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

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direct change. Minimization of the aesthetic impact presents multipleconsiderations, some of which may be improved by MT. The most notable ofthese is early intervention to improve scar quality and, subsequently, how thismay impact the client’s emotional state. And in all cases, measures taken tominimize or prevent the occurrence of pathophysiological scars is in everypatient’s best interest.Sadly, however, it is most likely that several days, weeks, months or even yearswill pass before we treat the client for the first time. Access to the client may behindered while they are in hospital or other treatment centers, post-traumareferrals for MT still lag and, simply, it may not occur to the individual that MTcould be a valuable part of their post-trauma care.On a grand scale, it is the authors’ intention that outlining an evidence-informedapproach will serve to improve delivery of care and outcomes, support theacknowledgment and inclusion of MT as a viable component in scarmanagement and, most importantly, ensure that those in need have access to andreceive the safe and effective MT treatment that could make a tremendousdifference in their trauma recovery.Previous chapters have provided a solid base for understanding traumatic scartissue, its formation, physiological tissue changes, structural changes and thepsychosocial issues that may or may not present with the traumatic scar tissueclient. Additionally, throughout the book, clinical considerations have beeninterjected as a means to create a nexus, linking science (evidence base) to ourwork in the treatment room.The aim of this chapter is to provide a solid, evidence-informed approach to scarassessment procedures and scar management protocols that take intoconsideration the unique, MT clinical environment.The assessment approach and treatment protocols presented in this book aresupported by basic science, current research, the authors’ (collective) 45+ yearsof clinical practice and other clinician’s important work. Much effort has beentaken to ensure the safety and advisability of the information provided; however,it is possible to injure people by performing almost any type of intervention.This is more likely when a procedure is performed without judiciousprecautions, or when the recipient of the intervention has unique biological orother factors that make them more vulnerable to negative reactions/responses to

MT. Additionally, sometimes people have a negative reaction to MT that iswholly unpredictable, or their health becomes compromised at the same time anintervention is performed or shortly thereafter as a result of unrelated factors.An evidence-based approach to practice is not solely about using the bestresearch evidence to choose and apply our therapeutic actions – it also meansusing our clinical expertise and it fully embraces the importance of andincorporates what our clients’ value from us (Sackett et al. 2000). See Box 9.1.The authors encourage further learning to support how best to practice in anevidence-based informed way – incorporating the best available scientificevidence and blending that with your client’s unique biological factors, needsand desires, and your own clinical judgment. Some suggested resources forfurther learning can be found in the Appendix, p. 255.

MT. Additionally, sometimes people have a negative reaction to MT that is

wholly unpredictable, or their health becomes compromised at the same time an

intervention is performed or shortly thereafter as a result of unrelated factors.

An evidence-based approach to practice is not solely about using the best

research evidence to choose and apply our therapeutic actions – it also means

using our clinical expertise and it fully embraces the importance of and

incorporates what our clients’ value from us (Sackett et al. 2000). See Box 9.1.

The authors encourage further learning to support how best to practice in an

evidence-based informed way – incorporating the best available scientific

evidence and blending that with your client’s unique biological factors, needs

and desires, and your own clinical judgment. Some suggested resources for

further learning can be found in the Appendix, p. 255.

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