Assessing the Role of Rehabilitation Science and Engineering
Author: Institute of Medicine,Committee on Assessing Rehabilitation Science and Engineering
Publisher: National Academies Press
The most recent high-profile advocate for Americans with disabilities, actor Christopher Reeve, has highlighted for the public the economic and social costs of disability and the importance of rehabilitation. Enabling America is a major analysis of the field of rehabilitation science and engineering. The book explains how to achieve recognition for this evolving field of study, how to set priorities, and how to improve the organization and administration of the numerous federal research programs in this area. The committee introduces the "enabling-disability process" model, which enhances the concepts of disability and rehabilitation, and reviews what is known and what research priorities are emerging in the areas of: Pathology and impairment, including differences between children and adults. Functional limitations--in a person's ability to eat or walk, for example. Disability as the interaction between a person's pathologies, impairments, and functional limitations and the surrounding physical and social environments. This landmark volume will be of special interest to anyone involved in rehabilitation science and engineering: federal policymakers, rehabilitation practitioners and administrators, researchers, and advocates for persons with disabilities.
Institute of Medicine,Board on Health Sciences Policy,Committee on Disability in America: A New Look
Author: Institute of Medicine,Board on Health Sciences Policy,Committee on Disability in America: A New Look
Publisher: National Academies Press
Beginning in late 2004, the IOM began a project to take a new look at disability in America. It will review developments and progress since the publication of the 1991 and 1997 Institute reports. For technical contracting reasons, the new project was split into two phases. During the limited first phase, a committee appointed by IOM planned and convened a 1-day workshop to examine a subset of topics as background for the second phase of project. As was agreed upon with the sponsor of the workshop, the Centers for Disease Control and Prevention (CDC), the topics were: methodological and policy issues related to the conceptualization, definition, measurement, and monitoring of disability and health over time; trends in the amount, types, and causes of disability; disability across the age spectrum and in the context of normal aging; and secondary health conditions. The phase-one workshop was held in Washington, D.C. on August 1, 2005. Its participants included researchers, clinicians, social service professionals, policy experts, and consumer representatives and advocates. The meeting agenda and list of participants are included in Appendix A. Workshop on Disability in America: A New Look- Summary and Background Papers summarizes the workshop presentations and discussions. The background papers prepared for the workshop are included in Appendixes B through O. Some papers were submitted and circulated in advance of the meeting, whereas others were first presented at the meeting. The analyses, definitions, and views presented in the papers are those of the paper authors and are not necessarily those of the IOM committee. Likewise, the discussion summary is limited to the views of the workshop participants.
Institute of Medicine,Board on Health Sciences Policy,Committee on Disability in America
Author: Institute of Medicine,Board on Health Sciences Policy,Committee on Disability in America
Publisher: National Academies Press
The future of disability in America will depend on how well the U.S. prepares for and manages the demographic, fiscal, and technological developments that will unfold during the next two to three decades. Building upon two prior studies from the Institute of Medicine (the 1991 Institute of Medicine's report Disability in America and the 1997 report Enabling America), The Future of Disability in America examines both progress and concerns about continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. This book offers a comprehensive look at a wide range of issues, including the prevalence of disability across the lifespan; disability trends the role of assistive technology; barriers posed by health care and other facilities with inaccessible buildings, equipment, and information formats; the needs of young people moving from pediatric to adult health care and of adults experiencing premature aging and secondary health problems; selected issues in health care financing (e.g., risk adjusting payments to health plans, coverage of assistive technology); and the organizing and financing of disability-related research. The Future of Disability in America is an assessment of both principles and scientific evidence for disability policies and services. This book's recommendations propose steps to eliminate barriers and strengthen the evidence base for future public and private actions to reduce the impact of disability on individuals, families, and society.
Over the last two decades new arrangements have emerged for the finance and delivery of social welfare in the United States and other industrial democracies. Moving beyond the conventional paradigm of the welfare state, these arrangements form an alternative model. This study details a fresh vision of social welfare transfers--how they are delivered, and whom they benefit. The authors explore the use of private enterprise and market-oriented approaches to the delivery of social provisions, and examine how welfare benefits are derived from the full range of modern social transfers including tax expenditures, credit subsidies, and those induced by regulatory activity. Reappraising the modern boundaries of social welfare, this book provides insights into the structure and dynamics of a novel social model that will open new avenues for scientific study and public debate.
