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[libribook.com] Traumatic Scar Tissue Management 1st Edition
Others, however, view self care as work. For them, the regimen mightoccur a continuous struggle. Typically, the clients who are the mostsuccessful in self care are those who adopt and perform recommendedbehaviors until the behaviors evolve into habits (Ekman et al. 2000, vander Wal et al. 2010). Here we can see the importance of assisting theclient with finding selfcare measures that align with theirpreferences/values and ones they can more easily integrate into theirlifestyle.Certain patient-related factors can adversely impair self care, includingpsychosocial status (e.g. depression, anxiety, less social support, lower selfefficacy,less formal education, socioeconomic status), having a higher numberof symptoms, age-related changes (e.g. cognitive and sensory impairments,reduced functioning), lower health literacy and less health system experience (Niet al. 1999, Morrow et al. 2005, Morrow 2007, Dunbar et al. 2008, Moser &Watkins 2008).Those who are unable to make judicious decisions will have a more difficulttime engaging in good selfcare practices. Focused attention and workingmemory capacity are required to perceive and process information prior to theselection and execution of a course of action. Individuals with limited attentionand memory have diminished ability to understand and reflect and thus maystruggle with, or be unable to perform, self care; for example, those with severepsychiatric illness may have difficulty performing independent self care (Riegelet al. 2012).Likely more relevant to traumatic scar clients, situational influences on attentionand memory such as certain medications, sleep deprivation or emotional stresscan interfere with self care. In these situations, some degree of shared care,dependent care or community support may be needed (Lim & Dinges 2008,Naue 2008, Riegel et al. 2012).In addition to support from family, friends, social and support groups, anotherconsideration for improved client engagement in selfcare behaviors includes theuse of mobile technology for access to information or to reinforce anyself/homecare recommendations – technology considerations are covered inmore detail later in this chapter (Bodenheimer 2003, Zwar et al. 2006, Kennedyet al. 2013).
Strategies to Facilitate EngagementHow can we present, phrase or demonstrate a selfcare measure in a way that theclient will embrace it and engage, rather than view or interpret it as ‘one morething’ to add to their already long list of instructions from their healthcareprovider(s)? How can we inspire clients to invest, engage or buy-in? It has beenthe authors’ experience that the therapist’s level of commitment and interest in aclient’s wellbeing serves to inspire his/her own self-caring behaviors.Communication: Encouragement and EmpowermentEncouragement, an effective extrinsic motivator, serves to inspire and bolsterone’s confidence and stimulate engagement. Encourage your clients to takeresponsibility – and credit – for what they feel, learn and apply as a result oftheir work with you. The old adage applies: give someone a fish and they eat fora day, teach them to fish and they eat for a lifetime.Generating client interest in how their body works and how to best care forthemselves can facilitate improved self-sufficiency. Self-sufficiency furtherbolsters confidence and a sense of empowerment, culminating in heightenedengagement in selfcare behaviors.In order to function well, ongoing care may be the reality for some traumaticscar clients. However, self-management, as much as possible, is the ultimategoal, and therefore it is important to establish the MT as facilitator not fixer. Itserves no good purpose for any client to become dependent, as dependencyerodes empowerment.Although the healthcare provider is instrumental in identifying relevant selfcaremeasures, it is equally important to encourage clients to discover for themselveswhat they need to change or do to improve their situation.In terms of client self/home care, as professional guide or facilitator, thetherapist’s responsibility is to provide information or guidance in an objectivemanner. It is the client’s prerogative to make choices based on the informationthat has been provided – the very essence of informed choice.As healthcare professionals, MTs are required to fully inform clients aboutproposed plans so the client can make an informed choice about the course of
- 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
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- 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
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- Page 859 and 860: and to be consistent with any selfc
- Page 861 and 862: ability to resume social responsibi
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- 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: Box 10.1Factors affecting, effectiv
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- 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
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Strategies to Facilitate Engagement
How can we present, phrase or demonstrate a selfcare measure in a way that the
client will embrace it and engage, rather than view or interpret it as ‘one more
thing’ to add to their already long list of instructions from their healthcare
provider(s)? How can we inspire clients to invest, engage or buy-in? It has been
the authors’ experience that the therapist’s level of commitment and interest in a
client’s wellbeing serves to inspire his/her own self-caring behaviors.
Communication: Encouragement and Empowerment
Encouragement, an effective extrinsic motivator, serves to inspire and bolster
one’s confidence and stimulate engagement. Encourage your clients to take
responsibility – and credit – for what they feel, learn and apply as a result of
their work with you. The old adage applies: give someone a fish and they eat for
a day, teach them to fish and they eat for a lifetime.
Generating client interest in how their body works and how to best care for
themselves can facilitate improved self-sufficiency. Self-sufficiency further
bolsters confidence and a sense of empowerment, culminating in heightened
engagement in selfcare behaviors.
In order to function well, ongoing care may be the reality for some traumatic
scar clients. However, self-management, as much as possible, is the ultimate
goal, and therefore it is important to establish the MT as facilitator not fixer. It
serves no good purpose for any client to become dependent, as dependency
erodes empowerment.
Although the healthcare provider is instrumental in identifying relevant selfcare
measures, it is equally important to encourage clients to discover for themselves
what they need to change or do to improve their situation.
In terms of client self/home care, as professional guide or facilitator, the
therapist’s responsibility is to provide information or guidance in an objective
manner. It is the client’s prerogative to make choices based on the information
that has been provided – the very essence of informed choice.
As healthcare professionals, MTs are required to fully inform clients about
proposed plans so the client can make an informed choice about the course of
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