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Patient Information
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DIAMOND HEADACHE
CLINIC TREATMENT PROGRAM
PROGRAM GUIDELINES
These guidelines are provided to acquaint you with the Headache
Treatment Program (HTP). The program includes coordinated
services from the following health care professionals: Physicians,
Clinical Manager, nursing staff, psychologists, biofeedback
therapists, recreational therapists, dieticians, physical
therapists and counselors. The program is designed for patient
participation. Family members, visitors and/or friends are
permitted to attend sessions unless so noted.
FOR INPATIENTS
ONLY
Included in your room charges are: Introduction to the Headache
Treatment Program, Stress Management, Posture Classes, Diet
Class, Relaxation Classes, Pharmacy Classes, Spirituality
Group, and the Art Therapies. Not included in standard room
charges—and billed separately—will be clinical charges
relating to biofeedback and psychological assessment and group
treatment including Team conferences held by the physicians
of the Diamond Headache Clinic with the interdisciplinary
team of health professionals in order to coordinate hospital
and post-discharge treatment as well as any individual psychological
or psychiatric treatment.
PROGRAM OBJECTIVES
The inpatient pain program is carefully designed to enlist
the patient’s cooperation combined with experience in
treating pain in order to bring desired relief. It is essential
that family members cooperate to achieve the objectives as
outlined below:
- The development of an individualized regimen of pain prevention
and pain
management.
- The discontinuation of drugs that either aggravate the
pain process or are
known to be injurious when taken regularly.
- To enhance the ability to understand and overcome chronic
pain and the many
factors that often accompany it including emotional distress.
- An understanding of pain mechanisms and behaviors, how
a person in pain is
affected by and influences family interactions, as well
as nutritional issues, coping methods, and various treatment
modalities.
CHARTING
Documentation is important in assessing progress; therefore,
the staff is involved in charting the headache pattern and
activities of the patient.
DRESS
Patients in the HTP are encouraged to be dressed in modest,
appropriate street attire unless confined to bed for medical
reasons. No short-shorts or abbreviated tops please. Shoes
or slippers should be worn at all times.
FOOD AND NUTRITIONAL
SERVICES
Lunch and dinner are to be eaten in the designated eating
area, the Point Room. Patients are responsible for cleaning
their dishes and trays from the tables. For your information,
microwave popcorn is available in the Patient Kitchen. You
are responsible for following the low-tyramine diet. Beverages
and staple foods will be placed in the Patient Kitchen refrigerator.
To maintain a sanitary environment, food and beverages cannot
be kept in patient rooms.
IV PROTOCOL
Patients on IV fluids CANNOT leave the floor to visit the
Gift Shop, Lobby, or Cafeteria while attached to an IV.
LENGTH OF HOSPITALIZATION
Typically, it takes 7-10 days in the HTP to achieve the objectives
and benefits of the program. This is the beginning phase in
developing or modifying an on-going program for headache management.
LETTER
At the time of discharge, we will provide an opportunity for
you to write a letter to your referring physician, internist,
or family physician. This letter will give you the opportunity
to review your learning experience while in the Diamond Headache
Treatment Program.
MEDICATIONS
All medication must be left at home, sent home, or turned
in to your nurse upon admission. You cannot possess medication
of any kind except for those specifically prescribed during
hospitalization. Medications left for safekeeping at the Nurses’
Station will be destroyed if not claimed within 14 days after
discharge.
MMPI-2/MMPI-A
QUESTIONNAIRE
At the time of your admission to the HTP, you will be given
a Minnesota Multiphasic Personality Inventory (MMPI-2) questionnaire
to complete. This questionnaire is to be completed within
the first TWO days of your admission. It is administered to
provide us with information concerning the nature of your
pain and its management. Please return the MMPI-2 (adult)/MMPI-A
(adolescent) booklet and completed questionnaire to the nursing
station. If you have any further questions, please feel free
to direct your inquiries to the Psychology Department.
PHYSICIAN ROUNDS
The Diamond Headache Clinic physicians will be on the hospital
unit daily making their rounds.
STAFF ROUNDS
Periodically, throughout the night, the staff will make rounds.
Your door may be left ajar, and you will not be disturbed.
TREATMENT AFTER
The completion of your hospital program is an important beginning
toward headache control and management. It is expected that
many patients will need to continue some form of on-going
treatment after discharge. When returning to the Diamond Headache
Clinic for your follow-up visit with your physician, you will
be scheduled for a Biofeedback Session. The staff will assist
you in finding the on-going treatment program best suited
to your needs. You will receive prescriptions for your medications
on the day of discharge. Any questions regarding the medications
will be answered at this time.
CLASS ATTENDANCE IS MANDATORY UNLESS
OTHERWISE NOTED. PLEASE MAKE THESE CLASSES A PRIORITY IF YOU
HAVE NOT PREVIOUSLY ATTENDED A SESSION. A VARIETY OF CLASSES
WILL BE OFFERED. THEY INCLUDE:
ART THERAPIES
Art Therapy will provide you with an opportunity to explore
feelings and thoughts in a non-verbal experience. Craft sessions
will provide you with a variety of projects designed for both
men and women to enhance leisure experiences (at a nominal
charge).
