Christine Lefaivre

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Christine Lefaivre

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Table of Contents

Table of Contents

  • List of Illustrations xi
  • List of Tables xiii
  • Disclaimer xv
  • Foreword xvii
  • Reviews xix
  • Preface xxv
  • Acknowledgments xxvii
  • Note to Readers xxix
  • Introduction xxxi
  • About the Author xxxV
  • List of Acronyms xxxvii

CHAPTER 1: The Human Spirit 1

  • Introduction 1
  • The Human Spirit 2
  • Forgiveness 4
  • Loss 5
  • Principles That Preserve Hope 6
  • Summary 7
  • Appendix 1A: Kubler-Ross’s Five Stages of Grief 9 

CHAPTER 2: The Lefaivre Rainbow Effect 11

  • Introduction 11
  • How the Lefaivre Rainbow Effect Came to Be 11
  • The Theory of the Rainbow Effect 13
  • The Approach 14
  • The Philosophy 15
  • The Assumptions 16
  • The Lefaivre Rainbow Effect Formula 17
  • Elements of the Rainbow Effect Formula 19
  • The Process of the Rainbow Effect 20
  • Providers of Services 22
  • Summary 25
  • Appendix 2A: Definitions of Service Providers 26

CHAPTER 3: Total Sum 31

  •  Introduction 31
  • Determining the Total Sum 32
  • How This Approach Differs from Current Trends 34
  • Preparing for the History Intake 35
  • Advocating to the Funder 36
  • The Process of Determining the Total Sum 37
  • Establishing the Community Team 40
  • The History-Taking Process 42
  • Suggestions for Taking a Client’s History 43
  • Balanced Lifestyle Inventory 45
  • Clinician Self-Assessment 45
  • Summary 46
  • Appendix 3A: History-Taking Template 46
  • Appendix 3B: Balanced Lifestyle Sheet 52
  • Appendix 3C: Severity of Brain Injury Stratification 53
  • Appendix 3D: Post-traumatic Amnesia 53
  • Appendix 3E: Glasgow Coma Scale 54
  • Glasgow Coma Scale 54
  • Appendix 3F: Rancho Los Amigos Scale: Levels of Cognitive Functioning 55
  • Appendix 3G: Form 1: Clinician Self-Checklist for Establishing Therapeutic Rapport 57
  • Appendix 3H: Form 2: Clinician Self-Checklist for Determining the Total Sum 58

CHAPTER 4: The Loss 61

  • The Loss 61
  • The Process of Transferring the Client from Hospital to Home and Community 61
  • Case Manager 64
  • Initial Clinical Reports Produced by Community Clinicians 67
  • Preparing for the Team Meeting 68
  • Summary of How the Case Manager will Run a Team Meeting 69
  • Summary 71
  • Appendix 4A: Cross-Reference of Assessment Tools and Sectors of Balanced Lifestyle Example for an Occupational Therapist 72 

CHAPTER 5: Educating the Family 73

  • Introduction 73
  • Family Meeting 76
  • Burn Blister Analogy 78
  • Introducing Stress 79
  • The Interplay between Stress and Organic Symptoms 81
  • Summary 83

CHAPTER 6: The Loss…Stress 85

  • Stress 85
  • The Process for Managing Stress 90
  • Summary 90

CHAPTER 7: The Traumatically-Induced

  • Dysfunctional Family Theory 93
  • Introduction 93
  • Systems in General 93
  • Family Systems 94
  • Ideal Conditions for Best Clinical Outcomes 109
  • Outcomes with Clinical Intervention 110
  • Summary 110

CHAPTER 8: Intervention 113

  • Introduction 113
  • Setting the Stage for the Intervention 113
  • Assumptions 114
  • The Brain—A Brief Overview 115
  • Limbic System 120
  • Memory 121
  • Sensory Overload: Analogy of a Breaker Box 122
  • Some Causes of Sensory Overload 126
  • Energy Conservation 126
  • Setting Goals 132
  • Observations 135
  • Cognitive Retraining Strategies 139
  • Useful Therapeutic Hints 147
  • Summary 157

CHAPTER 9: Residual Loss Cost-of-Future-Care Analysis 159

  • Introduction 159
  • Helpful Hints for Preparing a Cost-of-Future-Care Analysis 168
  • Summary 172
  • Appendix 9A: Template for Creating a Cost-of- Future-Care Analysis 173 

CHAPTER 10: Litigation 177

  • Introduction 177
  • The Litigation Process 178
  • The Expert Witness 180
  • Important Points to Remember for the Expert Witness 180
  • Medical Legal Report Writing 181
  • My To-Do’s Preparing to Go to Court 183
  • Expert Witness Testimony 183
  • Summary 189
  • Appendix 10A: Litigation Terms Defined 190 

CHAPTER 11: Business Practices and Public Relations 193

  • Introduction 193
  • What Does a Good Business Profile Look Like? 194
  • Establishing a Professional Profile in the Start-Up Phase 195
  • Enhancing Your Image: Public Relations 199
  • Summary 203

CHAPTER 12: Four-Week Time Management

  • Introduction 205
  • The Premise 208
  • Goals of the Time Management System 210
  • The Process 210
  • How the Time Management System Works 211

CHAPTER 13: Diverse Funding

  • Introduction
  • Funding Sources
  • Tort Claims
  • Partial No-Fault System
  • No-Fault System
  • Government Funding
  • Medication
  • Vocational Retraining
  • Disability Tax Credit
  • Workers’ Compensation
  • Veterans Affairs and Military Benefits
  • Aboriginal Affairs
  • Victims Assistance
  • Blue Cross and Blue Shield
  • Private Disability Insurance
  • Homeowner Insurance
  • Travel Insurance
  • Alternate Sources of Funding for Service Provision
  • Private Funding
  • Fund-Raising
  • Summary

CHAPTER 14: The Use of Volunteers

  • Introduction
  • The Use of Volunteers
  • The Recruitment of University or College Students
  • Orientation and Education of Volunteers
  • Summary

CHAPTER 15: Ethical Considerations

  •  Introduction
  • Prevention Identification of Risk Factors and Improvement of Public Policy
  • International Sharing of Information and Standards
  • Specialized Training
  • Barriers
  • Selection of Community Service Providers
  • Summary 

Glossary of Terms


Further Reading


Suggested Websites


Appendix: Brain Injury Associations

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