Guccione's Geriatric Physical Therapy

Höfundar: Dale Avers; Rita Wong (Útgáfa: 4)
Guccione's Geriatric Physical Therapy

Kaup valmöguleikar

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. Comprehensive coverage of geriatric physical therapy prepares students and clinicians to provide thoughtful, evidence-based care for aging patients.

Combination of foundational knowledge and clinically relevant information provides a meaningful background in how to effectively manage geriatric disorders Updated information reflects the most recent and relevant information on the Geriatric Clinical Specialty Exam. Standard APTA terminology prepares students for terms they will hear in practice. Expert authorship ensures all information is authoritative, current, and clinically accurate.

NEW! Thoroughly revised and updated content across all chapters keeps students up to date with the latest geriatric physical therapy protocols and conditions. NEW! References located at the end of each chapter point students toward credible external sources for further information. NEW! Treatment chapters guide students in managing common conditions in orthopedics, cardiopulmonary, and neurology. NEW! Chapter on functional outcomes and assessment lists relevant scores for the most frequently used tests.

NEW! Chapter on psychosocial aspects of aging provides a well-rounded view of the social and mental conditions commonly affecting geriatric patients. NEW! Chapter on frailty covers a wide variety of interventions to optimize treatment. NEW! Enhanced eBook version is included with print purchase, allowing students to access all of the text, figures, and references from the book on a variety of devices.

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Útgefandi
Elsevier Health Sciences (US)
ISBN
9780323610155
Print ISBN
9780323609128
Format
ePub
Útgáfa
4
Höfundar
Dale Avers; Rita Wong
Tungumál
English
Útgefið
2019-10-24
Prent takmörkun á líftíma
10

Kaflar

  • Guccione's Geriatric Physical Therapy
  • Cover image
  • Title page
  • Table of Contents
  • Inside Front Cover
  • 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
  • International Classification of Functioning, Disability, and Health
  • Key principles in geriatric physical therapy
  • Role of Physical Activity and Exercise in Maximizing Optimal Aging
  • Slippery Slope of Aging
  • Ageism
  • Objectivity in Use of Outcome Tools
  • Evidence-Based Practice
  • Patient Autonomy
  • The physical therapist in geriatrics
  • Geriatric Care Team
  • Geriatric Competencies
  • Expert Practice
  • Clinical Decision Making
  • Summary
  • References
  • Chapter 2 Aging Demographics and Trends
  • Introduction
  • Demography
  • Defining “Older” Adult
  • Population Pyramids
  • U.S. Population Estimates and Age Structure
  • Life Expectancy
  • Growth of Race and Ethnicity Populations
  • Sex Distribution and Marital Status
  • Living Arrangements and Environments
  • Economic Status
  • Mortality
  • Causes of Death
  • Morbidity
  • Chronic Conditions
  • Social Participation
  • Function
  • Physical Function and Disability
  • Activities of Daily Living
  • Health and Health Care Utilization
  • Self-Rating of Health
  • Utilization of Services and Expenditures
  • Challenges and Future Possibilities
  • References
  • Chapter 3 Age-Related Physiological Changes: An Overview
  • Introduction
  • Aging: a decline in homeostasis
  • Musculoskeletal System
  • Skeletal Tissue
  • Muscle Tissue
  • Body Composition
  • Connective Tissue and Collagen
  • Cardiovascular System
  • Nervous System
  • Sensory Function
  • The Immune System
  • The Hormonal Axis
  • Exercise for reversing decline/preventing disease and sedentary lifestyle
  • Summary
  • References
  • Chapter 4 Psychosocial Aspects of Aging
  • Introduction
  • Psychosocial theories
  • Historical Perspective
  • Mainstream Theory
  • Successful aging
  • Cultural Influences
  • Personality
  • Resilience
  • Wisdom
  • Loss
  • Loneliness
  • Grief
  • Motivation and engagement
  • Personalization
  • Social Support
  • Patient-Centered Goals
  • Personality
  • Effective Strategies to Help Motivate the Older Adult