Global stability in the early twenty-first century will be conditioned largely by how the United States handles its relations with China, Europe, and Russia -- the "geostrategic triad"-according to Zbigniew Brzezinski. Thus, the United States needs a well-defined strategy to manage the two "Eurasian power triangles": the United States, Japan, and China, and the United States, Europe, and Russia. With this work, he offers a comprehensive geostrategic road map for such U.S. engagement.
Mark A. Stebnicki, PhD, LCP, DCMHS, CRC, CCM,Irmo Marini, PhD, DSc, CRC, CLCP
Author: Mark A. Stebnicki, PhD, LCP, DCMHS, CRC, CCM,Irmo Marini, PhD, DSc, CRC, CLCP
Publisher: Springer Publishing Company
"This edition...adds an important international perspective on illness and disability. The personal narratives help bring the real world of people who are suffering to the forefront of the scientific discourse."--Doody's Medical Reviews Now in its sixth edition, this best-selling textbook continues to be the most comprehensive and diverse text available on the psychosocial aspects of disability. It examines current thought and treatment approaches to working with individuals with disabilities through the contributions of expert thinkers and practitioners in the disability field. Abundant and insightful narratives by disabled individuals offer a bridge between theory and practice for students in rehabilitation psychology and counseling courses. In addition to completely updated and reorganized material, this edition contains insightful new section introductions, empirically based research articles, and the contributions of international researchers presenting a more global and richer perspective on the psychosocial aspects of disability and illness. It also contains an increased focus on the negative impact of societal attitudes and treatment of disabled individuals on their psychological adjustment to disability. The addition of objectives at the beginning of each chapter and review questions and personal perspectives at the end of each chapter further facilitate in-depth learning. Key Features: Presents the most comprehensive and diverse coverage of psychosocial aspects of disability topics of any textbook available Examines contemporary thinking and treatment approaches in working with individuals with disabilities Provides a bridge between theory and practice through the narratives of individuals with disabilities Establishes a historical understanding of societal attitudes toward disability and treatment past and present of persons with disabilities Analyzes barriers to enabling persons with disabilities and improving social consciousness and quality of life for this population Facilitates course planning through inclusion of objectives and review questions/personal perspectives in each chapter
Frederick P. Rivara,Peter Cummings,Thomas D. Koepsell
A unique resource for rehabilitation engineers, design and building professionals, rehabilitation counselors, gerontologists, psychologists, and other health and mental health professionals, this volume covers the significance and impact of universal design as a change agent for social and health movements. With a focus that is both practical and visionary, it emphasizes how the use of universal design can promote increased performance and participation for the aging population and people with disabilities, while mitigating the stigma and segregation that often characterize traditional rehabilitation design strategies. Written by one of the few architecturally trained researchers engaged in environmental issues related to accessibility and design for aging, the book stresses that universal design is not solely for people with disabilities, but is about usability and inclusion for people of all levels of ability. It examines key social ecological models in rehabilitation for aging and disability, and sheds new light on health and disability at both the individual and population level. Particular attention is paid to the medical, functional, and environmental implications of disability, health care and disability systems, and the psychosocial and cultural issues pertinent to rehabilitation counseling. Key Features: Examines the medical, functional, and environmental implications of disability Addresses health care and disability systems Discusses psychosocial and cultural issues pertinent to rehabilitation counseling Rooted in the concepts of social equity and inclusivity through participation of older adults and disabled individuals in community and societal roles Provides a visionary yet practical paradigm that transcends traditional design problem-solving
National Research Council,Institute of Medicine,Division of Behavioral and Social Sciences and Education,Board on Health Sciences Policy,Forum on Aging, Disability, and Independence
Author: National Research Council,Institute of Medicine,Division of Behavioral and Social Sciences and Education,Board on Health Sciences Policy,Forum on Aging, Disability, and Independence
Publisher: National Academies Press
