Using scar massage
Regime:
- Complete when compression garments are removed so child/caregiver can see the scar.
- Use non-perfumed anti-emmolient cream ensuring entire scar is covered.
- Rub onto scar in small circular motions and slowly build up the pressure to the point where the scar is blanching (white colour)
- Regime will vary depending on how long the child will tolerate, if the child can do independently or if they require a caregiver to do this.
Precautions:
- Discuss with medical specialist to ensure skin integrity is suitable to commence scar massage.
- Avoid massage onto fragile or newly healed skin, fragile scar tissue, if there is evidence of scar breakdown [1] or in the presence of infection, excessive discomfort or bleeding [5]
- Ensure child is not allergic to anti-emolient cream used for massage.
- Hand washing [5] prior to massage is recommended.
Key Point
Touch for some children depending on the pressure can be either alerting/alarming or calming. Your knowledge of the child’s sensory preferences, scar sensitivity, tolerance to touch and the child’s current routines/roles will determine if and when this intervention is appropriate for the child.
For example, scar massage could be completed in preparation for bed if calming and relaxing for the child as a part of their bed time routine; or could be completed in the morning if alerting for the child’s body in readiness for school or daycare activities.
