Integumentary Essentials: Applying the Preferred Physical Therapist Practice Patterns

Integumentary Essentials: Applying the Preferred Physical Therapist Practice PatternsSM answers the call to what today’s physical therapy students and clinicians are looking for when integrating the Guide to Physical Therapist Practice as it relates to the integumentary system in clinical care.

As a part of Essentials in Physical Therapy led by Series Editor Dr. Marilyn Moffat, Integumentary Essentials: Applying the Preferred Physical Therapist Practice PatternsSM is edited by Katherine Biggs Harris in a user-friendly format that not only brings together the conceptual frameworks of the Guide language, but also parallels the patterns of the Guide.

In each case, where appropriate, a brief review of the pertinent anatomy, physiology, pathophysiology, imaging, and pharmacology is provided. Each pattern then details three diversified case studies coinciding with the Guide format. The physical therapist examination, including history, systems review, and specific tests and measures for each case, as well as evaluation, diagnosis, prognosis, plan of care, and evidence-based interventions are also addressed.

Sample Cases in Some of the Practice Patterns Include:
-Primary Prevention/Risk Reduction for Integumentary Disorders: A patient with multiple sclerosis; an octogenarian in skeletal traction; a patient with rheumatoid arthritis
-Impaired Integumentary Integrity Associated With Superficial Skin Involvement: A patient burned from a splash injury; a patient with a CVA and a pressure area; a patient with a deep vein thrombosis, cellulitis and edema
-Impaired Integumentary Integrity Associated With Partial-Thickness Skin Involvement and Scar Formation: A patient with a vascular ulcer; a patient with mixed vascular disease and pressure ulcer; a patient with a superficial partial-thickness burn
-Impaired Integumentary Integrity Associated With Full-Thickness Skin Involvement and Scar Formation: A patient with a neuropathic wound; a patient with a full-thickness traumatic, arterial insufficient wound; a patient with a full-thickness infected wound
-Impaired Integumentary Integrity Associated With Skin Involvement Extending Into Fascia, Muscle, Bone, and Scar Formation: A patient with infection in a post-traumatic wound extending to the bone; a patient pre-operative for free flap surgical coverage of a sacral pressure ulcer; a patient post free flap reconstruction of an electrical wound

 

At long last, Dr. Marilyn Moffat and Katherine Biggs Harris have created a book that will integrate the parameters of the Guide, as it relates to the integumentary system, into the practice arena, that not only covers the material but also allows for a problem-solving approach to learning for educators and students.

