Geriatric Physical Therapy / Edition 2

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This valued resource for physical therapists provides a comprehensive overview of geriatric physical therapy for physical therapy students as well as practitioners. Thoroughly revised and updated, it provides the latest information on geriatric health care, such as managed care/Medicare/Medicaid, reimbursement issues, conservative pain management techniques, pharmacology, and new material on home care, osteoarthritis, nutrition, and family issues. It includes five new chapters: Ventilation and Respiratory Dysfunction in the Older Adult, Strength Training in the Elderly, Functional Training in the Community, Incontinence, and Prosthetics. 505 pp.

Features: * Shows application of concepts and encourage critical thinking by blending theory with real case examples. * Ensures compatibility of the text with the typical educational experience of the physical therapist and prepares the physical therapist for practice by using standard APTA terminology as expressed in the APTA document, A Description of Physical Therapist Patient Management, Parts I and II. * Gives student and clinician enough depth to understand processes and procedures, with its scientific approach and extensive referencing.

The book contains black-and-white illustrations.

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Editorial Reviews

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.
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.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780323001724
  • Publisher: Elsevier Health Sciences
  • Publication date: 5/31/2000
  • Edition description: REV
  • Edition number: 2
  • Pages: 505
  • Product dimensions: 8.65 (w) x 11.22 (h) x 1.01 (d)

Meet the Author

Table of Contents

Pt. I Foundations of Geriatric Physical Therapy 1
1 Implications of an Aging Population for Rehabilitation: Demography, Mortality, and Morbidity in the Elderly 3
2 Communication, Values, and the Quality of Life 21
3 Physiological Change and Adaptation to Exercise in the Older Adult 33
4 Arthrokinesiologic Considerations in the Aged Adult 47
5 Sensorimotor Changes and Adaptation in the Older Adult 71
Pt. II Principles and Concepts of Assessment 99
6 Health Status: A Conceptual Framework and Terminology for Assessment 101
7 Functional Assessment of the Elderly 113
8 Environmental Design: Accommodating Sensory Changes in the Elderly 125
9 Cognitive Impairment 139
10 Depression and Function in the Elderly 149
11 Laboratory Evaluation of the Geriatric Patient in the Planning of a Rehabilitation Program 159
12 Geriatric Pharmacology 171
Pt. III Problems and Procedures 199
13 Endurance Training of the Older Adult 201
14 Posture in the Older Adult 219
15 Balance and Falls in the Elderly: Issues in Evaluation and Treatment 237
16 Ambulation: An Integrated Framework to Achieve a Functional Outcome 253
17 Lower Extremity Orthotics in Geriatric Rehabilitation 269
18 Conservative Pain Management of the Older Patient 283
19 Chronic Dermal Wounds in Older Adults 307
20 Patient Education as a Treatment Modality 331
Pt. IV The Social Context of Geriatric Care 351
21 Reimbursement Issues in Geriatric Physical Therapy 353
22 Ethical and Legal Issues in Geriatric Physical Therapy 363
Pt. V Programs for Particular Populations 375
23 The Frail and Institutionalized Elderly 377
24 The Well Elderly 391
25 The Older Athlete 403
26 The Older Adult With Developmental Disability 413
Glossary 427
Index 431
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