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Contents

Contributing Authors

ix

Contributing Artists

XI

Preface

XIII

Acknowledgments

xv

1. Cardiac System

1

Seall M . Col/ills

2. Respiratory System

89

Michele P. West and jaime C . Paz

3. Musculoskeletal System

159

Michele P. West and james j . Caydos

4. Nervous System

259

Michele P. West

5. Oncology

331

Susan Polich

6. Vascular System and Hematology

363

Michele 1'. West and jaime C. Paz

7. Burns and Wounds

435

Michele P. West, Kimberly KllowltOll, alld

Marie jarrell-Cracious

8. Gastrointestinal System

501

jaime C. Paz

9. Genirourinary System

557

jamie C. Paz

10.

Infectious Diseases

605

jaime C. Paz alld V. Nicole Lombard

VIlI CONTENTS

11. Endocrine System

649

Jaime C. Paz

12. Organ Transplantation

697

Jellnifer Lee H,mt

Appendices

I-A. Medical Record Review

745

Michele P. West

I-B. Acute Care Setting

749

Michele P. West

D.

Fluid and Electrolyte Imbalances

763

Susan Polich and Jaime C. Paz

ill-A. Medical-Surgical Equipment in the Acute Care Setting 769

Eileen F. Lang

ill-B.

Mechanical Ventilation

811

Sean M. Collins

ill-G. Circulatory Assist Devices

829

Jaime C . Paz

IV. Pharmacologic Agents

839

Jaime C. Paz and Michele P. West

V. Effects of Anesthesia

871

Michele P. West

VI. Pain Management

877

Jaime C. Paz

YD. Amputation

887

Jason D. Rand and Jaime C. Paz

Vll!. Postural Drainage

897

Michele P. West

lX. Functional Tests

901

Jellnifer A . Silva and Jaime C. Paz

X.

Physical T herapy Considerations for Patients

Who Complain of Chest Pain

921

Michele P. West

Index

925

Contributing Authors

Scan M. Collins, M.S., P.T., C.C.S.

Department of Physical T herapy, University of Massachusetts, Lowell;

Adjunct Physical Therapist, Department of Rehabilitation Services,

Lowell General Hospital, Lowell, Massachusetts

James J. Gaydos, M.S., P.T.

Senior Physical Therapisr, Department of Inpatient Acute Care, New

England Baptist Hospital, Boston

Marie Jarrell-Gracious, P.T.

Owner, Specialty Care, Mokena, Illinois

Jennifer Lee Hunt, M.S., P.T.

Physical Therapist, Rehabilitation Services, Lahey Clinic, Burlington,

Massachusetts

Kimberly Knowlton, P.T.

Clinical Lead Physical Therapist, Rehabilitation Services, University of

Massachusetts Memorial Medical Center, Worcester

Eileen f. Lang, P.T.

Senior Physical Therapist, Rehabilitation Services, Lahey Clinic, Burlington, Massachusetts

x

CONTRIBUllNG AlITHORS

V. Nicole Lombard, M.S., P.T.

Staff Physical Therapist, Department of Physical Therapy, New

England Baptist Hospital, Boston

Jaime C. Paz, M.S., P.T.

Assistant Clinical Specialist, Department of Physical Therapy, Northeastern University, Boston; Adjunct Faculty Member, Department of Physical Therapy, Simmons College, Boston; Adjunct Physical Therapist, Care Group Home Care, Belmont, Massachusetts Susan Polich, P.T., M.T.(A.S.C.P.l, M.Ed.

Assistant Clinical Specialist, Department of Physical Therapy, Northeastern University, Boston; Adjunct Instruccor, Physical Therapist Assistant Program, Community College of Rhode Island, Newport; Physical Therapist, Sturdy Memorial Hospital, Attleboro, Massachusetts

Jason D. Rand, P.T.

Physical Therapist, Inpatient Physical Therapy Services, Winthrop

Universiry Hospital, Mineola, New York

Jennifer A. Silva, M.S., P.T.

P hysical Therapist, Outpatient Rehabilitation Center, South Shore

Hospital, South Weymouth, Massachusetts

Michele 1'. West, M.S., P.T.

Physical Therapist, Inpatient Rehabilitation, Rehabilitation Services,

Lahey Clinic, Burlington, Massachusetts

Contributing Artists

Sean M. Collins, M.S., P.T., C.C.S.

Department of Physical Therapy, University of Massachusetts, Lowell;

Adjunct Physical Therapist, Department of Rehabilitation Services,

Lowell General Hospital, Lowell, Massachusetts

Barbara Cocanour, Ph.D.

Department of Physical Therapy, University of Massachusetts, Lowell

Marybeth Cuaycong

Graduate Student, Department of Physical Therapy, Northeastern

University, Boston

Peter L. Scotch, M.A.

English Teacher, Byram Hills High School, Armonk, New York

Michele P. West, M.S., P.T.

Physical Therapist, Rehabilitation Services, Lahey Clinic, Burlington,

Massachusetts

Peter P. Wu

Graduate Student, Department of Physical Therapy, Northeastern

Universiry, Boston

Preface

Acute Care Handbook for Physical Therapists was originally developed to provide clinicians with a handy reference for patient care in the hospital serring. It was created primarily for physical therapy students and clinicians unfamiliar with acute carc. Because of the positive comments and feedback to the first edition, this second edition was

written to serve the same purpose with updated information, including

the following:

• A revision of all chapters and appendices with expanded information on new technologies, medical-surgical innovations, clinical tips, and guidelines to physical therapy management