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Images about: #trauma (767571 posts)

"Financial abuse is a common tactic used by abusers to gain power and control in a relationship. The forms of financial abuse may be subtle or overt but in in general, include tactics to conceal information, limit the victim’s access to assets, or reduce accessibility to the family finances. Financial abuse – along with emotional, physical, and sexual abuse – includes behaviors to intentionally manipulate, intimidate, and threaten the victim in order to entrap that person in the relationship. In some cases, financial abuse is present throughout the relationship and in other cases financial abuse becomes present when the survivor is attempting to leave or has left the relationship."
 #financialabuse #ptsd #cptsd #ptsdsurvivor #complexptsd #ptsdawareness #anxiety #traumahealing #ptsdsupport #mentalhealth #complexptsdrecovery #recovery #healing #survivor #trauma #mentalhealthawareness #psychologicalabuse #narcissisticabuse #domesticabuse #cptsdawareness

2018-12-10 23:16   0 0

 

"Financial abuse is a common tactic used by abusers to gain power and control in a relationship. The forms of financial abuse may be subtle or overt but in in general, include tactics to conceal information, limit the victim’s access to assets, or reduce accessibility to the family finances. Financial abuse – along with emotional, physical, and sexual abuse – includes behaviors to intentionally manipulate, intimidate, and threaten the victim in order to entrap that person in the relationship. In some cases, financial abuse is present throughout the relationship and in other cases financial abuse becomes present when the survivor is attempting to leave or has left the relationship." #financialabuse #ptsd #cptsd #ptsdsurvivor #complexptsd #ptsdawareness #anxiety #traumahealing #ptsdsupport #mentalhealth #complexptsdrecovery #recovery #healing #survivor #trauma #mentalhealthawareness #psychologicalabuse #narcissisticabuse #domesticabuse #cptsdawareness

Everywhere. There is beauty. And an invitation into the heart of it all. Nature is always calling us home. Happy Monday everyone! Love the @earthconnectorg team. #deepecology #ecospirituality #winter #snow #flower #photography #naturephotography #optoutside #optoutdoors #naturewalk #forest #forestbathing #naturetherapy #quoteoftheday #anxiety #depression #trauma #heal #healing #mentalhealth #mondaymotivation #poetry #wholeness #community #connection #gratitude #wordpictures #family #earth #exploretocreate..
📷 @zoltan_tasi @unsplash

2018-12-10 23:14   10 1

 

Everywhere. There is beauty. And an invitation into the heart of it all. Nature is always calling us home. Happy Monday everyone! Love the @earthconnectorg team. #deepecology #ecospirituality #winter #snow #flower #photography #naturephotography #optoutside #optoutdoors #naturewalk #forest #forestbathing #naturetherapy #quoteoftheday #anxiety #depression #trauma #heal #healing #mentalhealth #mondaymotivation #poetry #wholeness #community #connection #gratitude #wordpictures #family #earth #exploretocreate.. 📷 @zoltan_tasi @unsplash

There are so many important parallels between surviving interpersonal trauma and navigating oppression. Photo by Michelle Lartigue (Mexico, 1993). #trauma #nonbinary #traumaofoppression

2018-12-10 23:08   0 0

 

There are so many important parallels between surviving interpersonal trauma and navigating oppression. Photo by Michelle Lartigue (Mexico, 1993). #trauma #nonbinary #traumaofoppression

Kinda want to start a theme so I can make this page look a bit more presentable & organised. Right now it looks like an utter mess 😂 I'm off to bed...Goodnight life savers 💜💙
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 #nurse #nurselife #nursepractitioner #nurse💉 #nursehumor #nursesofinstagram #studentnurse #staffnurse #childnurse #paediatrics #paediatricnurse #child #photooftheday #nhs #health #trauma #medicine #love #passion #career #life #university #student #nursing #nurseproblems #goodnight #night #sleep

2018-12-10 23:05   9 0

 

Kinda want to start a theme so I can make this page look a bit more presentable & organised. Right now it looks like an utter mess 😂 I'm off to bed...Goodnight life savers 💜💙 • • • #nurse #nurselife #nursepractitioner #nurse💉 #nursehumor #nursesofinstagram #studentnurse #staffnurse #childnurse #paediatrics #paediatricnurse #child #photooftheday #nhs #health #trauma #medicine #love #passion #career #life #university #student #nursing #nurseproblems #goodnight #night #sleep

This ones a bit messy but not everything’s meant to be neat 🤷🏼‍♀️
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{ #poetryofinstagram #poetryporn #poetrycommunity #poetry #poem #poems #sadpoem #sadpoetry #depressionquotes #depressingquotes #depressingpoem #depressingpoetry #sexualabuse #sexualassault #sexualabusesurvivor #survivor #survivornotvictim #notavictim #abuse #abuserecovery #trauma #traumarecovery #recovering #selfharm #selfharmawareness #selfharmquote #selfharmquotes #selfharmer #suicide #suicidequotes }

2018-12-10 23:05   9 1

 
I am struggling. I've kept my boundary firm - no contact, let me just tell you my inner child is screaming at me that this is all bad. My adult self says boundaries are healthy, grief is okay, feeling the grief is okay, letting go is okay, waiting for a genuine apology is fair, if it never happens the apology that is well my adult self is proud that I'm in therapy, that I started a new med and I increased another for my PTSD, anxiety, and chronic depression. It's okay if I do feel my feelings and they make me down, feeling my feelings is healthy. 
I have to start psychiatry soon to get my meds all changed around. I've been losing a pound every other day for the past 4 months. Stress is my enemy, it drains me of my energy, life will get better.
 #ptsdwontstopme #ptsdwontwin #ptsd #bpd #bpdthings #boundaries #mentalhealth #mentalhealthinfamily #trauma #domesticviolencesurvivor #endo #endowhat #endowarriors

2018-12-10 23:04   1 0

 

I am struggling. I've kept my boundary firm - no contact, let me just tell you my inner child is screaming at me that this is all bad. My adult self says boundaries are healthy, grief is okay, feeling the grief is okay, letting go is okay, waiting for a genuine apology is fair, if it never happens the apology that is well my adult self is proud that I'm in therapy, that I started a new med and I increased another for my PTSD, anxiety, and chronic depression. It's okay if I do feel my feelings and they make me down, feeling my feelings is healthy. I have to start psychiatry soon to get my meds all changed around. I've been losing a pound every other day for the past 4 months. Stress is my enemy, it drains me of my energy, life will get better. #ptsdwontstopme #ptsdwontwin #ptsd #bpd #bpdthings #boundaries #mentalhealth #mentalhealthinfamily #trauma #domesticviolencesurvivor #endo #endowhat #endowarriors

 #Repost @somospetalas
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Quantas vezes você já pensou em desistir por conta de algum trauma cuja dor parecia ser maior do que você?

