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Cover Art for Medical Surgical Nursing; Total Patient Care
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Medical Surgical Nursing; Total Patient Care


Author(s): Harkness & Dincher
ISBN10:  0323002471
ISBN13:  9780323002479
Format:  Hardcover
Pub. Date:  2/6/1999
Publisher(s): Mosby

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SummaryTable of Contents
Univ. of Connecticut, Storrs. Brandon/Hill Nursing List first-purchase selection (#298). For LPN/LVN students. Includes new chapters on delegation and supervision of health assessment. Focuses on the nursing process, patient teaching, and older adult considerations. Two-tone format.
PART I NURSING AND HEALTH CARE 1(80)
1 Nursing in the Health Care System
1(20)
Jean E. Steel, RN, PhD, FAAN
Total Patient Care
1(1)
Health
2(1)
Health Care Reform
2(4)
Health Care Delivery
6(2)
Health Care Team
8(1)
Nursing Practice
9(9)
Patients' Rights
18(3)
2 Nursing Process and Clinical Decision Making
21(16)
Judith R. Dincher, RN, BSN, MSEd
Critical Thinking and Decision Making
21(1)
Nursing Process
22(15)
3 Health Assessment
37(26)
Carole Bomba, RN, MSN
General Assessment
37(1)
History
38(4)
Physical Assessment Techniques
42(1)
Physical Examination
43(12)
Documentation of the Examination
55(8)
4 Ethical Decision Making
63(10)
Joanne M. Pier, RN, BSN, MA
Ethical Analysis and Decision Making
63(5)
Respect for Patients
68(1)
Role of the Ethics Committee
69(1)
American Nurses Association Code of Ethics
70(1)
Health Care Reform
70(3)
5 Delegation and Supervision
73(8)
E. Carol Polifroni, BS, MA, EdD
Definition of Delegation
73(2)
Effective Delegation
75(2)
Problems in Delegation
77(1)
Supervisory Role
78(3)
PART II PSYCHOSOCIAL ASPECTS OF PATIENT CARE 81(324)
6 Psychologic Responses
81(26)
Patricia M. O'Leary, MSN, RNCS
Relationship between Emotional and Physical Well-Being
81(1)
Needs of Individuals and Maslow's Hierarchy
82(2)
Personality
84(1)
Mental Health
84(1)
Anxiety
84(4)
Emotional Disorders
88(2)
Psychoses
90(2)
Organic Brain Syndromes: Dementia
92(1)
Somatic Disorders
93(1)
Depression
93(2)
Therapeutic Relationship in Nursing
95(3)
Psychopharmacology
98(4)
Electroconvulsive Therapy
102(5)
7 Physiologic Responses
107(36)
Gail A. Harkness, DrPH, RN, FAAN
Causes of Disease
107(8)
Physiologic Defense Mechanisms
115(8)
Excessive Immune Responses
123(14)
Chemotherapeutic Agents
137(6)
8 Cultural Considerations
143(14)
Elaine M. Geissler, RN, PhD, CTN
Phenomenon of Culture
143(3)
Transcultural Nursing
146(2)
Cultural Variability
148(4)
Nursing Diagnoses
152(1)
Patient and Family Teaching
152(5)
9 The Older Adult
157(32)
Patricia Tabloski, PhD, RNCS, GNP
Demographics
158(1)
Progress and Research
159(1)
Factors that Affect Aging
160(4)
Physiology of Aging
164(12)
Nursing the Elderly
176(7)
Care of the Hospitalized Elderly Patient
183(1)
Nursing Homes
184(1)
Alternatives to Institutional Care
185(4)
10 Substance Abuse
189(28)
Jean H. Genster, BSN
Terminology
190(1)
Etiology
190(2)
Substance Abuse as a Disease
192(1)
Dysfunctional Family