BIOFEEDBACK
Biofeedback Training uses instrumentation to monitor body
temperature, muscle tension, and/or other body responses.
It allows individuals to self-regulate the desired body response
in a controlled fashion. Research indicates that those who
receive biofeedback training (i.e., learn to warm extremities
and reduce muscle tension) report decreases in the frequency,
severity, and duration of their headaches. Biofeedback will
be prescribed by your physician. Daily appointments will be
scheduled at your initial session.
DIAPHRAGMATIC
BREATHING AND RELAXATION GROUP
This is a presentation on psychophysiology which includes:
- An overview of the psychophysiology associated with biofeedback
training.
- The application of biofeedback and relaxation techniques
to headache
management
with emphasis on applying the techniques in daily situations.
- Diaphragmatic breathing explanation and demonstration.
- Demonstration of daily stretches, tensing and relaxing
techniques, imagery
in relaxation and progressive relaxation.
BEHAVIORAL MEDICINE
Several group meetings are conducted by psychologists and
psychiatrists to provide patients with and overview of general
and specific features relevant to etiology, course, treatment,
and outcome of headache treatment on the inpatient unit. Information
provided in these meetings is designed to supplement pharmacological
interventions prescribed by your primary physician.
SUPPORT GROUP
Discussions revolve around themes of central concern to patients
and headache management: contributing factors to pain, stressors,
activities implicated in headache onset and reinforcement,
effective non-drug strategies to combat pain, and a general
range of headache experiences that patients can anticipate
while participating in the Headache Treatment Program.
DIET INSTRUCTION
CLASS
To better understand how tyramine and related foods interact
when disorders of tyramine metabolism occur. Headache provoking
agents are discussed, as well as preparation and/or storage
of food. The diet class is held once a week.
CLINICAL MANAGER
The Clinical Manager will hold a meeting two times per week
to provide patients an overview of what to expect and what
is expected of them while they are in the Diamond Headache
Treatment Program. Any questions regarding their on-going
treatment while on the Unit are welcome. The Clinical Manager
also has the overall 24 hour responsibility of the Unit. Please
introduce yourself to her and bring any problems or concerns
to her attention.
PHARMACY CLASSES
A pharmacy class is presented twice weekly by a registered
pharmacist. The pharmacist will discuss the various kinds
of drugs used for the treatment of headache—explaining
precautions and side effects. The importance of patient compliance
with the physician’s orders and of not interrupting drug
therapy without the approval of a physician is stressed.
PHYSICAL THERAPY
Physical therapy is available for those persons who might
benefit from it. Your nurse and the physician will discuss
it with you. It is the physician’s responsibility to
prescribe the specific type of physical therapy needed. You
will be informed of scheduled appointments and escorted to
the first session. On the day of your discharge, physical
therapy is not scheduled.
STRESS MANAGEMENT
In this group, you will learn what stress is and its interrelationship
to your physical, mental, and emotional health. The group
will also assist you in identifying those specific factors
in your life that produce the ill effects of stress and contribute
to your headache condition. While stress factors are primarily
viewed as being the result of conflict, they can also be the
result of ‘eustress’ or ‘good stress’
(enjoying your stressful job, a joyous occasion, etc.). You
will be introduced to a variety of different techniques that
will not only provide you with the ability to monitor and
measure the effect of stress in your life, but will aid you
in reducing its effects.
VIDEO
Should you miss participating in a class or group, you may
ask the staff to provide a video for your viewing. Videos
available are: Doctor’s Bag, Doctor Shulman’s Headache
Group, Biofeedback Overview, Relaxation and Breathing, Diet
Instruction Class, Pharmacy Class, and Stress Management.
There will be a charge for unreturned tapes. Movies are available
for your weekend entertainment.
DIAMOND
HEADACHE TREATMENT PROGRAM
HOSPITAL RULES
- Under NO circumstances are patients allowed to leave
the hospital premises.
Patients leaving the building will be discharged and run
the risk of losing insurance benefits for their hospital
stay.
- A staff-supervised outside activity will occur during
good weather to provide you with walking exercise.
- Patients must be on the Diamond HeadacheUnit between
3:30 PM to 4:30 PM (unless you are in Biofeedback, diagnostic
testing, or physical therapy) and 8:00 PM to 8:00AM.
- Patients are not to call the Clinic or physicians directly
while hospitalized. All communication will take place
through the hospital nurses.
- Patients are not allowed to take any medication other
than that given by nurses under the physician’s orders.
- Patients are to sign in and out when leaving or returning
to their rooms. Sign Out/In sheets are located at the
Nurses’ Station. Patients are not permitted off the
Unit for more than 30 minutes at a time unless they are
attending a scheduled activity.
