Countless physicians, medical students, and therapists can describe a similar experience at one time or another during their training: a patient is behind the door in an examination room and the daily schedule has the words “shoulder pain” listed as the chief complaint. Depending on one’s experience or comfort level, many questions may immediately flood one’s mind regarding how to approach the patient: What are the various causes of shoulder pain? Is the pain really coming from the shoulder? What structures are important in the shoulder? What aspects of the physical examination will help distinguish one shoulder problem from another? The physical examination of musculoskeletal and peripheral nervous system problems is essential knowledge for broad areas of healthcare, as these problems are among the leading reasons for medical encounters. This pocket reference offers instant access to a wide array of clinical pearls to guide the physical examination and diagnosis. Whether one can choose to keep the print copy handy or use the digital version on our phone or tablet, our answer is quickly within reach. In this updated and refreshed second edition, one can search by body part or suspected diagnosis and find detailed descriptions of physical examination maneuvers, along with associated evidence of sensitivity and specificity, to help us with our diagnosis. Additionally, the reader will find all new colorized illustrations, high-resolution photos demonstrating the maneuvers, and corresponding videos that bring the examination to life. Video icons throughout chapters indicate which tests include an accompanying video. There is no substitute for excellent physical diagnosis skills. The authors hope that one will find this book useful as one develop and fine-tune their skills in order to give patients the very best care.

This book is a clinically relevant reference guide for health care trainees, medical providers, and active allied health professionals who work with patients and clients suffering from all aspects of insults to the brain. Not limited to traumatic brain injuries, the book provides easy-to-follow formatting by providing information involving all aspects of acquired injuries to the brain and related clinical outcomes. Each chapter provides an overview of a subtype of brain injury, accompanied by history, pathophysiology, etiology, epidemiology, clinical presentation, other diagnostic considerations, treatment, prognosis, and clinical synopsis. Stroke is an enormous public health problem as it is one of the leading causes of both death and disability worldwide. Stroke symptoms, with very few exceptions, begin with the sudden onset of focal neurological deficits, which are confined to a vascular territory. Treatment of stroke can generally be divided into three categories: acute stroke management, rehabilitation, and secondary stroke prevention. Acquired brain injury (ABI), at any age, is a significant public health concern. It is particularly problematic in the elderly considering the increased rates of mortality and morbidity following ABI in this population. Optimal rehabilitation of ABI requires a multidisciplinary approach of trained rehabilitation specialists at appropriate timing and with appropriate intensity. Brain injury rehabilitation requires a comprehensive treatment program to reduce impairments and to restore function, participation, and quality of life. Useful case studies are also provided for most conditions described in the book.

This book presents a research-driven, competency-based approach for the health and human service professionals who work with older rural residents. It discusses both the problems facing older adults and their families and evidence-based solutions regarding policy and best practices. The book contains 13 chapters, organized into five parts. The first part provides an introduction to aging in rural places, including the overwhelming task of defining what is meant by “rural” and presenting demographics, descriptions, and the diversity of rural communities. It offers a picture of persons aging in rural areas, including their challenges and strengths, with special consideration for social and ethnic minorities within this population. Whereas the second part focuses on the health status and the specific health and human service needs and opportunities of rural older adults and their focuses on needs and opportunities, the third part moves toward addressing these issues with health and human services available to rural older adults and their families. The fourth part examines the role of health and human service professionals who work with rural older adults and their families in these programs and services, with attention to interdisciplinary practice and professional competency. In addition to the aforementioned content, the book offers several unique features, including the following: case examples, professional competencies, useful websites, suggested activities and exercises, discussion questions, PowerPoint slides, and instructors manual with test question bank.