192(2)
Central Nervous System Depressants
194(9)
Central Nervous System Stimulants
203(3)
Inhalants
206(1)
Hallucinogens
206(1)
Treatment and Rehabilitation
207(1)
Nursing Management
208(4)
Chemically Impaired Nurses
212(5)
11 The Patient with Pain
217(22)
Lora McGuire, RN, MS
Nature of Pain
217(7)
Interventions for Pain Relief
224(7)
Patient and Family Teaching
231(8)
12 The Patient with Cancer
239(36)
Patricia Trotta, RN, BSc, MSN, OCN
Pathophysiology
241(1)
Causes of Cancer
242(1)
Prevention and Control
243(3)
Diagnostic Tests and Procedures
246(5)
Treatment of Cancer
251(16)
Emotional Care
267(1)
Rehabilitation
268(7)
13 Death and Dying
275(18)
Patricia Tabloski, PhD, RNCS, GNP
Death
275(6)
Grief and Bereavement
281(2)
Nursing Care of the Dying Patient
283(10)
14 Community-Acquired Infections
293(34)
Sandra Blake, BSN, MS
Characteristics of the Infectious Process
294(2)
Control of Communicable Disease
296(4)
Patient with a Bacterial Infection
300(10)
Patient with a Viral Infection
310(5)
Patient with a Protozoal Disease
315(1)
Patient with Helminthic Infestations
315(2)
Sexually Transmitted Diseases
317(4)
Emerging Infections
321(6)
15 Hospital-Acquired Infections
327(24)
Sandra Blake, BSN, MS
Hospital Infections
327(4)
Types of Nosocomial Infections
331(5)
Prevention and Control
336(8)
Emotional Support
344(7)
16 HIV Infection and AIDS
351(54)
Laurie Andrews, RN, BSN, MPH
Margaret Hull Spencer, MS
Epidemiology
351(7)
Clinical Manifestations of HIV Infection and AIDS
358(21)
HIV in Women
379(1)
Nutrition
380(2)
Transmission
382(2)
Laboratory Tests
384(2)
Treatment
386(6)
HIV Infection/AIDS and the Nursing Process
392(13)
PART III SPECIAL CARE SETTINGS 405(152)
17 Rehabilitative Care
405(40)
Marion Phipps, MS, RN, CRRN, FAAN
Rehabilitation
405(1)
Definition of Disability
406(1)
Rehabilitation Nursing
406(1)
Rehabilitation in Each Phase of Health Care
407(2)
Rehabilitation Team
409(3)
Rehabilitation Legislation
412(1)
Emotional Response to Disability
412(3)
Nursing Approaches to Rehabilitation Care
415(26)
Patient Teaching in Rehabilitation
441(4)
18 Long-Term Care
445(20)
Patricia Tabloski, PhD, RNCS, GNP
Ethical Dilemmas in Long-Term Care
447(1)
General Assessment Guidelines
448(2)
Risk and Specific Care Issues
450(15)
19 Home Health Care
465(14)
Karen S. Martin, RN, MSN, FAAN
Between Phoebe and the Future
466(1)
The Team
467(2)
Providing Care
469(5)
Reimbursement
474(2)
The Future
476(3)
20 Perioperative Care
479(38)
Margaret M. Galloway, RN, MSN
The Surgical Experience
479(2)
Admission of the Patient
481(1)
Informed Consent
482(1)
Preoperative Preparation
482(8)
Intraoperative Care
490(11)
Postoperative Assessment and Interventions
501(8)
Postoperative Concerns
509(5)
Patient and Family Teaching and Planning for Discharge
514(3)
21 Emergency and Trauma Care
517(40)
Julie A. D'Agostino, RNC, BSN, MS, CEN, TNS
Emergency Department
517(2)
Emergency Nursing
519(1)
Patient Arrival and Consent
520(1)
Infectious Disease Precautions
520(1)
Triage
521(1)
Examination after Triage Assessment
522(1)
Primary Assessment and Interventions