- Patients may only go to the following designated areas
of the hospital: Lobby, Gift Shop, Cashier, Snack Bar,
Biofeedback and religious services. Patients are not permitted
to use lounges other than those on the 9th floor.
- When leaving the Unit, patients are to be fully dressed,
including wearing shoes.
- Vending machines are located on the 1st floor. They
are available to you and your family or visitors. If you
make use of the vending machines and/or the cafeteria,
please be mindful of your diet restrictions.
- Smoking is NOT allowed in the hospital.
DIAMOND HEADACHE
TREATMENT PROGRAM
PATIENT INFORMATION
For your assistance, the following information is provided
to insure your comfort and to assist in your adjustment to
the hospital and this program.
Whenever you leave the floor to visit
other parts of the hospital, you will be required to wear
street clothes. Before leaving the floor—for any reason—stop
for medications at the nurses’ station. Please remember
to sign out when you leave and in when you return. Patients
with an IV are not allowed to leave the floor. Please consult
with your nurse.
BIOFEEDBACK LAB
The lab is located on the Unit. You will be accompanied for
your first Biofeedback session. The telephone extension is
54834 or 33.
PASTORAL CARE
There is a chaplain on duty 24 hours a day. The Pastoral Care
Department will provide spiritual care as needed for patients
and families of all faiths. The Chapel is located on the 11th
floor and is open 7 days a week from 6:00 AM to 8:00 PM. In-house
religious programs are offered on TV every day on channels
4, 6, 17, and 26.
CAFETERIA
The Cafeteria is located on the 1st floor and is available
to family and visitors. Hours: Breakfast is served Monday-Friday,
6:30 AM to 9:30 PM, and weekends from 6:30 AM to 8:30 PM.
Lunch is served from 11:00 AM to 2:00 PM daily, with hot food
being served only to 1:30 PM daily. Dinner is served daily
from 4:30-7:00 PM.
GIFT SHOP
The Gift Shop is located on the 1st floor off of the lobby
and is open every day from 9:30 AM to 6:00 PM. The Gift Shop
accepts American Express, Visa, and Mastercard.
LAUNDRY
Washing machine and dryer units are available on the Unit
for your convenience at no additional charge. Please be reminded
that these machines are not of commercial quality and instructions
need to be followed. You will find the instruction booklet
and laundry soap located in the laundry room. An iron and
ironing board are also available for your use. Laundry may
only be done between 8:00 AM and 8:00 PM. Please be courteous
of others using the machines and complete your laundry washing
and drying in a timely fashion.
LINENS
Fresh linens are provided as necessary by the staff. Towels,
washcloths, and extra blankets are located in the linen closet.
Ask staff for assistance.
PATIENT TIME
SCHEDULE
Before leaving the Unit, you are required to sign out at the
nurses’ station and return within a 30 minute period.
Plan to be on the Unit between 3:30 PM and 4:30 PM—during
the shift change—unless you are in Biofeedback, diagnostic
testing, class, or Physical Therapy. Patients must remain
within the hospital and are required to return to the Unit
no later than 8:00 PM. A Unit Schedule is located at the nurses’
station if you are needing to look up your appointments for
that day.
WALKS
As weather permits (no snow or ice and only during moderate
temperatures), a supervised walk will take place outside the
hospital ON MONDAYS AND WEDNESDAYS ONLY. Nursing approval
is necessary for any patient going on the walk. Patients with
heplocks or IVs are NOT permitted to leave the hospital premises.
THE POINT ROOM
Classes will take place
in the Point Room and the smaller Classroom. The following
classes/therapies will NOT take place in the lounge: Biofeedback,
and any Physical Therapy appointments or diagnostic treatments.
STAIRWELLS
Stairwells are off limits to all patients. They are only to
be used for your safety during an emergency.
TELEPHONE
There is no charge for any incoming calls that you receive
or for any local calling. If you expct to be placing only
long distance calls, contact the Operator (Dial "O")
who can assist you with your long distance calls. Report any
problems with your phone to the Unit Secretary.
TELEVISION
There is no charge for the television in your room.
VISITING HOURS
Visiting hours on the Unit are from 11:30 AM to 8:00 PM. The
Unit is a dedicated milieu and patient participation in the program is expected and encouraged. The presence of those
who are neither staff nor patients does indeed prevent interaction
and participation in the program. Visiting hours are strictly
enforced in order to reach maximum benefit for all patients.
Please be reminded that visitors should be courteous of the
privacy of a patient’s roommate.
DIAMOND HEADACHE
CLINIC BOOKS
Books are available for you sign out in the Biofeedback Lab
between 8:00 AM and 4:00 PM. You may sign out these books
based on availability. Please return the books within two
days. If you are interested in purchasing any of these books,
you may do so by contacting the Biofeedback Department.
ARTS AND CRAFTS
The sale of Arts and Crafts is only on Mondays and Wednesdays,
to be coordinated with the Activity Therapist.
We hope that you will find your stay enriching and rewarding.
Please feel free to ask any staff members questions. Thank
you and have a great day!
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