[libribook.com] Traumatic Scar Tissue Management 1st Edition
scar tissue, while being mindful of our scope of practice. The psychologicaltrauma information covered in this chapter is intended to help guide the deliveryof safe, effective and ethical care for people with traumatic scars. Particularrelevance to this book is stress response; the impact of stress on wound healing;somatic memory; how to safely navigate emotional response/release duringtreatment; considerations for MT as a co-partner in health psychology andrecognizing indicators for when the client may require professionalpsychological care.Providing psychotherapy is not within the MT scope of practice. Over-steppingour professional boundaries constitutes professional misconduct and presents thepotential risk of causing harm to the client. It is in the client’s best interest thatwe refer out when it is clear that presentations exist that are beyond our scope ofpractice and the client would benefit from additional or other care.
Traumatic Events and Traumatic ResponseThe Diagnostic and Statistical Manual of Mental Disorders (DSM-V) defines atraumatic event as that which is outside the range of usual human experience thatwould markedly distress almost anyone; a serious threat or harm to life or one’sphysical integrity; a serious threat or harm befalling a friend or family member;sudden destruction of one’s home or community or witnessing of another beingseriously injured or killed. Such experiences can occur as a result of directexposure to a traumatic event or indirectly (indirect trauma) in the form oflearning about a traumatic event experienced by another.Threat, actual or perceived, of death or serious injury to self or others results in aresponse of intense fear, helplessness or horror. It is not necessarily the eventitself but the meaning it has for the individual that makes it traumatic. Traumaticevents are emotionally shocking events that can overwhelm a person in a varietyof ways (Trauma Center 2015).
- Page 512 and 513: • Stimulate ECM formation• Regu
- Page 514 and 515: Clinical ConsiderationIt has been i
- Page 516 and 517: Clinical ConsiderationMT may be a v
- Page 518 and 519: ThermoregulationThermoregulation (t
- Page 520 and 521: from the tissues and taken up by th
- Page 522 and 523: treatment strategies are difficult
- Page 524 and 525: Clinical ConsiderationSkin rolling
- Page 526 and 527: Sequelae and ComplicationsAdvances
- Page 528 and 529: • Paresthesia - 47%• Arm/should
- Page 530 and 531: breast or around the edge of the ar
- Page 532 and 533: Radiation scarringScar tissue as a
- Page 534 and 535: Implants and painPain of fluctuatin
- Page 536 and 537: LymphedemaBreast cancer treatment o
- Page 538 and 539: volume of fluid that accumulates or
- Page 540 and 541: OneTwoThreeCommonly referred to as
- Page 542 and 543: myokinetic chain/myofascial meridia
- Page 544: • Loss of touch sensation• Clum
- Page 548 and 549: Figure 6.3Distribution of nerves in
- Page 550 and 551: include preservation of as much of
- Page 552 and 553: complication is present there is de
- Page 554 and 555: Clinical ConsiderationScar complica
- Page 556 and 557: BreastCancer.org (2015c) Side Effec
- Page 558 and 559: 323-9.Kania A (2012) Scars. In: Dry
- Page 560 and 561: Slemp AE, Kirschner RE (2006) Keloi
- Page 564 and 565: Physiological ResponseAs discussed
- Page 566 and 567: • The realization that one is abo
- Page 568 and 569: Stress Response and Stress Hormones
- Page 570 and 571: dissociation and inner shakiness) (
- Page 572: Figure 7.1(A) Summary of the HPA me
- Page 575 and 576: Chronic Stress ResponseChronic stre
- Page 577 and 578: Pathophysiological ConsiderationChr
- Page 579 and 580: Clinical ConsiderationProlonged str
- Page 581 and 582: Psychological Stress and Wound Heal
- Page 583 and 584: Pathophysiological ConsiderationNor
- Page 585 and 586: Pathophysiological ConsiderationStr
- Page 587 and 588: Clinical ConsiderationAccording to
- Page 589 and 590: Clinical ConsiderationEvidence sugg
- Page 591 and 592: Clinical ConsiderationAccording to
- Page 593 and 594: Clinical ConsiderationThe effects o
- Page 595 and 596: Stress DisordersFollowing a traumat
- Page 597 and 598: Clinical ConsiderationThe Task Forc
- Page 599 and 600: Clinical ConsiderationCertainly it
- Page 601 and 602: ASD symptoms include (DSM-V 2013):
- Page 603 and 604: Box 7.1Why do medical events potent
- Page 605 and 606: Rehabilitation and reintegrationThi
- Page 607 and 608: Pathophysiological ConsiderationAcc
- Page 609 and 610: Clinical ConsiderationAccording to
- Page 611 and 612: DissociationDissociation is describ
Traumatic Events and Traumatic Response
The Diagnostic and Statistical Manual of Mental Disorders (DSM-V) defines a
traumatic event as that which is outside the range of usual human experience that
would markedly distress almost anyone; a serious threat or harm to life or one’s
physical integrity; a serious threat or harm befalling a friend or family member;
sudden destruction of one’s home or community or witnessing of another being
seriously injured or killed. Such experiences can occur as a result of direct
exposure to a traumatic event or indirectly (indirect trauma) in the form of
learning about a traumatic event experienced by another.
Threat, actual or perceived, of death or serious injury to self or others results in a
response of intense fear, helplessness or horror. It is not necessarily the event
itself but the meaning it has for the individual that makes it traumatic. Traumatic
events are emotionally shocking events that can overwhelm a person in a variety
of ways (Trauma Center 2015).