522(12)
Secondary Assessment
534(1)
Focused Assessment and Intervention
534(4)
Violence
538(5)
Psychiatric Emergencies
543(2)
Poisonings
545(1)
Environmental Emergencies
546(2)
Disaster Preparedness
548(1)
Sudden Death
549(2)
Discharge Teaching
551(1)
Trends
551(6)
PART IV OXYGENATION AND CIRCULATION PROBLEMS 557(270)
22 Respiratory Problems
557(68)
Jean K. Berry, MS, PhD
Structure and Function of the Respiratory System
558(2)
Assessment of Signs and Symptoms of Respiratory Disease
560(2)
Nursing Assessment of the Patient with a Respiratory Problem
562(7)
Diagnostic Tests
569(4)
Nursing Strategies for Common Respiratory Problems
573(7)
Airway Management
580(2)
Thoracic Surgery
582(6)
Conditions of the Upper Respiratory System
588(6)
Tumors of the Respiratory Systems
594(2)
Conditions of the Chest and Lower Respiratory System
596(9)
Respiratory Infections
605(7)
Pleural Conditions
612(6)
Tumors of the Lung
618(1)
Chest Trauma
618(1)
Adult Respiratory Distress Syndrome
619(6)
23 Cardiac Problems
625(90)
Amelia K. Selph, MN, RN, CS-ACNP, CCRN
Cardiovascular Structure and Function
625(7)
Nursing Assessment
632(4)
Diagnostic Studies
636(11)
Disorders of Rate and Rhythm of the Heart
647(16)
Intensive Care Unit (Coronary Care Unit)
663(1)
Coronary Artery Disease
663(4)
Angina Pectoris (Anginal Syndrome)
667(8)
Myocardial Infarction
675(11)
Sudden Cardiac Death
686(2)
Invasive Therapeutic Procedures and Cardiac Surgery
688(8)
Congestive Heart Failure
696(19)
24 Peripheral Vascular Problems
715(50)
Amelia K. Selph, MN, RN, CS-ACNP, CCRN
Structure and Function
715(5)
Nursing Assessment
720(7)
Problems Involving the Arteries
727(25)
Problems Involving the Veins
752(13)
25 Hypertension
765(26)
Lisa L. Harris, RN, MS, CS
Regulation of Blood Pressure
765(2)
Hypertension
767(24)
26 Hematologic and Lymphatic Problems
791(36)
Claudia Conroy, RN, MS, AOCN
Function of Blood
791(1)
Structure of Blood
791(3)
Therapeutic Blood Fractions
794(3)
Collection of Blood
797(1)
Nursing Responsibilities for Diagnostic Tests
798(4)
Nursing Responsibilities for Therapeutic Procedures
802(2)
The Patient with Blood Dyscrasias
804(13)
Function of the Lymphatic System
817(1)
Structure of the Lymphatic System
817(10)
PART V REGULATORY AND MOBILITY PROBLEMS 827(214)
27 Fluids and Electrolytes
827(44)
Joseph C. Jacobs, BA, MS
Judith R. Dincher, RN, BSN, MSEd
Body Fluids
827(3)
Fluid and Electrolyte Exchange
830(3)
Regulation of Fluid and Electrolytes
833(1)
Fluid and Electrolyte Imbalances
834(17)
Protein Imbalances
851(1)
Acid-Base Imbalances
852(5)
Intravenous Therapy
857(4)
Shock
861(3)
Psychosocial Support
864(7)
28 Endocrine Problems
871(22)
Gail A. Harkness, DrPH, RN, FAAN
Endocrine Organ Function
871(2)
Nursing Assessment
873(1)
Nursing Responsibilities for Diagnostic Tests and Procedures
874(1)
Nursing Responsibilities for Therapeutic Procedures
875(1)
The Patient with Diseases and Disorders of the Endocrine System
876(17)
29 Diabetes
893(18)
Sandra Kilgallen, ADN, BS, MEd
Diabetes Mellitus
893(11)
Complications
904(2)
Patient and Family Teaching
906(1)
