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Copyright M. Ron Eslinger 2008 1
The Pain Brain Connection
Ron EslingerRon Eslinger
RN, CRNA, APN, MA, BCH, CMI, FNCHRN, CRNA, APN, MA, BCH, CMI, FNCH
[email protected]@yahoo.com
www.eslinger.netwww.eslinger.net
Copyright M. Ron Eslinger 2008 2
The Participant Will Learn
1. The Limbic System in pain management 2. The WHY of proper breathing in Pain
Management3. the most powerful convincer in pain
management4. How to introduce cell memory regression
in pain relief5. A proven pain to brain management
model that works
Copyright M. Ron Eslinger 2008 5
Pain Brain Connection
• There is no pain until it gets to the brain
• It is an electrical impulse
Copyright M. Ron Eslinger 2008 7
Limbic System Functions sets the emotional tone of the mind filters external events through internal states
(emotional coloring) tags events as internally important stores highly charged emotional memories modulates motivation controls appetite and sleep cycles promotes bonding directly processes the sense of smell modulates libido
Copyright M. Ron Eslinger 2008 8
Limbic System Problems
moodiness, irritability, clinical depression increased negative thinking perceive events in a negative way decreased motivation flood of negative emotions appetite and sleep problems decreased or increased sexual responsiveness social isolation
Copyright M. Ron Eslinger 2008 9
The Amygdala
Remember by One Word FEAR Input - Sensory input that signals danger
– Perception is truth– Response is to the perception real or not
Out put - Must be able to control the Autonomic nervous system– Fight or flight
It is involved with mood and the conscious emotional response to an event - Neg or Pos
Copyright M. Ron Eslinger 2008 10
The Hippocampus
Remember by One Word Memory Memory Three types of Memory
– The first is short term is working memory– The second is Long-term or declarative
memory– The third is procedural Memory
Contains Cell memory
Copyright M. Ron Eslinger 2008 11
Working Memory
Like the RAM of a computer– Adding numbers– Composing sentences – Following directions
It does not become permanent memory
Copyright M. Ron Eslinger 2008 12
Declarative Memory
Like the Hard drive of the computer– composed of all the facts, figures, and names
you have ever learned– All of our experiences and conscious memory
are of this type
Hippocampus is necessary to file away all this memory
It is not know where this information is stored but can be accessed with hypnosis
Copyright M. Ron Eslinger 2008 13
Procedural Memory
Probably the most durable form of memory– actions, habits, or skills that are learned simply
by repetition
The hippocampus is critical in laying down declarative memory– is not necessary for working memory– procedural memory storage– Cell memory
Copyright M. Ron Eslinger 2008 14
Hypothalamus
Concerned with homeostasis Homeostasis is the process of returning
something to some “set point.” It works like a thermostat In pain management
Copyright M. Ron Eslinger 2008 15
Thalamus
In mammals, the thalamus receives all sensory messages from the spinal cord (except those from the olfactory receptors) prior to being directed to the cerebrum's sensory areas.
The function of the thalamus is to sort and interpret these messages before relaying them to the appropriate neurons in the cerebrum.
Copyright M. Ron Eslinger 2008 16
Pain Techniques
Direct suggestion of pain reduction
Reinterpretation of the stimulus & sensation
Suggested coping self statements
Goal directed fantasy Distraction
Displacement Dissociation Symptom substitution Time distortion Increasing and
decreasing pain Anchoring
Copyright M. Ron Eslinger 2008 17
Techniques
Glove anesthesia– Numbness from local
anesthesia– Cold– Arm or leg falling
asleep Bouncing ball Shrinking ball
Erase pain scale as deepen hypnosis
Coloring book or computer graphics
Color Warm orange colored
liquid Cell memory Age regression Religious and spiritual
needs
Copyright M. Ron Eslinger 2008 18
Sensory Description of Pain
Imagery of the pain– Size– Shape– Color– Texture– Sound
Thermal sensation – Heat – Cold
Kinesthetic sensations and pressure aspects– Dull, sharp, binding– Itching, twisting,
drilling– Heavy, pounding,
penetrating, stabbing
Copyright M. Ron Eslinger 2008 19
First Session Steps 1-21
1. Introduction
2. Intake, BASIC, Suggestibility Questionnaire
3. Interview
4. Explain Hypnosis / driving a car watching TV
5. Convincers, Lemon / Magnetic Fingers
Copyright M. Ron Eslinger 2008 20
First Session
6. Breathing Teaching
7. Watch – Do you know What time it is
8. Pre-Induction – Environment, Move, Cough, You may wonder if you are hypnotized etc.
9. Induction
10. Deepening
Copyright M. Ron Eslinger 2008 21
First Session
11. Imagery / suggestion / Utilization
12. Themes / (Self Esteem, pain, weight, etc.)
13. Metaphors
14. Direct Suggestion
15. Utilization
Copyright M. Ron Eslinger 2008 22
First Session
16.Post Hypnotic Anchor
17.Emerge
18.Self Hypnosis Practice
19.Debrief
20.Treatment Plan for next appointment
21.Next Appointment / Payment