[libribook.com] Traumatic Scar Tissue Management 1st Edition
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[libribook.com] Traumatic Scar Tissue Management 1st Edition

hongchingyee
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Physiological ResponseAs discussed in previous chapters, traumatic scar tissue forms as a result of anexcessive reaction from the systems responding to the trauma (Foex 2013).Physiological responses to trauma can occur as local and systemic. Individualsystem responses can have a synergistic effect on the other involved systems.Tissue discontinuity, infection, hypovolaemia, hypoxia or hypercarbia initiate thephysiological response to trauma. The response, although necessary to maintainlife, is harmful when excessive or prolonged (Black 1998).Traumatic scarring is more likely in injuries where enough of the dermis hasbeen compromised or destroyed to have a profound effect on numerous systems:vascular, lymph, nervous, immune, endocrine, integumentary and fascia.

Psychological ResponsePsychological response to trauma exposure varies considerably from person toperson.However, certain inherent and learned normal responses to threatening eventsare part of our survival/stress response mechanism, which are covered in greaterdetail later in this chapter.During times of stress, most people draw on established coping skills andsupport from family and friends to manage such experiences. Healing followingtrauma exposure often proceeds normally and there are no long-termconsequences. At other times, an individual may experience temporary or longterm,mild to severe and debilitating effects from exposure to trauma, which maytransition to more serious psychological conditions such as stress disorders –discussed in greater detail below (Trauma Center 2015).Disruptive or debilitating trauma/stress response symptoms can presentimmediately, days, months or even years after the traumatic event. Symptomsmay arise through an environmental trigger and present as emotional, cognitiveor physical.The Effects of Trauma Exposure: a General OverviewFollowing trauma exposure, anyone of us might experience a range of normalreactions such as anxiety, fear, shock, upset, an adrenalin rush, irritability,impatience, hyper-vigilance, exaggerated startle response, distressing thoughts,feeling overwhelmed, emotional numbness, loss of appetite, sleep disturbance,personal or social disconnection and various comorbidities associated withdissociation (Trauma Center 2015).Some of the common characteristic feelings that arise with trauma exposure are(Colorado 2012):• Loss of control• Intense fear or horror• Helplessness

Physiological Response

As discussed in previous chapters, traumatic scar tissue forms as a result of an

excessive reaction from the systems responding to the trauma (Foex 2013).

Physiological responses to trauma can occur as local and systemic. Individual

system responses can have a synergistic effect on the other involved systems.

Tissue discontinuity, infection, hypovolaemia, hypoxia or hypercarbia initiate the

physiological response to trauma. The response, although necessary to maintain

life, is harmful when excessive or prolonged (Black 1998).

Traumatic scarring is more likely in injuries where enough of the dermis has

been compromised or destroyed to have a profound effect on numerous systems:

vascular, lymph, nervous, immune, endocrine, integumentary and fascia.

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