Cozaar (Losartan)

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Cozaar (Losartan)
ANGINA AND RELAXATION SKILLS: PROGRESSIVE MUSCULAR RELAXATION
After activity, or when you are anxious, your muscles contract and become tense, but you may not be aware of this. Unless you actively release this tension this can build up and become chronic. Chronic tension has three main effects:
it causes discomfort in the muscles
it exposes the muscles and surrounding structures – ligaments and bones – to physical stress and potential injury
it can act as a cue for anxiety.
Progressive muscular relaxation works in three ways. Firstly, it teaches you the difference between the sensation of tension and the sensation of relaxation in the muscles. Secondly, it breaks into the cue for anxiety. Thirdly, the muscles become more relaxed if tensed then relaxed rather than simply ‘let go’ from a resting position. The whole procedure will take about 15 to 20 minutes. It is not possible, especially in the beginning, to cut down this time. When learning this skill it is essential to practise at least once a day, preferably twice. When it has been fully learned it may be possible to ‘top up’ less often but at this stage, the more you practise the more benefits you will feel.
Where you practise is also very important. You will need a quiet, darkened room where you are sure you won’t be disturbed. It is not ideal to practise in the bedroom as there will be associations with sleeping there. As you should be alert but relaxed, not drowsy, at the end of the exercise it is better to avoid places associated with sleep. But if it is the only room available, make sure you do not try to practise when you are tired. You should also avoid deep relaxation after a heavy meal as your digestion may be distracting and you may fall asleep. If there is a telephone in the room, take it off the receiver – put a ‘do not disturb’ notice on the door if necessary. It is also important to ensure the room is warm, as when you relax your body temperature drops which can make you more sensitive to a cold room. Close the curtains so that you can focus all your attention on your bodily sensations.
Step 1
Lie on your back on a firm surface with your head, neck and back well supported. Remove your shoes, belt, tie, contact lenses or spectacles and loosen any restrictive clothing. Allow your ankles to flop apart, keep your knees together and lay your arms beside your body with the palms turned uppermost. Close your eyes.
Step 2
Begin by thinking slow, relaxing thoughts. Bring to mind any comfortable relaxing feeling you can remember. This may be a day on the beach, lying on a hill in the sun, or anything you have found relaxing in the past. Take three slow deep breaths, just like you have learned in the deep breathing section. Do not rush through this section, as mental preparation is as important as the physical procedure.
Step 3
When you are ready begin to focus your attention on your body and feel the support from the structure you are lying on, bring all your attention to your feet, toes and ankles. Tense them by pushing the toes away from your body, hold the tension for about five seconds and then relax. Slowly let all of the tension fade away.
Then bring your attention to your lower limbs. Again tense the calf muscles by pushing your heels down away from your body, hold, then relax. Also, bring your toes up in the other direction. This will fully stretch your calf muscles, hold, then relax. Moving up to your thighs, tense them whilst leaving the lower limbs relaxed, hold, and relax. Notice the difference between tension and relaxation, concentrate on the sensation. Next, raise your legs about six inches away from the bed, hold, and then relax. You can omit this last exercise if you have a back problem.
Now moving up to the buttocks, clench them together, raising your pelvis off the bed slightly, hold, then relax. Make sure you pause between the muscle groups to appreciate the difference between tension and relaxation. Concentrate your attention now on your lower back. Repeat the tension by arching your back, only slightly, and slowly letting it sink back down into the bed or floor.
Moving up to your arms, making a fist with both hands, tense your hands and forearms, hold, then relax. Move up to your biceps, tense these by bending your arms at the elbow and bringing your fist up to your shoulder, again hold, then relax.
Letting your hands spread out comfortably, bring your attention to the sensation of relaxation in the whole of your body from your chest downwards.
Now concentrate on your shoulders, shrugging them up to your ears, tensing all of your upper back, neck and shoulders, then relax. Slowly rotate your head around to your left shoulder whilst keeping it on the floor or the bed. Feel the tension in the right side of your neck, hold, then relax. Repeat that exercise on the opposite side. Now bring your chin towards your chest, tensing the muscles in the back of your neck, hold the tension, then relax. Push your head back down onto the pillow, raising your chin to the ceiling, hold, then relax.
Now focus on the muscles of your jaw, eyes, forehead, scalp and tongue. First clench your jaw tight, holding the tension in your lower and upper jaw, and then relax. Press your tongue hard into the roof of your mouth with your mouth closed, hold the tension and then relax. Now screw up your eyes as if you have soap in them, hold, and relax. Make a frown across your forehead, knitting your eyebrows together, feel the tension across your forehead, hold, and then relax. Enjoy this sensation of warmth and comfort which comes into the whole of your face and head when you relax.
Cardio & BloodStep 4
Once you have lain enjoying the feeling of relaxation for some minutes, begin to bring your attention back to your surroundings. Take a deep breath, feel the air entering your lungs bringing new fresh vigour, stretch your limbs, toes, fingers and open your eyes. You will feel new life entering your body and a new feeling of deep relaxation and mental alertness. If you have followed this procedure carefully you should be looking forward to the next practice. However, we all learn at a different pace and do not be disheartened if you did not get the full benefit this time. It will get better with practice.
*41/108/2*

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