Guest guest Posted March 24, 1999 Report Share Posted March 24, 1999 In a message dated 03/23/99 18:26:00 Eastern Standard Time, baloo@... writes: << " Marna why didn't you tell me it was going to be like this!!! " >> We can tell and tell and tell, and them can believe and believe and believe but until they are in labor they won't KNOW. Robin Ohio Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 1999 Report Share Posted March 24, 1999 For vaginal deliveries, we usually have orders for Vicodin 1-2 q 3-4 hrs, or Tylenol 30 mg q 4 hrs. And ibuprofen 600mg. q 6. Seems like the ibuprofen works better for cramping than the narcotics and moms are of course more alert for teaching. Also, no constipation with it. Anybody else use it? Betsy CA Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 1999 Report Share Posted March 24, 1999 In a message dated 3/24/99 10:23:00 AM Eastern Standard Time, Basinbaby@... writes: << For vaginal deliveries, we usually have orders for Vicodin 1-2 q 3-4 hrs, or Tylenol 30 mg q 4 hrs. And ibuprofen 600mg. q 6. >> For vaginal deliveries we have SAM (Self administered medications) that are standard. These meds are Motrin, Prenatal vitamins, stool softeners, and tylenol. They come up from pharmacy in RX vials so pt can take them as they would at home and whatever is left avoids a stop at the pharmacy on the way home. Its great, we dont have to chart anything. Pts are prescreened at their Maternity Prepared Stay visit for the program, the only time we dont put someone on SAM is of the nurse feels the patient is not able to follow directions. They are given handouts about the meds. A few of our midwives will not order SAM, they feel their patients should not have to do anything for themselves and we should bring the med to them in the standard fashion. All other meds are nursing administered. The docs have a standard order form they can pick and choose what they want, most write " nurses discretion " . Unless they had some difficult delivery or repair that warrants, they usually get by fine on the motrin. If they whine too much I'll offer them whatever they want!!! We also use ice to perineum for first 24 hrs, then sitz or combo of both. For severely swollen perineum's we use Magnesium soaks at least tid. Its amazing how well they work. Anyone else using these soaks? Jan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 1999 Report Share Posted March 24, 1999 Our vaginal deliveries can have tylenol extra strength, Darvocet n-100 or ibuprophen, and one doc uses naprosyn...Lori Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 1999 Report Share Posted March 24, 1999 We don't have the SAM kits where I work now, as we have a largely spanish speaking population, and not always someone to translate. We did use Sam kits in Tallahassee and they worked really well..it sure saved time running up and down the halls with medications (we had a 41 bed MIU unit).Lori Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 1999 Report Share Posted March 24, 1999 Diane wrote that they use Witch Hazel on sutures, etc. We used to order Tucks, which was nothing more than Witch Hazel on ready to put on pads and cost a bundle. Now that most of the docs do a better job of suturing, they aren't ordered so much Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 24, 1999 Report Share Posted March 24, 1999 We use witchazel (hamamelis water)on oedematous perineums also on sutures, grazes etc. Its cheap no side effects and it works, Love Diane PS Ice packs if desperate, plus ice fingers. [OBnurses] Re: pain >From: Zukeeper4@... > >In a message dated 3/24/99 10:23:00 AM Eastern Standard Time, >Basinbaby@... writes: > ><< For vaginal deliveries, we usually have orders for Vicodin 1-2 q 3-4 hrs, >or > Tylenol 30 mg q 4 hrs. And ibuprofen 600mg. q 6. >> > >For vaginal deliveries we have SAM (Self administered medications) that are >standard. These meds are Motrin, Prenatal vitamins, stool softeners, and >tylenol. They come up from pharmacy in RX vials so pt can take them as they >would at home and whatever is left avoids a stop at the pharmacy on the way >home. Its great, we dont have to chart anything. Pts are prescreened at >their Maternity Prepared Stay visit for the program, the only time we dont put >someone on SAM is of the nurse feels the patient is not able to follow >directions. They are given handouts about the meds. A few of our midwives >will not order SAM, they feel their patients should not have to do anything >for themselves and we should bring the med to them in the standard fashion. >All other meds are nursing administered. The docs have a standard order form >they can pick and choose what they want, most write " nurses discretion " . >Unless they had some difficult delivery or repair that warrants, they usually >get by fine on the motrin. If they whine too much I'll offer them whatever >they want!!! We also use ice to perineum for first 24 hrs, then sitz or combo >of both. For severely