i bc27f85be50b71b1 (3 page)

• A new chapter on organ transplantation

• Updated information on common medications, including a new

pharmacologic agents appendix

• New appendices, such as Acute Care Setting and Functional Tests

Additionally, the ralents of new contributors have given this edition a

broader perspective on clinical practice in the acute care setting. Last,

language that is consistent with the Guide to Physical Therapist Practice is used throughout all the chapters and appendices.

As a member of the health care team, the physical therapist is often

expected to understand hospital protocol, safety, medical-surgical

"lingo," and the many aspects of patient care from the emergency

room setting, to the intensive care unit, to the general ward. This

handbook is therefore intended to be a resource to aid in the interpretation and understanding of the medical-surgical aspects of acute care.

XIII

XIV

PREFACE

Each chapter in this edition of Acute Care Handbook (or Physical

Therapists discusses a major body system. The chapters include the

following:

• A review of basic structure and function

• An overview of the medical-surgical evaluation of a patient

admitted to the hospital, including diagnostic procedures and laboratory tests

•

A review of pathophysiology that emphasizes signs and symptoms of specific diseases and disorders

•

Guidelines for physical therapy intervention

Clinical Tips appear throughout each chapter. These helpful hints are

intended to maximize safety, quality, and efficiency of care. These clinical rips are suggestions from the editors and contributors that, from clinical experience, have proved to be valuable in acclimating therapists to the acute care setting.

Appendices provide information to complement topics presented in

the cha pters.

It is important to remember that all of the information presented in

this book is intended to serve as a guide to stimulate independent critical

thinking within the spectrum of medical-surgical techniques and trends.

Developing and maintaining a rapport with the medical-surgical team is

highly recommended, as the open exchange of information among professionals is invaluable. We believe this new edition of Acute Care Handbook (or Physical Therapists can enhance the clinical experience

by providing valuable information while reviewing charts, preparing for

therapy intervention, and making clinical decisions in the acute care

setting.

j.p.

M. P. \\7.

Acknowledgments

We offer sincere gratitude to the following people:

Leslie Forman and Butterworth-Heinemann for their confidence in

creating a second edition of this work.

Jennifer Rhuda for her editOrial expertise and resourcefulness.

Shannon Riley at Silverchair for her graceful editing down the home

Stretch.

The contributOrs-we couldn't have completed this project without

you.

The many patients, whose lives have enriched ours, both clinically

and personally.

Personal thanks from Jaime to the following:

Tallie, for all your love, support and continuous encouragement.

couldn't have made it without you. Mahal kita.

The students, both at Northeastern University and Simmons College,

who give me one of the best reasons to get up in the morning.

Jennifer Katz and Cindy Dubois for your research assistance.

My colleagues and mentors, who continually inspire me to become a

better educator and clinician.

And to my extended family, whom I need to see a lot more of now

that this is all over: Rory and Jane; John and Alex; Vic, Karen, Anna,

and Little Vic; Steve, Jennifer, ChristOpher, and Aidan; Peter, Sally,

and Hannah; Rick, Cheryl, Andrew, and Lauren; Mark, Gina, Benjamin, and Nicholas.

xv

XVI ACKNOWLEDGMENTS

Personal thanks from Michele to the following:

My family and friends, who offered encouragement throughout the

publishing process, including Mom and Dad, Marie, Heather, Tracee,

Lynn, IGm J., Betsy, Kelly, Kelli, Kim P., Julie, and Bill.

Nana and Cookie, for reminding me to find the grandparent in each

patient.

My husband, Jim, for teadling me more computer skills than I ever

wanted to know.

My laser printerlfaxlcopier, I couldn't have done this withour you!

My colleagues and patients, who inspire me to become a better

clinician.

My fellow Lahey inpatient physical therapists, for bearing with me

rhrough the completion of rhis manuscript.

Lena, for cooking me dinner when I didn't have time.

Heather Hayden, M.S., P.T., and Kelly Madden, M.S., P.T., for your

helpful suggestions and manuscripr review.

Carol Spencer, Medical Librarian, Cattell Memorial Library, Lahey

Clinic, for your research assistance.

Acute Care

Handbook for

Physical Therapists