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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Box 9.2The MT’s ability to use their senses analytically to collect informationinvolves three key concepts:• The ability to visualize what is happening in your client’s body. Forexample: you observe scar tissue from a burn injury that has envelopedthe client’s upper thoracic region. Can you envision how scarring in thisarea might affect the client’s movement and activities of daily living? Inaddition to the more obvious shoulder range of movement (ROM)issues, how might the scarring relate to the client’s other expressedcomplaint of low back pain? Could the limitation of arm swing bealtering her gait? In addition to observing straight-up shoulder ROMassessment, consider if she is limited in her ability to wash her hair,reach for items above her head or put on her car seat-belt? The ability tovisualize can often lead the therapist to ask important questions as theclient may not readily provide some information.• The ability to listen critically. Critical listening, a form of criticalanalysis, is fundamental to learning. Listening critically involvesanalyzing or evaluating the information received, and ultimatelyformulating an opinion that will reinforce good critical thinking,informed decision-making and problem-solving. When listeningcritically it is important to keep an open mind and not be biased bypreconceived ideas and personal judgments. For example: a client isdescribing the impact on her body from sitting at a computer for 8 hoursa day. Your questions seem to illicit the same responses you have heardfrom other clients in a similar situation. You find yourself not listeningbecause you’ve heard it before (a preconception), thereby blocking theability to listen fully and comprehend the information in a criticalmanner and perhaps in ways that you learn something new even thoughthe client’s response sounds the same (Lewis 2015).• Touch/palpate with a critical eye and hands. Palpation providesimportant information on tissue: structure, form, density and mobility.
Continuous evaluation during the session is important. What is differentseveral minutes into a treatment in comparison with when the treatmentstarted? What is happening in the surrounding structures, when the tissueunder your hands is palpated? Like critical listening, critical palpationrequires us to not preconceive. Approach each session with an openmind and hands; what was true for the client in the last session may notmanifest in the next session.(Fitch 2014)Take these observations with you when the traumatic scar tissue client is on thetable. Check the height of the hips, length of the legs, shoulder elevation, headtilt and skin color around the scarred area. Note your observations for referencepost-session.
- 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
- Page 659 and 660: Clinical ConsiderationAs manual the
- 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 and 688: surrounding muscle structures that
- Page 689 and 690: we are gathering information about
- Page 691: Keep in mind that the therapist’s
- 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
- Page 735 and 736: Clinical ConsiderationNumerous syst
- Page 737 and 738: Clinical ConsiderationHeat in the t
- Page 739 and 740: Clinical ConsiderationBest and co-w
- Page 741 and 742: Pathophysiological considerationCom
Continuous evaluation during the session is important. What is different
several minutes into a treatment in comparison with when the treatment
started? What is happening in the surrounding structures, when the tissue
under your hands is palpated? Like critical listening, critical palpation
requires us to not preconceive. Approach each session with an open
mind and hands; what was true for the client in the last session may not
manifest in the next session.
(Fitch 2014)
Take these observations with you when the traumatic scar tissue client is on the
table. Check the height of the hips, length of the legs, shoulder elevation, head
tilt and skin color around the scarred area. Note your observations for reference
post-session.
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