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

16.06.2020 Views

gather information for the session.If you observe the client reacting to pressure by holding their breath or tension intheir body (a protection mechanism), suspend the treatment immediately. Inquireabout pressure, depth of touch and pain. Seek their guidance about how muchpressure and depth they can tolerate without displaying this type of protectiveresponse. This process not only empowers the client and reaffirms the therapist’strustworthiness, it also presents an opportunity for the client to know what toexpect from the therapeutic experience. By engaging the client in this way, thetherapist teaches the client what to expect and knowing what to expect cangreatly diminish any anxiety related to the unexpected, which is common inthose who have experienced trauma (Fitch 2014). Additionally, as noted inChapter 7, trauma survivors commonly experience PTSD-type presentations andstimulating the protection mechanism not only detracts from the productivenessof the treatment, this also may trigger complex consequences for the client.

Clinical ConsiderationAs manual therapists, it is important that we adapt and respond to clientneeds immediately, during every treatment session. Client response variesfrom one client to the next and may vary from one session to the next. Forexample, you may work with two different burn survivors on similar partsof the body. Each one will bring their own interpretation of pain andexperience of the traumatic event to the table and client interpretation canvary over the life-span of treatment. Each individual’s expressed (verbal ornon-verbal) response to treatment must be considered when formulatingtreatment protocol and ongoing treatment.Interview Skills and Communication of GoalsOne of the first questions a traumatic scar client should be asked is the reason fortheir visit. Some will answer that their doctor sent them; others may describe apain, sensation, restriction or condition as the reason for the visit. Exploringthose reasons will help to set up a conversation on goals.Paying attention to the client’s goals and wishes is an important key whenworking with someone with a traumatic scar. Recognizing and understandinghow the client’s quality of life has been altered is a springboard into discussingrealistic therapeutic goals.Learning to listen is often a difficult challenge for massage therapists. It isalso about asking the right questions of clients to get them to open upabout their real issues. This isn’t psychotherapy but getting people tobecome more aware of their bodies –Julie Onofrio, 31 March 2013Each circumstance requires thoughtful questioning and active listening, not onlyduring the first but at the beginning of every session. Quality of life may have

gather information for the session.

If you observe the client reacting to pressure by holding their breath or tension in

their body (a protection mechanism), suspend the treatment immediately. Inquire

about pressure, depth of touch and pain. Seek their guidance about how much

pressure and depth they can tolerate without displaying this type of protective

response. This process not only empowers the client and reaffirms the therapist’s

trustworthiness, it also presents an opportunity for the client to know what to

expect from the therapeutic experience. By engaging the client in this way, the

therapist teaches the client what to expect and knowing what to expect can

greatly diminish any anxiety related to the unexpected, which is common in

those who have experienced trauma (Fitch 2014). Additionally, as noted in

Chapter 7, trauma survivors commonly experience PTSD-type presentations and

stimulating the protection mechanism not only detracts from the productiveness

of the treatment, this also may trigger complex consequences for the client.

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