Harnessing the Power of Non-Verbal Voice in Rehabilitation
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Explore the impact of non-verbal communication on rehabilitation through case studies of individuals like Roy and Al. Learn about their journeys, successes, and tools for success in this insightful agenda.
Harnessing the Power of Non-Verbal Voice in Rehabilitation
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Presentation Transcript
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 • 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
The Non-Verbal Voice What is the non-verbal voice? Who is a communication champion?
Case Studies Roy Al
Roy Pre injury Post injury His communication breakdown His journey His successes
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 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
Al Pre Injury Post Injury Communication breakdown His Journey What his successes will look like in the future
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
His Journey • Palm pilot • Scheduling • VIDEO
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 & 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
The End. Questions? Thanks for your time kbouma@braininjuryservices.com sdertinger@braininjuryservices.com