Guccione's Geriatric Physical Therapy

4th Edition - October 24, 2019
Authors: Dale Avers, Rita Wong
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 6 0 9 1 2 - 8
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 6 1 0 1 5 - 5

Offering a comprehensive look at physical therapy science and practice, Guccione’s Geriatric Physical Therapy, 4th Edition is a perfect resource for both students and practitioner… Read more

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Offering a comprehensive look at physical therapy science and practice, Guccione’s Geriatric Physical Therapy, 4th Edition is a perfect resource for both students and practitioners alike. Year after year, this text is recommended as the primary preparatory resource for the Geriatric Physical Therapy Specialization exam. And this new fourth edition only gets better. Content is thoroughly revised to keep you up to date on the latest geriatric physical therapy protocols and conditions. Five new chapters are added to this edition to help you learn how to better manage common orthopedic, cardiopulmonary, and neurologic conditions; become familiar with functional outcomes and assessments; and better understand the psychosocial aspects of aging. In all, you can rely on Guccione’s Geriatric Physical Therapy to help you effectively care for today’s aging patient population.

Cover image
Title page
Table of Contents
Copyright
Dedication
Contributors
Preface
Acknowledgments
Chapter 1: Geriatric Physical Therapy in the 21st Century: Overarching Principles and Approaches to Practice
Introduction
Aging
Health, function, and disablement
Key principles in geriatric physical therapy
The physical therapist in geriatrics
Summary
Chapter 2: Aging Demographics and Trends
Introduction
Demography
Mortality
Morbidity
Function
Health and Health Care Utilization
Chapter 3: Age-Related Physiological Changes: An Overview
Introduction
Aging: a decline in homeostasis
Musculoskeletal System
Exercise for reversing decline/preventing disease and sedentary lifestyle
Summary
Chapter 4: Psychosocial Aspects of Aging
Introduction
Psychosocial theories
Successful aging
Motivation and engagement
Life transitions
Gender and sexual identity
Sex and intimacy
Spirituality
Trauma-informed care and mental health conditions
Summary
Chapter 5: Environmental Design: Accommodating Sensory Changes and Mobility Limitations in the Older Adult
Introduction
General principles of design
General theories of environmental design
Sensory changes impacting independence and well-being within the environment
Impact of Sensory Changes on Driving
Adapting living environments to accommodate sensory changes
Teaching/consulting strategies
Summary
Chapter 6: Geriatric Pharmacology
Introduction
Pattern of Drug Use in Older Adults: Problems of Polypharmacy
Altered Response to Drugs
Other factors that increase the risk of adverse drug reactions in older adults
Common Adverse Drug Reactions
Drug Classes Commonly Used In Older Adults
General strategies for coordinating physical therapy with drug treatment in older adults
Chapter 7: Functional Performance Measures and Assessment for Older Adults
Introduction
Purposes of Measuring Functional Performance
Relationship Between Function And Impairments
Types of Functional Outcome Measures
Selection of Functional Performance Measures
Functional Performance Measures
Balance Measures
Summary
Chapter 8: Exercise and Physical Activity for Older Adults
Introduction
Physical activity
Physical stress theory
General indications and precautions
Elements of an exercise prescription
Application of principles to exercise types
Safety
Summary
Chapter 9: Age-Related Changes in Gait and Mobility
Introduction
Normal gait
Pathologic gait changes
Interrelatedness of gait and cognition
Functional ambulation requirements
Examination and evaluation of gait
Plan of care and interventions
Summary
Chapter 10: Balance and Falls in Older Adults
Introduction
Definition and Classification of Falls
Fall Risk Factors
Postural Control and Aging
Examination and Evaluation of Balance and Risk of Falls
Examination of Impairments in Postural Control
Intervention
Summary
Chapter 11: Patient Education: Implications for Physical Therapist Practice
Introduction
Patient Education in Physical Therapy
Learning Theory: Understanding How We Learn
The Older Learner
The Therapist as Teacher
Environmental Influences
Patient Education: Putting It All Together
Learning Assessment
Chapter 12: Caregiving of the Older Adult
Introduction
Caregiving Context and Statistics
Domains of Caregiver Activities
The Caregiver Role Trajectory
The Stress Process
Specific Caregiving Relationships
Multicultural Issues in Caregiving
Elder Abuse
Summary
Chapter 13: The Older Adult Who Is Frail
Introduction
Prevalence
Models of frailty
Domains of frailty
Frailty transitions
Implications of frailty