Quantas vezes você já foi dormir chorando achando que não teria forças para levantar no dia seguinte por culpa daquela massa cinzenta que parecia te consumir?

Um acontecimento do passado pode ser capaz de sugar as nossas energias quando vem à tona.

Às vezes ele fica lá, adormecido por um bom tempo, por anos a fio, mas algum gatilho o desperta e ele parece tomar conta.

É nessas horas que o empoderamento se mostra TÃO importante. Saber que uma dor, por maior que seja, não te pertence. Uma ansiedade, uma depressão, algum transtorno pós traumático, ou seja lá o que for, NÃO é maior do que você. Você é capaz de suportar tudo aquilo que chega até você, desde que você saiba a fortaleza que você tem dentro de ti.
Essa força te pertence. É direito seu!

Não importa o que os atestados médicos digam, não importa se você tem que tomar algum medicamento (e fazer tratamento médico), nada disso importa. O que vale aqui é o que você tem dentro de você, que te faz resistir apesar das adversidades.

Eu sei que às vezes parece não haver luz no fim do túnel. Mas, meu caro, eu te digo como alguém que já foi parar no fundo do poço: esteja consciente que você é maior do que aquilo que está te atormentando e uma hora você voltará a ver a luz.
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 #tantra #massagemtantrica #terapeuticatantrica #tantraaracaju #tantrasergipe #conectividade #consciencia #empatia #amor #casal #trauma #inteligenciaemocional #amorproprio #medo #olharpradentro #autoconhecimento #proposito #energiapositiva #pertencimento #chakras #alinhamentoenergetico #empoderamento 
 #empoderamentofeminino #empoderamentomasculino #empoderamentopessoal #coachderelacionamentoesexualidade

2018-12-10 23:04   8 0

 

#Repost @somospetalas ・・・ Quantas vezes você já pensou em desistir por conta de algum trauma cuja dor parecia ser maior do que você Quantas vezes você já foi dormir chorando achando que não teria forças para levantar no dia seguinte por culpa daquela massa cinzenta que parecia te consumir Um acontecimento do passado pode ser capaz de sugar as nossas energias quando vem à tona. Às vezes ele fica lá, adormecido por um bom tempo, por anos a fio, mas algum gatilho o desperta e ele parece tomar conta. É nessas horas que o empoderamento se mostra TÃO importante. Saber que uma dor, por maior que seja, não te pertence. Uma ansiedade, uma depressão, algum transtorno pós traumático, ou seja lá o que for, NÃO é maior do que você. Você é capaz de suportar tudo aquilo que chega até você, desde que você saiba a fortaleza que você tem dentro de ti. Essa força te pertence. É direito seu! Não importa o que os atestados médicos digam, não importa se você tem que tomar algum medicamento (e fazer tratamento médico), nada disso importa. O que vale aqui é o que você tem dentro de você, que te faz resistir apesar das adversidades. Eu sei que às vezes parece não haver luz no fim do túnel. Mas, meu caro, eu te digo como alguém que já foi parar no fundo do poço: esteja consciente que você é maior do que aquilo que está te atormentando e uma hora você voltará a ver a luz. ____________________ #tantra #massagemtantrica #terapeuticatantrica #tantraaracaju #tantrasergipe #conectividade #consciencia #empatia #amor #casal #trauma #inteligenciaemocional #amorproprio #medo #olharpradentro #autoconhecimento #proposito #energiapositiva #pertencimento #chakras #alinhamentoenergetico #empoderamento #empoderamentofeminino #empoderamentomasculino #empoderamentopessoal #coachderelacionamentoesexualidade

Many behaviors and problems we have internally, in our communities and families are directly linked to the souls wounds of Transgenerational Trauma. Until you take action, become part of the solution by reversing the curse of Transgenerational Trauma you are only perpetuating the problem. #LMFT #MFT #therapist #love #LGBTQ #Depression #bipolar #domesticviolence #eatingaddiction #mentalhealth #substanceabuse #recoveryispossible #recovery #counseling #meditation #kriya #yoga #rythmia #healedheart #trauma #ptsd #anxiety

2018-12-10 23:03   6 1

 

Many behaviors and problems we have internally, in our communities and families are directly linked to the souls wounds of Transgenerational Trauma. Until you take action, become part of the solution by reversing the curse of Transgenerational Trauma you are only perpetuating the problem. #LMFT #MFT #therapist #love #LGBTQ #Depression #bipolar #domesticviolence #eatingaddiction #mentalhealth #substanceabuse #recoveryispossible #recovery #counseling #meditation #kriya #yoga #rythmia #healedheart #trauma #ptsd #anxiety

Remember that emotions are temporary. . . { #ImageDescription: art by @haleydrewthis . The words “how long it feels like a feeling will last” over A timeline with a huge section highlighted, and “how long a feeling actually lasts” over a timeline with a tiny highlighted section.} . . 
 #MentalHealth #MentalIllness #Recovery #Sobriety #MentalHealthSupport #Therapy #SelfCompassion #RecoveryIsWorthIt #CopingMechanism #CopingSkills #Depression #Anxiety #Psychosis #Trauma #PsychHospital #MentallyIll #MentalHealthMatters #SelfHarmRecovery #ProRecovery #SeekHelp #ResearchAndReachOut

2018-12-10 23:02   0 0

 

Remember that emotions are temporary. . . { #ImageDescription: art by @haleydrewthis . The words “how long it feels like a feeling will last” over A timeline with a huge section highlighted, and “how long a feeling actually lasts” over a timeline with a tiny highlighted section.} . . #MentalHealth #MentalIllness #Recovery #Sobriety #MentalHealthSupport #Therapy #SelfCompassion #RecoveryIsWorthIt #CopingMechanism #CopingSkills #Depression #Anxiety #Psychosis #Trauma #PsychHospital #MentallyIll #MentalHealthMatters #SelfHarmRecovery #ProRecovery #SeekHelp #ResearchAndReachOut

Just in time for the holidays, I'm excited to announce the launch of The Grass Gets Greener store! You can now get some gear to show your support of the brand and of my message of hope and healing. You'll find some apparel and accessories now available and there's also a 15% off sale currently going on! Check it out at TheGrassGetsGreener.com/store -- #abusesurvivor #hope #healing #healingjourney #inspire #life #overcoming #shop #store #trauma #thegrassgetsgreener