  • Life transitions
  • Retirement or Loss of Job
  • From Parent to Grandparent
  • Relocation
  • Gender and sexual identity
  • Sex and intimacy
  • Sex
  • Intimacy
  • Spirituality
  • Trauma-informed care and mental health conditions
  • Trauma-Informed Care
  • Depression
  • Anxiety
  • Bipolar Disorder
  • Suicide
  • Summary
  • References
  • Chapter 5 Environmental Design
  • Introduction
  • General principles of design
  • General theories of environmental design
  • Sensory changes impacting independence and well-being within the environment
  • Vision
  • Hearing
  • Smell
  • Touch
  • Impact of Sensory Changes on Driving
  • Adapting living environments to accommodate sensory changes
  • Residential Facilities
  • Physical Therapy Clinics
  • Stairs
  • Personal/Living Space
  • Special Considerations for Individuals with Dementia
  • Teaching/consulting strategies
  • Summary
  • References
  • Chapter 6 Geriatric Pharmacology
  • Introduction
  • Pattern of Drug Use in Older Adults: Problems of Polypharmacy
  • Altered Response to Drugs
  • Pharmacokinetic Changes
  • Pharmacodynamic Changes
  • Other factors that increase the risk of adverse drug reactions in older adults
  • Presence of Multiple Disease States
  • Lack of Proper Drug Testing and Regulation
  • Problems with Patient Education and Nonadherence to Drug Therapy
  • Use of Inappropriate Medications
  • Additional Factors
  • Common Adverse Drug Reactions
  • Gastrointestinal Symptoms
  • Sedation
  • Confusion
  • Depression
  • Orthostatic Hypotension
  • Fatigue and Weakness
  • Dizziness and Falls
  • Anticholinergic Effects
  • Extrapyramidal Symptoms
  • Drug Classes Commonly Used In Older Adults
  • Psychotropic Medications
  • Antipsychotics
  • Neurologic Agents
  • Treatment of Pain and Inflammation
  • Cardiovascular Drugs
  • Respiratory and Gastrointestinal Drugs
  • Hormonal Agents
  • Treatment of Infections
  • Cancer Chemotherapy
  • Drugs Used to Treat Urinary and Fecal Incontinence
  • General strategies for coordinating physical therapy with drug treatment in older adults
  • Distinguishing Drug Effects from Symptoms
  • Scheduling Physical Therapy Sessions Around Dosage Schedule
  • Promoting Synergistic Effects of Physical Therapy Procedures with Drug Therapy
  • Avoiding Potentially Harmful Interactions Between Physical Therapy Procedures and Drug Effects
  • Improving Education and Compliance with Drug Therapy in Older Adults
  • Facilitating Medication Discussions with the Physician
  • References
  • 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
  • Self-Report
  • Patient Outcome Measures
  • Observer-Rated Measures
  • Physiological Measures
  • Selection of Functional Performance Measures
  • Safety
  • Validity and Reliability
  • Diagnostic Accuracy
  • Floor and Ceiling Effects
  • Relevance
  • Sequence of Tests
  • Functional Performance Measures
  • Self-Report Measures
  • Single-Test Mobility Measures
  • Multiactivity Mobility Measures
  • Balance Measures
  • Static Steady-State Balance Tests
  • Dynamic Steady-State Balance Tests
  • Performance Test Batteries
  • Summary
  • References
  • Chapter 8 Exercise and Physical Activity for Older Adults
  • Introduction
  • Physical activity
  • Physical Activity Guidelines
  • Group Exercise
  • Physical stress theory
  • General indications and precautions
  • Blood Glucose
  • Pain
  • Elements of an exercise prescription
  • Specificity
  • Progressive Overload
  • Reversibility
  • Endurance
  • Neuromuscular Training
  • Enjoyment and Value
  • Summary
  • Application of principles to exercise types
  • Aerobic Exercise
  • Aquatic Exercise
  • Resistance Training
  • Specificity
  • Speed, Power, and Plyometrics
  • Functional Training and Multicomponent Programs
  • Flexibility and Joint Mobility
  • Balance Training and Fall Prevention
  • Safety
  • Summary
  • References
  • Chapter 9 Age-Related Changes in Gait and Mobility
  • Introduction
  • Normal gait
  • Gait Characteristics: Typical Changes with Aging
  • Pathologic gait changes
  • Interrelatedness of gait and cognition
  • Functional ambulation requirements
