Primary Care for the Physical Therapist: Examination and Triage / Edition 2

by William G. Boissonnault PT, DPT DHSc, FAAOMPT, FAPTA

Overview

Specifically designed to address the expanding role of physical therapists in primary care, the second edition of Primary Care for the Physical Therapist: Examination and Triage provides the information you need to become an effective primary care provider. Acquire the communication and differential diagnosis skills, technical expertise, and clinical decision-making ability to meet the challenges of a changing profession with this unparalleled resource.

• Emphasizes communication skills vital for establishing rapport and gathering data.
• Patient interview guides identify what data to collect and how to use it.
• Overview of the physical examination lays the foundation for different diagnosis and recognition of conditions.
• A section on Special Populations equips the PT to handle common problems encountered in primary care.
• Unique approach details pharmacology and diagnostic procedures from a PT perspective for clinically relevant guidance.

• New information enhances your understanding of the foundations of practice and how to screen and examine the healthy population.
• Content is reorganized and updated to reflect the current state of PT practice.
• Companion Evolve resources website enables you to independently review techniques from the text.
• Top 10 Medical Conditions to Screen For chapter details conditions that have major significance in incidence, mortality, and morbidity all in one place.
• Separate chapters on upper and lower quarter screening and a new chapter on symptom investigation by symptom help you screen medical conditions more effectively.

Product Details

ISBN-13:	9781416061052
Publisher:	Elsevier Health Sciences
Publication date:	08/03/2010
Pages:	432
Product dimensions:	8.60(w) x 11.00(h) x 0.80(d)

Table of Contents

SECTION I FOUNDATIONS

1. Primary Care: Physical Therapy Models

2. Evidence-Based Examination of Diagnostic Information

3. Cultural Competence: An Essential Element of Primary Health Care

4. Pharmacologic Considerations for the Physical Therapist

5 .The Patient Interview: The Science Behind the Art

SECTION II EXAMINATION/EVALUATION

Prologue

6. Symptom Investigation Part I-Chief Complaint by Body Region

7. Symptom Investigation: Part II-Chief Complaint by Symptom

8. Patient Health History Including Identifying Health Risk Factors

9. Review of Systems

10. The Patient Interview: The Physical Examination Begins!

11. Systems Review for Cardiovascular and Pulmonary Systems and Vital Signs

12. Upper Quadrant Screening Examination

13. Lower Quadrant Screening Examination

14. Diagnostic Imaging

15. Laboratory Tests and Values

SECTION III SPECIAL POPULATIONS

16. The Adolescent Population

17. The Obstetric Client

18. The Geriatric Population

19. A Health and Wellness Perspective in Primary Care

20. Top 10 Medical Conditions to Screen For: The Do-Not-Want-to Miss List

What People are Saying About This

From the Publisher

Develop the advanced physical therapy skills you need for success in primary care

Editorial Reviews

Reviewer: Michelle Finnegan, DPT, OCS, MTC, CMTPT, FAAOMPT (Bethesda Physiocare)
Description: All chapters in this new edition of a book on the role of physical therapists in primary care have been updated or expanded, and several new chapters have been added, to meet the needs in the field prompted by the expansion of direct access in physical therapy. This edition has several returning contributing authors along with many new ones, to provide the most up-to-date information there is in the area of primary care physical therapy. The original book was published in 2005.
Purpose: Because direct access in physical therapy has expanded over the past several years and continues to advance, the purpose of this book has changed since its first edition. Initially, the book was intended to "provide information designed to help prepare physical therapists to assume a significant role in the primary care delivery model" with a major emphasis on examination and triage related to the physical therapist's potential role. This new edition is intended to "promote a significant role in the primary care practice model for physical therapists, with major emphasis on the examination, triage, and interdisciplinary health care components related to the physical therapist's potential role." With the increasing growth of primary care and direct access in physical therapy, this edition also has a key focus on recognizing red flags early on in order to facilitate consultation with the appropriate healthcare practitioner. As more therapists become patients' initial contacts for their musculoskeletal conditions, there is a growing need for practitioners to become efficient at differentiating symptoms that have a musculoskeletal cause from those that present as a musculoskeletal issue, but have another origin.
Audience: The book is designed for students, residents, fellows, and experienced clinicians. It is well organized and written, making it easy for readers at any level of experience to read and understand. The editor is a leading authority in this area, and has written several books and taught numerous seminars on medical screening and differential diagnosis.
Features: The first of the book's three sections provides a foundation, explaining the various models of primary care physical therapy currently in place, diagnostic information including reliability, validity, and likelihood ratios, cultural competence, pharmacology considerations, and how to be effective during a patient interview. The second section, on examination/evaluation, has 10 chapters organized in the way that clinicians would typically gather information. The first two chapters describe symptom investigation, first by body region and then by symptom, helping readers in evaluating a given area as thoroughly as possible. The third section is dedicated to topics in special populations such as pediatric/adolescent, obstetric, and geriatric, and includes new chapters on health and wellness and the nine conditions physical therapists do not want to miss. Both are great additions as the field continues to move into the direct access model, where prevention and life-long health and well-being are important facets of care. All chapters are well referenced with the most up-to-date-research. Throughout the book, tables, graphs, and pictures help illustrate the material. Other helpful features include appendixes after several chapters with forms for clinicians to use and/or adapt for medical screening, surveys and testing materials on specific topics, case scenarios, and glossaries of terms. The only minor shortcoming is that all of the illustrations are black and white. Color illustrations would highlight key areas better and improve readability. However, the lack of color does not detract from the wealth of knowledge in this book.
Assessment: This is an important update and a valuable addition to the field. Written by experts, it offers the best and most comprehensive information available on primary care for physical therapists and complements other books in this area. Because of how well organized and written it is, this book would be an essential addition to the personal libraries of clinicians at any level, as well as a popular required text in physical therapy programs.

Doody's Review Service

"This is an important update and a valuable addition to the field. Written by experts, it offers the best and most comprehensive information available on primary care for physical therapists and complements other books in this area. Because of how well organized and written it is, this book would be an essential addition to the personal libraries of clinicians at any level, as well as a popular required text in physical therapy programs."

-Michelle Finnegan,  DPT, OCS, MTC, FAAOMPT  (Bethesda Physiocare)

c/o Doody Enterprises Inc.

From the Publisher