2018-12-10 23:01   4 0

 

Just in time for the holidays, I'm excited to announce the launch of The Grass Gets Greener store! You can now get some gear to show your support of the brand and of my message of hope and healing. You'll find some apparel and accessories now available and there's also a 15% off sale currently going on! Check it out at TheGrassGetsGreener.com/store -- #abusesurvivor #hope #healing #healingjourney #inspire #life #overcoming #shop #store #trauma #thegrassgetsgreener

A "máquina" humana é tão perfeita que ela tem a capacidade de se consertar quando algo não vai muito bem com ela. Nosso organismo está sempre buscando uma forma de reequilibrar as emoções, bem como suas questões físicas. O fato de não vermos e muitas vezes não sentirmos esse processo acontecendo não quer dizer que não esteja ocorrendo. Em algumas pessoas, essa capacidade de autorregulação está comprometida, isso ocorre pelo simples fato de que somos diferentes um dos outros e somos impactados de forma diferentes pelos desafios naturais da vida. É nesse momento que buscamos ajuda profissional, para resolvermos o que nosso organismo não deu conta sozinho. 
Com o Brainspotting conseguimos ensinar novamente o nosso organismo a fazer a autorregulação que ele já sabe, mas não está conseguindo.🧠 Agende uma sessão! (21) 96767-4030 Somente WhatsApp.

INDICAÇÕES

Trauma físico e emocional
📌Recuperação de traumas decorrentes de acidentes
📌 Traumas resultantes de intervenções e tratamentos médicos
📌 Doenças físicas relacionadas com estresse e trauma
📌 Problemas de desempenho
📌Dores crônicas
📌 TDA e TDAH
📌 Gagueira
📌 Fobias
📌 Preparação e recuperação de intervenções cirúrgicas
📌 Pânico e ansiedade
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 #Brainspotting #trauma #Psicologia #Brainspottingniteroi #SE #EMDR

2018-12-10 23:01   6 0

 

A "máquina" humana é tão perfeita que ela tem a capacidade de se consertar quando algo não vai muito bem com ela. Nosso organismo está sempre buscando uma forma de reequilibrar as emoções, bem como suas questões físicas. O fato de não vermos e muitas vezes não sentirmos esse processo acontecendo não quer dizer que não esteja ocorrendo. Em algumas pessoas, essa capacidade de autorregulação está comprometida, isso ocorre pelo simples fato de que somos diferentes um dos outros e somos impactados de forma diferentes pelos desafios naturais da vida. É nesse momento que buscamos ajuda profissional, para resolvermos o que nosso organismo não deu conta sozinho. Com o Brainspotting conseguimos ensinar novamente o nosso organismo a fazer a autorregulação que ele já sabe, mas não está conseguindo.🧠 Agende uma sessão! (21) 96767-4030 Somente WhatsApp. INDICAÇÕES Trauma físico e emocional 📌Recuperação de traumas decorrentes de acidentes 📌 Traumas resultantes de intervenções e tratamentos médicos 📌 Doenças físicas relacionadas com estresse e trauma 📌 Problemas de desempenho 📌Dores crônicas 📌 TDA e TDAH 📌 Gagueira 📌 Fobias 📌 Preparação e recuperação de intervenções cirúrgicas 📌 Pânico e ansiedade . . . #Brainspotting #trauma #Psicologia #Brainspottingniteroi #SE #EMDR

Traumatic dental injuries can often lead to a tooth extraction so that the pain can be alleviated and also to prevent further complications, just like our patient who came in with a missing tooth due to trauma. Dr Oberoi placed a 3 unit bridge to replace his missing tooth. Our patient walked out happy and confident with his new smile. .
Please call us if you have a dental emergency - (02) 8354 1160
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 #emergencydentist #sydney #afterhours #24hourdentist #dentist #dental #dentistry #healthisparamount #paramountlife #paramountdental #missingtooth #trauma #whiteteeth #perfectteeth #smilepower #SmileMakeover #beforeandafter

2018-12-10 23:00   6 0

 

Traumatic dental injuries can often lead to a tooth extraction so that the pain can be alleviated and also to prevent further complications, just like our patient who came in with a missing tooth due to trauma. Dr Oberoi placed a 3 unit bridge to replace his missing tooth. Our patient walked out happy and confident with his new smile. . Please call us if you have a dental emergency - (02) 8354 1160 . . . #emergencydentist #sydney #afterhours #24hourdentist #dentist #dental #dentistry #healthisparamount #paramountlife #paramountdental #missingtooth #trauma #whiteteeth #perfectteeth #smilepower #SmileMakeover #beforeandafter

Testing nerves during reconstructive surgery!

This patient got half of his right arm cut off in an accident. The surgeons were able to reattach the bones and soft tissue but before reconnecting the nerve endings a clear identification was necessary. This was achieved with electrical impulses to the nerves.

 #v.tach.training #CME #CPD #Trauma #Nurses #Bahrain #Emergency #Trauma #ortho

2018-12-10 23:00   0 0

 

Testing nerves during reconstructive surgery! This patient got half of his right arm cut off in an accident. The surgeons were able to reattach the bones and soft tissue but before reconnecting the nerve endings a clear identification was necessary. This was achieved with electrical impulses to the nerves. #v.tach.training #CME #CPD #Trauma #Nurses #Bahrain #Emergency #Trauma #ortho

🚨Revolutionary New Hemostatic Agent Saves SWAT Members Life.
Read more here👉 https://www.officer.com/tactical/ems-hazmat/first-aid-kits-supplies/press-release/12083286/life-science-plus-decorated-jacksonvillearea-swat-medic-rescues-fellow-officer-during-training-accident-tragedy-averted-by-quick-thinking-and-new-technology We are the Exclusive Distributor for BloodStop iX Hemostatic Agent. For Product and Ordering Information please Direct Message me via Instagram #trauma #traumanurse #vascular #vascularsurgery #swat #ems #plasticsurgery #nurse #dentist #oralmaxillofacialsurgery #woundedwarriorproject #woundcare #physicianassistant #nursepractitioner

2018-12-10 22:59   3 0

 

🚨Revolutionary New Hemostatic Agent Saves SWAT Members Life. Read more here👉 https://www.officer.com/tactical/ems-hazmat/first-aid-kits-supplies/press-release/12083286/life-science-plus-decorated-jacksonvillearea-swat-medic-rescues-fellow-officer-during-training-accident-tragedy-averted-by-quick-thinking-and-new-technology We are the Exclusive Distributor for BloodStop iX Hemostatic Agent. For Product and Ordering Information please Direct Message me via Instagram #trauma #traumanurse #vascular #vascularsurgery #swat #ems #plasticsurgery #nurse #dentist #oralmaxillofacialsurgery #woundedwarriorproject #woundcare #physicianassistant #nursepractitioner