Hypoglycemia
907(4)
30 Neurologic Problems
911(36)
Elaine Sweat, MSN, APRN, CS
Structure and Function of the Nervous System
911(7)
Assessment of the Patient with Neurologic Dysfunction
918(5)
General Considerations in Neurologic Nursing
923(16)
Rehabilitation for Neurologic Disorders
939(8)
31 Cerebrovascular Accidents
947(24)
Ann Connor, RN, MS
Pathophysiology
947(1)
Assessment
948(3)
Stroke Intervention
951(1)
Stroke Rehabilitation
952(8)
Complications of Stroke
960(11)
32 Head and Spinal Cord Injuries
971(20)
Catherine Benoit, RNc, MSN
Head Injuries
971(6)
Spinal Cord Injuries
977(14)
33 Musculoskeletal Problems
991(36)
Joyce D. Blau, RN, MS, ONC
Structure and Function of the Musculoskeletal System
991(3)
Position, Exercise, and Body Mechanics
994(1)
Neurovascular Integrity
995(2)
Pain
997(1)
The Patient with a Cast
997(4)
The Patient with an Orthopedic Device
1001(10)
Osteomyelitis
1011(1)
Traumatic Injuries
1011(8)
Bone Tumors
1019(1)
Amputation
1019(3)
Neuromuscular Conditions
1022(1)
Cerebral Palsy
1022(5)
34 Arthritic and Rheumatic Problems
1027(14)
Joyce D. Blau, RN, MS, ONC
Disorders of the Joints
1027(1)
Arthritis (Inflammatory Joint Disease)
1027(1)
Rheumatoid Arthritis
1027(4)
Rheumatoid (Ankylosing) Spondylitis
1031(2)
Osteoarthritis (Degenerative Joint Disease)
1033(2)
Surgical Intervention for Arthritis
1035(1)
Total Hip Replacement
1035(1)
Postoperative Positioning
1036(1)
Complications
1037(1)
Total Knee Replacement
1037(1)
Gout (Gouty Arthritis)
1037(1)
Bursitis
1038(3)
PART VI DIGESTION, ABSORPTION, AND ELIMINATION PROBLEMS 1041(132)
35 Digestive Tract Problems
1041(58)
Andrea D'Amato Quinn, RN, MS, CS
Structure and Function of the Gastrointestinal System
1041(3)
Assessment of the Gastrointestinal System
1044(6)
Therapeutic Techniques for the Gastrointestinal Tract
1050(4)
Gastrointestinal Manifestations of Illness
1054(3)
Functional Disorders of the Gastrointestinal Tract
1057(3)
Surgery of the Gastrointestinal Tract
1060(1)
Colostomy and Ileostomy
1061(6)
Common Diseases and Disorders of the Gastrointestinal System
1067(32)
36 Problems of the Liver, Gallbladder, and Pancreas
1099(22)
Patricia Henry Folcarelli, BS, MA
Structure and Function of the Liver, Gallbladder, and Pancreas
1099(1)
Diagnostic Procedures
1100(2)
Laboratory Studies
1102(1)
Diseases and Disorders of the Liver, Gallbladder, and Pancreas
1103(18)
37 Urinary Problems
1121(52)
Cleo Richard, BSN, BA, MSN
Structure and Function of the Urinary System
1121(4)
Nursing Assessment--History and Physical Examination
1125(1)
Diagnostic Tests and Nursing Responsibilities
1125(6)
Therapeutic Procedures and Nursing Implications
1131(10)
Urinary Incontinency
1141(2)
Diseases and Disorders of the Urinary System
1143(11)
Dialysis
1154(4)
Renal Transplantation
1158(1)
Operative Conditions of the Urinary System
1158(15)
PART VII SENSORY AND INTEGUMENTARY PROBLEMS 1173(136)
38 Vision
1173(48)
Pamela J. Schultz, RN, CRNO
Structure and Function of the Eye
1173(3)
Nursing Assessment of the Patient with Eye Problems
1176(6)
The Patient with Vision Problems
1182(4)
