Geriatric rehabilitation : from bedside to curbside

713 Pages·2017·8.98 MB·English

by  Poduri

Geriatric Rehabilitation
From Bedside to Curbside
The discussion of Geriatric Rehabilitation: From Bedside to Curbside presented in this multiau-
thored book provides a comprehensive and up-to-date presentation of the many issues facing older
adults and should be read by every physician who treats elderly patients. The chapters are written
from the perspective of practicing clinicians, who are internationally recognized experts in the
field. Edited by Dr. K. Rao Poduri, the chairperson of physical medicine and rehabilitation at the
University of Rochester School of Medicine and Dentistry, this book will be useful to the clinician
in daily practice. The field of geriatrics will benefit from this unique resource, which can serve as
both a textbook for students and a handy guide for clinicians.
Bradford C. Berk, MD, PhD
Distinguished University Professor in Medicine,
Pathology, and Pharmacology and Physiology
University of Rochester School of Medicine and Dentistry
Director, Rochester Neurorestorative Institute
University of Rochester Medical Center
Rochester, New York
It is with great enthusiasm and delight that I recommend the new book, Geriatric Rehabilitation:
From Bedside to Curbside, edited by K. Rao Poduri, MD, professor, and chair from the Department
of PM&R at the University of Rochester. The 33 chapters of this important new textbook cover the
range of physiologic and pathologic changes seen with aging and in the older adult, and provide
rehabilitation-specific interventions for management. It is a well-written and informative book that
will quickly become a “must have” for the everyday clinician who takes care of older adults. I have
known Dr. Poduri for nearly 20 years and am not surprised at the quality and attention to detail
contained in this book. It is both an academic reference and a practical resource.
David Cifu, MD
Herman J. Flax, MD, Professor and Chairman
Department of Physical Medicine and Rehabilitation
Virginia Commonwealth University School of Medicine
Richmond, Virginia
Senior TBI Specialist
U.S. Department of Veterans Affairs
Geriatric Rehabilitation
From Bedside to Curbside
K. Rao Poduri
CRC Press
Taylor & Francis Group
6000 Broken Sound Parkway NW, Suite 300
Boca Raton, FL 33487-2742
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Library of Congress Cataloging‑in‑Publication Data
Names: Poduri, K. Rao, author.
Title: Geriatric rehabilitation : from bedside to curbside / K. Rao Poduri.
Description: Boca Raton, FL : CRC Press/Taylor & Francis Group, 2017.
Identifiers: LCCN 2016030569| ISBN 9781482211221 (hardback) | ISBN 9781482211238 (ebook)
Subjects: LCSH: Older people–Rehabilitation.
Classification: LCC RC952.5 .P63 2017 | DDC 618.97/703–dc23
LC record available at https://lccn.loc.gov/2016030569
Visit the Taylor & Francis Web site at
http://www.taylorandfrancis.com
and the CRC Press Web site at
http://www.crcpress.com
This book is dedicated to my patients, who inspired me to undertake this
project, and to my family for their support during its preparation.