One side effect I know a lot of us experience from psych meds but so often don’t speak about is the impact on our sex life. My medications rob me of sexual desire. Emotionally I want sex but I struggle to become aroused physically. I can go a long time without thinking about sex and then it only pops in my head to think about how much I miss the intimacy. My antipsychotics also cause drownsiness so often once I take them sex is off the table. 🍆 .
How do my partner and I counteract this? We make time for romance and extended fore play sessions so that I can actually get in the mood. We make time for each other. Full stop. We are also mostly physical in the mornings when night time meds have worn off (this kid of happened by accident but it is a handy tip) I’d love to hear your tips for maintaining physical intimacy whilst on medication! ❣️

2018-12-10 22:56   9 1

 

One side effect I know a lot of us experience from psych meds but so often don’t speak about is the impact on our sex life. My medications rob me of sexual desire. Emotionally I want sex but I struggle to become aroused physically. I can go a long time without thinking about sex and then it only pops in my head to think about how much I miss the intimacy. My antipsychotics also cause drownsiness so often once I take them sex is off the table. 🍆 . How do my partner and I counteract this We make time for romance and extended fore play sessions so that I can actually get in the mood. We make time for each other. Full stop. We are also mostly physical in the mornings when night time meds have worn off (this kid of happened by accident but it is a handy tip) I’d love to hear your tips for maintaining physical intimacy whilst on medication! ❣️

I loved this quote and had to share it!!
 #Repost @offthemat
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The purpose of discipline is to create more freedom. ✨ If your discipline just leads to more discipline, it ain’t working. ⠀⠀⠀⠀⠀⠀
 #befree #offthemat #selfcare #healing #anxiety #trauma #freedom #yoga #meditation #yogi #southjerseyyoga #uptownpitman #pitmannj #Philidelphiayoga #phillyyoga
 #wherecommunitygrows #donationbasedyoga  #SeedsOfLoveYoga #healingthroughconnection #growtogether  #support
 #namaste #loveandlight

2018-12-10 22:54   9 0

 

I loved this quote and had to share it!! #Repost @offthemat ・・・ The purpose of discipline is to create more freedom. ✨ If your discipline just leads to more discipline, it ain’t working. ⠀⠀⠀⠀⠀⠀ #befree #offthemat #selfcare #healing #anxiety #trauma #freedom #yoga #meditation #yogi #southjerseyyoga #uptownpitman #pitmannj #Philidelphiayoga #phillyyoga #wherecommunitygrows #donationbasedyoga #SeedsOfLoveYoga #healingthroughconnection #growtogether #support #namaste #loveandlight

You can be a woman and a mother and feel incredible in your own skin.
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You can feel alive and buzzing with life force energy.
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You can be orgasmic...full of ecstatic pleasure.
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You can have intimacy with your partner where your needs get met, your desires get honored.
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You can inspire in your partner ways of being with you that you never imagined them capable of.
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You can watch as your sense of power + pleasure feeds other areas of your life...your mothering, your work, your creativity, your voice, your wealth.
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Yes, you're that powerful. I know because I've done it and I've supported other women in doing it.
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Want to know more? I'm opening up five spots in my premium 1:1 coaching program, The Turned-On Woman, in the new year and I'm scheduling discovery calls now to spend some time talking to you about your current experience + what you desire.
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I'll be offering these calls and enrollment in the program until mid-January or my 1:1 coaching spots fill, whichever happens first.
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If this resonates with you, please don't wait. I know the holidays can feel chaotic but I promise you this time we spend together will feel like a huge respite in the storm.
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Comment below or DM me for more information.
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📷: @fahey_foto 🙏
 #TurnedOnWoman #pleasure #love #sex #desire #bodylove #intimacy #womenswellbeing #womensempowerment #relationship

2018-12-10 22:54   6 1

 

You can be a woman and a mother and feel incredible in your own skin. . You can feel alive and buzzing with life force energy. . You can be orgasmic...full of ecstatic pleasure. . You can have intimacy with your partner where your needs get met, your desires get honored. . You can inspire in your partner ways of being with you that you never imagined them capable of. . You can watch as your sense of power + pleasure feeds other areas of your life...your mothering, your work, your creativity, your voice, your wealth. . Yes, you're that powerful. I know because I've done it and I've supported other women in doing it. . Want to know more I'm opening up five spots in my premium 1:1 coaching program, The Turned-On Woman, in the new year and I'm scheduling discovery calls now to spend some time talking to you about your current experience + what you desire. . I'll be offering these calls and enrollment in the program until mid-January or my 1:1 coaching spots fill, whichever happens first. . If this resonates with you, please don't wait. I know the holidays can feel chaotic but I promise you this time we spend together will feel like a huge respite in the storm. . Comment below or DM me for more information. . 📷: @fahey_foto 🙏 #TurnedOnWoman #pleasure #love #sex #desire #bodylove #intimacy #womenswellbeing #womensempowerment #relationship

2018-12-10 22:52   6 1

 
Ooohhh people are going to HATE me! 🤣🤣🤣😅
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This is my first new design after taking a short break from my usual artwork. I'll sell these for artprints, buttons and stickers. So if you are interested in any of the upcoming designs then let me know! 😁
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Fyi I'm not responsible for any PTSD inflicted upon the FMA fans over here ;)
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 #fma #animeart #homonculus
 #sevendeadlysins #anime #mangadrawing #design #button #dutchartist #illustrator #artist #chimera #troll #togetherforever #fusion #humor #trauma #alchemy #edwardelric #funny #digital #artsy #doggystyle #doggo #pet #shonen #dark #naruto #onepiece #fairytail

2018-12-10 22:48   17 0

 

Ooohhh people are going to HATE me! 🤣🤣🤣😅 . This is my first new design after taking a short break from my usual artwork. I'll sell these for artprints, buttons and stickers. So if you are interested in any of the upcoming designs then let me know! 😁 . Fyi I'm not responsible for any PTSD inflicted upon the FMA fans over here ;) . #fma #animeart #homonculus #sevendeadlysins #anime #mangadrawing #design #button #dutchartist #illustrator #artist #chimera #troll #togetherforever #fusion #humor #trauma #alchemy #edwardelric #funny #digital #artsy #doggystyle #doggo #pet #shonen #dark #naruto #onepiece #fairytail

Positive Seidel test due to ocular trauma ✏️
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DEFINITION:
Is the test used to reveal ocular leaks from the cornea, sclera or conjunctiva following injury or surgery and sometimes disease.