  • Individual Constraints
  • Speed and Distance Requirements for Functional Ambulation
  • Task and Environment Demands
  • Ambulation with Assistive Devices
  • Stair Negotiation
  • Examination and evaluation of gait
  • Gait Speed
  • Plan of care and interventions
  • Treatment at the Impairment Level
  • Specific Interventions for Gait Training
  • Summary
  • References
  • Chapter 10 Balance and Falls in Older Adults
  • Introduction
  • Definition and Classification of Falls
  • Fall Risk Factors
  • Postural Control and Aging
  • Sensory System
  • Central Processing
  • Neuromuscular System
  • Examination and Evaluation of Balance and Risk of Falls
  • History and Screening
  • Stopping Elderly Accidents, Deaths, and Injuries
  • Examination of Impairments in Postural Control
  • Sensory
  • Somatosensory
  • Sensory Integration Testing
  • Neuromuscular Testing
  • Aerobic Endurance
  • Environmental Assessment
  • Psychosocial Assessment
  • Fear of Falling
  • Intervention
  • Balance Training
  • Exercise Interventions: Strength, ROM, and Endurance
  • Assistive and Accommodative Devices
  • The Use of Technology for Balance and Gait
  • Environmental Modifications
  • Pre- or Postrehabilitation Community-Based Programs for Falls Prevention
  • Summary
  • References
  • Chapter 11 Patient Education: Implications for Physical Therapist Practice
  • Introduction
  • Patient Education in Physical Therapy
  • Learning Theory: Understanding How We Learn
  • Adult Learning Theory
  • Experiential Learning Cycle
  • Social Cognitive Theory
  • Reflection
  • The Older Learner
  • Learning Style
  • Self-Efficacy, Outcomes Expectations, and Health Beliefs
  • Psychological State
  • Cultural Background
  • Literacy and Health Literacy
  • Physiologic Changes
  • Learning Readiness and Expectations
  • The Therapist as Teacher
  • Therapist Patient Education Competencies
  • Preparation and Timing
  • Content Selection
  • Delivery of Information and Communication
  • Promoting Adherence and Behavior Change
  • Environmental Influences
  • Patient Education: Putting It All Together
  • Learning Assessment
  • References
  • Chapter 12 Caregiving of the Older Adult
  • Introduction
  • Caregiving Context and Statistics
  • Reciprocity and Exchange
  • Implications for Geriatric Physical Therapy
  • Domains of Caregiver Activities
  • Implications for Geriatric Physical Therapy
  • The Caregiver Role Trajectory
  • Role Acquisition
  • Role Enactment
  • Role Disengagement
  • Implications for Geriatric Physical Therapy
  • The Stress Process
  • Caregiver Outcomes
  • Physical Health
  • Psychological Health and Quality of Life
  • Social Well-Being
  • Economic Well-Being
  • Rewards of Caregiving
  • Costs and Rewards to the Care Recipient
  • Implications for Geriatric Physical Therapy
  • Specific Caregiving Relationships
  • Spousal/Partner Caregiving
  • Parental Caregiving
  • Dementia Caregiving
  • Caring for an Adult Child with Intellectual/Developmental Disability
  • Kinship Care/Grandparents as Caregivers
  • Implications for Geriatric Physical Therapy
  • Multicultural Issues in Caregiving
  • Cultural Competence
  • Cultural Humility
  • Intersectionality
  • Implications for Geriatric Physical Therapy
  • Elder Abuse
  • Types of Elder Abuse
  • Prevalence and Risk Factors for Elder Abuse
  • Responding to Elder Abuse
  • Supporting Caregivers
  • Summary
  • References
  • Chapter 13 The Older Adult Who Is Frail
  • Introduction
  • Prevalence
  • Models of frailty
  • Domains of frailty
  • Cognitive Frailty
  • Psychological Frailty
  • Social Frailty
  • Frailty transitions
  • Implications of frailty
  • Surgical Implications
  • Pathophysiology of frailty
  • Frailty and sarcopenia
  • Assessment of frailty
  • Management of frailty
  • Physical Activity and Exercise
  • Nutrition
  • Pharmaceuticals
  • Hormonal Management
  • Self-Management Programs Aimed at Preventing or Managing Frailty
  • Others
  • Palliative Care
  • Prevention
  • References
  • Chapter 14 Management of the Acutely Ill and Medically Complex Older Patient
  • Introduction
  • Review of Systems
  • Admission or Reason for Visit
