Copyright M. Ron Eslinger 20081 The Pain Brain Connection Ron Eslinger RN, CRNA, APN, MA, BCH, CMI,...

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


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


Disrupt the Pain Cycle


Pain Scale


Pain Brain Connection

• There is no pain until it gets to the brain

• It is an electrical impulse


Limbic System Parts & Location

thalamus


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


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


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


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


Working Memory

Like the RAM of a computer– Adding numbers– Composing sentences – Following directions

It does not become permanent memory


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


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


Hypothalamus

Concerned with homeostasis Homeostasis is the process of returning

something to some “set point.” It works like a thermostat In pain management


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.


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


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


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


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


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


First Session

11. Imagery / suggestion / Utilization

12. Themes / (Self Esteem, pain, weight, etc.)

13. Metaphors

14. Direct Suggestion

15. Utilization


First Session

16.Post Hypnotic Anchor

17.Emerge

18.Self Hypnosis Practice

19.Debrief

20.Treatment Plan for next appointment

21.Next Appointment / Payment


Questions

www.roneslinger.com

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Copyright M. Ron Eslinger 20081 The Pain Brain Connection Ron Eslinger RN, CRNA, APN, MA, BCH, CMI,...

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