Geriatric Rehabilitation: A Clinical Approach / Edition 1

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Overview

Going beyond theory and progressing into realistic, practical application in a clinical setting, the second edition of Geriatric Rehabilitation continues to emphasize the special needs of the elderly in all health care settings. Balancing theory and clinical skills in caring for older adults, this text focuses on the practical components of their rehabilitation. It incorporates aspects of prevention, fitness, and wellness into the rehabilitative model of care.

Features Include:

  • Three-part organization covers demographic trends and aging theories, presents a comprehensive consideration of patient care concepts, and details administration and management.
  • Expanded and enhanced content in each chapter provides the most recent research, references, and advances in each topic area.
  • A wider scope of clinical issues meets the multiple needs of students and practitioners in preparing to manage the geriatric population.
  • New — Complimentary therapies addressed where appropriate.
  • New — Chapter 14 on Integumentary Treatment Considerations.
  • More photos, graphics, figures, and tables provide an easy reference for material summarized in pictorial or table form.
  • A comprehensive overview of current science and practice in geriatric rehabilitation.
  • Case studies interspersed throughout illustrate theories in practice.
  • Unique emphasis on health prevention and wellness.
  • Pearls assist in identifying the highlights of each chapter.
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Editorial Reviews

From The Critics
Reviewer: Barbara Jean Billek-Sawhney, PT, EdD, MS, GCS (Slippery Rock University)
Description: This book has three major sections: applied gerontological concepts that includes information ranging from demographics to theories of aging to pharmacology and orthopedic treatment considerations; patient care concepts that covers such topics as neurologic, cardiovascular-pulmonary, integumentary treatment considerations; and administration and management. This book was originally published in 1994.
Purpose: According to the preface, this book provides a comprehensive overview of current science and practice in geriatric rehabilitation and is designed to provide the reader with a thorough review of advanced clinical information. These objectives are necessary for the growth of the profession. The book provides an overview on geriatric physical therapy and relevant topics.
Audience: According to the authors, this book was written for an audience of clinicians already exposed to geriatric care and is designed to serve as an advanced textbook. However, in some areas the information is at an advanced level while in other areas the information reflects entry-level practice.
Features: Each of the three major sections is composed of several chapters. The basis is laid in the first section which addresses demographics, theories on aging, age related changes, assessment tools, nutrition, pharmacology, principles of practice, patient evaluation and orthopedic interventions. The second section focuses on interventions. It appears the last chapter of the first section should actually be in the second section, i.e., orthopedic treatment considerations, since the other chapters on treatment are in the second section. The third section focuses on more administrative topics that include attitudes and ethics, consultation, research, and resources. The authors do an excellent job laying the basis in age related changes in biology, physiology, anatomy and function. With the book's design of evaluation being separate from interventions, the reader must go from one chapter to another to attain all information on a specific topic. For example, falls in the elderly are addressed in chapters 9 and 12. In addition, many of the currently used balance assessment tools (Berg, Multidirectional Reach, TUG, TUG cognitive & environmental) are not included. Those included are the get up and go, the functional reach, and the sensory organization test. In chapter 6, entitled Assessment Instruments, there are no specific instruments used to assess balance such as those identified above or the dynamic gait index.
Assessment: This book is of high quality and is a valuable addition for the library of clinicians who practice primarily in geriatric physical therapy or who treat elderly patients with various pathologies.
From The Critics
Aimed at practicing therapists as well as advanced graduate students, this text discusses geriatric rehabilitation in a variety of clinical settings. A sampling of topics includes demographic trends in aging, the nutritional needs of elders, theories of aging, community based screening programs, and communicating effectively with the geriatric patient. The second edition also features new information on integumentary treatment and complementary therapies. Annotation c. Book News, Inc., Portland, OR

3 Stars from Doody
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Product Details

  • ISBN-13: 9780838522844
  • Publisher: Prentice Hall
  • Publication date: 6/28/2002
  • Edition description: Older Edition
  • Edition number: 1
  • Pages: 716
  • Product dimensions: 8.40 (w) x 11.10 (h) x 1.25 (d)

Table of Contents

Preface
Acknowledgements
I Applied Gerontological Concepts 1
1 Understanding the Demographics of an Aging Population 3
2 Comparing and Contrasting the Theories of Aging 28
3 Comparing and Contrasting Age-Related Changes in Biology, Physiology, Anatomy, and Function 50
4 Describing Psychosocial Aspects of Aging 76
5 Pathological Manifestations of Aging 101
6 Assessment Instruments 152
7 Exploring Nutritional Needs 191
8 Pharmacology 247
9 Principles and Practice in Geriatric Rehabilitation 292
10 Patient Evaluation 329
11 Orthopedic Treatment Considerations 362
II Patient Care Concepts 397
12 Neurological Treatment Considerations 399
13 Cardiopulmonary and Cardiovascular Treatment 449
14 Integumentary Treatment Considerations 484
15 Establishing Community Based Screening Programs 528
16 Communication 549
III Administration and Management 575
17 Attitudes and Ethics in Gerontology 577
18 Education and the Older Adult: Learning, Memory, and Intelligence 594
19 Administration of Geriatric Services 615
20 Consultation 634
21 Scientific Inquiry and Research in Geriatric Therapy 672
22 Aging Network Resources 688
Index 707
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Preface

