Geriatric Rehabilitation Manual 2/e

This well-established, practical manual gives step-by-step guidance
on the evaluation and treatment of geriatric diseases and disorders.
This book covers incidence of disorders, diagnostic tests, associated
diagnoses, clinical implications for mobility, and rehabilitation
techniques.

A broad overview of the effects of aging on all body systems, special
geriatric considerations for laboratory assessment,
thermoregulations, and pharmacology are also discussed.

This user-friendly manual is an indispensible resource for all
training clinicians in geriatric care and will be an invaluable quick-
reference guide for students and practitioners in this field.

차 례
Unit I Physiological Considerations
1 Wholeness of the Individual 3
2 Skeletal Muscle Function in Older People 8
3 Effects of Aging on Bone 12
4 Effects of Age on Joints and Ligaments 14
5 Aging and the Central Nervous System 16
6 Cardiac Considerations in the Older Patient 24
7 Pulmonary Considerations in the Older Patient 29
8 Effects of Aging on Vascular Function 34
9 The Effects of Aging on the Digestive System 39
10 Laboratory Assessment: Considerations for Aging Persons 44
11 Thermoregulation: Considerations for Aging Persons 46
12 The Aging Immune System 53
13 Pharmacology Considerations for Aging Persons 57
Unit II Pathokinesiological Manifestations and Therapeutic
Intervention
14 Posture 67
15 Muscle Weakness and Therapeutic Exercise 70
16 Stretch Weakness 75
17 Contractures 77
18 Postpolio Syndrome 80
19 Osteoporosis 82
20 Rheumatic Conditions 87
21 Dense Mineralized Connective Tissue: Osteomalacia and Paget's
Disease of Bone 94
22 The Shoulder 99
23 Total Hip Replacement 105
24 Total Knee Replacement 111
25 The Aging Bony Thorax 114
26 Conditions of the Geriatric Cervical Spine 121
27 Disorders of the Geriatric Thoracic and Lumbosacral Spine 124
28 Orthopedic Trauma 125
29 Rehabilitation After Stroke 130
30 Neurological Trauma 134
31 Senile Dementia and Cognitive Impairment 136
32 Multiple Sclerosis 142
33 Parkinson's Disease 150
34 Tremors, Chorea, and Other Involuntary Movements 155
35 Generalized Peripheral Neuropathy 165
36 Localized Peripheral Neuropathies 170
37 Neoplasms of the Brain 179
38 Neoplasms of the Breast 182
39 Gastric and Colon Neoplasms 185
40 Neoplasms of the Skin 189
41 Neoplasms of the Prostate 191
42 Exercise Considerations for Cardiopulmonary Disease 194
43 Atherosclerosis and Coronary Artery Disease 203
44 Ischemic Heart Disease and Myocardial Infarction 205
45 Cardiac Arrhythmias and Conduction Disturbances 211
46 Congestive Heart Failure and Valvular Heart Disease 224
47 Cardiac Pacemakers and Defibrillators 228
48 Invasive Cardiac Procedures 231
49 Pulmonary Diseases 236
50 Diabetes 243
51 Amputations 249
52 Wound Management 253
53 The Insensitive Foot 266
54 Skin Disorders 278
Unit III Aging and the Pathological Sensorium
55 Functional Vision Changes in the Aging Eye 293
56 Functional Hearing Changes in the Aging Ear 300
57 Considerations in Elder Patient Communication 303
Unit IV Specific Problems
58 Dysphagia 311
59 Incontinence of the Bowel and Bladder 314
60 Iatrogenic Effects 318
61 Estrogen Replacement Therapy 324
62 Dizziness 327
63 Balance Testing and Training 335
64 Fracture Considerations 349
65 Stiffness 355
66 Pain 359
Unit V Special Physical Therapeutic Intervention Techniques
67 Gait Training 367
68 Heat and Cold Therapy 375
69 Electrotherapy 382
70 Orthotics 386
71 Prosthetics 390
Unit VI Physiology/Pathology and Ethics of Death and Dying
72 Legal Considerations 399
73 Ethics 402
74 Physical Therapy and the Generational Conflict 409
75 Medicare 412
76 The End of Life 417
Unit VII The Rehabilitation Team
77 Interdisciplinary Geriatric Assessment 423
78 Gerontological and Geriatric Nursing 428
79 Geriatric Occupational Therapy