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

Box 10.1
Factors affecting, effective selfcare engagement
Some of the major factors serving as barriers and facilitators to selfcare
include (Reigel et al. 2012):
• Clinician experience and skill. As is the case with most things, the more
experienced we are, the more skilled we become. Over time, the MT
may devise more efficient and effective ways to instruct a selfcare
measure or recognize what measure will achieve the best possible
outcome for a given client. In addition to experience, collaborating or
conferring with colleagues is another way to expand the therapist’s client
selfcare literacy and implementation strategies.
• Client motivation. The drive to achieve goals can be intrinsic or extrinsic.
Intrinsic motivation is driven by an internal desire to perform a
particular task because the individual, themselves, perceive the outcome
as beneficial. Extrinsic motivation refers to changing a behavior because
it leads to a specific predetermined outcome that is desirable and
beneficial, such as to restore function following injury. Most
trauma/injury-related selfcare behaviors are, initially, driven by extrinsic
motivators. That is, the individual may not be internally motivated to
perform a behavior, but the perception of the significance and
importance, as conveyed by others, may motivate the client (Ajzen &
Fishbein 2005) – motivation strategies with be covered in more detail
further on in this chapter.
• Cultural beliefs and values. In cultures where independence is valued,
selfcare behaviors might be seen as more important or desirable. In some
instances, selfcare advice might contradict cultural beliefs, for example
to promote rest during recovery, in contrast to activity (Davidson et al.
2007).
• Habits/daily routines. Some patients get used to performing certain
selfcare behaviors and selfcare becomes part of their daily routine.