Marilyn Moffat, PT, DPT, PhD, FAPTA, CSCS, a recognized leader in the United States and internationally, is a practitioner, a teacher, a consultant, a leader, and an author. She received her baccalaureate degree from Queens College and her physical therapy certificate and PhD degrees from New York University. She is a Full Professor of Physical Therapy at New York University, where she directs both the professional doctoral program (DPT) and the post-professional graduate master’s degree program in pathokinesiology. She has been in private practice for more than 40 years and currently practices in the New York area. Dr. Moffat was one of the first individuals to speak and write about the need for a doctoral entry-level degree in physical therapy. Her first presentation on this topic was given to the Section for Education in 1977. Dr. Moffat completed a 6-year term as the President of the American Physical Therapy Association (APTA) in 1997. Prior to that she had served on the APTA Board of Directors for 6 years and also as President of the New York Physical Therapy Association for 4 years. During her term as President of the APTA, she played a major role in the development of the Association’s Guide to Physical Therapist Practice and was project editor of the Second Edition of the Guide. Among her many publications is the American Physical Therapy Association’s Book of Body Maintenance and Repair. As part of her commitment to research, Dr. Moffat serves as a member of the Board of Trustees of the Foundation for Physical Therapy, was a previous member of the Financial Advisory Committee, and has done major fundraising for them over the years. She is currently on the Executive Committee of the World Confederation for Physical Therapy (WCPT) as the North American/Caribbean Regional Representative, and she was a member of the WCPT Task Force to develop an international definition of physical therapy. She coordinated the efforts to develop international standards for physical therapist education and for physical therapy practice around the world. She has given more than 800 professional presentations throughout her practice lifetime, and she has taught and provided consultation services in Taiwan, Thailand, Burma, Vietnam, Panama City, Hong Kong, and Puerto Rico. Her diversified background is exemplified by the vast number of APTA and New York Physical Therapy Association committees and task forces on which she has served or chaired. She has served as Editor of Physical Therapy, the official publication of the Association. She was also instrumental in the early development of the TriAlliance of Rehabilitation Professionals, composed of the APTA, the American Occupational Therapy Association, and the American Speech-Language-Hearing Association. She has been an Associate of the Council of Public Representatives of the National Institutes of Health. Dr. Moffat is a Catherine Worthingham Fellow of the APTA. She has been the recipient of APTA’s Marilyn Moffat Leadership Award; the WCPT’s Mildred Elson Award for International Leadership; the APTA’s Lucy Blair Service Award; the Robert G. Dicus Private Practice Section APTA Award for contributions to private practice; Outstanding Service Awards from the New York Physical Therapy Association and from the APTA; the Ambassador Award from the National Strength and Conditioning Association; the Howard A. Rusk Humanitarian Award from the World Rehabilitation Fund; the United Cerebral Palsy Citation for Service; the Sawadi Skulkai Lecture Award from Mahidol University in Bangkok, Thailand; New York University’s Founders Day Award; the University of Florida’s Barbara C. White Lecture Award; the Massachusetts General’s Ionta Lecture Award; the Chartered Society of Physiotherapist’s Alan Walker Memorial Lecture Award; the APTA Minority Affairs Diversity 2000 Award; and the Section of Health Policy’s R. Charles Harker Policy Maker Award. In addition, the New York Physical Therapy Association also named its leadership award after her. She was the APTA’s 2004 Mary McMillan Lecturer, the Association’s highest award. Dr. Moffat has been listed in Who’s Who in the East, Who’s Who in American Women, Who’s Who in America, Who’s Who in Education, Who’s Who in the World, and Who’s Who in Medicine and Healthcare. She is also currently on the Board of Directors of the World Rehabilitation Fund and is a member of the Executive Committee. In addition to her professional associations, she was elected to be a member of Kappa Delta Pi and Pi Lambda Theta. Dr. Moffat has served on a Citizen’s Advisory Council of the New York State Assembly Task Force on the Disabled, has been a member of the State Board for Physical Therapy in New York, has served as a consultant to the New York City Police Department, and has been a member of the Boards of Trustees of Children’s Village and the Four Oaks Foundation. The Nassau County Fine Arts Museum, the Howard A. Rusk Rehabilitation Medicine Campaign Committee, Saint John’s Church of Lattingtown, and the Nassau County American Red Cross have been the recipients of her volunteer services.

Katherine Biggs Harris, PT, MS , has been working in the area of integumentary disruption for more than 20 years. During this time she has been involved in patient care, teaching, and research. She received her baccalaureate degree from Russell Sage College; her master’s degree in Research, Measurement, and Quantitative Analysis for the Behavioral Sciences and Education from Southern Connecticut State University; and is currently enrolled in a PhD program at Nova Southeastern University. She anticipates completion of her dissertation in 2007. Mrs. Harris is an Assistant Professor of Physical Therapy at Quinnipiac University. She continues to practice clinically at Yale New Haven Hospital as a per diem therapist. Mrs. Harris has been professionally active at the state and national levels. She was President of the Connecticut Physical Therapy Association, Chairperson of the Committee on Chapters and Sections for the APTA, Chairperson of the Advisory Panel on Practice of the APTA, and a task force member for the Guide to Physical Therapist Practice Integumentary Preferred Practice Patterns and Tests and Measures. Mrs. Harris has published in the Journal of Burn Care and Rehabilitation, Acute Care Perspectives, and the Connecticut Physical Therapy Association Newsletter. She has presented at numerous national, regional, and local meetings on integumentary management, critical care management, and use of evidence in practice.