Copyright M. Ron Eslinger The Pain Brain Connection Ron Eslinger RN, CRNA, APN, MA, BCH, CMI, FNCH
Copyright M. Ron Eslinger The Participant Will Learn 1. The Limbic System in pain management 2. The WHY of proper breathing in Pain Management 3. the most powerful convincer in pain management 4. How to introduce cell memory regression in pain relief 5. A proven pain to brain management model that works
Copyright M. Ron Eslinger Disrupt the Pain Cycle
Copyright M. Ron Eslinger Pain Scale
Copyright M. Ron Eslinger Pain Brain Connection There is no pain until it gets to the brain It is an electrical impulse
Copyright M. Ron Eslinger Limbic System Parts & Location thalamus
Copyright M. Ron Eslinger 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 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 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 The Hippocampus Memory Remember by One Word 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 Working Memory Like the RAM of a computer – Adding numbers – Composing sentences – Following directions It does not become permanent memory
Copyright M. Ron Eslinger 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 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 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 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 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 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 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 First Session Steps 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 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 First Session 11. Imagery / suggestion / Utilization 12. Themes / (Self Esteem, pain, weight, etc.) 13. Metaphors 14. Direct Suggestion 15. Utilization
Copyright M. Ron Eslinger First Session 16.Post Hypnotic Anchor 17.Emerge 18.Self Hypnosis Practice 19.Debrief 20.Treatment Plan for next appointment 21.Next Appointment / Payment
Copyright M. Ron Eslinger Questions