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

Communication
Ethical and professional dilemmas tend to occur as a result of ineffective or miscommunication.
Without a direct communication approach, ethical dilemmas
tend to escalate and both parties suffer in the process. To make ethical decisions
and resolve ethical dilemmas, we must communicate effectively. Good
communication skills are required to retrieve information, maintain charting and
client records, and provide information effectively so that the client can give
informed consent (Fritz 2013).
A traumatic scar injury can have multiple physical, neurological and cognitive
consequences (Grigorovich et al. 2013). Many traumatic scar clients bring
experiences of multiple surgeries, doctors’ appointments and physiotherapy
visits before they walk through your clinic door. Or other consultations may be
concurrent; the client may have just arrived at your door after such a visit.
With this understanding, it is imperative to gather a more complete picture of the
client’s needs prior to each session. Pay attention to their mood and physical
condition as they step through your clinic door. These are clues to open up
dialogue about the pain they are experiencing and how to proceed in the session;
for example, if the client presents tense and displays a more deliberate gait or
holding pattern, ask about their day. Knowledge about their day-to-day life and
prior experiences leading up to their session may indicate a need for changes in
pressure and depth.
It is important to actively listen and emphatically respond to the client as a whole
person, not just the area of injury or symptom and create an appropriate set of
protocols for each treatment session (Fitch 2014).