A Comprehensive Guide to Geriatric Rehabilitation

Now in its third edition, this trusted clinical guide enables both the busy practitioner and student to review or to learn about a range of pathologies, conditions, examinations, diagnostic procedures, and interventions that can be effectively used in the physical rehabilitation of older people. It presents a broad overview of age-related physiological changes as well as specific professional discipline perspectives. Organized into eleven distinct and interrelated units, the first unit begins with key anatomical and physiological considerations seen with aging which have significant impact on the older person. The second and third units go on to review important aging-related conditions and disorders of the musculoskeletal and neuromuscular/neurological systems respectively. Neoplasms commonly encountered in older people are the focus of the fourth unit; while aging-related conditions of the cardiovascular, pulmonary, integumentary and sensory systems are presented in units five through seven. Unit eight highlights a range of specific clinical problems and conditions commonly encountered with older patients. Critically, all of these units emphasize important examination and diagnostic procedures needed for a thorough evaluation and stress interventions that can be of significant benefit to the older patient. The ninth unit presents select physical therapeutic interventions that are especially important in managing rehabilitative care. Key societal issues related to aging are discussed in the tenth unit. Finally, the concluding eleventh unit focuses on the successful rehabilitation team that includes both professional and non-professional caregiver members. New to this edition New title to truly reflect the book’s unique comprehensive content New contributor team guided by a new editorial lead Chapters on frailty and sexuality New friendlier design Author Info Edited by Timothy L. Kauffman, PhD, PT, Kauffman-Gamber Physical Therapy, Lancaster, PA; Ronald W. Scott, PT, JD, EdD, LLM, MSBA, Health Law Attorney-Mediator, Private Practice, San Antonio, TX; Associate Professor, Rocky Mountain University of Health Professions, Provo, UT; John O. Barr, PhD, PT, Professor and Director, Physical Therapy Department, St Ambrose University, Davenport IA, USA and Michael L. Moran, ScD, PT, Department of Physical Therapy, College Misercordia, Dallas, PA Table of Contents: Dedications Contributors Foreword Preface to the first edition Preface Acknowledgements UNIT 1 ANATOMICAL AND PHYSIOLOGICAL CONSIDERATIONS 1. Wholeness of the individual 2. Skeletal muscle function in older people 3. Effects of aging on bone 4. Effects of age on joints and ligaments 5. Aging and the central nervous system 6. Cardiac considerations in the older patient 7. Pulmonary considerations in the older patient 8. Effects of aging on the digestive system 9. Effects of aging on vascular function 10. Thermoregulation: considerations for aging people 11. The aging immune system 12. Pharmacology considerations for the aging individual 13. Laboratory assessment considerations for the aging individual 14. Imaging UNIT 2 MUSCULOSKELETAL DISORDERS 15. Posture 16. Muscle weakness and therapeutic exercise 17. Contractures 18. Postpolio syndrome 19. Osteoporosis 20. Rheumatic conditions 21. The shoulder 22. Total hip arthroplasty 23. Total knee arthroplasty 24. The aging bony thorax 25. Conditions of the geriatric cervical spine 26. Disorders of the geriatric thoracic and lumbosacral spine 27. Orthopedic trauma UNIT 3 NEUROMUSCULAR AND NEUROLOGICAL DISORDERS 28. Neurological trauma 29. Rehabilitation after stroke 30. Senile dementia and cognitive impairment 31. Multiple sclerosis 32. Parkinson's disease 33. Tremors, chorea and other involuntary movement 34. Generalized peripheral neuropathy 35. Localized peripheral neuropathies UNIT 4 NEOPLASMS 36. Neoplasms of the brain 37. Neoplasms of the breast 38. Gastric and colon neoplasms 39. Neoplasms of the skin 40. Neoplasms of the prostate UNIT 5 CARDIOPULMONARY DISEASE 41. Exercise considerations for aging adults 42. Clinical development and progression of heart disease 43. Cardiac arrhythmias and conduction disturbances 44. Heart failure and valvular heart disease 45. Cardiac pacemakers and defibrillators 46. Invasive cardiac procedures 47. Pulmonary diseases UNIT 6 BLOOD VESSEL CHANGES, CIRCULATORY AND SKIN DISORDERS 48. Diabetes 49. Amputations 50. Wound management 51. The sensitive foot 52. Skin disorders UNIT 7 AGING AND PATHOLOGICAL SENSORIUM 53. Functional vision changes in the normal and aging eye 54. Functional changes in the aging ear 55. Considerations in elder patient communication UNIT 8 SPECIFIC PROBLEMS 56. Dysphagia 57. Incontinence of the bowel and bladder 58. Iatrogenesis in older individuals 59. Hormone replacement therapy 60. Dizziness 61. Balance testing and training 62. Fracture consdierations 63. Stiffness 64. Fatigue 65. The function of the aging hand 66. Overweight and obesity 67. Evaluation of pain in older individuals UNIT 9 SPECIAL PHYSICAL THERAPEUTIC INTERVENTION TECHNIQUES 68. Conservative interventions for pain control 69. Gait training 70. Orthotics 71. Prosthetics 72. Complementary therapies for the aging patient 73. Aquatic therapy UNIT 10 SOCIAL AND GOVERNMENT IMPLICATIONS, ETHICS AND DYING 74. Legal considerations 75. Ethics 76. Physical therapy and the generational conflict 77. Medicare 78. The end of life UNIT 11 THE REHABILITATION TEAM 79. Caregivers: the sustaining force 80. Interdisciplinary geriatric assessment 81. Gerontological and geriatric nursing 82. Geriatric occupational therapy 83. Geriatric physical therapy 84. Providing social services to the older client Index

Edited by Timothy L. Kauffman, PhD, PT, Kauffman-Gamber Physical Therapy, Lancaster, PA; Ronald W. Scott, PT, JD, EdD, LLM, MSBA, Health Law Attorney-Mediator, Private Practice, San Antonio, TX; Associate Professor, Rocky Mountain University of Health Professions, Provo, UT; John O. Barr, PhD, PT, Professor and Director, Physical Therapy Department, St Ambrose University, Davenport IA, USA and Michael L. Moran, ScD, PT, Department of Physical Therapy, College Misercordia, Dallas, PA