  • Laboratory Values
  • Electrocardiogram
  • Surgical and Medical Procedural Reports
  • Interview
  • Systems Review
  • Mental Status
  • Vital Signs
  • Pulmonary Function
  • Auscultation
  • Nutritional Status and Physical Appearance
  • Body Weight/Body Composition
  • Coronary Artery Disease
  • Heart Failure
  • Pneumonia
  • Urinary Tract Infections
  • Sepsis
  • Other Medical Issues
  • Dizziness
  • Dehydration
  • Metabolic Syndrome
  • Prevention
  • Summary
  • References
  • Chapter 15 Impaired Joint Mobility in Older Adults
  • Introduction
  • Joint mobility with aging
  • Connective Tissue Changes
  • Change in Joint Structures
  • Bone
  • Whole Joint Changes
  • Influence on Activity and Participation
  • Joint Examination
  • History
  • Systems Review
  • Tests and Measures
  • Evaluation and Diagnosis
  • Intervention
  • Patient/Client/Society Education
  • Therapeutic Exercise
  • Manual Intervention Techniques
  • Assistive/Adaptive Devices and Equipment
  • Outcomes
  • Self-Report Outcome Instruments
  • Performance-Based Outcome Instruments
  • Summary
  • References
  • Chapter 16 Impaired Muscle Performance in Older Adults
  • Introduction
  • Consequences of sarcopenia
  • Changes in Muscle Structure and Function Associated with Aging
  • Changes in Metabolic Function Associated with Aging
  • Muscle countermeasures for older individuals
  • Resistance Exercise
  • Nutritional Intake as a Countermeasure for Sarcopenia
  • Summary
  • References
  • Chapter 17 Impaired Motor Control and Neurologic Rehabilitation in Older Adults
  • Acknowledgments
  • Introduction
  • Common Motor Control Impairments
  • Paresis
  • Abnormal Tone
  • Fractionated Movement Deficits
  • Ataxia
  • Hypokinesia
  • Somatosensory Loss
  • Perceptual Deficits
  • Examination of Patients With Impaired Motor Control
  • Prognosis and Diagnosis
  • Plan of Care and Rehabilitation Approach
  • Current Evidence Underlying Impaired Motor Control Interventions
  • Considerations for Upper Limb Interventions
  • Considerations for Lower Limb and Gait Task-Specific Interventions
  • Summary
  • References
  • Chapter 18 Aerobic Capacity and the Management of the Patient with Cardiovascular and Pulmonary Limitations
  • Introduction
  • Physiology of aerobic capacity in older adults
  • Heart Rate
  • Stroke Volume
  • Cardiac Output
  • Arterial Oxygen Content
  • Venous Oxygen Content
  • Hypertension
  • Common Medical Conditions Impacting Aerobic Capacity
  • Coronary Artery Disease and Myocardial Infarction
  • Aortic Stenosis
  • Heart Failure
  • Atrial Fibrillation
  • Peripheral Arterial Disease
  • Pulmonary disease
  • Chronic Obstructive Pulmonary Disease
  • Asthma
  • Restrictive Pulmonary Disease
  • Summary
  • References
  • Chapter 19 Cognitive Issues in the Older Adult
  • Introduction
  • Normal cognitive aging
  • Memory
  • Executive Functioning
  • Language
  • Complex Attention
  • Social Cognition
  • Perceptual-motor Function
  • Structural Changes in the Brain
  • Delirium
  • Definition, Epidemiology, and Clinical Presentation of Delirium
  • Types of Delirium
  • Pathophysiology and Risk Factors of Delirium
  • Prevention and Management of Delirium
  • Dementia
  • Definition of Dementia
  • Epidemiology
  • Societal Cost of Dementia
  • Mild Cognitive Impairment (MCI)
  • Alzheimer Disease
  • Vascular Dementia
  • Dementia With Lewy Bodies
  • Frontemporal Lobe Dementia
  • Cognitive screening and assessment tools
  • Medical Assessment for Dementia
  • Screening Tools
  • Assessment Tools
  • Staging Progression of Dementia
  • Management
  • Pharmacology
  • Person-Centered Dementia Care
  • Exercise and Mobility Management
  • Carepartner education
  • Summary
  • References
  • Chapter 20 The Management of Post-Surgical Orthopedic Conditions in the Older Adult
  • Introduction
  • Health Behavior Change
  • Fractures
  • Hip Fractures
  • Humeral Fractures
  • Wrist Fractures
  • Ankle Fractures
  • Vertebral Fractures
  • Fractures: Summary
  • Hip and knee joint arthroplasties
  • Total Knee Arthroplasty
  • Total Hip Arthroplasty
  • Joint Arthroplasty: Summary
