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

Interview example
Mary is a client with mastectomy scars on her right chest wall. She states
she has pain in her neck, upper back and shoulder. Restriction of
movement in her right shoulder limits her ability to move her steering
wheel properly, reach for items above the first shelf in her kitchen and
causes her issues with sleep.
After going through initial range of motion (ROM) and muscle testing
assessments, I asked Mary about her medications. She was on two types of
anti-depressants and narcotic pain medication.
Our conversation:
• Therapist (T): ‘Mary, thank you for being patient during the assessment.
Before we begin the session, I need to know more about your
medications. Can you tell me what these medications are used for?’
• Mary: ‘My oncologist put me on this anti-depressant after my breast
cancer surgery. The other anti-depressant I’ve been taking since my
daughter passed away a few years ago.’
• T: ‘I’m sorry for your loss. How did this loss affect you physically?’
• Mary: ‘I didn’t move for months. It hurt too much.’
• T: ‘It must have been difficult for you to do daily tasks.’
• Mary: ‘Yes, it was.’
• T: ‘What daily tasks are difficult for you now?’
• Mary: ‘I would love to reach the second shelf in the kitchen. I would love
to make a full rotation on my steering wheel in the truck. I would love to
play soft-ball again at the 4th of July picnic.’
• T: ‘Those are great goals. Let’s take them one by one. With the
assessment, the scarring from the surgery is showing some restriction
across your chest wall and is inhibiting the movement you use to reach. I