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[libribook.com] Traumatic Scar Tissue Management 1st Edition
CHAPTER 10Client and therapist self careSelf care is health careHealth is a dynamic, subjective process that is experienced uniquely amongindividuals. Self care is defined as a process of maintaining health throughhealth promoting practices and managing illness or injury (Riegel et al. 2012).General self care (e.g. personal hygiene and nutritional practices) and illness orinjury-specific self care differ. General self care measures are typicallyinfluenced by age, gender, culture, education and socioeconomic status. When inassociation with illness or injury, self care measures are often influenced by thehealthcare provider.In the massage therapy (MT) practice context, client self care includes an arrayof activities, such as therapist-recommended post-treatment homecare (e.g. heatapplication and stretch exercise). The trauma experienced by individuals variesgreatly, as do issues that arise during acute care, rehabilitation, and throughoutthe remainder of life. And so, client self/homecare measures will not be the samefor all clients and will likely not be consistent over time (Dahl et al. 2012, Riegelet al. 2012).The practice and performance of activities by the client, on their own behalf, tosupport and maintain life, health and wellbeing is an essential part of the posttraumarecovery process (Orem 1991, Riegel et al. 2012). Client self-investmentis crucial, as self care is considered essential in the management of chronicpresentations, such as mature traumatic scar tissue.As professional healthcare providers, when we interact with clients, our intentionis that the partnership we form will serve to motivate them to engage in self care
and to be consistent with any selfcare recommendations.In the many articles on self care for therapist found in professional journals, acommon theme prevails. The bottom line in any caregiving situation is, the verybest thing we can do for those who depend on us is to take care of ourselves.Being a MT practitioner is challenging on many levels. The physicality of thework along with empathetic demands can take a toll. Solid selfcare practices area must for career longevity. Empathy strain, burnout, compassion fatigue andindirect trauma can be inevitable byproducts our professional demands andcertainly so when working with trauma survivors. Effective therapist selfcarestrategies are essential to support the therapist who will be in the presence of andtouching the pain of others.The aim of this chapter is to provide information to help guide the developmentand implementation of effective client and therapist selfcare/homecare strategies.
- Page 808 and 809: Clinical ConsiderationAs all of the
- Page 810 and 811: Compression techniqueCompression te
- Page 812 and 813: Figure 9.8Tension. The lower leg is
- Page 814: Figure 9.9Approximation-compression
- Page 818 and 819: Figure 9.11(A) Shear: begin by enga
- Page 820 and 821: Clinical ConsiderationIt is common
- Page 823 and 824: Figure 9.12Torsion/rotation. Begin
- Page 826 and 827: Figure 9.13Lifting. Begin by graspi
- Page 828 and 829: Gross stretchGross stretch techniqu
- Page 830 and 831: Figure 9.15‘Cs’. Begin as noted
- Page 833 and 834: Figure 9.17J-stroke. Begin at one e
- Page 835 and 836: Clinical ConsiderationIrritated ner
- Page 837 and 838: Pathophysiological ConsiderationCha
- Page 839 and 840: Clinical ConsiderationAs the mechan
- Page 841 and 842: Clinical ConsiderationIn various st
- Page 843 and 844: Chaudhry H, Schleip R, Ji Z et al (
- Page 845 and 846: principles and methods. Philadelphi
- Page 847 and 848: Pilat A (2003) Myofascial therapies
- Page 849 and 850: Yang G, Im HJ, Wang JHC (2005) Repe
- Page 851 and 852: Medial thigh 4th degree skin grafts
- Page 853: Figure B.2 Post-treatmentSurgical s
- Page 857: Figure C.2 Post-treatment2 December
- Page 861 and 862: ability to resume social responsibi
- Page 863 and 864: Clinical ConsiderationTrauma can be
- Page 865 and 866: MaintenanceSelfcare maintenance is
- Page 867 and 868: ManagementSelfcare management is de
- Page 869 and 870: Client and Therapist PartnershipTo
- Page 871 and 872: Box 10.1Factors affecting, effectiv
- Page 873 and 874: Strategies to Facilitate Engagement
- Page 875 and 876: Clinical ConsiderationThe authors u
- Page 877 and 878: instances. Make your clients aware
- Page 879 and 880: Relaxation MeasuresVarious relaxati
- Page 881 and 882: scope of practice, such as relaxati
- Page 883 and 884: Silicone gel and silicone sheetingS
- Page 885 and 886: Medicinal honeyThe use of honey for
- Page 887 and 888: Wise Use of Your BodyIt is not esse
- Page 889 and 890: Empathy Strain and BurnoutEmpathy,
- Page 891 and 892: Box 10.3A reflection on reasons for
- Page 893 and 894: Clinical ConsiderationIn the author
- Page 895 and 896: trauma are the therapist’s person
- Page 897 and 898: Care for the care providerIt is imp
- Page 899 and 900: body. Edinburgh: Churchill Livingst
- Page 901 and 902: Salvo SG (2015) Body mechanics, cli
- Page 903 and 904: Research databases and repositories
- Page 905 and 906: Funding for massage therapy researc
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and to be consistent with any selfcare recommendations.
In the many articles on self care for therapist found in professional journals, a
common theme prevails. The bottom line in any caregiving situation is, the very
best thing we can do for those who depend on us is to take care of ourselves.
Being a MT practitioner is challenging on many levels. The physicality of the
work along with empathetic demands can take a toll. Solid selfcare practices are
a must for career longevity. Empathy strain, burnout, compassion fatigue and
indirect trauma can be inevitable byproducts our professional demands and
certainly so when working with trauma survivors. Effective therapist selfcare
strategies are essential to support the therapist who will be in the presence of and
touching the pain of others.
The aim of this chapter is to provide information to help guide the development
and implementation of effective client and therapist selfcare/homecare strategies.
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