PROCEDURE: 
Fluorescein is applied topically to the affected area and is examined with a cobalt blue filter.
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 Courtesy/cortesia: @edsonnakahara .
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👁❣️ #ophtalmology #oftalmologia #cornea #retina #catarata #uveitis #medicine #glaucoma #eye #ocular #ophtalmologist #cataract  #retinaldetachment #detachment #macula #ocularhealth #oftalmo #trauma #seidel

2018-12-10 22:45   48 0

 

Positive Seidel test due to ocular trauma ✏️ . DEFINITION: Is the test used to reveal ocular leaks from the cornea, sclera or conjunctiva following injury or surgery and sometimes disease. PROCEDURE: Fluorescein is applied topically to the affected area and is examined with a cobalt blue filter. . Courtesy/cortesia: @edsonnakahara . . 👁❣️ #ophtalmology #oftalmologia #cornea #retina #catarata #uveitis #medicine #glaucoma #eye #ocular #ophtalmologist #cataract #retinaldetachment #detachment #macula #ocularhealth #oftalmo #trauma #seidel

I finally finished this awesome workbook and let me tell you what, it was really awesome! So much information, tools, techniques and advice on how to work through some of the hardest parts of experiencing Complex PTSD. It really narrows it down to healing Avoidance Symptoms, Invasive Symptoms and Depressive Symptoms. It also breaks down trauma and how it effects the brain and body. I highly recommend this book to anyone interested in healing from CPTSD.
 #books #mindbody #cptsd #ptsd #trauma #recovery #traumarecovery #yoga #selfdiscovery #bliss #peace #learn #read

2018-12-10 22:40   8 0

 

I finally finished this awesome workbook and let me tell you what, it was really awesome! So much information, tools, techniques and advice on how to work through some of the hardest parts of experiencing Complex PTSD. It really narrows it down to healing Avoidance Symptoms, Invasive Symptoms and Depressive Symptoms. It also breaks down trauma and how it effects the brain and body. I highly recommend this book to anyone interested in healing from CPTSD. #books #mindbody #cptsd #ptsd #trauma #recovery #traumarecovery #yoga #selfdiscovery #bliss #peace #learn #read

BIG plans for tonight. Pappa left and is heading back to England. I’m catching up on a bit of work and emails and then will be re- watching 3 more episodes of game of thrones cos that’s my guilty pleasure and escape. Not so guilty though because I deserve it ✔️✔️✔️ Happy Monday - hope you have a lovely week.

2018-12-10 22:38   169 5

 

BIG plans for tonight. Pappa left and is heading back to England. I’m catching up on a bit of work and emails and then will be re- watching 3 more episodes of game of thrones cos that’s my guilty pleasure and escape. Not so guilty though because I deserve it ✔️✔️✔️ Happy Monday - hope you have a lovely week.

Ohje Ohje ich bekomme 3 Medikamente zum schlafen und eins ist’s zu viel ich schlafe so fest das ich nachts nix mitbekomme. Meine Mama und ihr Freund laufen nachts hier an mir vorbei weil ich ja auf dem Sofa schlafen und ich schnarche wohl wie ein Bär 🐻 ups! Und heut Nacht hat anscheinend der Hund neben mein Kopfkissen gekotzt und ich hab nix mitbekommen eklig! 
Am 21.12 werde ich fragen ob man das mirtazipin wieder raus nehmen kann weil ich werde natürlich auch Tags nicht wach davor war ich auch immer müde weil ich nicht ausgeruht war oh man aber irgendwie gehts so nicht da ich davon mir zunehme! 
Eventuell muss dann ein anderes Antidepressiva in Kombi gegeben werden. Aber erstmal muss ich mit dem setralin wieder hoch!!!! Das Eis hab ich doch nicht mehr gegessen btw... #zwangsstörung #werkämpftkannverlierenwernichtkämpfthatschonverloren # #angststörung #borderline #fight #essstörungen #trauma #ptbs #psychopharmaka

2018-12-10 22:35   3 0

 

Ohje Ohje ich bekomme 3 Medikamente zum schlafen und eins ist’s zu viel ich schlafe so fest das ich nachts nix mitbekomme. Meine Mama und ihr Freund laufen nachts hier an mir vorbei weil ich ja auf dem Sofa schlafen und ich schnarche wohl wie ein Bär 🐻 ups! Und heut Nacht hat anscheinend der Hund neben mein Kopfkissen gekotzt und ich hab nix mitbekommen eklig! Am 21.12 werde ich fragen ob man das mirtazipin wieder raus nehmen kann weil ich werde natürlich auch Tags nicht wach davor war ich auch immer müde weil ich nicht ausgeruht war oh man aber irgendwie gehts so nicht da ich davon mir zunehme! Eventuell muss dann ein anderes Antidepressiva in Kombi gegeben werden. Aber erstmal muss ich mit dem setralin wieder hoch!!!! Das Eis hab ich doch nicht mehr gegessen btw... #zwangsstörung #werkämpftkannverlierenwernichtkämpfthatschonverloren # #angststörung #borderline #fight #essstörungen #trauma #ptbs #psychopharmaka

Descriptions and objectives for each of the sessions offered in Vol. 1 of the State of the Trap Training Series! Click #LinkInBio to enroll for just $10!

2018-12-10 22:34   15 1

 

Descriptions and objectives for each of the sessions offered in Vol. 1 of the State of the Trap Training Series! Click #LinkInBio to enroll for just $10!