  • Shoulder surgeries
  • Rotator Cuff Repair
  • Total Shoulder and Reverse Shoulder Arthroplasty
  • Shoulder Surgeries: Summary
  • Spinal surgeries
  • Prognosis and Treatment Planning
  • Complications
  • Precautions
  • Treatment Progression
  • Spinal Surgeries: Summary
  • Summary
  • References
  • Chapter 21 Management of Integumentary Conditions in Older Adults
  • Introduction
  • Aging-Related Changes in the Skin
  • Physical Skin Assessment
  • Malnutrition
  • Dehydration
  • Assessment and Prevention
  • Skin Cancer
  • Common Skin Conditions
  • Candida
  • Cellulitis
  • Herpes Zoster
  • Scabies
  • Common Wound Conditions
  • Pressure Injury/Ulcer
  • Diabetic Neuropathic Ulcers
  • Arterial and Venous Insufficiency Ulcers
  • Atypical Inflammatory Wounds
  • Burns
  • Quality of Life and Future Directions
  • References
  • Chapter 22 Management of the Pelvic Floor in Older Men and Women
  • Introduction
  • Normal Bladder Function
  • Neural Control of the Lower Urinary Tract
  • The Pelvic Floor
  • Bladder Control as a Geriatric Syndrome
  • Polypharmacy
  • Caregiver Burden
  • Impact on Rehabilitation
  • Falls
  • Aging of the Genitourinary System
  • Lower Urinary Tract Symptoms and Bladder Control Problems
  • Urinary Tract Infections and Urinary Retention
  • Identification, Screening, and Assessment of Bladder Control Problems
  • Screening
  • Patient Interview and History Taking
  • Physical Examination
  • Pelvic Floor Muscle Palpation and Testing
  • Outcome Measures
  • Interventions
  • Pelvic Floor Muscle Training
  • Feedback and Biofeedback
  • Electrical Stimulation
  • Education
  • Fluid Management Strategies
  • Bladder Training
  • Strategies for Deferral and Inhibition of Urinary Urgency and Nocturia
  • Nocturia Management
  • Bladder Emptying
  • The Frail Elder and Cognitively Impaired
  • Summary
  • References
  • 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
  • Screening for Physical Activity and Wellness Programs
  • Baseline and Outcomes Assessment
  • Types of Physical Activity and Exercise Programs
  • Summary
  • References
  • Chapter 24 Acute Care Management of the Older Adult
  • Introduction
  • Issues with Hospitalization of the Older Adult
  • Delirium
  • Falls in the Hospital
  • Vulnerability to Medical Deterioration
  • Preventative Initiatives and Programs
  • Care Coordination and Communication
  • Role of the Physical Therapist in the Acute Care Environment
  • Throughput
  • Objective Assessment
  • Nursing Mobility Programs
  • Hospital-Acquired Deconditioning and Post-ICU Syndrome
  • Physical Therapy Contribution to Fall Prevention
  • Physical Therapist Role in the ICU
  • Cardiac Surgery and ICU
  • Cardiac Surgical Procedures
  • Neurological ICU
  • Medical ICU
  • Trauma Management
  • Falls-Related Trauma
  • Oncology Considerations
  • Differentiating “Simple” from “Complex” Management Considerations
  • Medication Considerations
  • Postsurgical Acute Management of Common Orthopedic Surgeries
  • Role of the Physical Therapist in Emergency Department
  • Summary
  • References
  • Chapter 25 Postacute Care Management of the Older Adult
  • Introduction
  • Inpatient Rehabilitation Facilities
  • Profile of an Inpatient Rehabilitation Facility and Its Patients
  • Skilled Nursing and Long-Term Care Facilities
  • Profile of a Skilled Nursing Facility, Long-Term Care Facility, and Their Patients (Residents)
  • Physical Therapy Patient Management in the Skilled Nursing Facility and Long-Term Care Settings
  • Examination and Evaluation
  • History
  • Systems Review
  • Tests and Measures
  • Screening in Long-Term Care
  • Interventions
  • Exercise
  • Gait Training
  • Balance Training
  • Transfer Training
  • Unique Challenges in the Long-Term Care Setting
  • Fall Risk Reduction
  • Restraint Reduction
  • Pressure Ulcer Management and Risk Reduction
  • Restorative programs
  • Dealing With Dementia and Depression
  • Future Trends in Postacute Care
  • References
  • Chapter 26 Home Health Management of the Older Adult
  • Introduction
  • Definition of homebound
  • Role of the physical therapist in home health