This book is a “how-to” guide that describes the problem-solving method in detail. It provides an overview of the method, and step-by-step instructions, tips, tools, activities, and cases to facilitate practicing and learning the problem-solving method. The problem-solving method comprises of three phases, each of which has several steps namely how to define the problem, how to study the problem, and how to decide upon and implement the best course of action to resolve the problem. It imposes a logical thought process that builds leadership competencies in accurately and effectively defining problems, especially around very complex organizational issues that may involve multiple root causes, and supports arriving at recommendations that get implemented and actually solve the problem at hand. The book is especially useful in supporting experiential learning and coaching for students and professionals early in their careers—specifically providing a problem-solving method and tools for students, student teams, and early careerists working with healthcare organizations on consulting projects, or on projects as an administrative intern, resident, or fellow. It assists in facilitating teaching a structured approach to problem-solving and decision-making in undergraduate or graduate level case study, experiential learning, problem-solving and management decision-making courses. The book also supports teaching leadership and problem-solving skills in early careerist leadership training programs within organizations. It will be instructive for organizations that wish to enhance the problem-solving and decision making skills of its workforce more broadly. Organizations who adopt the text as part of their administrative fellowship development programs will find benefit in using the Problem-Solving Method as a structured approach to support the success of fellows in developing their ability to excel on their assigned organizational projects.

This book makes a timely and essential contribution to professional training and is a welcome resource for those dedicated to improving long-term care services for older adults. It reflects the way society views the growing elderly population and the implications of this demographic trend for the field of long-term care. Long-term care continues to be the fastest growing segment of the healthcare industry; there is a critical need to educate and train a core of professional personnel with the knowledge and skills to address the complex issues in aging, health, and human services. The book aims to provide a useful reference of content information, effective practices, and model programs in elder care related to assisted living/residential care (AL/RC) administration. Similar to the first edition, this book is based on the core competencies required to operate assisted living communities. It contains five parts; each part focuses on a core competency in assisted living administration such as organizational management, human resources management, business and financial management, environmental management, and resident care management. The book embraces chapter features such as useful learning objectives, case studies, effective practices, and model programs in elder care that are relevant to assisted living communities. New chapters in this edition address topics such as inter-professional practice; home- and community-based services; information and communication technology; LGBTQ and other diverse groups; memory care; and palliative and hospice care. Importantly, the book is based on core competencies required to operate assisted living communities, and each of its five parts focuses on a core competency (i.e., domain of practice). The book serves as a useful reference for professionals who are associated with AL/RC organizations. It can also function as a primary textbook for undergraduate and graduate courses in gerontology, health administration, and long-term care administration that focus on assisted living/residential care administration.

An aging population is one where the number and proportion of older people increases over time. This is referred to as demographic aging or population aging. Demographic changes since the second half of the last century have led to a global aging population resulting in important economic and social concerns worldwide. The main causes of aging populations are declining fertility rates and increasing life expectancy. This review book compares and contrasts the five domains of practice to the four domains identified in the National Association of Long Term Care Administrator Boards (NAB) criteria effective 2022. Except for NAB's realignment from five to four domains of practice, the content information, knowledge base and tasks are equivalent. Each of the five parts of this Review Book focuses sequentially on the five domains of practice resulting from this comparative analysis. It is evident that this Review Book has retained the initial knowledge areas or domains of practice; the Review Book also reflects the Second Edition of Assisted Living Administration and Management: Effective Practices and Model Programs in Elder Care upon which it is based. Part One covers Domain of Practice 1, organizational management; Part Two explores Domain of Practice 2, human resources management; Part Three focuses on Domain of Practice 3, business and financial management; Part Four includes Domain of Practice 4, Environmental management; and Part Five involves Domain of practice 5, Resident care management. Aspiring residential care/assisted living administrators must identify a particular path to fulfill their professional goal and obtain a career in long-term care administration. While there are different options for students and practitioners, the review book explores possible steps to becoming a residential care/assisted living administrator.

This book is intended to introduce the exciting, challenging, stimulating, and inspiring world of behavioral intervention research. It is about the science and state-of-the-art practices in designing, evaluating, and then translating, implementing, and disseminating novel behavioral interventions for maximum impact on the health and well-being of individuals, families, and their communities. Each chapter tackles critical considerations in behavioral intervention research. The approach is to be as broad and inclusive as possible of the many nuances, intricacies, and issues in this form of inquiry. The book covers a wide range of topics including examining the heart of the matter or strategies for developing behavioral interventions including the pipeline for advancing interventions, the role of theory, intervention delivery characteristics, standardizing treatments, and use of technology. This is followed by evaluative considerations including selecting control groups; identifying recruitment, retention, and fidelity strategies; using mixed methodologies; and ethical challenges. Then the book examines outcome measures and analytic considerations including economic evaluations for maximizing the yield of trial data, and how implementation science can inform the development and advancement of behavioral interventions. Finally, the book explores a host of professional issues unique to this form of inquiry including challenges in staffing behavioral interventionist studies, how to obtain funding for developing and evaluating an intervention, and what, when, and where to publish. Case examples from successful behavioral intervention trials are used throughout each chapter to illustrate key concepts.