swollen perineum's we use Magnesium soaks at least tid. >Its amazing how well they work. Anyone else using these soaks? >Jan > >------------------------------------------------------------------------ >Start a new hobby. Meet a new friend. >http://www.onelist.com >Onelist: The leading provider of free email list services >------------------------------------------------------------------------ >Welcome to the OBnurses List at www.onelist.com > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2006 Report Share Posted September 14, 2006 My best pain response has come from a combination of Roshi work and teaching self hypnosis, With the Roshi I have done smr up, theta and hi beta down at f3f4. What I discuss with the client is the difference between " urgent / message pain " that is a warning such as " take you hand out of the boiling water " And non which includes a lot of chronic pain. Non urgent pain can be placed in the background and can be noticed and passed by like we do so many other less important stimuli. I mention that our brains are always taking in stimulus that we do not attend to or attend to only briefly before consigning it to background status. I always ask about some slightly obscure feeling like the pressure of their left middle toe inside the shoe. It is always transmitting info but unless I just called attention to it the info is relegated to background status, I then tell them that NFB can help with the process of relegating pain to background status. I have never had any luck when saying the pain can go away. After the initial NFB sessions then the self hypnosis is used to help them further manage the relegation of pain, I have clients use visualizations of changes in the pain, moving it about the body, changing size, duration, color, sound, of the pain until they can place it in the most comfortable contect. On a few occasions I have had clients script out a scene for them selves imaging that they (or their brain or whatever metaphor works for them) can catch the non urgent pain before it even comes into conscious awareness and stop it as or before it starts. The have them rehearse that scene during A/T training., Marti Wuttke has used a similar scripting approach having clients record themselves reciting the scened, recording it to the computer than having an audio player object in BE play it back once the crossover state has been reached in the A/T training. > I have a client coming in that has been in pain for 7 years and has > tried MANY modalities. NFB has been the only thing that has helped him > but it just barely takes the edge off. (I have been getting the most > success from a combo of Othmer and a T5T6). I was wondering if anyone > out there has had any experience with anything else. Also, someone > told me about something called Alpha Stim and I would like to know if > there is someone that does this in the Vermont or surrounding area. He > lives in the southern part of the state but will travel if necessary > just to get relief. He has lost his job, wife, kids, house, dignity > and will. He doesn't want anymore drugs ro pain clinics. Any response > would be appreciated. > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2006 Report Share Posted September 14, 2006 Hi, I would recommend looking into the rife crane system. It does the same as the Alha Stim and you can get a system for $100. I and my teacher are getting some pretty amazing results. Treating most things. It works through a stereo amp and your computer. Please feel free to contact me on egg@.... A good site to get information on the system from is alteredstates.co.nz Cursor down till you get to the information. Cheers Tony From: braintrainer [mailto:braintrainer ] On Behalf Of drsharrie Sent: Friday, 15 September 2006 6:41 a.m. To: braintrainer Subject: PAIN I have a client coming in that has been in pain for 7 years and has tried MANY modalities. NFB has been the only thing that has helped him but it just barely takes the edge off. (I have been getting the most success from a combo of Othmer and a T5T6). I was wondering if anyone out there has had any experience with anything else. Also, someone told me about something called Alpha Stim and I would like to know if there is someone that does this in the Vermont or surrounding area. He lives in the southern part of the state but will travel if necessary just to get relief. He has lost his job, wife, kids, house, dignity and will. He doesn't want anymore drugs ro pain clinics. Any response would be appreciated. -- Internal Virus Database is out-of-date. Checked by AVG Free Edition. Version: 7.1.405 / Virus Database: 268.12.2/441 - Release Date: 7/09/2006 -- Internal Virus Database is out-of-date. Checked by AVG Free Edition. Version: 7.1.405 / Virus Database: 268.12.2/441 - Release Date: 7/09/2006 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2006 Report Share Posted September 14, 2006 I certainly agree and use many similar approaches that