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[libribook.com] Traumatic Scar Tissue Management 1st Edition
likelihood of engagement is highly … unlikely. Simply telling the client that aparticular measure is supported by research or will be helpful for them may notwork for every client. This calls upon the therapist to be creative.Discover your client’s interests and utilize your own creativity to present theinformation in a manner that somehow relates to the client’s interests or to arelevant meme. Or devise a compelling analogy, for example: a car enginerequires oil to lubricate moving parts in order to reduce friction – our bodiesrequire proper hydration to serve the same purpose.Providing information in a manner that is interesting, understandable andmeaningful (i.e. seems to make sense to the client) will nurture client selfinterestand stimulate a change in behavior. Change begins with awareness.Also, as noted, it is always best to keep client self- and homecare measuresuncomplicated and easy to integrate into daily life.Client Self/Home CareThe usual spectrum of self/homecare measures apply to traumatic scar clients.Each individual will require individual consideration and recommendations.Basic protocol guidelines include:• Identify the client’s needs and goals and what might facilitate the MTtreatments• Prioritize: generally begin with, or provide measures for, what the clientidentifies as the most troublesome; or begin with a measure that is sure toderive a benefit as this can serve to inspire the client• Keep it simple, address each issue individually.Client self care to be administered at home may include injury and careeducation, various exercises, and other measures taken following treatment tofacilitate the work or reduce the incidence of post-treatment discomfort (e.g. heator cold applications and adequate hydration). No specific measure, other thangeneral post-treatment care and relaxation measures, will be covered in depth inthis book as each could justify a book of its own.The techniques, as described in this book, do not have to be painful to beproductive – this includes both during and post-treatment. However, it is notunusual for a bit of tenderness or mild post-treatment soreness to occur in some
instances. Make your clients aware of this. And, if they experience atypicalsoreness (e.g. moderate to intense pain), ask them to call and let you know soyou can document it in their file and figure out why an atypical responseoccurred. And, so that you can suggest appropriate client selfcare measures toaddress the atypical soreness (e.g. heat or cold application, client-directed painmanagement options).
- 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 and 858: Figure C.2 Post-treatment2 December
- Page 859 and 860: and to be consistent with any selfc
- 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: Clinical ConsiderationThe authors u
- 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
- Page 907 and 908: Journals and magazinesInternational
- Page 909 and 910: INDEX
- Page 911 and 912: see also parasympathetic nervous sy
- Page 913 and 914: breathing exercises 245burning sens
- Page 915 and 916: CGRP (calcitonin gene-related pepti
- Page 917 and 918: Ddanger (perceived) 135, 150fight-o
- Page 919 and 920: Eedema 40-1, 69burns-related 112-13
- Page 921 and 922: Ffascia 11-22assessment 186client-r
- Page 923 and 924: Gglia 48glucocorticoids 137, 138, 1
- Page 925 and 926: see also dehydrationhyperalgesia 63
instances. Make your clients aware of this. And, if they experience atypical
soreness (e.g. moderate to intense pain), ask them to call and let you know so
you can document it in their file and figure out why an atypical response
occurred. And, so that you can suggest appropriate client selfcare measures to
address the atypical soreness (e.g. heat or cold application, client-directed pain
management options).
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