Geriatric Physical Therapy / Edition 3

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Geriatric Physical Therapy offers a comprehensive presentation of geriatric physical therapy science and practice. Thoroughly revised and updated, editors Andrew Guccione, Rita Wong, and Dale Avers and their contributors provide current information on aging-related changes in function, the impact of these changes on patient examination and evaluation, and intervention approaches that maximize optimal aging. Chapters emphasize evidence-based content that clinicians can use throughout the patient management process. Six new chapters include: Exercise Prescription, Older Adults and Their Families, Impaired Joint Mobility, Impaired Motor Control, Home-based Service Delivery, and Hospice and End of Life. Clinically accurate and relevant while at the same time exploring theory and rationale for evidence-based practice, it’s perfect for students and practicing clinicians. It’s also an excellent study aid for the Geriatric Physical Therapy Specialization exam.

Comprehensive coverage provides all the foundational knowledge needed for effective management of geriatric disorders.
Content is written and reviewed by leading experts in the field to ensure information is authoritative, comprehensive, current, and clinically accurate.
A highly readable writing style and consistent organization make it easy to understand difficult concepts.
Tables and boxes organize and summarize important information and highlight key points for quick reference.
A well-referenced and scientific approach provides the depth to understand processes and procedures.
Theory mixed with real case examples show how concepts apply to practice and help you enhance clinical decision-making skills.
Standard APTA terminology familiarizes you with terms used in practice.

A new chapter, Exercise Prescription, highlights evidence-based exercise prescription and the role of physical activity and exercise on the aging process.
A new chapter, Older Adults and Their Families, helps physical therapists understand the role spouses/partners and adult children can play in rehabilitation, from providing emotional support to assisting with exercise programs and other daily living activities.
New chapters on Impaired Joint Mobility, Impaired Motor Control, Home-based Service Delivery, and Hospice and End of Life expand coverage of established and emerging topics in physical therapy.
Incorporates two conceptual models: the Guide to Physical Therapist Practice, 2nd Edition, and the International Classification of Function, Disability, and Health (ICF) of the World Health Organization (WHO) with an emphasis on enabling function and enhancing participation rather than concentrating on dysfunction and disability
A companion Evolve website includes all references linked to MEDLINE as well as helpful links to other relevant websites.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Monique Serpas, PT, DPT, OCS (Touro Infirmary)
Description: An update of a 2000 edition, this book provides a thorough foundation in geriatric physical therapy, from basic science applications in aging to intervention strategies for specialty populations.
Purpose: The stated purpose is to assist the development of therapists who can use available evidence and objective measures to integrate health and functional status with components of the physical therapy exam, formulate a diagnosis, and design effective interventions through the continuum of care across varying settings to achieve the best outcomes. The book also aims to help practitioners be informed advocates for older adults. The book describes the differences in geriatric physical therapy and promotes advancing geriatric practice through the use of best available evidence. As our profession continues to elevate the practice of physical therapy through the incorporation of new research in practice, it is important to make the best available evidence accessible to busy, practicing clinicians. This book does just that for clinicians working with older adults.
Audience: Intended for both students and practicing clinicians, the book is well suited for students interested in specializing in geriatric care and is a complete reference for practicing clinicians or for aspiring geriatric certified specialists. The editorial team is headed by a leader in physical therapy research in the area of geriatrics and functional outcomes.
Features: Topics range from the physiology of aging, examination, evaluation, special problems older adults face in different settings, to nonclinical patient management related to reimbursement and patient advocacy. Chapters on the physiology of aging provide a well-written review with a section on evidence-based manual intervention. Management of hip fracture in the cognitively impaired is helpful for acute and outpatient therapists and includes a discussion of environmental concerns. Many tables help organize concepts and serve as quick references, particularly in the section on functional outcome norms. Chapters on special populations cover a wide spectrum of practice, from the senior athlete to older adults with developmental disabilities to end-of-life care. References are available only on the accompanying Evolve website, which requires creation of an account, but also provides links to the Medline abstracts of the references as well as other helpful website links.
Assessment: This is a great reference for geriatric practice, and a useful resource for clinicians who would like to remain current on the evidence relating to geriatric practice. This edition adds more contributors specializing in this field, reflecting the advances of this area of physical therapy practice.
Barbara J. Billek-Sawhney
This is a comprehensive overview of the many facets of physical therapy (PT). The original text was published in 1993. This overview of geriatric PT includes varied topics ranging from sensory changes associated with aging to reimbursement. The audience for the 1993 edition of this book was entry-level clinicians. In this edition the editor expands the audience to include graduate therapists and practicing clinicians. I agree that this is a valuable resource for all areas of clinical practice, excluding pediatrics. The editor is highly respected and recognized in the field of PT. There are five parts in this text. Part I is a description of the foundations of geriatric PT. In Part Two contributors address assessment. Problems and procedures such as muscle fatigue and orthotics are included in Part Three. In Parts Four and Five social contexts and particular populations are addressed. This is a valuable text, but often readers must refer to secondary resources. The value of this text would be enhanced if there were more illustrations, cases in which the reader is an active learner through posed questions, chapter objectives, and review questions. For example, when sensory changes associated with aging are covered, the information would be easier to visualize with pictures of normal vision, macular degeneration, cataracts, and other visual changes. Another limitation of this text is that a contributing author eloquently explains topics like the Mini-Mental Status Examination, yet the reader must go to another resource to find the exam for use. In summary, this is a comprehensive overview of geriatric PT with more information than the 1993 text. It is a valuable resource thatwill be valued by many readers.
Babette S. Sanders
This textbook covers a wide variety of topics related to the management of the geriatric patient, from normal physiology to specialized, patient specific issues. This book is designed as a comprehensive guide for the management of the older adult. It considers the variety of needs this patient population has. The stated target audience for this book is entry-level physical therapy students and new practitioners. It may also be useful to practitioners returning to the field, especially in the area of geriatrics. The many credible contributors have met their challenge to develop a text appropriate for this level. This text is black-and-white only, but the illustrations, tables, and photographs are of high quality and reinforce important issues. References vary by chapter but are generally abundant and current. This comprehensive guide to the management of the older adult highlights many critical issues necessary to understand this patient population. It should serve as a useful resource to students and practitioners.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780323029483
  • Publisher: Elsevier Health Sciences
  • Publication date: 2/7/2011
  • Edition description: New Edition
  • Edition number: 3
  • Pages: 624
  • Sales rank: 219,443
  • Product dimensions: 8.70 (w) x 11.10 (h) x 1.20 (d)

