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Doody's Review ServiceReviewer: Catherine L. Hornbeck, MS, PT (Medical College of Ohio School of Allied Health)
Description: This first edition book provides an in-depth exploration of the cardiopulmonary pathophysiology, evaluation, and medical and physical therapy management for adult and pediatric populations with primary and secondary diagnoses of cardiopulmonary dysfunction. In addition, other diseases that present with cardiopulmonary symptoms are addressed. The unique feature of the book is the inclusion of clearly delineated "clinical implications for physical therapy," which aids significantly in the integration of the knowledge into the acute care environment.
Purpose: The book's stated purpose is to provide a quick, convenient resource for covering a wide variety of information regarding physical therapy management of cardiopulmonary dysfunction. This goal is especially relevant in recognizing cardiopulmonary problems as they relate to the planning and justification of physical therapy treatment within a health care environment which increasingly demands focus on functional activities/outcomes. The book generally achieves the overall objective; organization of the text may compromise the ease of use.
Audience: Targeted for physical therapists in acute care environments, the book will be a useful and practical resource, given the physical therapist has adequate knowledge of cardiopulmonary physiology. However, use by entry level physical therapy students and physical therapists in other environments where cardiopulmonary dysfunctions are secondary diagnoses may be limited by the detail of information.
Features: Special features include a comprehensive list of abbreviations and glossary, which is initially supplemented with definitions within the narrative portion of the text. It is unfortunate that this strategy was not continued throughout the text. Other features include discussions of experimental as well as current medical and pharmacological management options; summary of key data in user-friendly methods (e.g., charts denoting complaints/possible cause, questions to guide the assessment of patient), which will enhance integration of the information.
Assessment: The book's content is appropriate to meet the author's primary objective, but the overwhelming nature of the first chapter may discourage the physical therapist from seeking the more practical information provided in the subsequent chapters. Likewise, the high level of the discussion in the book may preclude the noncardiopulmonary specialist's translation of the content (especially activity and endurance evaluation) to the clinical environment, in which these issues of are significant consequence. The lack of appropriate spatial articulation of narrative text and tables and the excessive amount of information summarized in many tables/charts may compromise the usefulness of this new book.