is describing very articulately. I have found alpha stim only marginally helpful with pain (at least the ear clip version) Standard abdominal breathing and hand warming goes a long way as well to reduce sympathetic nervous system reactivity that exacerbates the experience of pain. Similarly learning to do a body scan to relax muscle tension can reduce both sympathetic arousal and the tension that comes from trying to protect ones self against intrusive pain. In terms of neurofeedback I find some people have developed reactive Alpha at PZ which when reduced can reduce anxiety depression and feeling in a fog. Some SMR traing along the motor strip can also help to suppress some break through pain and contribute to relaxation. Some people are prone to excess SMR and anxiety, doing a QEEG or a series of 2 channel recordings can be important in seeing what is actually there. For hyper sensitive patients even AVE training at 2 or so hz (sometimes goggles only or head phones only if their is sensory over sensitivities) -Those are some ideas at least. I'd be interested in hearing more approaches people have taken to pain. -Spencer Payne Please note: message attached My best pain response has come from a combination of Roshi work and teaching self hypnosis, With the Roshi I have done smr up, theta and hi beta down at f3f4. What I discuss with the client is the difference between " urgent / message pain " that is a warning such as " take you hand out of the boiling water " And non which includes a lot of chronic pain. Non urgent pain can be placed in the background and can be noticed and passed by like we do so many other less important stimuli. I mention that our brains are always taking in stimulus that we do not attend to or attend to only briefly before consigning it to background status. I always ask about some slightly obscure feeling like the pressure of their left middle toe inside the shoe. It is always transmitting info but unless I just called attention to it the info is relegated to background status, I then tell them that NFB can help with the process of relegating pain to background status. I have never had any luck when saying the pain can go away. After the initial NFB sessions then the self hypnosis is used to help them further manage the relegation of pain, I have clients use visualizations of changes in the pain, moving it about the body, changing size, duration, color, sound, of the pain until they can place it in the most comfortable contect. On a few occasions I have had clients script out a scene for them selves imaging that they (or their brain or whatever metaphor works for them) can catch the non urgent pain before it even comes into conscious awareness and stop it as or before it starts. The have them rehearse that scene during A/T training., Marti Wuttke has used a similar scripting approach having clients record themselves reciting the scened, recording it to the computer than having an audio player object in BE play it back once the crossover state has been reached in the A/T training. > I have a client coming in that has been in pain for 7 years and has > tried MANY modalities. NFB has been the only thing that has helped him > but it just barely takes the edge off. (I have been getting the most > success from a combo of Othmer and a T5T6). I was wondering if anyone > out there has had any experience with anything else. Also, someone > told me about something called Alpha Stim and I would like to know if > there is someone that does this in the Vermont or surrounding area. He > lives in the southern part of the state but will travel if necessary > just to get relief. He has lost his job, wife, kids, house, dignity > and will. He doesn't want anymore drugs ro pain clinics. Any response > would be appreciated. > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2006 Report Share Posted September 14, 2006 Hi Sharrie, What kind of pain does the person have?. I've had good results using the Alpha-Stim. particularly with leg and hip pains, renting or loaning the device to clients so that they can use it every day simply by attaching stick-on electrodes to the affected body parts themselves. The ear clip electrodes are for Cranial Electric Stimulation which I have tried some but with not enough effect for me to want to pursue that use. Alpha-Stim (alpha-stim.com) aggressively markets their device for both purposes; but is outrageously expensive. $895 for the most expensive one which used to be their only model and which I bought a few years ago for much less. I've also used something called the HealthPax ($190 from dynamind.com) which is similar to an alpha-stim but with a few less features, is marketed only for CES of the brain, but which I have found equally successful at pain relief. These devices are supposed to have a healing effect because of the way the stimulation is structured. I've looked at the output of each and can say that the patterns imposed on the basic 0.5Hz or 100Hz