The purpose of this book is to make R readily accessible, on a hands-on level, to all future epidemiologists for research, data processing, and presentation. The book is essentially about learning R with an emphasis on applications to epidemiology, public health, and preventive medicine. The book is systematically organized into seven chapters, each with a number of main sections covering the spectrum of applicable R codes for biostatistical applications in epidemiology and public health. It first introduces interactional relationships among medicine, preventive medicine, public health, epidemiology, and biostatistics in general, as well as special concepts that have been (and are being) developed to address quantitative problems in epidemiology and public health in particular. A review of the basic elements in the theory of probability is presented to introduce or reinforce readers’ ability to handle this important basic concept. Then, the book covers simple data handling using R programming and presents the graphics capabilities available in R. Following these initial forays into R, the book gives an overview of the theory of probability and mathematical statistics, which is necessary because both of these areas have become integral parts of biostatistical applications in epidemiology. Finally, the book shows how R may be effectively used to handle classical problems in case-control studies and cohort investigations in epidemiology. Similarly, survival analysis, the backbone of much epidemiologic research, finds excellent support in the R environment.

Bone stress injury (BSI) represent an overuse injury to bone seen in athletes and active individuals. Despite being a common injury seen in clinical practice, there exists confusion on multiple aspects of this injury, including appropriate terminology. For example, “stress fracture” is often used interchangeably with “stress reaction” or “stress response”. Recent scientific discoveries on the topic of bone stress injury have advanced our understanding of risk factors for injury. Rarely can the injury be attributed solely to training errors. While training volume, intensity, and frequency do influence bone remodeling, most BSI are multifactorial and involve a combination of biological, anatomical, and biomechanical risk factors for injury. Recognizing risk factors for BSI may help to develop a comprehensive treatment plan to address each injury. Further, the goal of treating the injury should focus on methods to optimize bone health and develop strategies for future injury prevention. This book is organized to address aspects of clinical diagnosis, rehabilitation, and prevention. The authors invited experts across a range of topics to provide a more complete understanding of the full spectrum in BSI treatment. Initial chapters focus on evaluating injury, including the role of the clinical examination and imaging to guide treatment. Recognition of risk factors for BSI are separated into biological and biomechanical risk factors, including gender, age, and anatomical location. The book reviews methods to optimize treatment in each section by anatomical location, and reviews strategies for refractory injuries in designated chapters on medications, emerging technologies, and interventions. Further, the authors identify what is known about future injury prevention and methods to optimize bone strength. The goal of this book is to provide a comprehensive understanding of BSI that improves clinical outcomes and provides a patient-centered treatment program.

Botulinum toxin (BoNT) therapy involves as much art as it does science. Prescription and injection of a BoNT product requires that clinicians be familiar with the unique properties of each product, including its dosage range for a seemingly ever-expanding list of approved or published medical indications. This quick reference guide provides detailed dosage information for the four BoNT products available in the USA (abobotulinumtoxinA, incobotulinumtoxinA, onabotulinumtoxinA, and rimabotulinumtoxinB) which are approved for both cosmetic and medical indications. Included in this abbreviated manual are updated regulatory agency approved medical indications for both adults and children and recommended dosage ranges in the USA (Food and Drug Administration), Canada (Health Canada), the United Kingdom (Medicines & Healthcare products Regulatory Agency), and the European Union (European Medicines Agency). Detailed BoNT dosage information for each of these BoNT products is presented in an easy-to-navigate table format. The tables are organized by clinical indication along with each agency-approved dosage where available and the published dosage ranges per treatment session and per structure injected. Providing this information in a single reference manual allows clinicians to quickly calculate the dosage of a given BoNT product for a given indication and/or structure. The anatomical illustrations provided in this manual serve as a reference guide for clinicians to enhance the localization of muscles and other target structures during the injection planning process. The authors hope this information will be useful for clinicians and for the patients to whom they provide care.