  • Rehospitalization
  • Variability of the Home Environment
  • Documentation
  • Home Health Documentation Requirements
  • The initial visit
  • The Comprehensive Start of Care OASIS and Consent (Full Disclosure)
  • The Medication Reconciliation
  • Fall-Risk Screening
  • Home Safety Assessment
  • Functional Assessment Testing
  • Emergency Situations
  • Personal Safety
  • Goal setting
  • Episode of care
  • Projecting Number of Physical Therapy Visits and Episode Timing
  • Initial Patient Education Interventions
  • Start of Care Case Conference and Physician Communication
  • Subsequent Visits
  • Coordination of Patient Care
  • Physical therapy intervention in the home
  • Home Exercise Programs
  • Physical Therapist Assistant Utilization
  • Care transitions and patient self-management: a vision for home health
  • Summary
  • References
  • Chapter 27 Hospice and End of Life
  • Introduction
  • The Concept of a “Good Death”
  • An Overview of Hospice and Palliative Care
  • Hospice Versus Palliative Care
  • The Evolution of Palliative Care and Hospice in the 21st Century
  • The Physical Therapist’s Role in Hospice and Palliative Care
  • Determining and Documenting Necessity of PT Services in HPC
  • Acute Care Palliative Care
  • Planning for Death with Dignity: Advanced Directives
  • Advanced Care Planning
  • Elements of the Advanced Directive
  • 5 Wishes: A User-Friendly Advanced Directive
  • Death with Dignity: Physician-Assisted Death
  • Hospice Care: Supporting Death with Dignity and Comfort
  • The Medicare Hospice Benefit
  • History of Hospice Care
  • Growth of Programs and Services
  • Profile of Hospice Patients
  • Diagnoses
  • Length of Stay
  • Hospice Outcomes
  • The Hospice Interdisciplinary Model of Care
  • Interdisciplinary Team Meetings
  • Models of Physical Therapy Practice in Hospice and Palliative Care
  • Rehabilitation Light
  • Rehabilitation in Reverse
  • Case Management
  • Skilled Maintenance
  • Supportive Care
  • Clinical Issues—Considerations for Care
  • The Role of Exercise
  • Equipment and the Environment
  • Comfort Care Measures
  • Perspectives on Falls at End of Life
  • Pain and Symptom Management
  • Defining Pain at End of Life
  • Prevalence of Pain at End of Life
  • Types of Physical Pain
  • Pharmacologic Measures for Pain Control
  • Palliative Sedation
  • Ethical Framework for Palliative Sedation
  • Initiating Palliative Sedation
  • The Physiological Process of Dying
  • The Dying Process
  • Cultural Issues With Acceptance of Death
  • Confronting the Reality of Death
  • Reframing Physical Loss and Dying
  • Spiritual Awareness
  • Dealing with Death and Dying
  • Unfinished Business
  • Summary
  • References
  • 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
  • Neuromuscular
  • Skeletal
  • Cardiorespiratory
  • Prevalence and Location of Injury
  • Golf Injuries
  • Swimming Injuries
  • Osteoarthritis
  • Movement Performance in Senior Athletes
  • Mechanical Constraints in Senior Athletes
  • Sprinting
  • Golf
  • Swimming
  • Sport-Specific Training and Programming Considerations for Senior Athletes
  • Stages of Program Development: Planning versus Programming
  • Components of a Training Program
  • Training to Improve Neuromuscular Impairments
  • Training to Improve Cardiorespiratory Limitations
  • Responses to Training
  • Nutrition Supplementation
  • Summary
  • References
  • Chapter 29 Health Policy for Physical Therapists and Older Adults
  • Introduction
  • Public policy, health policy, and advocacy
  • Domains of Health Services
  • Examples of Health Policy Efforts
  • Advocacy
  • Summary
  • Federal and state payment systems for older adults
  • History and Implications of Medicare Program
  • Medicare Program
  • Medicare Coverage in Different Settings
  • Medicaid
  • Veterans’ Affairs and TRICARE
  • Utilization Management and Review
  • Documentation
  • Fraud, waste, and abuse
  • Compliance Programs
  • Shift to outcomes, quality, and value
  • Six Dimensions of Quality
  • Measuring Quality
  • Quality Reporting Programs
  • Value-Based Purchasing Programs
  • Summary
  • References
  • Index