Additional Information
Book Details
Abstract
Familiarize yourself with the acute care environment and confidently develop patient rehabilitation plans with this essential guide to physical therapy practice in a clinical setting. Acute Care Handbook for Physical Therapists, Third Edition helps you understand and interpret hospital protocol, medical terminology, and the medical–surgical aspects of acute care. Each chapter focuses on a body system and includes a review of basic structure and function, an overview of a medical–surgical workup, a review of pathophysiology, information on pharmacology, and guidelines for physical therapy intervention. This edition features a larger, slimmer design that highlights clinical tips, decision-making aids, and practice patterns throughout the text so that you can easily locate these tools and apply them to your practice. If you are unfamiliar with the complex acute care environment, this comprehensive resource is just what you need to become more comfortable and better able to manage the specific needs of your patients.
- Review of body system basics and disease processes in each chapter provides concise information to help you better manage patients in a hospital setting.
- Familiarizes you with the acute care environment by explaining medical terminology, hospital protocol, and surgical workups
- Includes updated information on medications, laboratory and diagnostic tests, and surgical and invasive procedures pertinent to physical therapy practice
- Clinical tips throughout the text show you how to maximize safety, quality, and efficiency of care.
- Over 350 illustrations, tables, and boxed text highlight essential concepts and procedures for quick reference.
- Uses terminology consistent with the Guide to Physical Therapist Practice, Second Edition
- Focuses on evidence-based practice to help you determine the best interventions including recent literature regarding rehabilitation in the critical care setting.
- NEW! Pertinent practice patterns from the Guide to Physical Therapist Practice, Second Edition are included in each chapter.
- NEW! Additional illustrations to improve comprehension of the material
- NEW! More pharmacologic implications for physical therapists, specifically concerning side effects and use of combination drugs.
- NEW! Additional decision-making algorithms facilitate critical thinking in the clinical setting.
- NEW! Updated surgical and invasive procedures include minimally invasive orthopedic surgery, bariatric procedures, and complete insight into circulatory assist devices.
- NEW! Expanded neurological chapter including vestibular dysfunction tests and measures, a discussion of dementia, and the latest in stroke evaluation and management.
- NEW! Revised appendices discuss the latest concepts in documentation standards, palliative care, and patient safety.
- NEW! Slimmer, larger format allows the book to lie open for easier reading.
- NEW! Improved design highlighting clinical tips and other key features lets you locate important information quickly in a busy clinical setting.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Acute Care Handbook for Physical Therapists | iii | ||
| Copyright Page | iv | ||
| Table of Contents | xiii | ||
| Contributors | v | ||
| Dedication | vii | ||
| Preface | ix | ||
| Acknowledgments | xi | ||
| Chapter 1. Cardiac System | 1 | ||
| INTRODUCTION | 1 | ||
| STRUCTURE | 2 | ||
| FUNCTION | 2 | ||
| CARDIAC EVALUATION | 7 | ||
| PATHOPHYSIOLOGY | 21 | ||
| MANAGEMENT | 26 | ||
| References | 35 | ||
| Appendix 1-A. Description of ECG Characteristics and Associated Causes | 38 | ||
| Appendix 1-B. Common Rhythm Disturbances | 42 | ||
