Acute Care Physical Therapy: A Clinician’s Guide, Second Edition

Acutely ill patients are found in the hospital, in the skilled nursing facility, in inpatient rehabilitation facilities, in outpatient practices, and in the home.  The role of the physical therapist and physical therapist assistant is to rehabilitate these vulnerable and frail patients to enhance their health and functioning. 

The goal of Acute Care Physical Therapy: A Clinician’s Guide, Second Edition is to provide the acute care practitioner with the necessary knowledge to improve patients’ structural impairments and activity limitations so they can more successfully participate in life.  Nothing could be more challenging and rewarding.

Inside, Drs. Daniel Malone and Kathy Lee Bishop, along with their contributors, provide a comprehensive review of acute care physical therapist best practice. This text builds upon fundamental knowledge by addressing important components of the patient examination ranging from the patient’s medical history to laboratory testing to life supporting equipment.  Following this introduction, each chapter highlights specific organ systems with a review of pertinent anatomy and physiology followed by common health conditions and medical management.  Important physical therapy concerns, examination findings, and rehabilitation interventions are discussed in detail.  This Second Edition includes numerous tables, figures, review questions, and case studies that highlight clinical reasoning and the physical therapy patient care model as outlined in the Guide to Physical Therapist Practice.  

New in the Second Edition:

• Increased focus on evidence-based examination, evaluation, and intervention
• The latest technology in physiologic monitoring and patient support equipment
• Introduces the “PT Examination” and “ICU” algorithms to promote safe and progressive rehabilitation
• Emphasis on clinical decision making through the application of a clinical reasoning model applied to the end of chapter cases

 
Acute Care Physical Therapy: A Clinician’s Guide, Second Edition will serve as a valuable education tool for students, newer professionals as well as post-professionals who provide therapy services to the acutely ill patient regardless of setting.
 

Contents

Dedication
Acknowledgments
About the Editors
Contributing Authors
Preface

Chapter 1    Introduction to Physical Therapist Management of the Acute Care Patient
Chapter 2    Clinical Laboratory Values and Diagnostic Testing
Chapter 3    Physiologic Monitors and Patient Support Equipment
Chapter 4    Bed Rest, Deconditioning, Hospital-Acquired Neuromuscular
Disorders, and Evidenced-Based Early Mobilization
Chapter 5     The Immune System and Infectious Diseases and Disorders
Chapter 6    Cardiovascular Diseases and Disorders
Chapter 7    Pulmonary Diseases and Disorders
Chapter 8    Musculoskeletal/Orthopedic Diseases and Disorders
Chapter 9    Neurologic and Neurosurgical Diseases and Disorders
Chapter 10    Endocrine Diseases and Disorders
Chapter 11    Gastrointestinal Diseases and Disorders
Chapter 12     Genitourinary Diseases and Disorders
Chapter 13    Oncological Diseases and Disorders
Chapter 14    Transplantation
Chapter 15    Integumentary Disorders and Wound Management

Appendix
Abbreviations
Financial Disclosures
Index

About the Editors

Daniel J. Malone, PT, PhD, CCS is currently an Associate Professor in the Physical Therapy Program at the University of Colorado School of Medicine and a per diem physical therapist at the University of Colorado Hospital. He earned a Master of Physical Therapy from Temple University in 1992, and a PhD in physiology from the School of Medicine at Temple University in 2008. His career as a physical therapist started at the Hospital of the University of Pennsylvania in what he thought was a 2 to 3 year trial of acute care practice. Almost 30 years later that passion and energy for working in the acute care set-ting has never diminished.

Over his career, Dr. Malone has had the opportunity to provide physical therapist services across the continuum of care from ICU to home, as well as rotate through all hospital service lines. Prior to transitioning to the University of Colorado, he was the Cardiopulmonary Team Leader providing direct pa-tient care in the medical and surgical ICUs while mentoring staff and serving as an adjunct faculty member at several regional physical therapy programs. Dr. Malone is a board certified specialist in Cardiovascular and Pulmonary Physical Therapy since 1998 and an active member of the American Physical Therapy Association and the Cardiovascular & Pulmonary (CVP) Section. He served as president of the CVP Section as well the CVP Section delegate, nominating committee member, and program chair.

Although Dr. Malone is primarily a clinician educator, he continues to participate in clinical research. His research has focused on the delivery and outcomes of physical therapy services applied to the ICU population and the frail older adult in the post-acute setting. The overall goal of Dr. Malone’s scholar-ship is to advance education, clinical practice and research related to the physical therapist’s manage-ment of patients with complex medical conditions.

Kathy Lee Bishop, PT, DPT, CCS has been passionate about cardiovascular and pulmonary physical therapy for over 35 years. She received her BS in Physical Therapy from the University of Vermont and her MS and DPT from the MGH Institute of Health Professions in Boston. She is a board-certified cardiovascular and pulmonary specialist (since 1993), an advanced cardiac life support instructor, and has been teaching in the Emory Physical Therapy program since 1999. Her career has focused on acute care, early mobilization in the ICU, cardiovascular and pulmonary rehabilitation, as well as health and wellness. She completed a Master Teaching course in 2012 through Georgia State University. Her Advanced Acute Care elective offered to Emory DPT third year students focuses on using high fidelity simulation to prepare preprofessionals for the rigor of ICU practice as part of an early mobility team. She is a reviewer for the Journal of Acute Care Physical Therapy, and has published in that journal as well as in the Journal of Humanities. Dr. Bishop developed the Emory University Acute Care Physical Therapist Residency, which is in candidacy status and accepted the first resident for the Fall of 2018. Her academic interests include interprofessional simulation in acute care, particularly the ICU, and us-ing documentation to support strategies to reduce hospital readmissions for cardiovascular and pulmonary patients. She helped design and implement the automatic referral process for cardiac rehabilitation at Emory Healthcare which resulted in an increase of referrals by nearly 60%. She was the co-director of the 2nd Interprofessional Simulation conference and is planning the 3rd conference for the fall of 2019. Presently she continues to teach at Emory University as an Assistant Professor introducing the DPT students to the challenges and critical thinking of acute care. Dr. Bishop practices as the Pro-gram Manager for the Emory St. Joseph’s Hospital Cardiac Rehabilitation program where she mentors medical students, residents, and cardiology fellows about cardiac rehabilitation. She combines her love of tennis and passion for raising awareness about heart disease by hosting an annual tennis event annually to help raise monies for the American Heart Association.