Meet the Author

Table of Contents

Part 1: Foundations

  1. Geriatric Physical Therapy in the 21st Century: Overarching Principles and Approaches to Practice
  2. Implications of an Aging Population for Rehabilitation: Demography, Mortality, and Morbidity
  3. Physiology of Aging-related Decline and its Functional Impact
  4. Geriatric Pharmacology
  5. Exercise and Physical Activity for Older Adults
  6. Part 2: Contexts for Examination and Intervention

  7. Health and Function: Patient Management Principles
  8. Environmental Design: Accommodating Sensory Changes in Older Adults
  9. Cognitive impairment in Older Adults
  10. Evaluation of the Acute and Medically Complex Patient
  11. Motivation and Patient Education: Implication for Physical Therapist Practice
  12. Older Adults and Their Families
  13. Part 3: Evaluation, Diagnosis, and the Plan of Care

  14. Impaired Aerobic Capacity/Endurance
  15. Impaired Joint Mobility
  16. Impaired Muscle Performance
  17. Impaired Motor Control
  18. Impaired Posture
  19. Ambulation: Impact of Age-related Changes on Functional Mobility
  20. Balance and Falls
  21. Part 4: Special Problems and Interventions

  22. Impaired Integumentary Integrity
  23. Management of Urinary Incontinence in Women and Men
  24. Conservative Pain Management for the Older Adult
  25. Lower Limb Orthothese for Older Adults
  26. Prosthetic Management for the Older Adult with Lower Limb Amputation
  27. Part 5: Special Populations and the Continuum of Care

  28. Wellness for the Aging Adult
  29. Home-health Physical Therapy
  30. Patient Management in Post-Acute Inpatient Settings
  31. Hospice and End of Life
  32. Senior Athlete
  33. Older Adults with Developmental Disabilities
  34. Part 6: Societal Issues

  35. Reimbursement and Payment Policy
  36. Health Policy and Advocacy in the United States: A Perspective for Geriatric Physical Therapy
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