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Psychosocial Issues. Jeanine Penzo, LICSW Spinal Cord Injury Service VA Boston Healthcare System,

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Psychosocial issues l.jpg

Psychosocial Issues

Jeanine Penzo, LICSW

Spinal Cord Injury Service

VA Boston Healthcare System,

West Roxbury campus


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Initial Reactions

  • Recognition of the experience of loss

  • Adjustment to that loss

  • Acceptance/Adapting to one’s own timeframe


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Grief

  • Definition: Natural response to the loss of bodily function and the loss of one’s previous way of life.


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Stages and Cycles of Grieving

Kubler - Ross Theory

* Denial

* Anger

* Bargaining

* Depression

* Acceptance

Practical Application of Theory in Life


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Adjustment to Recovery

  • Learning new ways to do old things

  • Building skills and resilience, both emotional and physical.

  • Modifying expectations and lifestyle.


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Environmental Influences

  • Employment and career

  • Social Relationships

  • Aids, appliances and compensatory strategies

  • Appropriate Services

  • Support of family members and significant others

  • Needs of others in family


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Later and Delayed Reactions

  • Responses to day –to- day events

  • Responses influenced by:

    * Fatigue

    * Levels of support

    * Expectations: Disappointed/Fulfilled

    * Expectations: Frustrated/Satisfied


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Primary Caregiver

* Grief

* Caregiver burden

* Mutual concerns about each other

* Supports for caregivers

* Importance of communication and listening


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Self-Advocacy

  • Self-esteem

  • Communicate and Listen effectively

  • Navigate the environment and making connections

  • Take responsibility for your life

  • Ask Questions and Seek answers


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Substance Abuse

  • The harmful use of alcohol and other drugs that affect mood and thinking.

  • Overuse of prescription medications

  • Illegal drugs

  • Do you have a problem?

  • What to do?


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Mental Health

  • Reactions: for example,

    * anxiety

    * depression

  • Intervention to address emotional needs

  • Follow-up and leaving the door open for future support


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Discussion

  • Questions

  • Comments

  • Feedback


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