The Institute of Medicine (IOM) and the National Research Council (NRC) have had prominent roles in discussions of aging, disability, and technology for decades. In 1978, Aging and Medical Education (IOM, 1978) raised national awareness of the challenges to physicians posed by the aging of the U.S. population. Thirty years later, Retooling for an Aging America highlighted concerns for the entire health care workforce in view of the aging of the population, including the role of technology in caring for older populations. The 1988 report The Aging Population in the 21st Century examined social, economic, and demographic changes among older adults, as well as many health-related topics: health promotion and disease prevention; quality of life; health care system financing and use; and the quality of care- especially long-term care. In 1991, the landmark report Disability in America laid out a national agenda to prevent disability and improve the lives of people with disabling conditions. The 1997 report Enabling America: Assessing the Role of Rehabilitation Science and Engineering examined the knowledge base of rehabilitation science and engineering and proposed ways to translate scientific findings into interventions that produce better health. And the 2007 report The Future of Disability in America examined progress made since the earlier reports and looked at continuing barriers that limit the independence, productivity, and participation in community life of people with disabilities. All these reports were produced by committees appointed in accordance with guidelines of the National Academies and met multiples times to compile and review evidence, reach consensus on conclusions and recommendations, draft a report of the committee, and then modify that draft report in response to comments from outside reviewers. The IOM and NRC have also held several workshops related to aging, disability, and technology and published summary reports, such as Technology for Adaptive Aging and Grand Challenges of Our Aging Society. The IOM and NRC also convene groups that take a different approach to issues of pressing national and international importance. Often known as forums or roundtables, these groups meet regularly to foster dialogue and confront issues of mutual interest and concern among a broad range of stakeholders. They can convene workshops, initiate cooperative projects among members, commission independently authored articles, and generate ideas for independent consensus studies. In 2012 the IOM and NRC joined together to establish the Forum on Aging, Disability, and Independence to provide a neutral venue for broad-ranging discussions among the many stakeholders involved with aging and disability. The goals of the forum are to highlight areas in which the coordination of the aging and disability networks is strong, examine the challenges involved in aligning the aging and disability networks, explore new approaches for resolving problem areas, elevate the visibility and broaden the perspectives of stakeholders, and set the stage for future policy actions. Forum sponsors and members include federal agencies, health professional associations, private sector businesses, academics, and consumers. Fostering Independence, Participation, and Healthy Aging Through Technology summarizes this workshop.
Taking as its starting point Delmore Schwartz's self-appointment as both a 'poet of the Hudson River' and 'laureate of the Atlantic,' this book comprehensively reassesses the poetic achievement of a critically neglected writer. Runchman reads Schwartz's poetry in relation to its national and international perspectives.
Power, Security, and the Future of International Politics
Author: Robert S. Ross,Zhu Feng
Publisher: Cornell University Press
Category: Political Science
Assessments of China's importance on the world stage usually focus on a single dimension of China's increasing power, rather than on the multiple sources of China's rise, including its economic might and the continuing modernization of its military. This book offers multiple analytical perspectives—constructivist, liberal, neorealist—on the significance of the many dimensions of China's regional and global influence. Distinguished authors consider the likelihood of conflict and peaceful accommodation as China grows ever stronger. They look at the changing position of China "from the inside": How do Chinese policymakers evaluate the contemporary international order and what are the regional and global implications of that worldview? The authors also address the implications of China's increasing power for Chinese policymaking and for the foreign policies of Korea, Japan, and the United States. Contributors: Robert Art, Brandeis University; Avery Goldstein, University of Pennsylvania; G. John Ikenberry, Princeton University; Byung-Kook Kim, Korea University; Jonathan Kirshner, Cornell University; Jeffrey W. Legro, University of Virginia; Jack S. Levy, Rutgers University; Qin Yaqing, China Foreign Affairs University; Robert S. Ross, Boston College; Akio Takahara, University of Tokyo; Tang Shiping, Nanyang Technological University, Singapore; Wei Ling, China Foreign Affairs University; Zhu Feng, Peking University
Douglas I Katz, MD,Ross D Zafonte, DO,Nathan D Zasler, MD, FAAPM&R, FAADEP, DAAPM
Author: Douglas I Katz, MD,Ross D Zafonte, DO,Nathan D Zasler, MD, FAAPM&R, FAADEP, DAAPM
Publisher: Demos Medical Publishing