🐱FURBABY REIKI AVAILABLE🐶
Animals are highly intuitive & sensitive to the energies of their surroundings. Animal Reiki releases energetic blockages that can be help in an animal’s entire physical, mental, emotional & spiritual being. Reiki can assist in relief with recovery and/or illness as well as trauma. ✟ Reiki will also bring peace & comfort for an animal transitioning into death. ✟ 🌟 Click link in bio for session info now!
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 #Reiki #reikihealing #reikienergy #animalreiki #animalreikihealing #energy #energywork #energyhealing #healing #trauma #chakrabalancing #crystals #crystalhealing #animals #pets #catsofinstagram #dogsofinstagram #horses #birds #animalovers #painrelief #crystalclearreiki #bayarea

2018-12-10 22:33   11 0

 

🐱FURBABY REIKI AVAILABLE🐶 Animals are highly intuitive & sensitive to the energies of their surroundings. Animal Reiki releases energetic blockages that can be help in an animal’s entire physical, mental, emotional & spiritual being. Reiki can assist in relief with recovery and/or illness as well as trauma. ✟ Reiki will also bring peace & comfort for an animal transitioning into death. ✟ 🌟 Click link in bio for session info now! - - - #Reiki #reikihealing #reikienergy #animalreiki #animalreikihealing #energy #energywork #energyhealing #healing #trauma #chakrabalancing #crystals #crystalhealing #animals #pets #catsofinstagram #dogsofinstagram #horses #birds #animalovers #painrelief #crystalclearreiki #bayarea

Every time you smile, it boosts your mood, lowers your blood pressure and heart rate, connects you to others (babies smile as an instinctive way to bond), strengthens your immune system, and may lengthen your life.
*
Note, I didn’t say pretend to be happy. Smiling is a physical act of healing and self-care.
*
Smiling is also contagious. No vaccine needed. So pass it on.
*
*
 #ptsd #trauma #mentalhealth #anxiety #depression #panic #worry #chronicillness #invisibleillness #eds #pots #dysautonomia #cancer #guthealth #healing #grounding #selfcare #mood #smile #healthyaging #themightysite #chronicloveclub #mindfulness #bekind

2018-12-10 22:30   14 1

 

Every time you smile, it boosts your mood, lowers your blood pressure and heart rate, connects you to others (babies smile as an instinctive way to bond), strengthens your immune system, and may lengthen your life. * Note, I didn’t say pretend to be happy. Smiling is a physical act of healing and self-care. * Smiling is also contagious. No vaccine needed. So pass it on. * * #ptsd #trauma #mentalhealth #anxiety #depression #panic #worry #chronicillness #invisibleillness #eds #pots #dysautonomia #cancer #guthealth #healing #grounding #selfcare #mood #smile #healthyaging #themightysite #chronicloveclub #mindfulness #bekind

I tell my students about the first time I tried yin yoga a couple years back. It was in a class with a teacher who didn't speak much during the postures and didn't play music that day. I'm not gonna lie, I was screaming in my head because I was so agitated at holding passive postures for 3-5 minutes with silence and my own thoughts and emotions bouncing around in my head. Nothing wrong with this style, it just was too advanced for me at the time.
. . . 
I fell in love with the practice when I took from a teacher who talked about neuroscience and philosophy throughout the class. And played music! . . . 
Now my style of teaching yin is similar to hers. I echo quotes from Bernie Clark (one of the founders of the practice) and use my knowledge as a therapist to talk about how down-regulating postures calm the central nervous system doing as we make sure to never move into the zone of pain but stay within a threshold of safety physically, mentally, and emotionally. We talk about how the patterns we create in yoga practice can help pattern the rest of our lives. . . . 
And, as class draws closer to the end, the instruction and cueing slows to a trickle and the students get to enjoy the quiet music as they have hopefully been able to move more into a state of meditation. . . . 
If this resonates with you, join me for Yin Mondays at 7:30pm and Yoga for Stress Relief Wednesdays at 7:30pm weekly @simply_yoga_vancouver.
. . . 
@sarasvatihewitt #lizardlunge #dragonpose
 #restorativeyoga #yin #yinyoga #vancouverwa #mindfulness #yoga #yogaforanxiety #anxiety #yogafordepression #depression #yogaformentalhealth #mentalhealth #yogafortrauma #trauma #yogaforlife #yogalife #meditation #yogapractice #yogaeverydamnday #yogaddict #centered #bepresent #justbreathe #selfcare

2018-12-10 22:26   17 3

 

I tell my students about the first time I tried yin yoga a couple years back. It was in a class with a teacher who didn't speak much during the postures and didn't play music that day. I'm not gonna lie, I was screaming in my head because I was so agitated at holding passive postures for 3-5 minutes with silence and my own thoughts and emotions bouncing around in my head. Nothing wrong with this style, it just was too advanced for me at the time. . . . I fell in love with the practice when I took from a teacher who talked about neuroscience and philosophy throughout the class. And played music! . . . Now my style of teaching yin is similar to hers. I echo quotes from Bernie Clark (one of the founders of the practice) and use my knowledge as a therapist to talk about how down-regulating postures calm the central nervous system doing as we make sure to never move into the zone of pain but stay within a threshold of safety physically, mentally, and emotionally. We talk about how the patterns we create in yoga practice can help pattern the rest of our lives. . . . And, as class draws closer to the end, the instruction and cueing slows to a trickle and the students get to enjoy the quiet music as they have hopefully been able to move more into a state of meditation. . . . If this resonates with you, join me for Yin Mondays at 7:30pm and Yoga for Stress Relief Wednesdays at 7:30pm weekly @simply_yoga_vancouver. . . . @sarasvatihewitt #lizardlunge #dragonpose #restorativeyoga #yin #yinyoga #vancouverwa #mindfulness #yoga #yogaforanxiety #anxiety #yogafordepression #depression #yogaformentalhealth #mentalhealth #yogafortrauma #trauma #yogaforlife #yogalife #meditation #yogapractice #yogaeverydamnday #yogaddict #centered #bepresent #justbreathe #selfcare

I’m still surviving... What keeps you going?

2018-12-10 22:24   20 1

 

I’m still surviving... What keeps you going

Check out my new video on my channel about Tarot and Psychology! I had a lot to say about this subject and I was only scratching the surface! I talk about different approaches to Tarot and I review a few theories that can help you better understand your Tarot clients or yourself such as attachment theory, trauma and cognitive behavioral theory. I'd love to hear your thoughts as well and questions about Tarot and Psychology. 
 #plutofrombelow #tarot #learntarot #psychology #tarotreaders #queertarot #tarotpro #attachmenttheory #trauma #cbt #tarotreadersofig #tarotreadersofinstagram #tarotcommunity #emotions #meaning #spirituality #december #saltlakecity #utah

2018-12-10 22:24   13 0

 

Check out my new video on my channel about Tarot and Psychology! I had a lot to say about this subject and I was only scratching the surface! I talk about different approaches to Tarot and I review a few theories that can help you better understand your Tarot clients or yourself such as attachment theory, trauma and cognitive behavioral theory. I'd love to hear your thoughts as well and questions about Tarot and Psychology. #plutofrombelow #tarot #learntarot #psychology #tarotreaders #queertarot #tarotpro #attachmenttheory #trauma #cbt #tarotreadersofig #tarotreadersofinstagram #tarotcommunity #emotions #meaning #spirituality #december #saltlakecity #utah

🌙❇💫

2018-12-10 22:21   25 1

 