| Chapter 2. Respiratory System | 47 | ||
| INTRODUCTION | 47 | ||
| STRUCTURE | 48 | ||
| FUNCTION | 48 | ||
| EVALUATION | 51 | ||
| PATHOPHYSIOLOGY | 67 | ||
| MANAGEMENT | 79 | ||
| References | 84 | ||
| Chapter 3. Musculoskeletal System | 87 | ||
| INTRODUCTION | 87 | ||
| STRUCTURE AND FUNCTION OF THE MUSCULOSKELETAL SYSTEM | 88 | ||
| MUSCULOSKELETAL EXAMINATION | 88 | ||
| FRACTURE MANAGEMENT | 92 | ||
| JOINT ARTHROPLASTY | 102 | ||
| SPINAL PATHOLOGIES | 119 | ||
| SOFT-TISSUE SURGERIES | 123 | ||
| CARTILAGE TRANSPLANTATION | 124 | ||
| EQUIPMENT FOR FRACTURE AND SOFT-TISSUE INJURY MANAGEMENT | 124 | ||
| References | 133 | ||
| Appendix 3-A. Management and Physical Therapy Interventions for Fractures | 138 | ||
| Chapter 4. Nervous System | 151 | ||
| INTRODUCTION | 151 | ||
| STRUCTURE AND FUNCTION OF THE NERVOUS SYSTEM | 152 | ||
| NEUROLOGIC EXAMINATION | 161 | ||
| DIAGNOSTIC PROCEDURES | 173 | ||
| PATHOPHYSIOLOGY | 176 | ||
| GENERAL MANAGEMENT | 192 | ||
| References | 195 | ||
| Chapter 5. Oncology | 199 | ||
| INTRODUCTION | 199 | ||
| DEFINITIONS | 199 | ||
| NOMENCLATURE | 200 | ||
| ETIOLOGY AND RISK FACTORS | 201 | ||
| SIGNS AND SYMPTOMS | 201 | ||
| DIAGNOSIS | 201 | ||
| STAGING AND GRADING | 201 | ||
| MANAGEMENT | 202 | ||
| CANCERS IN THE BODY SYSTEMS | 206 | ||
| GENERAL PHYSICAL THERAPY GUIDELINES FOR PATIENTS WITH CANCER | 215 | ||
| References | 216 | ||
| Chapter 6. Vascular System and Hematology | 219 | ||
| INTRODUCTION | 219 | ||
| STRUCTURE | 220 | ||
| FUNCTION | 221 | ||
| PHYSICAL EXAMINATION | 222 | ||
| PATHOPHYSIOLOGY | 231 | ||
| MANAGEMENT | 250 | ||
| References | 259 | ||
| Chapter 7. Burns and Wounds | 263 | ||
| INTRODUCTION | 263 | ||
| STRUCTURE AND FUNCTION: NORMAL INTEGUMENT | 264 | ||
| PATHOPHYSIOLOGY OF BURNS | 264 | ||
| BURN ASSESSMENT AND ACUTE CARE MANAGEMENT OF BURN INJURY | 268 | ||
| PHYSICAL THERAPY EXAMINATION IN BURN CARE | 275 | ||
| PHYSICAL THERAPY INTERVENTION | 277 | ||
| PATHOPHYSIOLOGY OF WOUNDS | 279 | ||
| PROCESS OF WOUND HEALING | 281 | ||
| FACTORS THAT CAN DELAY WOUND HEALING | 282 | ||
| WOUND ASSESSMENT AND ACUTE CARE MANAGEMENT OF WOUNDS | 283 | ||
| PHYSICAL THERAPY INTERVENTION IN WOUND CARE | 292 | ||
| References | 293 | ||
| Chapter 8. Gastrointestinal System | 297 | ||
| INTRODUCTION | 297 | ||
| STRUCTURE AND FUNCTION | 297 | ||
| CLINICAL EVALUATION | 298 | ||
| PATHOPHYSIOLOGY | 307 | ||
| MANAGEMENT | 318 | ||
| References | 322 | ||
| Chapter 9. Genitourinary System | 327 | ||
| INTRODUCTION | 327 | ||
| STRUCTURE AND FUNCTION | 327 | ||
| CLINICAL EVALUATION | 328 | ||
| PATHOPHYSIOLOGY | 333 | ||
| MANAGEMENT | 341 | ||
| PHYSICAL THERAPY INTERVENTION | 347 | ||
| References | 349 | ||
| Chapter 10. Infectious Diseases | 353 | ||
| INTRODUCTION | 353 | ||
| DEFINITION OF TERMS | 354 | ||
| OVERVIEW OF THE IMMUNE SYSTEM | 354 | ||
| EVALUATION | 354 | ||
| INFECTIOUS DISEASES | 358 | ||
| MANAGEMENT | 369 | ||
| References | 370 | ||
| Appendix 10-A. Disorders of Altered Immunity | 374 | ||
| SYSTEMIC LUPUS ERYTHEMATOSUS | 374 | ||
| SARCOIDOSIS | 374 | ||
| AMYLOIDOSIS | 374 | ||
| RHEUMATOID ARTHRITIS | 375 | ||
| References | 376 | ||
| Chapter 11. Endocrine System | 377 | ||
| INTRODUCTION | 377 | ||
| SCREENING FOR METABOLIC AND ENDOCRINE DYSFUNCTION | 378 | ||
| GENERAL EVALUATION OF ENDOCRINE FUNCTION | 378 | ||
| THYROID GLAND | 379 | ||
| PITUITARY GLAND | 382 | ||
| ADRENAL GLAND | 386 | ||
| PARATHYROID GLAND | 395 | ||
| METABOLIC BONE DISORDERS | 396 | ||
| MANAGEMENT | 398 | ||
| References | 398 | ||
| Chapter 12. Organ Transplantation | 401 | ||
| INTRODUCTION | 401 | ||
