1. Memphis A.I.D July 17, 2012

2.  Physical, social and psychological aspects of life change ◦ New mobility ◦ New interactions with family and friends  Isolation can result through the course of traumatic phase recovery  Biggest effect is on psychological well being.

3.  There are four general phases of recovery ◦ Crisis ◦ Stabilization ◦ Resolution ◦ Integration

4.  Phases can be experienced concurrently and revisited  There is no given timeframe  Family can experience phases and are essential in the process  Emphasis is on integration, not finding a cure

5.  http://www.youtube.com/watch?v=git61nISY K8 http://www.youtube.com/watch?v=git61nISY K8  What was Bagger talking about?  How does your experience after injury relate to the explanation given by Bagger?  Do you remember your swing or is it still lost?

6.  Time begins immediately post-trauma  Creates need for medical and psychological relief  Survivors feel out of control, but may feel to blame  Results in lower self-esteem due to physical loss

7.  Crisis can result in isolation from family, friends, other social interactions.  The unknown becomes overwhelming  Survivors seek comfort through negative and positive outlets (counseling, drugs, alcohol)  Wide range of emotions: loss, grief, anger, denial, remorse – Experiences of emotion?  Survivors look to gain control, confidence, patience, and coping strategies

8.  Comes as crisis levels off, sense of some control returns  Desire to return to pre-injury life, pressure from family to return as well  Often not willing to accept new role ◦ Begin to experience stigma and limitations ◦ Can lead to depression, drug/alcohol abuse, isolation

9.  Often have problem accepting new condition  Task is to move toward acceptance and identify new role – Experiences? ◦ Redefine Activities of Daily Living (ADL) ◦ Enriching (Exercise, Reading, Church) ◦ Social ◦ Employment activities ◦ Look for what you CAN DO, need family help and understanding

10.  http://www.youtube.com/watch?v=lMn7n6m 1y_0 http://www.youtube.com/watch?v=lMn7n6m 1y_0  What does stabilization mean to you?  Do you see a new role for yourself?  What barriers are in the way of finding your new path?

11.  The stage marks acceptance of disability as a life-long experience.  Acceptance leads to: ◦ acknowledgement of chronicity ◦ can and can’t do ◦ priority of responses (afraid of stigma vs. need to work) ◦ take responsibility

12.  Start to advance in new found role and understand new abilities/limitations  Family can support attempts, success, bravery  Experience?

13.  Begin to incorporate pre-injury self  Find new ways of defining self and success  Have new definition of life and understand disability is only one part of life  Periods of relapse may occur, but knowledge has been gained

14.  Survivors are able to perform: ◦ Activities of Daily Living (ADL) ◦ Enriching ◦ Social ◦ Employment activities  Family can remain emotionally supportive and assist in activities - Experience?  Family is able to cope and reattach to the survivor

15.  http://www.youtube.com/watch?v=_Mk2Tca8 8Xo http://www.youtube.com/watch?v=_Mk2Tca8 8Xo  What would happen if Juna had picked up the ball?  Have you experienced the urge to just quit? ◦ What kept you going?  How do you view your injury? ◦ As part of you or a separate entity you have accommodate?

16.  The phases have direct relation to coping emotionally  Anger, fear and depression are prevalent throughout the phases  Moving toward acceptance is made more difficult by emotional and mental blocks

17.  Finding coping strategies, outlets is important in being able to define your new role  Family, friends, and other support can aid in advancing through stages and dealing with emotion

18.  Entering a new social role is the best way to avoid stagnation  Isolation can lead to depression and fear  Finding new meaning and direction can help overcome doubt and anxiety

19.  How closely do the four phases come to your experiences?  In which stage would you place yourself currently?  What emotions are you currently experiencing and how do you cope with that emotion?  How have your role and direction changed as a result of being in or completing one of the phases?