Nursing Interventions for Eye Disorders
1186(25)
Eye Emergencies and Trauma
1211(2)
Eye Safety
1213(1)
Normal Aging and the Eye
1214(7)
39 Hearing
1221(24)
Cheryl L. Durkee, RN, BSN, MS
Structure and Function of the Ear
1221(2)
Nursing Assessment of Hearing Loss
1223(1)
Diagnostic Testing
1223(4)
Hearing Loss
1227(3)
Disorders of the External Ear
1230(3)
Disorders of the Middle Ear
1233(4)
Disorders of the Inner Ear
1237(8)
40 Skin Integrity
1245(46)
Marcia J. Hill, RN, MSN
Structure and Function of the Skin
1245(4)
Nursing Assessment of the Skin
1249(1)
Assessment and Description of Skin Lesions
1249(1)
Nursing Responsibilities for Diagnostic Tests and Procedures
1250(1)
Nursing Responsibilities for Therapeutic Procedures
1250(6)
Pressure Ulcers
1256(2)
Devices That Augment Nursing Care
1258(2)
Treatment of Pressure Ulcers
1260(4)
Diseases and Disorders of the Skin
1264(1)
Disorders of the Glands
1265(1)
Tumors of the Skin
1265(3)
Disorders of the Appendages
1268(1)
Infestations
1269(2)
Infections
1271(5)
Viral Infections
1276(3)
Diseases of Epidermal Origin
1279(6)
Cutaneous Disorders
1285(2)
Hypersensitivity Reactions
1287(4)
41 Burns
1291(18)
Donna M. Starsiak, RNC, MSN
History of Burn Centers
1291(1)
Types of Burns
1292(1)
Classification by Severity
1292(1)
Classification by Burn Depth
1292(1)
Determination of Burn Extent
1292(3)
Phases of Burn Care
1295(14)
PART VIII REPRODUCTIVE PROBLEMS 1309(76)
42 Men's Reproductive Health
1309(22)
Mildred Owings, RN, MSN, CS
Structure and Function of the Reproductive System
1309(1)
Nursing Assessment of Men with Reproductive System Problems
1310(1)
Phases of Reproductive Function Throughout the Life Cycle
1311(1)
Examination of the Male Patient
1312(1)
Types of Diagnostic Procedures
1313(1)
Conditions Affecting the Male Genitalia
1313(1)
Conditions Affecting the Testes and Adjacent Structures
1314(2)
Conditions Affecting the Prostate Gland
1316(8)
Conditions Affecting Erectile Function
1324(1)
Methods for Treating Erectile Dysfunction
1324(7)
43 Women's Reproductive Health
1331(54)
Jeanne LeVasseur, MS, RN, CS, FNP
Structure and Function of the Reproductive System
1331(5)
Disturbances of Menstrual Function
1336(3)
Phases of Reproductive Function Throughout the Life Cycle
1339(4)
Nursing Assessment of the Patient with Problems of the Reproductive System
1343(1)
Nursing Responsibilities for Diagnostic Procedures
1344(2)
Birth Control (Contraception)
1346(13)
Types of Diagnostic Procedures
1359(3)
Diseases and Disorders of the Reproductive System
1362(4)
Conditions Affecting the Cervix and Uterus
1366(1)
Conditions Affecting the Ovaries and Fallopian Tubes
1367(1)
Surgical Intervention for Conditions Affecting the Cervix, Uterus, Ovaries, and Fallopian Tubes
1368(2)
Conditions Affecting the Breast
1370(8)
Conditions of Pregnancy
1378(7)
APPENDICES 1385(12)
A Abbreviations and Symbols for Units of Measurement 1385(2)
B 1997-1998 NANDA-Approved Nursing Diagnoses 1387(2)
C Normal Reference Laboratory Values 1389(8)
GLOSSARY 1397
COLOR PLATES
1256

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