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REHABILITATION WITHOUT COMMUNICATIONHarnessing 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
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
What is the non-verbal voice? Who is a communication champion?
The Non-Verbal Voice
The Non Verbal Voice
Communication Champion
studentposters.co.uk
REWARD
WANTED!Individual with aphasia seeking
rehabilitation professional to help re-gain control in my life.
Person must be:Caring
MotivatedWilling to use their imagination
PersistentOpen to trial and error learning
HumbleKnowledgeable of resources
Above all else, this person must be willing to fail with me until we succeed.
RoyAl
Case Studies
Pre injuryPost injuryHis communication breakdownHis journeyHis successes
Roy
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”
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
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
His Journey
YES NO
His Journey
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
YES NO
NEW START WORD OVER
His Journey
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
Pre InjuryPost InjuryCommunication breakdownHis JourneyWhat his successes will look like in the future
Al
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.
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
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
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
His Journey
February 2007 Cooking Chili
1. Go to freezer – take out M& M chili 2. Preheat oven to 350 degrees 3. Take chili out of box 4. Remove plastic 5. Put in oven 6. Set timer for 45 minutes 7. Stir 8. Let sit for 10 minutes 9. Enjoy!
Chili Con Carne
1. Go to fridge and get:
onion AND garlic
2. Place onion onto cutter
3. Cut garlic with garlic press
4. Get Pot
16. Measure 2 tablespoon2 (15ml) of paprika
17. add salt pepper chili powder
paprika to Pot
18. Cook on low for 10 minutes
19. Stir with Spoon
20. Cook on low for 10 minutes
His Journey
Palm pilot
Scheduling VIDEO
Scheduling - 1993
Scheduling - Today
His Journey
Partnered with Technology Access Clinic provided with M3
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
Tools for Success
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
