Trr stroke the next steps edmonton 010
-
Upload
valerie-lougheed -
Category
Education
-
view
444 -
download
5
description
Transcript of Trr stroke the next steps edmonton 010
![Page 1: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/1.jpg)
Val LougheedNorthern Lights Canada
Trauma, Rehabilitation and Recovery -- The Next
Steps ~ Keep Your Fork ~
1-800-361-4642 * www.northernlightscanada.ca * [email protected]
![Page 2: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/2.jpg)
“You don’t want your impairments to define you – you want them to inform you.”
(Hanita Dagan, personal communication, 2005)
![Page 3: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/3.jpg)
www.slideshare.com/vlougheed
#NLCAN
www.northernlightscanada.ca/about/about-val-
lougheed/be-still
![Page 4: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/4.jpg)
Agenda
•Beginning …
•Middle …
•End …
![Page 5: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/5.jpg)
The Next Steps
1. What does it mean to recover?
2. What can I do to recover and return to a life that includes work?
3. What can we do to facilitate recovery and a return to work?
![Page 6: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/6.jpg)
Rated PG-113
People Strongly Cautioned!
May contain bad language, brief nudity, sexual overtones, and drug usage.
![Page 7: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/7.jpg)
Beginning
My Story
![Page 8: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/8.jpg)
![Page 9: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/9.jpg)
![Page 10: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/10.jpg)
![Page 11: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/11.jpg)
Sept. 9, 2003 - morning
![Page 12: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/12.jpg)
Sept. 9 – p.m.
![Page 13: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/13.jpg)
Sept. 15 2003 – Jan. 19 2004
Journey Back to Life
![Page 14: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/14.jpg)
![Page 15: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/15.jpg)
![Page 16: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/16.jpg)
![Page 17: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/17.jpg)
![Page 18: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/18.jpg)
February 2004 – Present
Starting Point
![Page 19: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/19.jpg)
Identity Disintegration
and
The Re-organization of Self
March 2004
![Page 20: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/20.jpg)
“In the aftermath of traumatic life events … [the] sense of self has been shattered.”
(Herman, 1992, p. 61)
“An existential crisis …”
(Hanita Dagan, personal communication, 2005)
![Page 21: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/21.jpg)
Sliding Down The Slope
Early 1900’s Oxycodone™ developed in Germany
1995 Purdue Pharmacy (USA) launches OxyContin™ – controlled-release formula
1996 Approved in Canada
2002 OxyContin™ earns Purdue more than $1 billion U.S.
2003 OxyContin™ is one of Canada’s 3 most-prescribed narcotic painkillers
Nov. 2003 – Oct. 2004
783,762 prescriptions for OxyContin™ dispensed in Canada
(Dalhousie, March 2005)
![Page 22: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/22.jpg)
![Page 23: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/23.jpg)
A Foothold
• Mild – moderate ABI
• Depressed (dysphoria)
• Working memory problems
• Hiding pain
1st Neuropsychological Assessment
June 2004 -- Results
![Page 24: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/24.jpg)
Losing My Grip
My IWRPAugust 2004
![Page 25: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/25.jpg)
![Page 26: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/26.jpg)
Rescued in the Valley of Despair
Head Injury ProgramOct. – Dec. 2004
![Page 27: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/27.jpg)
![Page 28: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/28.jpg)
HIPOct to Nov – Full-time
December – Part-time
![Page 29: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/29.jpg)
GRTW – The Plan
Jan. 3 – Feb. 7, 2005
(5 weeks)
![Page 30: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/30.jpg)
GRTW – The Reality
![Page 31: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/31.jpg)
GRTW – The Reality
![Page 32: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/32.jpg)
GRTW – The Reality
![Page 33: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/33.jpg)
GRTW – The Reality
![Page 34: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/34.jpg)
GRTW – The Reality
![Page 35: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/35.jpg)
GRTW – The Reality
![Page 36: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/36.jpg)
GRTW – The Reality
![Page 37: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/37.jpg)
GRTW – The Reality
![Page 38: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/38.jpg)
GRTW – The Reality
![Page 39: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/39.jpg)
Rescue Attempts
• Case Manager
• Job Coach
• Colleagues/Friends/ Psychologist
![Page 40: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/40.jpg)
Sliding Back Down Into The Abyss
• Non-compliance
• Malingering
• Trying too hard
• Not trying hard enough
2nd Neuropsychological Assessment
May 2005 -- Edmonton
![Page 41: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/41.jpg)
Lesson
ASSUMPTIONS
REVEAL BIAS
![Page 42: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/42.jpg)
• Mild – moderate ABI
• Good prognosis
• Post-Traumatic amnesia
• Pain?