Pathophysiology of frailty
Frailty and sarcopenia
Assessment of frailty
Management of frailty
Prevention
Chapter 14: Management of the Acutely Ill and Medically Complex Older Patient
Introduction
Review of Systems
Systems Review
Other Medical Issues
Prevention
Summary
Chapter 15: Impaired Joint Mobility in Older Adults
Introduction
Joint mobility with aging
Joint Examination
Evaluation and Diagnosis
Intervention
Outcomes
Summary
Chapter 16: Impaired Muscle Performance in Older Adults
Introduction
Consequences of sarcopenia
Muscle countermeasures for older individuals
Summary
Chapter 17: Impaired Motor Control and Neurologic Rehabilitation in Older Adults
Acknowledgments
Introduction
Common Motor Control Impairments
Examination of Patients With Impaired Motor Control
Prognosis and Diagnosis
Plan of Care and Rehabilitation Approach
Current Evidence Underlying Impaired Motor Control Interventions
Summary
Chapter 18: Aerobic Capacity and the Management of the Patient with Cardiovascular and Pulmonary Limitations
Introduction
Physiology of aerobic capacity in older adults
Common Medical Conditions Impacting Aerobic Capacity
Pulmonary disease
Summary
Chapter 19: Cognitive Issues in the Older Adult
Introduction
Normal cognitive aging
Structural Changes in the Brain
Delirium
Dementia
Cognitive screening and assessment tools
Management
Carepartner education
Summary
Chapter 20: The Management of Post-Surgical Orthopedic Conditions in the Older Adult
Introduction
Health Behavior Change
Fractures
Hip and knee joint arthroplasties
Shoulder surgeries
Spinal surgeries
Summary
Chapter 21: Management of Integumentary Conditions in Older Adults
Introduction
Aging-Related Changes in the Skin
Physical Skin Assessment
Common Skin Conditions
Common Wound Conditions
Quality of Life and Future Directions
Chapter 22: Management of the Pelvic Floor in Older Men and Women
Introduction
Normal Bladder Function
The Pelvic Floor
Bladder Control as a Geriatric Syndrome
Aging of the Genitourinary System
Urinary Tract Infections and Urinary Retention
Identification, Screening, and Assessment of Bladder Control Problems
Interventions
Summary
Chapter 23: Wellness in the Older Adult
Introduction
Physical Wellness
Psychological wellness
Social wellness
Physical activity and exercise–focused wellness programs
Physical therapists’ scope of practice
Summary
Chapter 24: Acute Care Management of the Older Adult
Introduction
Issues with Hospitalization of the Older Adult
Preventative Initiatives and Programs
Care Coordination and Communication
Role of the Physical Therapist in the Acute Care Environment
Hospital-Acquired Deconditioning and Post-ICU Syndrome
Physical Therapy Contribution to Fall Prevention
Physical Therapist Role in the ICU
Trauma Management
Oncology Considerations
Differentiating “Simple” from “Complex” Management Considerations
Postsurgical Acute Management of Common Orthopedic Surgeries
Role of the Physical Therapist in Emergency Department
Summary
Chapter 25: Postacute Care Management of the Older Adult
Introduction
Inpatient Rehabilitation Facilities
Skilled Nursing and Long-Term Care Facilities
Physical Therapy Patient Management in the Skilled Nursing Facility and Long-Term Care Settings
Examination and Evaluation
Interventions
Unique Challenges in the Long-Term Care Setting
Restorative programs
Dealing With Dementia and Depression
Future Trends in Postacute Care
Chapter 26: Home Health Management of the Older Adult
Introduction
Definition of homebound
Role of the physical therapist in home health
Documentation
The initial visit
Goal setting
Episode of care
Physical therapy intervention in the home
Care transitions and patient self-management: a vision for home health
Summary
Chapter 27: Hospice and End of Life
Introduction
An Overview of Hospice and Palliative Care
Planning for Death with Dignity: Advanced Directives
Hospice Care: Supporting Death with Dignity and Comfort
Models of Physical Therapy Practice in Hospice and Palliative Care
Clinical Issues—Considerations for Care
Pain and Symptom Management
Palliative Sedation
The Physiological Process of Dying
Cultural Issues With Acceptance of Death
Confronting the Reality of Death
Summary
Chapter 28: The Senior Athlete
Introduction
Defining the Population: Who Is the Senior Athlete?
Effects of Aging on Performance and Physiological Changes in Senior Athletes
Movement Performance in Senior Athletes
Mechanical Constraints in Senior Athletes
Sport-Specific Training and Programming Considerations for Senior Athletes
Summary
Chapter 29: Health Policy for Physical Therapists and Older Adults
Introduction
Public Policy, Health Policy, and Advocacy
Federal and State Payment Systems for Older Adults
Fraud, Waste, and Abuse
Shift to Outcomes, Quality, and Value
Summary
Index

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Dale Avers

Rita Wong