[libribook.com] Traumatic Scar Tissue Management 1st Edition
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
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- Page 631 and 632: Bordoni B, Zanier E (2014) Skin, fa
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- Page 635 and 636: Kutner JS, Smith MC, Corbin L et al
- Page 637 and 638: Schmidt NB, Richey JA, Zvolensky MJ
- Page 639 and 640: CHAPTER 8Communication and the ther
- Page 641 and 642: The Therapeutic RelationshipThe the
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- Page 651 and 652: Box 8.1Aside from obvious sexually
- Page 653 and 654: Box 8.2Eight principles that guide
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- Page 687 and 688: surrounding muscle structures that
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Clinical Consideration
As manual therapists, it is important that we adapt and respond to client
needs immediately, during every treatment session. Client response varies
from one client to the next and may vary from one session to the next. For
example, you may work with two different burn survivors on similar parts
of the body. Each one will bring their own interpretation of pain and
experience of the traumatic event to the table and client interpretation can
vary over the life-span of treatment. Each individual’s expressed (verbal or
non-verbal) response to treatment must be considered when formulating
treatment protocol and ongoing treatment.
Interview Skills and Communication of Goals
One of the first questions a traumatic scar client should be asked is the reason for
their visit. Some will answer that their doctor sent them; others may describe a
pain, sensation, restriction or condition as the reason for the visit. Exploring
those reasons will help to set up a conversation on goals.
Paying attention to the client’s goals and wishes is an important key when
working with someone with a traumatic scar. Recognizing and understanding
how the client’s quality of life has been altered is a springboard into discussing
realistic therapeutic goals.
Learning to listen is often a difficult challenge for massage therapists. It is
also about asking the right questions of clients to get them to open up
about their real issues. This isn’t psychotherapy but getting people to
become more aware of their bodies –
Julie Onofrio, 31 March 2013
Each circumstance requires thoughtful questioning and active listening, not only
during the first but at the beginning of every session. Quality of life may have