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

Treatment Protocol
The therapist’s clinical reasoning skills, scope of practice, training and
experience, in addition to the interests, concerns and informed consent of the
client, influence the planning process. An integrated treatment planning process
may involve working with a healthcare team to ensure that all care providers for
a particular client understand each other’s treatment focus and approach and that
these are complementary (Fritz 2013).
Prior chapters have provided in-depth information on the various systems
involved in the wound-healing process and those potentially harmed by a
traumatic event, considerations pertaining to the client’s emotional state, and
establishing a solid therapeutic relationship. This information is intended to
serve as a reference guide to assist with making informed treatment protocol
decisions. The aim of this next section is to provide further guidelines for
developing a safe, effective, evidenced informed, client-centered, treatment plan.
Establishing obtainable outcomes for each session or group of sessions is an
important part of treatment planning. Each session will require the MT to make
protocol decisions based on how the scar, surrounding area and other areas of
concern currently present and, most importantly, the pain tolerance and comfort
of the client during treatment.
If you are working with a recently acquired scar, please remember that scar
maturation may take from a few months to several years. You will see many
changes to the scar over this time. Adjustments in the tissue and progress in the
wound-healing process require constant modification of your treatment plan
(Kania 2012).