• Depression?
• “Adjustment Disorder with Anxiety and Depressed Mood”
3rd Neuropsychological Assessment
August 2005 -- Calgary
![Page 43: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/43.jpg)
Symptom Overlap
(co-morbidity)
(Michael Sullivan, Centre for Research on Pain and
Disability, McGill University, September, 2006)
Pain, Trauma, Depression, ABI
![Page 44: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/44.jpg)
![Page 45: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/45.jpg)
Oct. 3 – Dec. 11
![Page 46: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/46.jpg)
![Page 47: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/47.jpg)
Pain Research
1600’s – Rene Descartes (philosopher)
![Page 48: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/48.jpg)
Pain Research
1950’s – Wilder Penfield (brain surgeon)
![Page 49: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/49.jpg)
![Page 50: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/50.jpg)
Pain Research
Patrick Wall (physiologist)Ronald Melzack (psychologist)
![Page 51: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/51.jpg)
Pain ResearchGate Control Theory
• Acute and chronic pain
• Pain sensation travels up the central nervous system to the brain through a “gate”
• “Gate” – triggered by cell changes – sends descending messages that alter sensory input
• Pain isn’t pain until it reaches the brain
• Emotions, context, etc. affect pain sensations
• Pain is a negotiable, individual experience
• Pain centres in the brain – they just keep moving around
(Jackson, 2002, p. 21)
![Page 52: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/52.jpg)
Pain – The Future
SCN9A(Globe and Mail, March 24, 2007)
Glia Cells(Scientific American, November, 2009)
Poppy Genes(U of Calgary -- Calgary Sun, March 15, 2010)
![Page 53: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/53.jpg)
![Page 54: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/54.jpg)
![Page 55: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/55.jpg)
![Page 56: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/56.jpg)
![Page 57: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/57.jpg)
Limbic SystemThe centre for emotional expression
(Prigatano, 1999, p. 132)
• Amygdala - attaches emotional tags to memories
(Dr. Suffield, personal communication, 2004)
• Hippocampus - controls the laying down of new memories
(Ramachandran & Blakeslee, 1998, p. 15)
• Hypothalamus – controls the outward expression of emotions
(Ramachandran & Blakeslee, 1998, p. 177)
Trauma Research
![Page 58: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/58.jpg)
“In every encounter, basic trust is in question.” ( Herman, 1992, p. 92)
“Survivors feel unsafe in their bodies – and in any relationship with other people.” (Herman, 1992, p. 160)
Rehab & Recovery
![Page 59: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/59.jpg)
TraumaPersonal Experience
• Dissociation & Cocoon = Safety
• System on High Alert Always = Survival
• World is black & white = Trust
Trust (Safety) = Love
No Trust (Life Threatening) = Hate
![Page 60: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/60.jpg)
TraumaPersonal Experience
• Listen to me
• Understand me
• Respect me
• Are competent
I trust (love, feel safe with, will try hard for) practitioners who:
![Page 61: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/61.jpg)
![Page 62: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/62.jpg)
![Page 63: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/63.jpg)
“… depression [caused by trauma] is not the same as ordinary depression.”
( Herman, 1992, p. 118)
Depression
![Page 64: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/64.jpg)
“Emotions are not in the head – they are in every cell in the body.”
(Pert (1995), in Bolen, 1996, p. 7)
Pscyhoimmunoendocrine Network
![Page 65: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/65.jpg)
![Page 66: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/66.jpg)
![Page 67: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/67.jpg)
Affects more than IQ ….