| TYPES OF ORGAN TRANSPLANTS | 402 | ||
| CRITERIA FOR TRANSPLANTATION | 402 | ||
| TRANSPLANT DONATION | 402 | ||
| GENERAL POSTTRANSPLANTATION CARE AND COMPLICATIONS | 403 | ||
| RENAL TRANSPLANTATION | 406 | ||
| LIVER TRANSPLANTATION | 408 | ||
| PANCREAS TRANSPLANTATION | 411 | ||
| PANCREAS-KIDNEY TRANSPLANTATION | 412 | ||
| CARDIAC TRANSPLANTATION | 413 | ||
| LUNG TRANSPLANTATION | 416 | ||
| HEART-LUNG TRANSPLANTATION | 419 | ||
| BONE MARROW TRANSPLANTATION AND PERIPHERAL BLOOD STEM CELL TRANSPLANTATION | 419 | ||
| GENERAL PHYSICAL THERAPY GUIDELINES FOR TRANSPLANT RECIPIENTS | 421 | ||
| References | 423 | ||
| Appendix I-A. The Medical Record | 427 | ||
| INTRODUCTION | 427 | ||
| CONFIDENTIALITY | 427 | ||
| DOCUMENTATION | 427 | ||
| COMPONENTS OF THE MEDICAL RECORD | 427 | ||
| References | 429 | ||
| Appendix I-B. Acute Care Setting | 430 | ||
| INTRODUCTION | 430 | ||
| SAFE CAREGIVER AND PATIENT ENVIRONMENT | 430 | ||
| EFFECTS OF PROLONGED BED REST | 431 | ||
| END-OF-LIFE ISSUES | 432 | ||
| INTENSIVE CARE UNIT SETTING | 433 | ||
| SLEEP PATTERN DISTURBANCE | 435 | ||
| SUBSTANCE ABUSE AND WITHDRAWAL | 435 | ||
| References | 435 | ||
| Appendix II. Fluid and Electrolyte Imbalances | 437 | ||
| FLUID IMBALANCE | 437 | ||
| ELECTROLYTE IMBALANCE | 437 | ||
| References | 439 | ||
| Appendix III-A. Medical-Surgical Equipment in the Acute Care Setting | 441 | ||
| INTRODUCTION | 441 | ||
| OXYGEN THERAPY | 441 | ||
| HEMODYNAMIC MONITORING | 447 | ||
| INTRACRANIAL PRESSURE MONITORING | 447 | ||
| MEDICAL-SURGICAL MANAGEMENT DEVICES | 452 | ||
| References | 462 | ||
| Appendix III-B. Mechanical Ventilation | 463 | ||
| PROCESS OF MECHANICAL VENTILATION | 463 | ||
| MODES OF VENTILATION | 465 | ||
| VENTILATORY SETTINGS | 465 | ||
| COMPLICATIONS OF MECHANICAL VENTILATION | 466 | ||
| WEANING FROM MECHANICAL VENTILATION | 470 | ||
| PHYSICAL THERAPY CONSIDERATIONS | 471 | ||
| References | 471 | ||
| Appendix III-C. Circulatory Assist Devices | 473 | ||
| PERCUTANEOUS DEVICES | 473 | ||
| SURGICAL DEVICES | 479 | ||
| PHYSICAL THERAPY CONSIDERATIONS | 481 | ||
| References | 483 | ||
| Appendix IV. Pharmacologic Agents | 485 | ||
| CARDIOVASCULAR SYSTEM | 486 | ||
| RESPIRATORY SYSTEM | 496 | ||
| MUSCULOSKELETAL SYSTEM | 499 | ||
| CENTRAL NERVOUS SYSTEM | 501 | ||
| ONCOLOGY | 508 | ||
| VASCULAR SYSTEM AND HEMATOLOGY | 512 | ||
| GASTROINTESTINAL SYSTEM | 512 | ||
| GENITOURINARY SYSTEM | 516 | ||
| INFECTIOUS DISEASE | 517 | ||
| ENDOCRINE SYSTEM | 526 | ||
| References | 530 | ||
| Appendix V. Anesthesia: Perioperative and Postoperative Considerations | 531 | ||
| TYPES OF ANESTHESIA | 531 | ||
| INTRAOPERATIVE EFFECTS OF ANESTHESIA | 531 | ||
| THE IMMEDIATE POSTOPERATIVE PHASE | 532 | ||
| POSTSURGICAL COMPLICATIONS | 532 | ||
| OPERATIVE POSITIONING | 534 | ||
| References | 534 | ||
| Appendix VI. Pain Management | 535 | ||
| EVALUATION | 535 | ||
| MANAGEMENT | 536 | ||
| References | 541 | ||
| Appendix VII. Amputation | 543 | ||
| LOWER-EXTREMITY AMPUTATION | 543 | ||
| UPPER-EXTREMITY AMPUTATION | 543 | ||
| PHYSICAL THERAPY INTERVENTION FOR PATIENTS WITH AN AMPUTATION | 543 | ||
| References | 549 | ||
| Appendix VIII. Postural Drainage | 551 | ||
| References | 554 | ||
| Appendix IX. Functional Tests | 555 | ||
| BERG BALANCE SCALE | 555 | ||
| TIMED ‘‘UP AND GO’’ TEST | 555 | ||
| FUNCTIONAL REACH TEST | 561 | ||
| TINETTI PERFORMANCE ORIENTED MOBILITY ASSESSMENT | 562 | ||
| SIX-MINUTE WALK TEST | 565 | ||
| CONCLUSION | 566 | ||
| References | 567 | ||
| Appendix X. Physical Therapy Considerations for Patients Who Complain of Chest Pain | 569 | ||
| References | 571 | ||
| Index | 573 |