CAM techniques and interventions described in earlier chapters of this book may also be useful in wound care. For example, effective wound healing requires good nutrition, which is impossible if patients are suffering from loss of appetite or nausea and vomiting (Ch. 6). Chapters 4 and 5 on sleep and pain control will be relevant, as well as some aspects of Chapter 7 on elimination related to con-stipation, often a problem if the child is seriously injured or burned and confined to bed. During recovery, normal physiotherapy might be augmented by the use of massage, yoga and t'ai chi, affecting the body's 'vitality' (Mokone 2000), which underpins the body's ability to regenerate and grow.Ithas been noted in earlier chapters that Qigong has been shown to increase feelings of wellbeing and to enhance balance and body and spatial awareness. This is particularly valuable if medical treatment has resulted in a change of body image, since it is also a force by which children can re-map their new body.
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SECTION CONTENTS
Chapter 10 Problems with communication 151 Chapter 11 Problems related to sleep 162
Chapter 12 Problems related to expressing sexuality 167 Chapter 13 Problems related to washing and dressing 177 Chapter 14 Problems with eating and drinking 185 Chapter 15 Problems with elimination 192
Chapter 16 Problems related to working and playing 196
INTRODUCTION
Section 2 has laid the foundation for the use of CAM with children in a range of clinical situations, and many of the problems and treatments that have been addressed in the previous chapters are just as relevant to adolescents. However, Section 3 will concentrate on the problems specific to adolescence, and will upgrade the interventions suggested in Section 2, as appropriate, although there may be some repetition of material. Again, Roper's categories have been adopted as a framework.