🌙❇💫

I’m a pop music diva. Also, I listen by track, not genre. A great song is a hit. I’ve never listened to Panic at the Disco before. This is my song for 2019. “Had to have high, high hopes for a living
Shooting for the stars when I couldn't make a killing
Didn't have a dime but I always had a vision
Always had high, high hopes (High, high hopes) They say it's all been done but they haven't seen the best of me-eh-eh-eh
So I got one more run and it's gonna be a sight to see-eh-eh-eh” YASSSSS. #sarayk #schizophreniadeconstructed #schizophrenia #mentalhealth #mentalillness #mentalhealthawareness #mentalhealthwarrior #mentalhealhadvocacy #mentalillnessawareness #mentalillnessadvocacy #emotions #emotionalhealth #anxiety #coping #copingskills #emotionalsustainability #staystrong #stayhumble #staygrateful #complexptsd #ptsd #trauma #emotionalfingerprint #chronicillness #chronicillnesswarrior #sickchic #disability

2018-12-10 22:19   7 0

 

I’m a pop music diva. Also, I listen by track, not genre. A great song is a hit. I’ve never listened to Panic at the Disco before. This is my song for 2019. “Had to have high, high hopes for a living Shooting for the stars when I couldn't make a killing Didn't have a dime but I always had a vision Always had high, high hopes (High, high hopes) They say it's all been done but they haven't seen the best of me-eh-eh-eh So I got one more run and it's gonna be a sight to see-eh-eh-eh” YASSSSS. #sarayk #schizophreniadeconstructed #schizophrenia #mentalhealth #mentalillness #mentalhealthawareness #mentalhealthwarrior #mentalhealhadvocacy #mentalillnessawareness #mentalillnessadvocacy #emotions #emotionalhealth #anxiety #coping #copingskills #emotionalsustainability #staystrong #stayhumble #staygrateful #complexptsd #ptsd #trauma #emotionalfingerprint #chronicillness #chronicillnesswarrior #sickchic #disability

How apropos. I got this tattoo 3 years ago broken hearted, from giving my energy to the wrong person. Fast forward 3 years, I got it touched up last night so it pops like my others, and here I am healing from yet another heart break. The lesson learned? Stop giving my time, love and energy to those who don’t appreciate me. Often I feel women love the idea of me, but don’t want to do the work to understand I’m only human w my own traumas and demons in my closet. Yes, I’m far from perfect, but I’m open to learning from my past, taking that knowledge and evolving. This time I’m learning to give my self the love I so effortlessly give everyone else. I’m digging deep and facing these things in order to break this cycle I keep finding myself in. Time to LOVE me 🧔🏼❤️🤙🏼 #self #love #dig #deep #grow #past #trauma #childhood #relationships #overcome #hurt #pain #elevate #evolve #peace #love #gratitude #present #heal #open #mind #heart #tattoo #ink #nyc #latergram #timeflies

2018-12-10 22:19   53 10

 

How apropos. I got this tattoo 3 years ago broken hearted, from giving my energy to the wrong person. Fast forward 3 years, I got it touched up last night so it pops like my others, and here I am healing from yet another heart break. The lesson learned Stop giving my time, love and energy to those who don’t appreciate me. Often I feel women love the idea of me, but don’t want to do the work to understand I’m only human w my own traumas and demons in my closet. Yes, I’m far from perfect, but I’m open to learning from my past, taking that knowledge and evolving. This time I’m learning to give my self the love I so effortlessly give everyone else. I’m digging deep and facing these things in order to break this cycle I keep finding myself in. Time to LOVE me 🧔🏼❤️🤙🏼 #self #love #dig #deep #grow #past #trauma #childhood #relationships #overcome #hurt #pain #elevate #evolve #peace #love #gratitude #present #heal #open #mind #heart #tattoo #ink #nyc #latergram #timeflies

When the world says, “Give up.” Hope whispers, “Try it one more time.” So often we are the last hope for those with Chronic Health Struggles. We want to remind you to never give up. There will always be Hope. 🌟

2018-12-10 22:19   8 2

 

When the world says, “Give up.” Hope whispers, “Try it one more time.” So often we are the last hope for those with Chronic Health Struggles. We want to remind you to never give up. There will always be Hope. 🌟

Trauma can be losing a loved one, a car accident, divorce, abuse, combat, an unhealthy job environment, etc. It’s anything that occurred once or was prolonged that created a high level of distress or feeling of being overwhelmed. When the brain is forced to process stimuli all in one gulp, it can become overloaded, and therefore memories are frozen or unprocessed in the brain. These memories are then stored in the limbic system in an emotional format. This is why you may continuously struggle with feeling anxious, fearful, angry or depressed, developing beliefs that you aren’t safe, powerful, or capable. When something triggers you, it’s not necessarily causing the memory to resurface, but more those intense feelings that are stuck (ex: startled and afraid). This can make it difficult to live in the moment because the brain/body is always on guard trying to protect itself. This is when seeking therapy can be helpful, allowing you to reprocess and heal from the initial trauma. Allowing your body to relax and be at ease. #trauma #overwhelmed #survivor #neuropsychology #mentalhealth #mentalhealthawareness #emotions #copingskills #emdrtherapy #emdr #counseling #therapy

2018-12-10 22:18   2 0

 

Trauma can be losing a loved one, a car accident, divorce, abuse, combat, an unhealthy job environment, etc. It’s anything that occurred once or was prolonged that created a high level of distress or feeling of being overwhelmed. When the brain is forced to process stimuli all in one gulp, it can become overloaded, and therefore memories are frozen or unprocessed in the brain. These memories are then stored in the limbic system in an emotional format. This is why you may continuously struggle with feeling anxious, fearful, angry or depressed, developing beliefs that you aren’t safe, powerful, or capable. When something triggers you, it’s not necessarily causing the memory to resurface, but more those intense feelings that are stuck (ex: startled and afraid). This can make it difficult to live in the moment because the brain/body is always on guard trying to protect itself. This is when seeking therapy can be helpful, allowing you to reprocess and heal from the initial trauma. Allowing your body to relax and be at ease. #trauma #overwhelmed #survivor #neuropsychology #mentalhealth #mentalhealthawareness #emotions #copingskills #emdrtherapy #emdr #counseling #therapy

Advent of Kindness, Day 9: Hide a happy note for someone to find. 
Slip it under a pillow, put it in a jacket pocket, leave it on a windshield - anywhere someone will least expect it but most appreciate it! You will make someone's whole day. 💜

