1. Copyright M. Ron Eslinger 20081 The Pain Brain Connection Ron Eslinger RN, CRNA, APN, MA, BCH, CMI, FNCH roneslinger@yahoo.comwww.eslinger.net

2. Copyright M. Ron Eslinger 20082 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

3. Copyright M. Ron Eslinger 20083 Disrupt the Pain Cycle

4. Copyright M. Ron Eslinger 20084 Pain Scale

5. Copyright M. Ron Eslinger 20085 Pain Brain Connection There is no pain until it gets to the brain It is an electrical impulse

6. Copyright M. Ron Eslinger 20086 Limbic System Parts & Location thalamus

7. Copyright M. Ron Eslinger 20087 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

8. Copyright M. Ron Eslinger 20088 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

9. Copyright M. Ron Eslinger 20089 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

10. Copyright M. Ron Eslinger 200810 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

11. Copyright M. Ron Eslinger 200811 Working Memory  Like the RAM of a computer – Adding numbers – Composing sentences – Following directions  It does not become permanent memory

12. Copyright M. Ron Eslinger 200812 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

13. Copyright M. Ron Eslinger 200813 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

14. Copyright M. Ron Eslinger 200814 Hypothalamus  Concerned with homeostasis  Homeostasis is the process of returning something to some “set point.”  It works like a thermostat  In pain management

15. Copyright M. Ron Eslinger 200815 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.

16. Copyright M. Ron Eslinger 200816 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

17. Copyright M. Ron Eslinger 200817 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

18. Copyright M. Ron Eslinger 200818 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

19. Copyright M. Ron Eslinger 200819 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

20. Copyright M. Ron Eslinger 200820 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

21. Copyright M. Ron Eslinger 200821 First Session 11. Imagery / suggestion / Utilization 12. Themes / (Self Esteem, pain, weight, etc.) 13. Metaphors 14. Direct Suggestion 15. Utilization

22. Copyright M. Ron Eslinger 200822 First Session 16.Post Hypnotic Anchor 17.Emerge 18.Self Hypnosis Practice 19.Debrief 20.Treatment Plan for next appointment 21.Next Appointment / Payment

23. Copyright M. Ron Eslinger 200823 Questions www.roneslinger.com