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

Clinical Consideration
Clients can feel isolated in their ‘bubble of trauma’ (Gullick et al. 2014),
learning to deal with their new body, caregivers after discharge and their
new normal. Phenomenological research, of trauma suffered from a burn
injury, from China, South Africa, Norway and America show the following
results (Gullick et al. 2014):
• Patients perceive the event as a life crisis that shatters their understanding
of the world and their place in it
• A reliable recall of events can be blocked by fragmented glimpses of
disorganized memories, dreams, hallucinations and even delusions
• Recurring themes of social rejection for young burn survivors and
reported experience of lingering feelings of anger and bitterness years
after their burn injury.
According to a study from the Journal of Trauma (Holbrook et al. 1999), the
magnitude of patient impact following major injury is often underestimated.
Using the 12- and 18-month Quality of Wellbeing Scale (QWS; questionnaire) to
measure outcome, the study concluded that seriousness of injury and intensive
care unit days are significantly associated with patient post-injury depression and
post-traumatic stress disorder.