• We are sensitive to changes in higher cerebral functioning
• Very important to a person’s sense of self
• Touches core … of a person’s self-esteem
(Prigatano, 1999, p. 58)
ABI
![Page 68: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/68.jpg)
Back to Wilder Penfield – 1950’s
ABI
Localizationist
![Page 69: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/69.jpg)
Paul Bach-y-Rita – 1934 – 2006
Scientist and Rehab Doctor
Neuroplasticity - 1969
![Page 70: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/70.jpg)
Michael Merzenich
Neuroplastician
Neuroplasticity
![Page 71: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/71.jpg)
Harnessing the Power
![Page 72: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/72.jpg)
![Page 73: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/73.jpg)
“The words and attitudes of others … are potent. They help or hex healing and recovery.”
“ Expectations are powerful.”
“Neutrality can be deadly.”
(Bolen, 1996, p. 94)
Body-Mind Connection
![Page 74: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/74.jpg)
“Loss of identity can evoke a personal crisis, creating a need for change.”
(Ornelas, in Smith & Johnson (Eds), 1997, p. 172)
The Re-Organization of Self
Identity Research
![Page 75: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/75.jpg)
Scaling the Canyon
![Page 76: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/76.jpg)
Sept., 2005
Waskesiu
![Page 77: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/77.jpg)
![Page 78: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/78.jpg)
![Page 79: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/79.jpg)
![Page 80: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/80.jpg)
![Page 81: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/81.jpg)
Breast Cancer Reconstructive Surgery
March 2006
![Page 82: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/82.jpg)
Convocation M.Ed. -- June 2006
![Page 83: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/83.jpg)
Back in “a” SaddleSeptember 2007
• Officially change role/ title
• Re-organize NL
• Work part-time
![Page 84: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/84.jpg)
The Next Steps
![Page 85: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/85.jpg)
The Next Steps - 1Resilience
Ability to return to original form after being bent (bounce back)
Thriving in constant change, ability to be:
• Flexible
• Creative
• Adaptable
• Learn from experiencehttp://www.resiliencycenter.com/articles/5levels.shtml
![Page 86: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/86.jpg)
The Next Steps -- 2
Rehabilitation (habiter – to live inside)
“Rehabilitation is the learning to live inside not only one’s body, however it is after an injury or illness, but inside one’s very being.”
(Kabat-Zinn, in Meili, 2003, p. 241)
![Page 87: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/87.jpg)
The Next Steps - 3
RecoveryCuring Focus on the illness/
impairment [outside]
Healing Focus on the person [inside]
Crombez, October, 2003
![Page 88: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/88.jpg)
Be Still
![Page 89: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/89.jpg)
The Next Steps
1. What does it mean to recover?
2. What can I do to recover and return to a life that includes work?
3. What can we do to facilitate recovery and a return to work?
![Page 90: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/90.jpg)
Keep Your Fork
![Page 91: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/91.jpg)
Northern Lights Canada is a person-centred organization committed to providing innovative, responsive links to real work.
We offer 4 major divisions of service: • Vocational Rehabilitation Services • Employment Services • Employer Services• Corporate Training
For more information, please contact us: 1-800-361-4642
www.northernlightscanada.ca
![Page 92: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/92.jpg)
Voc Rehab Canada (VRCAN) is a national consortium of experienced regional vocational rehabilitation companies. VRCAN provides customers with single-point access to VR services anywhere they are needed in Canada, whether on an individual service or contract basis.
Member companies include:Argus Management Consultants,
Inc. Sandra Preeper & Associates
Advantage Rehabilitation Consultants Ltd.
Rehabilitation Alternatives Limited / Vocational Alternatives Software
OPTIMA Rehabilitation CVE Inc.
Northern Lights Canada Occupational Rehabilitation Group of Canada (ORGOC)
Western Rehabilitation Specialists Inc.
Diversified Rehabilitation Group
Genesis Rehabilitation Ltd. Rehabilitation FocusFor more information, please feel free to contact us at 1-800-361-
4642
![Page 93: Trr stroke the next steps edmonton 010](https://reader035.fdocuments.us/reader035/viewer/2022070319/55847319d8b42aca538b4c0a/html5/thumbnails/93.jpg)