A Doody's Core Title 2012 Brain Injury Medicine: Principles and Practice is a comprehensive guide to all aspects of the management issues involved in caring for the person with brain injury - from early diagnosis and evaluation through the post-acute period and rehabilitation. It is the definitive core text needed by all practitioners in this area, including physiatrists, neurologists, psychologists, nurses, and other health care professionals. Written by over 100 acknowledged leaders in the field, and containing hundreds of tables, graphs, and photographic images, the text deals with issues of neuroimaging and neurodiagnostic testing, prognosis and outcome, acute care, rehabilitative care, treatment of specific populations, neurologic problems following injury, neuromusculoskeletal problems, and general management issues. Key features include: Emphasis on a disease state management approach to patient assessment and treatment Promotion of a holistic, biopsychosocial model of patient assessment and care Review of current expert consensus on practice guidelines Exploration of epidemiologic and basic pathophysiologic aspects of brain injury Examination of clinical issues throughout the continuum of rehabilitative care Cutting edge, practical information based on the authors' extensive clinical experience that will positively impact patients and families following brain injury
Geriatric Physical Therapy offers a comprehensive presentation of geriatric physical therapy science and practice. Thoroughly revised and updated, editors Andrew Guccione, Rita Wong, and Dale Avers and their contributors provide current information on aging-related changes in function, the impact of these changes on patient examination and evaluation, and intervention approaches that maximize optimal aging. Chapters emphasize evidence-based content that clinicians can use throughout the patient management process. Six new chapters include: Exercise Prescription, Older Adults and Their Families, Impaired Joint Mobility, Impaired Motor Control, Home-based Service Delivery, and Hospice and End of Life. Clinically accurate and relevant while at the same time exploring theory and rationale for evidence-based practice, it’s perfect for students and practicing clinicians. It’s also an excellent study aid for the Geriatric Physical Therapy Specialization exam. Comprehensive coverage provides all the foundational knowledge needed for effective management of geriatric disorders. Content is written and reviewed by leading experts in the field to ensure information is authoritative, comprehensive, current, and clinically accurate. A highly readable writing style and consistent organization make it easy to understand difficult concepts. Tables and boxes organize and summarize important information and highlight key points for quick reference. A well-referenced and scientific approach provides the depth to understand processes and procedures. Theory mixed with real case examples show how concepts apply to practice and help you enhance clinical decision-making skills. Standard APTA terminology familiarizes you with terms used in practice. A new chapter, Exercise Prescription, highlights evidence-based exercise prescription and the role of physical activity and exercise on the aging process. A new chapter, Older Adults and Their Families, helps physical therapists understand the role spouses/partners and adult children can play in rehabilitation, from providing emotional support to assisting with exercise programs and other daily living activities. New chapters on Impaired Joint Mobility, Impaired Motor Control, Home-based Service Delivery, and Hospice and End of Life expand coverage of established and emerging topics in physical therapy. Incorporates two conceptual models: the Guide to Physical Therapist Practice, 2nd Edition, and the International Classification of Function, Disability, and Health (ICF) of the World Health Organization (WHO) with an emphasis on enabling function and enhancing participation rather than concentrating on dysfunction and disability A companion Evolve website includes all references linked to MEDLINE as well as helpful links to other relevant websites.
National Research Council,Division of Behavioral and Social Sciences and Education,Committee on National Statistics,Institute of Medicine,Board on Health Care Services,Committee to Review the Social Security Administration's Disability Decision Process Research
Measuring and Monitoring Disability for Social Security Programs
Author: National Research Council,Division of Behavioral and Social Sciences and Education,Committee on National Statistics,Institute of Medicine,Board on Health Care Services,Committee to Review the Social Security Administration's Disability Decision Process Research
Publisher: National Academies Press
The Society Security disability program faces urgent challenges: more people receiving benefits than ever before, the prospect of even more claimants as baby boomers age, changing attitudes culminating in the Americans With Disabilities Act. Disability is now understood as a dynamic process, and Social Security must comprehend that process to plan adequately for the times ahead. The Dynamics of Disability provides expert analysis and recommendations in key areas: Understanding the current social, economic, and physical environmental factors in determining eligibility for disability benefits. Developing and implementing a monitoring system to measure and track trends in work disability. Improving the process for making decisions on disability claims. Building Social Securityâ€™s capacity for conducting needed research. This book provides a wealth of detail on the workings of the Social Security disability program, recent and emerging disability trends, issues and previous experience in researching disability, and more. It will be of primary interest to federal policy makers, the Congress, and researchersâ€"and it will be useful to state disability officials, medical and rehabilitation professionals, and the disability community.
