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Doody's Review ServiceReviewer: Arthur E. Squires, BSPT (Medical College of Ohio School of Allied Health)
Description: This book assists physical therapists in assessing which of their clients may need referral of service beyond the scope of physical therapy. The book's structure provides basic pathologies organized by system. It combines that summary with symptoms, insights, and keys that the physical therapist may use to differentiate those clients exhibiting traits with systemic etiologies that may not resolve with physical therapy treatment alone.
Purpose: The purpose is to address the needs of the practicing clinician in a world where the client (1) may be sicker and (2) may make physical therapy his or her first health care stop. This purpose is vital in a rapidly changing health care environment. Goodman and Snyder successfully offer the clinician added information needed in the scope of a physical therapy practice where no referral may be needed.
Audience: This work is geared toward the small clinical setting operating independently from the umbrella of close physician ties. Additionally, this book assists any practicing physical therapist wrestling with a complex or conflicting array of symptoms.
Features: The authors use illustrations sparingly but appropriately. These drawings add anatomical support to discussions of pathology and patterns of symptoms that may be exhibited by the client. Of even greater help are the many tables and lists of key signs exhibited or questions that need to be asked of a client. The work is well referenced with many sources dated after the first edition. There are some references dated from the 1960s and whose information, e.g., survival percentages, should have been more current. There is an ample index, but the glossary could have been expanded to include common medical acronyms. The blood and serum values expressed on the inside cover are a handy feature.
Assessment: This book does a nice job of bridging the gap between pathology and the physical therapy assessment. The authors provide basic pathophysiology information connected to symptoms as they might be presented in a clinical setting. Additionally, the authors provide case studies reinforcing the narrative. The book's first two chapters that deal with the differential screen and interview nicely prepare the reader for the next chapters. These chapters are organized on the basis of the involved system, e.g., hepatic, or of pathology, e.g. cancer. This work can be a vital tool to almost any practicing physical therapist.