output are different for each but rather equally complex and inscrutable. The HealthPax is manufactured in China.. Peace - joy, Larry Larry , PhD155 East 38th Street, #2C (at Third Avenue)New York NY 10016llewis@... PAIN I have a client coming in that has been in pain for 7 years and has tried MANY modalities. NFB has been the only thing that has helped him but it just barely takes the edge off. (I have been getting the most success from a combo of Othmer and a T5T6). I was wondering if anyone out there has had any experience with anything else. Also, someone told me about something called Alpha Stim and I would like to know if there is someone that does this in the Vermont or surrounding area. He lives in the southern part of the state but will travel if necessary just to get relief. He has lost his job, wife, kids, house, dignity and will. He doesn't want anymore drugs ro pain clinics. Any response would be appreciated. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 14, 2006 Report Share Posted September 14, 2006 I hope it is OK on this group site to inform about products on sale..... We happen to have a surplus at the current time of Alpha-Stim 100's. These are "Cadillacs" of microcurrent pain treatment. They provide CES for the brain but also have probes and patches for pain treatment. I have seen fabulous results. I also agree that they are very expensive, and since we have a surplus, we are offering a %25 discount off the regular price of $895. That translates to $671.25 for the best microcurrent device on the market. If anyone is interested please contact me at rutherfordl@... OR pathwayswc@... for more info. Lynn Rutherford, MA, LPC Pathways Wellness Center Austin, Tx Larry wrote: Hi Sharrie, What kind of pain does the person have?. I've had good results using the Alpha-Stim. particularly with leg and hip pains, renting or loaning the device to clients so that they can use it every day simply by attaching stick-on electrodes to the affected body parts themselves. The ear clip electrodes are for Cranial Electric Stimulation which I have tried some but with not enough effect for me to want to pursue that use. Alpha-Stim (alpha-stim.com) aggressively markets their device for both purposes; but is outrageously expensive. $895 for the most expensive one which used to be their only model and which I bought a few years ago for much less. I've also used something called the HealthPax ($190 from dynamind.com) which is similar to an alpha-stim but with a few less features, is marketed only for CES of the brain, but which I have found equally successful at pain relief. These devices are supposed to have a healing effect because of the way the stimulation is structured. I've looked at the output of each and can say that the patterns imposed on the basic 0.5Hz or 100Hz output are different for each but rather equally complex and inscrutable. The HealthPax is manufactured in China.. Peace - joy, Larry Larry , PhD155 East 38th Street, #2C (at Third Avenue)New York NY 10016llewis@....com PAIN I have a client coming in that has been in pain for 7 years and has tried MANY modalities. NFB has been the only thing that has helped him but it just barely takes the edge off. (I have been getting the most success from a combo of Othmer and a T5T6). I was wondering if anyone out there has had any experience with anything else. Also, someone told me about something called Alpha Stim and I would like to know if there is someone that does this in the Vermont or surrounding area. He lives in the southern part of the state but will travel if necessary just to get relief. He has lost his job, wife, kids, house, dignity and will. He doesn't want anymore drugs ro pain clinics. Any response would be appreciated. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2006 Report Share Posted October 15, 2006 I have been training for about 3 weeks using a TLC training plan. I've noticed some nice effects, but one troubling change is that pain levels have increased, specifically joints (hands, feet) and, more globally, connective tissue throughout the body (dx lupus and fibromylagia). Does anyone have any general or specific principles to consider when it comes to working with pain? Any input would be much appreciated. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 15, 2006 Report Share Posted October 15, 2006 , could you share your montage and protocol? Where and what are you training? pain I have been training for about 3 weeks using a TLC training plan. I've noticed some nice effects, but one troubling change is that pain levels have increased, specifically joints (hands, feet) and, more globally, connective tissue throughout the body (dx lupus and fibromylagia). Does anyone have any general or specific principles to consider when it comes to working with pain? Any input would be much appreciated. Quote Link to comment Share on other sites More sharing options...
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