Benchmarks and Strategies for Management and Practice
Publisher: Springer Publishing Company
"As one who is involved in the culture change movement and is trying to review the huge volume of available resources, I find it refreshing to have a book that draws it all together....I highly recommend this book to administrators who are overwhelmed at the thought of implementing change in their environment. The author has done an excellent job of making it seem quite possible to make culture change a reality."--Doody's Medical Reviews "The publication of Implementing Culture Change in Long-Term Care marks the beginning of a new era in the aging services profession. This book is the Rosetta Stone of the culture change movement. Dr. Jurkowskiís skillful blend of theory, research, and practice addresses the movementís most urgent needs and makes the work of culture change advocates accessible to a broader and more influential audience....This book is the future in paper and ink." From the Foreword by Bill Thomas, MD Founder of the Eden Alternative and the Green House Project This text offers a strategic approach for promoting an active culture of change in long-term care facilities for older adults and people with disabilities. It discusses the philosophical framework for the delivery of care in these settings and addresses the changing landscape of our long-term care population. With the aim of transforming these facilities from institutional settings to person-centered, homelike environments, the book offers administrators and practitioners numerous strategies and benchmarks for culture change, and addresses tools and resources to support the culture change process. The text describes how these benchmarks have been met and provides ways to address not just knowledge, but also attitudes and behavior, important components of a culture change strategy. The book compares and contrasts current long-term care paradigmsóthe medical model, the rehabilitation paradigm, the independence and dignity model, and strength-based approachesóin order to see how they facilitate or impede culture change. It provides best practice examples of benchmarks to be attained along with strategies to promote this process. These benchmarks and strategies are based upon the Artifacts for Culture Change Assessment Tool developed by the Centers for Medicare and Medicaid. The text describes ways to build a blueprint and strategic processes for integrating these benchmarks into a long-term care setting, addressing the entire process from assessment through evaluation. It also provides tools enabling readers to learn from their own process via a feedback loop, and includes strategies to facilitate partnerships with family, staff, and community. Key Features: Elucidates benchmarks that can be implemented in long-term care settings, using the Centers for Medicare/Medicaid's "Long Term Care Artifacts" assessment tool as an intervention Focuses on care practices, the environment, the inclusion and integration of family and community, leadership benchmarks, and workplace practices Includes robust examples of best practices within each of the main artifact arenas Incorporates tools and strategies for assessing the philosophical paradigm of a long- term facility that can help or hinder the culture change process Provides discussion and reflection questions and websites for additional resources
Kristofer J. Hagglund, PhD, ABPP,Allen W. Heinemann, PhD, ABPP
Author: Kristofer J. Hagglund, PhD, ABPP,Allen W. Heinemann, PhD, ABPP
Publisher: Springer Publishing Company
Now, more than ever, the field of rehabilitation psychology is growing. This book--one of the few that focuses solely on rehabilitation psychology research--provides the reader with the most up-to-date look at researchand practice within the field of rehabilitation psychology. It offers recommendations for future research programs, policy changes, and clinical interventions from the various perspectives within rehabilitation psychology research and practice, and seeks to demonstrate how much the field can evolve with the implementation of these changes. Topics covered include: Assistive technology Health policy Cultural diversity Employment Future of rehabilitation research Community integration Health disparities
Institute of Medicine,National Research Council,Division of Behavioral and Social Sciences and Education,Board on Behavioral, Cognitive, and Sensory Sciences,Committee on the Health and Safety Needs of Older Workers
Author: Institute of Medicine,National Research Council,Division of Behavioral and Social Sciences and Education,Board on Behavioral, Cognitive, and Sensory Sciences,Committee on the Health and Safety Needs of Older Workers
Publisher: National Academies Press
Category: Social Science
Mirroring a worldwide phenomenon in industrialized nations, the U.S. is experiencing a change in its demographic structure known as population aging. Concern about the aging population tends to focus on the adequacy of Medicare and Social Security, retirement of older Americans, and the need to identify policies, programs, and strategies that address the health and safety needs of older workers. Older workers differ from their younger counterparts in a variety of physical, psychological, and social factors. Evaluating the extent, causes, and effects of these factors and improving the research and data systems necessary to address the health and safety needs of older workers may significantly impact both their ability to remain in the workforce and their well being in retirement. Health and Safety Needs of Older Workers provides an image of what is currently known about the health and safety needs of older workers and the research needed to encourage social polices that guarantee older workers a meaningful share of the nationâ€™s work opportunities.
