Understanding pathophysiology--ANZ adaptation.
Author: Bonham-Lloyd, Sarah
Pub Date: 11/01/2011
Publication: Name: New Zealand Journal of Physiotherapy Publisher: New Zealand Society of Physiotherapists Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2011 New Zealand Society of Physiotherapists ISSN: 0303-7193
Issue: Date: Nov, 2011 Source Volume: 39 Source Issue: 3
Accession Number: 288538008
Full Text: Understanding Pathophysiology--ANZ Adaptation Judy Craft, Christopher Gordon, Adriana Tiziani. Elsevier Australia 2011 (adaptation of Understanding Pathophysiology 4th Edition by Sue Huether, Kathryn McCance, Valentina Brashers and Neal Rote). ISBN: 0729539512 and 9780729539517. Soft cover (with online supplement). 1317pages RRP: $225.00

This text is a weighty addition to an already saturated physiology and pathology textbook market. It is primarily targeted at nursing students; however, its publishers are promoting it to the Allied Health student population. This edition is an adaptation of the 4th American edition which has been 'tailored specifically for the Australian and New Zealand student' by prioritising diseases and related statistics according to prevalence and rate of incidence Down Under and devoting a chapter to indigenous health issues in Australia (disappointingly there is no such inclusion for health issues specific to Maori). There is an Australian slant to presented statistics this is not surprising given the authors and the majority of other contributors are Australian.

The book is set out in 6 parts, starting with essential concepts of pathophysiology (e.g. homeostasis and cellular structure and function), then takes a body systems approach to; regulation and control, protection and movement, body maintenance and continuity. The body systems chapters initially present the normal structure and function of each system, directly followed by a pathology chapter for that system addressed as 'alterations of function across the lifespan'. Included are other specific chapters relating to pathological processes such as pain and infection. Each chapter flows well with an initial chapter outline and a boxed summary to conclude. In the pathology chapters there is specific discussion of paediatric and age related changes to each system, clinical case studies, review questions and an emphasis on Concept Maps (to illustrate flow and relationships between pathological processes) along with disease statistics (where relevant).

There is good use of tables, photos and illustrations; however, whilst they are of excellent quality, there are just not enough. The language used is easy to follow, but as there is a lot of text to digest, it would be enhanced with more illustrations. An online reviewer has described the text as; 'Meaty. This is like digesting a huge turkey without any gravy'! There is an image collection available through the free online access that comes with the book which also includes interactive exercises and animations. There are additional online supports available, including an app from the App Store, these are sold separately.

For physiotherapy students, the depth of information provided on normal physiology is sufficient, but there are better texts available. As a pathology text, there is good depth for some of the body systems but the reader must wade through a few hundred pages to establish if it facilitates their understanding of disease processes. This text has a quality feature in part 6 which focuses on contemporary health issues (not found in older or more traditional pathology texts) covering stress, obesity, genetic diseases, cancer and the chapter on indigenous health issues. There is moderate depth in these chapters, and they have value as an overview.

For physiotherapists, its adaptation to Australia and New Zealand means it would be a good reference text addition to any departmental library, I would advise students to compare it to others before deciding to purchase.

Sarah Bonham-Lloyd, MSc, BHSc, Lecturer, Physiotherapy, School of Rehabilitation and Occupation Studies, AUT University, Auckland.
Gale Copyright: Copyright 2011 Gale, Cengage Learning. All rights reserved.