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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Assessment and EvaluationIt is important that healthcare professionals use up-to-date information and toolsto guide clinical decision-making. Simple, valid and reliable assessment andevaluation methods will help the therapist to proceed with confidence inproviding safe and effective care, tracking progress and then communicatingresults to stakeholders (e.g. the client, other care providers, benefit providers)(Gowan-Moody 2011).Outcome measurement, the systematic collection and analysis of information, isused to evaluate the efficacy of a treatment intervention (Clark & Gironda 2002,Gowan-Moody 2011). An important idea in health sciences’ research on efficacyis that the outcomes measured are client- or patient-centered; namely, pain,function, quality of life and satisfaction with care (Philadelphia Panel 2001,Gowan-Moody 2011).Professional MTs must continually ask if their care is safely and effectivelyaiding in the resolution or management of the client’s presenting concerns andissues. As clinicians we need to have valid, reliable and responsive tools toestablish a baseline and monitor change as a result of our treatment. Using thesesimple tools also aids in identifying appropriate dose-related variables, such asthe frequency, duration and number of treatments required to achieve clinicallysignificant outcomes (Ezzo 2007, Gowan-Moody 2011).Outcome measures are also invaluable for the therapist wishing to write andpublish case reports and case series, and also for those wishing to engage inclinical audit.Assessment and evaluation procedures for traumatic scar tissue clients willencompass the usual spectrum: palpation, local and global functional assessment(including postural and movement evaluation); neurological and special tests;and any measures to evaluate impact on activities of daily living. All assessmentand evaluation information is to be properly documented in the client’s file.Standard assessment and evaluation procedures will not be included in this book;however, certain key points with particular relevance to traumatic scars will beprovided.Assessment and evaluation will vary depending upon the stage of healing and if
we are gathering information about the scar itself, the tissue around the scar orthe scar-associated impairments.In general, consideration of the client’s emotional state, traumatic scar tissue andsurrounding and underlying tissues, and any compensatory presentations, need tobe evaluated and documented before and after each treatment session.
- 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
- Page 643 and 644: Needs assessment, treatment plannin
- Page 645 and 646: Clinical ConsiderationIt is importa
- Page 647 and 648: Therapeutic Closeness and Vulnerabi
- Page 649 and 650: BoundariesOver the course of our li
- Page 651 and 652: Box 8.1Aside from obvious sexually
- Page 653 and 654: Box 8.2Eight principles that guide
- Page 655 and 656: Effective Listening and Empathetic
- Page 657 and 658: Clinical ConsiderationNever underst
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- Page 661 and 662: Interview exampleMary is a client w
- Page 663 and 664: SummarySeveral pieces of informatio
- Page 665 and 666: with traumatic scar tissue clients.
- Page 667 and 668: ‘Physicians’ perspective of mas
- Page 669 and 670: Referral exampleTonya, a 21-year-ol
- Page 671 and 672: Referral exampleJane experienced me
- Page 673 and 674: CHAPTER 9Assessment and treatmentHe
- Page 675 and 676: MT. Additionally, sometimes people
- Page 677 and 678: Traumatic Scars and Associated Impa
- Page 679 and 680: Clinical ConsiderationReduction of
- Page 681 and 682: Clinical ConsiderationMT has been f
- Page 683 and 684: Clinical ConsiderationMassage can h
- Page 685 and 686: Health History and InterviewA stand
- Page 687: surrounding muscle structures that
- Page 691 and 692: Keep in mind that the therapist’s
- Page 693 and 694: Continuous evaluation during the se
- Page 695 and 696: Pre-treatment assessment/evaluation
- Page 697 and 698: Scar scalesScar scales can be used
- Page 699 and 700: response to negative pressure. It h
- Page 701 and 702: • Client self-management strategi
- Page 703 and 704: BindOnce barrier is reached or surp
- Page 705 and 706: Table 9.1Comparative of normal and
- Page 707 and 708: 2-3 times a year effectively addres
- Page 709 and 710: Myofascial meridian exampleSuperfic
- Page 711: Clinical ConsiderationKnee and back
- Page 715 and 716: Clinical ConsiderationApplication t
- Page 717 and 718: Pathophysiological ConsiderationMec
- Page 719 and 720: Clinical ConsiderationStecco and co
- Page 721 and 722: Safety FirstMT appears to have few
- Page 723 and 724: Deep workThe deep techniques noted
- Page 725 and 726: Psychological considerationsIt is w
- Page 727 and 728: Clinical ConsiderationMT dosage and
- Page 729 and 730: Developing a sound treatment strate
- Page 731 and 732: Treatment outcomesEssentially, earl
- Page 733 and 734: Dosage considerationsThe presence o
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we are gathering information about the scar itself, the tissue around the scar or
the scar-associated impairments.
In general, consideration of the client’s emotional state, traumatic scar tissue and
surrounding and underlying tissues, and any compensatory presentations, need to
be evaluated and documented before and after each treatment session.
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