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Treatment with injections is an area that evokes strong feelings in both the
receiver and the therapist. It's a great opportunity to confront your own fear
and to develop yourself both as a therapist and as a human being. Injection
therapy is much more than anatomy and technique. Therefor I use the term art.
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To develop as a skilled practitioner you have to practice and develop more
sides of yourself.
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The injection itself, that is, from the moment the tip of the needle penetrates
the skin to the point when it is outside the body again, is a big challenge in
being emotionally and physically present. It is a strong test of complete
presence and total focus wrapped in deep conciousness and trust in the method
of treatment as well as empathy for the patient.
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During the injection, unnecessary talk should be avoided. Comments at this
point such as "how do you feel" or "does it hurt" can be interpreted as
insecurity and fear.
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The best we can do in every situation is to be genuine. This means standing
behind our qualifications and our experience. Without hiding anything. The
majority of patients get a calm feeling from the doctor's honest and serious
intention.
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Certain cases are more difficult than most and we might even miss the objective.
At times such as these I usually stop the injection, palpate again and start
from the beginning. At the same time, I inform the patient openly and honestly.
This creates confidence! It is never defensible to "dump the cargo" without
reaching the goal for the entire therapeutic measure.
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Use breathing! Before you inject, ask the patient to take a few deep breaths
and to relax. Do the same yourself! The patient will be calmer and you will
become more focused.
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Be prepared to meet the patient's emotional reactions after the injection.
Listen and show empathy. Keep your focus and be conscious.
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In other words - be professional!!
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Good luck!
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