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Psychosocial Issues

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

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Psychosocial Issues

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  1. Psychosocial Issues Jeanine Penzo, LICSW Spinal Cord Injury Service VA Boston Healthcare System, West Roxbury campus

  2. Initial Reactions • Recognition of the experience of loss • Adjustment to that loss • Acceptance/Adapting to one’s own timeframe

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

  4. Stages and Cycles of Grieving Kubler - Ross Theory * Denial * Anger * Bargaining * Depression * Acceptance Practical Application of Theory in Life

  5. Adjustment to Recovery • Learning new ways to do old things • Building skills and resilience, both emotional and physical. • Modifying expectations and lifestyle.

  6. 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

  7. Later and Delayed Reactions • Responses to day –to- day events • Responses influenced by: * Fatigue * Levels of support * Expectations: Disappointed/Fulfilled * Expectations: Frustrated/Satisfied

  8. Primary Caregiver * Grief * Caregiver burden * Mutual concerns about each other * Supports for caregivers * Importance of communication and listening

  9. Self-Advocacy • Self-esteem • Communicate and Listen effectively • Navigate the environment and making connections • Take responsibility for your life • Ask Questions and Seek answers

  10. 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?

  11. Mental Health • Reactions: for example, * anxiety * depression • Intervention to address emotional needs • Follow-up and leaving the door open for future support

  12. Discussion • Questions • Comments • Feedback

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