Medical Complications in Physical Medicine and Rehabilitation

Medical Complications in Physical Medicine and Rehabilitation

by Diana Cardenas, Thomas Hooton
     
 

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The only book to combine the perspectives of both physical medicine and rehabilitation and internal medicine, this practical handbook provides physiatrists and residents in training with a concise description of common medical concerns that can disrupt or complicate therapy and rehabilitation. It focuses on the major diagnostic categories of disabilities that are

Overview

The only book to combine the perspectives of both physical medicine and rehabilitation and internal medicine, this practical handbook provides physiatrists and residents in training with a concise description of common medical concerns that can disrupt or complicate therapy and rehabilitation. It focuses on the major diagnostic categories of disabilities that are admitted for in-patient rehabilitation such as stroke, spinal cord injury, brain injury, amputation, multiple major trauma, neurological disorders, burns, musculoskeletal trauma, cancer, and other diseases or disorders. For easy reference, the book is organized by both diagnostic category and specific medical complications.

The first half of the book, organized by disability, provides an overview of the unique medical problems physiatrists are likely to encounter with each condition, when those complications will occur, and the best approaches to diagnosing and treating them early. The second part, written by acute care specialists, addresses the medical issues individually with more detailed chapters on specific complications and up-to-date information on treatment. These include urinary tract infection, osteomyelitis, antibiotic-associated diarrhea, hematologic complications, gastrointestinal complications, pulmonary complications, electrolyte disorders, and fever and sepsis.

Key Features:

  • Focuses on medical complications within major rehabilitation diagnostic groups
  • Organized in two parts to allow readers to access information by condition or complication
  • Provides clinical guidance for identifying and managing common medical complications encountered in rehabilitation settings
  • Each rehabilitation topic chapter concludes with a summary √èTimeline√ì table detailing specific complications and likely occurrence
  • A practical resource for physiatrists providing inpatient care or sharing call

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Editorial Reviews

Doody's Review Service
Reviewer: Elliot J Roth, MD (Rehabilitation Institute of Chicago)
Description: This book provides practical information regarding the early recognition, prevention, and management of a variety of medical comorbidities and complications that may occur in patients receiving care in formal rehabilitation programs.
Purpose: The purpose is to provide a practical, useable reference for clinicians, primarily physical medicine and rehabilitation physicians who are providing inpatient care, to enable them to prevent, recognize, and treat a variety of common medical conditions in people who are undergoing inpatient rehabilitation for disabling conditions. These are important objectives, in view of the frequency and impact of these complications and the critical role that the managing physiatrist or rehabilitation physician plays in the management of these secondary or accompanying conditions.
Audience: This book is written primarily for physicians in physical medicine and rehabilitation, but it could be used by physicians in other specialties who provide either primary management or specialty consultation for patients on inpatient rehabilitation units. This book may have considerable value for nurse practitioners, physician assistants, nurses, and allied health professionals who are involved in the care of patients with multiple medical comorbidities or acute medical conditions on a rehabilitation unit. The authors are primarily from the University of Miami Miller School of Medicine, which has a highly credible rehabilitation program. Most importantly, the authors reflect a unique collaboration between professionals in physical medicine and rehabilitation and physicians in multiple other relevant specialties who provide care to rehabilitation patients.
Features: The organization of the book is unique and interesting, divided between a set of chapters describing common rehabilitation diagnoses (and their complications), and a set of chapters describing specific medical complications such as fever, chest pain, pulmonary dysfunction, and common laboratory abnormalities. Although this format can lead to repetition, it also provides an effective way for readers to more easily access topics of interest by a variety of means — either by rehabilitation diagnosis or medical problem. Most of the chapters on rehabilitation diagnoses provide a brief description of the condition and its rehabilitation, followed by brief reviews of the complications. For example, the musculoskeletal disorders section starts with a review of the various conditions and major rehabilitation principles, and then offers a list of common secondary complications such as pressure ulcers, infections, bone and joint problems, venous thromboembolism, pain, and nerve injuries. Similarly, the spinal cord injury chapter provides brief background on the epidemiology and etiology of spinal cord injury, and then more detailed descriptions of expected complications such as genitourinary, gastrointestinal, pulmonary, musculoskeletal, and others. A unique and important component of the book is the group of chapters written by medical specialists on specific medical conditions, with perspectives on evaluation and treatment of these problems. Particularly useful are the chapters on fever, laboratory abnormalities, osteomyelitis, and clostridium difficile colitis, which constitute common and challenging problems in rehabilitation patients. The writing is clear and, by design, relatively succinct. Tables that appear throughout the book are useful, but surprisingly relatively few in number. More figures would have been helpful, as well. The chapters on the individual medical conditions in the latter portion of the book tend to have substantially more tables and figures. The book is very well referenced.
Assessment: This is a useful resource for clinicians involved in the care of patients on inpatient rehabilitation units, primarily physiatrists, but also other physicians and nonphysician professionals. It provides accessible, succinct, and practical summaries on the prevention, assessment, and management of medical conditions encountered among patients who are hospitalized on a rehabilitation unit, from the perspectives of both physiatrists and medical specialists. By design, it is not meant to provide thorough, in-depth reviews of the topics, but rather to offer summaries for how to approach the conditions. It will be particularly useful as a resource on inpatient rehabilitation units.

Product Details

ISBN-13:
9781936287413
Publisher:
Springer Publishing Company
Publication date:
06/25/2014
Edition description:
New Edition
Pages:
312
Product dimensions:
5.90(w) x 8.90(h) x 0.80(d)

Meet the Author

MD, MHA, Professor and Chair, Department of Physical Medicine and Rehabilitation, University of Miami Leonard M. Miller School of Medicine; Chief of Service, Jackson Rehabilitation Hospital; Director, SCI Medicine Fellowship, Jackson Memorial Hospital, Miami, FL

MD, Professor of Clinical Medicine, Division of Infectious Diseases, University of Miami Miller School of Medicine, Miami, FL

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