Diagram of Lalonde Internal factors External factors Hereditary

Diagram of Lalonde

Internal factors External factors Hereditary material Natural surroundings: e. g. air pollution Congenital disorder Social/human surroundings: e. g. labour conditions Health and well-being Lifestyle Supplies Hygiene Hospitals smoking behaviour Doctors nourishment Health insurance funds

facilities for LIS-patients § Personal Assistance Budget (PAB) § SPEECH-TRAINING

What is the LIS ?

§ No sickness § Mind works normally § Paralysed entirely § Locked up

varieties

§ Total or complete Locked-In § Incomplete Locked-In § Traditional Locked-In

To characterise

§No control over limbs § No control over face muscles hamper swallowing and speech § Eyes move vertically

Causes

§ Brainstem injury § Accident § Brainstem tumour § High spinalcord injury

Mental impact

recovery process

§ Intensive care § Suitable treatment methods and therapies § Independent functioning

Rehabilitation

§ Intensive rehabilitation programme § To train § Less pain

Communication

§ character card § Communicative appliances § speech computers

Character card

Communicative appliances Large push button facilitating operation. finger switch which reacts to the inflection of the finger. foot switch. This switch works on rolling over the feet.

speech computers deltatalker Lucy

conclusion

Visit to a Locked-In patient

conclusion: ‘the familylife

conclusion: ‘sexuality and family life

§ Need for sex § look for new techniques no erection § Women insensible § Incontinence

to get children § Artificial insemination § pregnant

Leysen Stefanie, Meier Wendy, Smets Sofie