 #AdventofKindness #AdventCalendar #Advent #mentalhealthawareness #mentalhealth #depression #anxiety #trauma #PTSD #OCD #selfharmmm #addiction #suicideprevention #hope #healing #resilience #recovery #support #education #mindfulness #EndStigma #StigmaFree #BeTheOne #JustTalkAboutIt #BeKindAlways #MindingYourMind #MYM #mentalhealth

2018-12-10 22:15   8 1

 

Advent of Kindness, Day 9: Hide a happy note for someone to find. Slip it under a pillow, put it in a jacket pocket, leave it on a windshield - anywhere someone will least expect it but most appreciate it! You will make someone's whole day. 💜 #AdventofKindness #AdventCalendar #Advent #mentalhealthawareness #mentalhealth #depression #anxiety #trauma #PTSD #OCD #selfharmmm #addiction #suicideprevention #hope #healing #resilience #recovery #support #education #mindfulness #EndStigma #StigmaFree #BeTheOne #JustTalkAboutIt #BeKindAlways #MindingYourMind #MYM #mentalhealth

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The trauma in your experience will forever define you. 
You have the choice to take advantage of it for the better and stronger you. 
 #trauma #experience #you
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Awesome, 📸 thanks to: @motonomadic from @thegaiagang // @mymuselingerie F*ck it Let’s Dance show this September.

2018-12-10 22:15   13 1

 

. The trauma in your experience will forever define you. You have the choice to take advantage of it for the better and stronger you. #trauma #experience #you . . . Awesome, 📸 thanks to: @motonomadic from @thegaiagang // @mymuselingerie F*ck it Let’s Dance show this September.

Um tema que eu adoro 😍 vou iniciar a liga de trauma do hospital Cajuru em janeiro! Estou muito ansiosa! O que vou fazer é o atendimento inicial do politraumatizado, que envolve as etapas descritas nesse resumo. Mal posso esperar 😆 não, mentira, posso sim, as férias estão maravilhosas ⛱🌞
.
E vcs, já têm alguma área de preferência na faculdade? Quem ainda não faz faculdade, qual sua matéria preferida na escola? Já sabe pra qual curso vai prestar vestibular?
.
 #medicina #medstudent #medstudents #medstudentslife #studygram #study #estudos #studygrammer #estudando #estudar #estudo #estudantedemed #estudantedemedicina #foco #memorização #disciplina #alunodemedicina #determinação #resumo #resumos #mapamental #mapasmentais #mindmap #trauma #atls #clinicamedica #abcdedotrauma #abcde

2018-12-10 22:12   133 16

 

Um tema que eu adoro 😍 vou iniciar a liga de trauma do hospital Cajuru em janeiro! Estou muito ansiosa! O que vou fazer é o atendimento inicial do politraumatizado, que envolve as etapas descritas nesse resumo. Mal posso esperar 😆 não, mentira, posso sim, as férias estão maravilhosas ⛱🌞 . E vcs, já têm alguma área de preferência na faculdade Quem ainda não faz faculdade, qual sua matéria preferida na escola Já sabe pra qual curso vai prestar vestibular . #medicina #medstudent #medstudents #medstudentslife #studygram #study #estudos #studygrammer #estudando #estudar #estudo #estudantedemed #estudantedemedicina #foco #memorização #disciplina #alunodemedicina #determinação #resumo #resumos #mapamental #mapasmentais #mindmap #trauma #atls #clinicamedica #abcdedotrauma #abcde

Chainsaw accident. No bony or tendon involvement. No foreign bodies. Irrigated copiously. Repaired in the ER. Actually a lucky guy.

Generally a wound like this should be repaired as soon as possible. The longer it remains open and untreated, the more bacterial colonization and the slower wound healing. There is a dogma that wounds like this should be repaired within 6 hours but more recent studies have not supported this as a strict cutoff (with no higher incidence of complications at 18 hrs) There is also no evidence that sterile vs aseptic technique reduces infection risk in management of contaminated wounds.

Bony, tendon, and nerve involvement don't generally affect acute management in wilderness settings, but it's important to establish a baseline to measure changes.

Arguably the most important thing you can do is cleanse the wound by removing devitalized tissue and copiously irrigating to remove/dilute bacteria contamination. Potable tap water is just as safe as sterile saline. I recommend getting a large syringe and an 18g needle. This is sufficient to generate around 8psi, though a squeezable bottle with a hole in the cap works about as well. Ideally you're going to irritate with more than you think you should. Use at least 1L unless the wound is superficial and not grossly contaminated.

Cleanse the outside of the wound with iodine, povidone-iodine, etc. NOT the inside of the wound. Doing so impairs the healing process.

What would you use to close this wound? After care? What would you do in major hospital vs austere environment? 
 #woundcare #woundnurse #wocn #traumanurse #ernurse #emergencynurse #wildernessculture #wildernessmedicine #wildernessnurse #chainsaw #injury #nursingstudent #medstudent #futurern #paschool #surgery #plastics #fnp #npstudent #npschool #trauma #chainsaw #paramedic

2018-12-10 20:32   95 10

 

Chainsaw accident. No bony or tendon involvement. No foreign bodies. Irrigated copiously. Repaired in the ER. Actually a lucky guy. Generally a wound like this should be repaired as soon as possible. The longer it remains open and untreated, the more bacterial colonization and the slower wound healing. There is a dogma that wounds like this should be repaired within 6 hours but more recent studies have not supported this as a strict cutoff (with no higher incidence of complications at 18 hrs) There is also no evidence that sterile vs aseptic technique reduces infection risk in management of contaminated wounds. Bony, tendon, and nerve involvement don't generally affect acute management in wilderness settings, but it's important to establish a baseline to measure changes. Arguably the most important thing you can do is cleanse the wound by removing devitalized tissue and copiously irrigating to remove/dilute bacteria contamination. Potable tap water is just as safe as sterile saline. I recommend getting a large syringe and an 18g needle. This is sufficient to generate around 8psi, though a squeezable bottle with a hole in the cap works about as well. Ideally you're going to irritate with more than you think you should. Use at least 1L unless the wound is superficial and not grossly contaminated. Cleanse the outside of the wound with iodine, povidone-iodine, etc. NOT the inside of the wound. Doing so impairs the healing process. What would you use to close this wound After care What would you do in major hospital vs austere environment #woundcare #woundnurse #wocn #traumanurse #ernurse #emergencynurse #wildernessculture #wildernessmedicine #wildernessnurse #chainsaw #injury #nursingstudent #medstudent #futurern #paschool #surgery #plastics #fnp #npstudent #npschool #trauma #chainsaw #paramedic

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