Guccione's Geriatric Physical Therapy

Description

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