Pain management

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Permalink Reply by Donna Rodolph on July 2, 2008 at 9:59am

Do you have any exceptions to the rule (of getting a referral)?
For example - do you get referrals for arthritus? What about if you were at a skate park with your kid and someone breaks their arm...can you help with that, without a referral? Or come across a car accident... could we slow down the bleeding?
Thanks,
D.

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Permalink Reply by Susan French on July 2, 2008 at 10:52am

There is a fabulous book by Judith Prager on helping in an acute situation like an accident. The book is titled "The Worst is Over". There is a little paragraph in there that could hardly be considered harmful. It's used by EMT's and first responders. Check it out.

If you're working with anything that you're concerned about and the client doesn't want to go get a referral, maybe you need to have them sign a release, like they do when you leave the hospital against medical advice. I'm not a lawyer though and I'm not sure if that would cover you.

Permalink Reply by Lee Darrow on July 2, 2008 at 1:03pm

In an emergency situation, pain control is not something that I would advise. Pain responses are one of the key ways that a paramedic has to evaluate the level and severity of an injury at an accident site. However, using hypnosis to keep an injured person - or bystander (which can be just as important, or more so!) - from panicking, is something that might be a really GOOD idea as a person who panics can cause themselves and even others, additional injuries!

With regard to controlling bleeding through hypnotic techniques, it would depend largely on the type OF bleeding the injured person is exhibiting that would help me determine whether a more classical First Aid approach to bleeding control was appropriate or an hypnotic one would be more effective. If you have someone exhibiting an arterial bleed, for example (a spurting would, squirting in time with the heartbeat), an hypnotic approach would NOT probably be your best first choice for controlling the blood loss...

But I am NOT a paramedic or First Aid Instructor, so I would defer to any one in here who has at least those qualifications, obviously.

Lee Darrow, C.H.
www.stagehypnosissafetyclass.com

Permalink Reply by Seth-Deborah Roth on July 2, 2008 at 3:17pm

Specifically for bleeding, if you have first aid qualifications then do what you need to do such as packing the wound or applying a tourniquet. With hypnosis the magic words are "The worst if over, the blood has done its job and now it is time to stop the bleeding and save your blood". Then you would continue with words &/or visualizations of shutting down the bleeding, repeating over and over again what you wanted ( the clotting mechanism and arteries closing down etc. ). I have used this in a fellow who had fallen off his mountain bike and whose nose was broken and his teeth, on the way out, cut his tongue and lip literally in half. This was the first time I got to use what I was taught and had seen on video, and as a medical person I was amazed how the diffuse bleeding slowed down.

If a patient has been seeing a doctor for a chronic condition such as arthritis I still like to get a referral. It is a great marketing technique if nothing else!! Check with your state specifically. I don't know if a release would be worth anything legally speaking if you were to get sued for some reason.

In an accident, such as a skatepark as in your example, you would want to use wording that allowed for the reduction of the discomfort (pain) but when the paramedics of doctors examined or asked about the area all perception would return to the level that was needed.

Seth-Deborah


It is too bad that we live in such a litigious society but the reality of it is we do!!

Permalink Reply by Jerry Bolduc aka Zoto! on July 3, 2008 at 6:45am

Durring the phone appointment phase I ask if they are currently undergoing medical treatment for this condition? If yes I request a referal.
For any type of pain management as with any other treatment I do have a signed release and consent for treatment form as part of my intake. I do not diagnose anything nor do I give opinions. I simply treat for what ever the client asks. Pain in the knee from a ten year old motorcycle accident that is no longer being treated by a doctor, I do not request a referal. However I do leave in suggestions that hypnosis is not a replacement for medical treatment and should the pain change or become more intense that they imediately seek medical attention. For Tatoos and piercings I just go straight for the basement with a quick consent to treat and no intake. I do not make enough money on big tattoos to sit in the studio for four hours and am working on other methods.
I am not willing to leave a young woman in the Elsdale state with a tatoo artist I don't know and leave. This is a whole new area of liability I don't want to get involved with.

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