The second edition of this text adds all of the information that has been requested over the years by readers of the first edition, to enhance their practice of geriatric rehabilitation. The authors have incorporated material from the first edition and expanded each chapter to provide the most up-to-date information possible. As new research and evidence-based practice have evolved in the area of geriatrics over the past few years, much of the information in the first edition has been reviewed, substantiated, and enhanced. This edition provides a comprehensive overview of current science and practice in geriatric rehabilitation. The second edition addresses a wider scope of clinical issues than the first to meet the multiple needs of its readers in managing the geriatric patient. It is the authors' strong belief that the current and future success of geriatric practitioners lies in their ability to ground the practice of geriatric rehabilitation in the foundational, sciences and in the concepts and principles of evidence-based geriatric practice.

This book was initially developed to address the need for a geriatric rehabilitation text that transcended the classical clinical and academic texts currently available. The many professions involved in geriatric rehabilitation have evolved rapidly in the past decade, but textbooks have not kept pace with the need for specialized clinical information. With the inauguration of a geriatric specialty examination in rehabilitation therapies, the need became more pressing. This book is designed to provide a single, comprehensive source for the advanced applied science of normal and pathological aging, clinical problems, implications fortherapeutic interventions, and considerations specific to the elderly.

The main objective of this textbook is to present therapists with a thorough review of advanced clinical information. The targeted audience for this text is clinicians already exposed to geriatric patients who seek to improve their background and skill level. In addition, advanced master's and doctoral students seeking specific clinical information will find relevant material in the text.

At the time the first edition of this text went into publication, a small group of rehabilitation therapists had successfully passed the first geriatric specialty exam. Many of these therapists, however, had difficulty locating up-to-date information to prepare for the exam, or finding a comprehensive source of information. The authors believe this text addresses both of these criteria.

Both of the authors have worked extensively in the field of geriatrics. They have combined their knowledge to provide clinical information that is grounded in the literature and research-based references.

The text is divided into three parts. Part I provides advanced applied gerontological concepts. These chapters contain the most recent background information available and provide a clinically useful basis for a sound foundation for the following two sections.

Part I covers the important areas of demographic trends in the aging population as well as theories of aging and their impact on clinical strategies. Thorough descriptions of age-related changes in the biology, physiology, anatomy, and functioning of all organ systems of the body are provided, as well as a comprehensive examination of pathological manifestations commonly seen in the aged population.

Descriptions of detailed psychological aspects of aging and a presentation of tools that can be used to evaluate and treat these conditions are provided for the clinician. Background information on assessment tools, particularly functional assessment tools, is presented to provide the reader with objective indices for thorough evaluation in a variety of settings.

Part I also incorporates a clear explanation of some of the common nutritional problems and risk factors seen in the older population, as well as a discussion on the components of good nutritional programs. An emphasis on prevention and health promotion related to dietary considerations is provided. Finally, identification of various drug regimens, adverse drug reactions, and common pathologies seen with inappropriate drug management afford a practical approach to identifying pharmacological aspects of patient intervention. As many of our elderly clients have sought alternative therapies for management of various conditions, a section on herbs, vitamins, and nutraceuticals has been added.

Part II presents a comprehensive consideration of patient care concepts. This section begins with an overview, "Principles and Practices in Geriatric Rehabilitation," which bridges the gap between the background information presented in Part I and advanced clinical concepts. Understanding the importance of immobility and disuse is emphasized. This section provides an introduction to evaluation and presents therapeutic suggestions for common problems, including treatment design and rationale.

Strategies for evaluating and treating orthopedic, neurologic, cardiopulmonary, and integumentary conditions contribute invaluable means for comprehensively addressing problems commonly seen in an elderly population. Practical suggestions guide the rehabilitation therapist in establishing and implementing health maintenance programs, such as the provision of screening programs as a means of preventive health care and early intervention to avoid the pathological consequences of "hypokinetics."

Part III covers administration and management. Effective communication with the aging population is discussed, as well as the evaluation of personal attitudes, cultural biases, ethnic considerations, and other factors relating to the care of the elderly. A discussion of educational services and objectives for the elderly with a differentiation of various learning theories applied to the older population completes this section.

Practical information is also provided on the identification and description of geriatric rehabilitation services, and includes how to address administrative needs, prepare budgets, and develop marketing proposals for nursing homes and outpatient facilities. The role of the consultant and the development of the consultative tasks for geriatric specialists are presented. A thorough discussion of methods for reviewing research includes identifying the various aspects of a research proposal and an examination of research characteristics that make clinical data collection unique for an aging population. Finally, the network of resources available for the older person, including legislative, social, and federal programs, disease-specific organizations, and research grant availability are presented in a user-friendly style. The one-stop information resource provides current contact information and internet sites for the most appropriate services.

The authors hope that this book provides a strong clinical foundation for practicing geriatric therapists, and that it will facilitate the provision of optimum care to their elderly patients.

Jennifer M. Bottomley, PT, MS, PhD.

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