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

Referral example
Jane experienced medical trauma following a severe motor vehicle
accident in which she was involved as a child. Multiple injuries, addressed
by numerous surgeries, resulted in extensive scarring that contributed to
musculoskeletal impairments she experienced as an adult. Abrupt, forceful
type treatment techniques (PT administered grade 4/5 mobilizations)
triggered distress and subsequent protection mechanism fallout. She
disclosed this during a MT treatment a couple of days after experiencing
this and indicated that she was reluctant to receive further physiotherapy. I
asked if she had spoken with the physical therapist about her experience.
She said she had not. I discussed with Jane why it is important to share this
kind of information with a care provider, that such information is
appreciated by the therapist as it an important consideration for the
provision of safe and effective treatment. She agreed. I asked if she was
comfortable speaking directly with the PT and if not, with her consent, I
would be willing to advocate on her behalf.
A collaborative, client-centered approach is key to the delivery of ethical, high
quality healthcare. A number of components factor into the individual providers
delivery of ethical high quality care: establishing and maintaining professional
therapeutic relationships; sound clinical decision-making; and the provision of
evidence-informed/based practices. Throughout this book, clinical and
pathophysiological considerations have been provided as a basis for evidence. In
the next chapter assessment procedures and treatment protocols will be provided
to help guide sound clinical decision-making and treatment planning in order to
achieve consistently safe and predictable clinical outcomes.
References
Andrade CK, Clifford P (2012) In: Dryden T, Moyer C (eds) Massage therapy: integrating research and
practice. Human Kinetics, p. 31.
Andrade CK (2013) Outcome-based massage: putting evidence into practice. Baltimore: Lippincott
Williams & Wilkins.