown • Programming non-existent • Uncertain of personal goals • Uncertain of dreams • Did share personal stories and experiences • Daily living schedule was non-stimulating • No initiation with new and unfamiliar individuals • Communicated primarily with mother

  20. His Journey • Establish a bond and collaborate with family • Did not take no for an answer • Completed neuropsychological assessment • Referred to Technology Access Clinic for speech pathology and use of communication devices • Suggestions • Give time • Written instructions helpful, picture cues best • Direct to stop when frustrated • Chaining

  21. His Journey • February 2007 Cooking

  22. His Journey • Palm pilot • Scheduling • VIDEO

  23. Scheduling - 1993

  24. Scheduling - Today

  25. His Journey Partnered with Technology Access Clinic provided with M3

  26. His Success • Cooks chili con carne for family & friends • Attempts to speak words • A little more willing to take risks • Works with a volunteer for woodworking • Says “just try it” • Has something interesting to share

  27. Tools for Success

  28. Tools for Success • Tools & Procedures • Learn about the resources available in your area and how to access them • Use tools available to you • Neuropsychological assessments • Games to gauge comprehension • Collaborative Approach • Collaborate with your client first • Work with the professionals • Seek information everywhere you can

  29. The End. Questions? Thanks for your time kbouma@braininjuryservices.com sdertinger@braininjuryservices.com

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