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

16.06.2020 Views

professionalscollaboration between 171–4ethics 166–7referral of patient to others 172–3see also caregiver; therapistsprogressive muscle relaxation 245proliferation 80, 82collagen see collagentreatment during stage of 195–9prophylaxis see preventionproprioception 19, 56, 60–1disinformation 61, 73–4proteinsextracellular matrix 5, 6fascial 15–16lymphatic transport 32, 35proteoglycans (PGs) 5, 6healing and 82pruritus/itching 91burns 114hypertrophic scars 92, 94, 107keloids 94, 95psychological considerations 193–4psychological trauma 133–61events leading to (exposure to traumatic events) 134general overview of effects 134indirect trauma 133therapist 250scope of practice considerations 149–51psychology, health 133, 143, 154see also mental healthpsychotherapy 133, 152, 154, 173pulling sensation 190pumping (lymph) 211abdominal 39alternating stationary circle and 213–14

Rradiation therapy 193breast cancer 118, 123lymphatic system affected by 39, 133ramus, anterior and posterior 50reactive stage in wound healing 82receptors (sensory) 56, 58pain 21, 60, 69, 73, 209skin 11, 56record-keeping and documentation 179peri- and post-treatment 185–6pre-treatment 182–5red blood cells 33referralof client 172–4of pain 53–4, 65, 67, 190rehabilitation 116acute stress disorder during 146reintegration phase, acute stress disorder 146relaxation 244–6remodelling 6, 80, 82–3treatment during 199–204retinacula 57cutaneous (retinacula cutis) 18rolling skin 220–1rotary technique 212–13routines (client) 241Ruffini organs/endings 58, 59, 197

R

radiation therapy 193

breast cancer 118, 123

lymphatic system affected by 39, 133

ramus, anterior and posterior 50

reactive stage in wound healing 82

receptors (sensory) 56, 58

pain 21, 60, 69, 73, 209

skin 11, 56

record-keeping and documentation 179

peri- and post-treatment 185–6

pre-treatment 182–5

red blood cells 33

referral

of client 172–4

of pain 53–4, 65, 67, 190

rehabilitation 116

acute stress disorder during 146

reintegration phase, acute stress disorder 146

relaxation 244–6

remodelling 6, 80, 82–3

treatment during 199–204

retinacula 57

cutaneous (retinacula cutis) 18

rolling skin 220–1

rotary technique 212–13

routines (client) 241

Ruffini organs/endings 58, 59, 197

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