Contents
Foreword ...........................................................................................................................................xi
Acknowledgments ..........................................................................................................................xiii
Editor ...............................................................................................................................................xv
Contributors ...................................................................................................................................xvii
Geriatric Rehabilitation: Introduction ..........................................................................................xxxi
Section i Basics of Aging
Chapter 1 Demographics, Biology, and Physiology ......................................................................3
K. Rao Poduri
Chapter 2 Geriatric Assessment and the Physical Examination of the Older Adult ....................9
Bilal Ahmed and Yvonne J. Braver
Chapter 3 Psychosocial Assessment ...........................................................................................33
Jennifer Anne Fleeman
Chapter 4 Functional Assessment and Measures ........................................................................53
Deepthi S. Saxena
Chapter 5 Pharmacology in Geriatric Rehabilitation .................................................................75
Kristin Meyer, Tina Thornhill, and Lindsey Garner
Chapter 6 Exercise in the Older Adult ........................................................................................95
Susan Garstang
Section ii Geriatric Syndromes
Chapter 7 Frailty .......................................................................................................................131
Egan Allen
Chapter 8 Delirium ...................................................................................................................143
Corey Romesser
Chapter 9 Urinary Incontinence in Older Adults ......................................................................157
Nicole Strong, Sara Z. Salim, Jean L. Nickels, and K. Rao Poduri
vii
viii Contents
Chapter 10 Falls and Gait Impairment .......................................................................................181
Kristen Thornton and Thomas V. Caprio
Chapter 11 Pressure Ulcers in Older Adults ...............................................................................189
Huma Naqvi
Chapter 12 Pain and Its Management in Older Adults ...............................................................207
Annie Philip, Diya Goorah, and Rajbala Thakur
Chapter 13 Polypharmacy and Rational Prescribing: Finding the “Golden Mean”
for the “Silver Tsunami” ...........................................................................................231
Mikhail Zhukalin, Christopher J. Williams, Michael Reed, and Dale C. Strasser
Chapter 14 Sleep Disorders in Older Adults ...............................................................................249
Armando Miciano and David Berbrayer
Section iii Systemic Disorders in Geriatric Rehabilitation
Chapter 15 Dysphagia in Older Adults and Its Management .....................................................277
Sandhya Seshadri
Chapter 16 Vision Impairment and Its Management in Older Adults ........................................293
Rajeev S. Ramchandran, Holly B. Hindman, and Silvia Sörensen
Chapter 17 Arthritis and Common Musculoskeletal Conditions................................................315
Jennifer H. Paul, Katarzyna Iwan, and Claudia Ramirez
Chapter 18 Osteoporosis and Exercise in the Older Adult .........................................................337
Roger P. Rossi, Talya K. Fleming, Krishna J. Urs, and Sara J. Cuccurullo
Chapter 19 Diabetes in Older Adults and Its Management ........................................................365
Susanne U. Miedlich and Steven D. Wittlin
Chapter 20 Cardiovascular Disease ............................................................................................391
Matthew Dounel and K. Rao Poduri
Chapter 21 Pulmonary Disease in the Geriatric Population .......................................................415
Mary Anne M. Morgan
Contents ix
Chapter 22 Geriatric Strokes and Brain Injuries ........................................................................443
Jean L. Nickels and Maya Modzelewska
Chapter 23 Cancer Rehabilitation ...............................................................................................463
Susan Maltser and B. Allyn Behling-Rosa
Chapter 24 Spinal Cord Injury in Older Adults ..........................................................................483
Philippines G. Cabahug, Albert C. Recio, and Jeffrey B. Palmer
Chapter 25 Parkinson’s Disease and Rehabilitation ...................................................................505
Rachel A. Biemiller and Irene Hegeman Richard
Chapter 26 Aging and Intellectual/Developmental Disabilities .................................................519
Kathleen M. Bishop
Section iV Health Maintenance, caregiving, and Postacute
Rehabilitation: Bedside to curbside
Chapter 27 Inpatient Rehabilitation: Acute, Subacute, and in Community Settings ..................535
Deepthi S. Saxena
Chapter 28 Complementary and Alternative Medicine in Older Adults ....................................547
B. Allyn Behling-Rosa
Chapter 29 Assistive Technology for Older Adults .....................................................................591
Marcia J. Scherer
Chapter 30 Ethical Issues in Older Adults ..................................................................................605
Richard A. Demme, Bernard Sussman, and Margie Hodges Shaw
Chapter 31 Palliative Care and End-of-Life Issues .....................................................................621
Rashmi Khadilkar, Hilary Yehling, and Timothy E. Quill
Chapter 32 Economics of Geriatric Rehabilitation .....................................................................635
K. Rao Poduri
Chapter 33 Aging Gracefully: A Global Perspective..................................................................643
Brian Tucker and K. Rao Poduri
Index ..............................................................................................................................................647