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Disability As Transformation

Disability As Transformation. Saybrook Graduation School June 2006. The Whole is Greater Than the Sum of the Parts. Structure. THE BISCAYNE HEALTHCARE COMMUNITY  MODEL. I. HOSPITALS & MEDICAL SPECIALISTS. TO THE MEDICAL SYSTEM.

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Disability As Transformation

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  1. Disability As Transformation Saybrook Graduation School June 2006

  2. The Whole is Greater Than the Sum of the Parts

  3. Structure THE BISCAYNE HEALTHCARE COMMUNITY MODEL

  4. I HOSPITALS & MEDICAL SPECIALISTS TO THE MEDICAL SYSTEM THE HEALTHCARE COMMUNITY PROVIDES A BRIDGE

  5. THE BISCAYNE HEALTHCARE COMMUNITY • EMPHASIZES HEALTH • ADDRESSES PHYSICAL/BEHAVIORAL/COMPLEMENTARY APPROACHES • TREATS CHILDREN & ADULTS • PROVIDES SEAMLESS DELIVERY TO/FROM SPECIALTY CARE • IS COST EFFECTIVE • ADVANCES THE HEALTHY PEOPLE 2010 OBJECTIVES

  6. Appendix: Short Titles for Healthy People 2010 Objectives 6. Disability and Secondary Conditions Goal: Promote the health of people with disabilities, prevent secondary conditions, and eliminate disparities between people with and without disabilities in the U.S. population. 6. Disability and Secondary Conditions Goal: Promote the health of people with disabilities, prevent secondary conditions, and eliminate disparities between people with and without disabilities in the U.S. population. Objective Number and Short Title 6-1 Standard definition of people with disabilities in data sets 6-2 Feelings and depression among children with disabilities 6-3 Feelings and depression interfering with activities among adults with disabilities 6-4 Social Participation among adults with disabilities 6-5 Sufficient emotional support among adults with disabilities U.S. Department of Health and Human Services November 2000

  7. Team Approach: • Patient & Patient Groups • Physicians and Psychologists • Physical, Occupational & Speech Therapists • Social Workers, Teachers, Art Therapists • Traditional Chinese Medicine Practitioners

  8. Function: • Transdisciplinary Protocols Examples • Physical Therapy & Biofeedback • Relaxation Therapy & Acupuncture • Combined Medical & Psychological Evaluations

  9. Activities & Participation: • Community Events Examples • Gold Coast Theatre • Miami Opera • Florida Council on Spirituality, Medicine & Healing

  10. J “PEOPLE WHO FEEL LONELY AND ISOLATED HAVE THREE TO FIVE TIMES THE RATE OF PREMATURE DEATH AND DISEASE COMPARED TO THOSE WHO HAVE A SENSE OF COMMUNITY.” - Dean Ornish, M.D.

  11. Creativity and the Journey Back to Self Marie A. DiCowden, Ph.D. Executive Director The Biscayne Institutes of Health & Living, Inc. Miami, Florida

  12. Traumatic Brain Injury: • 1.4 Million each year in United States • 230,000 people are hospitalized and survive

  13. Currently, 5.3 million Americans (2% of the U.S. population) live with disabilities resulting from TBI. The average age is 38.3 years.

  14. NIH Consensus Report on Rehabilitation of Persons with Traumatic Brain Injury

  15. Neuroplasticity

  16. Left Hemisphere Memory Word Finding Reasoning Judgment

  17. Right Hemisphere Visual Discrimination Visual Spatial Memory Visual Organization Visual Sequencing Imagery

  18. Personality Changes

  19. Traumatic Brain Injury Program • Cognitive Retraining I (Left hemisphere) • Cognitive Retraining II (Right hemisphere) • Group Therapy • Individual Therapy • Biofeedback • Meditation • Physical, Occupational, Speech Therapies as needed and prescribed

  20. Cognitive Retraining Program: • Modules for Left Hemisphere Retraining • Modules for Right Hemisphere Retraining

  21. OBJECTIVES METHODS MEASUREMENTS (FIM Scales)

  22. Cognitive Retraining I EXAMPLES: • Memory Notebook • Orientation • Medication Charts • Safety • Attention • Procedures

  23. OBJECTIVES • Develop compensatory memory strategies • Develop skills to begin and proceed through treatment independently • Increase attention and concentration • Develop methods to track medication • Develop safety check strategies

  24. Cognitive Retraining II EXAMPLES: • Collage • Self Portrait • Mask • Clay Hand Building • Bridge • Free Drawings

  25. OBJECTIVES • Concept of self before and after trauma • Eye-hand coordination skills • Visual discrimination • Visual organization • Visual memory • Visual planning • Self awareness and expression

  26. Collage

  27. “The healing journey is so to speak the title of this collage because mine is a healing journey. Are there angels among us? I picked this because of the great many people that had helped me in this journey. They’ve been like angels. Butterflies are picked for their fragility—our own fragility. . .and last but not least the ‘pain’ word as connected with my car accident but not almost relegated to the background.”Collage description TBI survivor

  28. Free Drawings

  29. Masks

  30. SELF PORTRAITS

  31. 3-D CONSTRUCTION

  32. CLAY HAND BUILDING

  33. CLAY HAND BUILDING

  34. Clay Hand Building

  35. Brain Injury Figure Project

  36. GROUP PROJECTS

  37. HEALING BEHIND THE MASK

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