The launch of Sputnik in 1957 not only began the space age, it also showed that Soviet rockets were more powerful than American ones. Within months, the US Air Force hired Rocketdyne for a feasibility study of an engine capable of delivering at least 1 million pounds of thrust. Later, NASA ran the development of this F-1 engine in order to use it to power the first stage of the Saturn V rocket that would send Apollo missions to the Moon. It is no exaggeration to say that without the F-1 engine NASA would not have been able to achieve President Kennedy’s 1961 challenge to his nation to land a man on the Moon before the decade was out.
Institute of Medicine,Committee on the NIH Research Priority-Setting Process
Improving Priority Setting and Public Input at the National Institutes of Health
Author: Institute of Medicine,Committee on the NIH Research Priority-Setting Process
Publisher: National Academies Press
The National Institutes of Health (NIH) is the single largest funder of health research in the United States, and research it has supported has been pivotal to the explosion of biomedical knowledge over the past century. As NIH's success has grown, so has pressure from advocacy groups and other members of the public to devote more spending to their health concerns. In response to a request from Congress, this IOM study reviewed NIH's research priority-setting process and made recommendations for possible improvement. The committee considered the: Factors and criteria used by NIH to make funding allocations. Process by which the funding decisions are made. Mechanisms for public input. Impact of congressional statutory directives on funding decisions. Among other recommendations, the book recommends that NIH seek broader public input on decisions about how to spend its nearly $14 billion budget; it also urged the agency to create new Offices of Public Liaison in the Office of the Director and in each of the 21 research institutes to allow interested people to formally take part in the process.
Karen A. McQuillan,Mary Beth Flynn Makic,Eileen Whalen
Author: Karen A. McQuillan,Mary Beth Flynn Makic,Eileen Whalen
Publisher: Elsevier Health Sciences
Using the unique cycles of trauma framework, the 4th edition of this classic and highly acclaimed resource is thoroughly updated to bring you comprehensive coverage of cutting-edge research findings and current issues, trends, and controversies in trauma nursing. Detailed information guides you through all phases of care – from preventive care and the time of injury to the resuscitative, operative, critical, intermediate, and rehabilitative stages. Timely discussions on emerging topics such as mass casualty and rural trauma/telemedicine keep you up to date with the latest developments in the field. This practical, evidence-based reference is the most complete resource available for both novice and experienced trauma nurses working in a variety of care settings. Comprehensive coverage includes practical, clinically relevant trauma information for nurses at all levels of knowledge and experience working in a variety of settings. Evidence-based content ensures that you are using the latest and most reliable information available to provide state-of-the-art care for trauma patients. A user-friendly format, logical organization, and helpful tables and illustrations help you find information quickly and clarify key concepts and procedures. Detailed information guides you through all phases of care – from preventive care and the time of injury to the resuscitative, operative, critical, intermediate, and rehabilitative stages. Special populations coverage prepares you to meet the unique needs of pregnant, pediatric, and elderly patients, as well as bariatric patients, burn victims, patients with substance abuse issues, and organ and tissue donors. A section on Clinical Management Concepts gives you a solid understanding of key issues affecting all patients regardless of their injury, including mechanism of injury, traumatic shock, patient/family psychosocial responses to trauma, pain management, wound healing, and nutrition. A new Mass Casualty chapter prepares you to act quickly and confidently in the event of a disaster, with guidelines for initial response and sustained response, lessons learned from recent disasters, government involvement, and hazmat, bioterrorism, and nuclear-radiological preparedness. A new chapter on Rural Trauma/Telemedicine focuses on the unique nature of rural trauma care and offers strategies to help you improve healthcare delivery in this challenging environment. A new Trauma in the Bariatric Patient chapter provides the specialized information you need to meet the challenges and needs of this growing patient population.