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

Clinical Consideration
Anything that suppresses inflammatory response potentially impacts the
healing process. The use of anti-inflammatory medication can be helpful
and necessary at times; however, with regard to the healing process, there
are potential ‘negative’ considerations (Cohen et al. 2006, Magra &
Maffulli 2006, Tortland 2007, Van den Berg 2012), most notably the
impact on tissues that are less vascular (e.g. tendons, ligaments and fascial
attachments). This negative effect on healing also results from analgesic
medication because the individual is likely to be confused by masked pain
levels and so exceeds load on healing tissues – further impacting the
natural healing process.
Record Keeping and Documentation
Keeping a record of client care is a requirement for professional healthcare
providers.
Documenting client expressed concerns, therapist findings and treatment
outcomes supports sound clinical decision-making (Fitch 2014). The more
thorough and complete the client record is, the easier it is for the therapists to
make sound protocol decisions.
Record the date, time and length of each session and include all correspondence
from a referral or other health care professionals and any diagnostic information,
such as X-ray, computed tomography scan, MRI and ultrasound reports.
Traumatic events may result in unique and unusual considerations; for example,
metal pins and plates, staples and/or sutures may be present in the tissue. During
the initial intake, be sure to gather as much information as possible about the
presenting condition(s) (Tappan & Benjamin 1998). Ask the client to bring a
copy of their surgical report(s) so you can understand which muscle or muscle
groups were affected so you may proceed safely. Prior knowledge of any