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High Acuity Nursing,9780838537459
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High Acuity Nursing

by ;
Edition:
3rd
ISBN13:

9780838537459

ISBN10:
0838537456
Format:
Paperback
Pub. Date:
1/1/2001
Publisher(s):
Prentice Hall
List Price: $77.95
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Summary

A supplement for a variety of junior/senior-level courses in Critical Care or Advanced Med-Surg Nursing courses and others throughout the nursing curriculum. Written by practicing nurses in acute care, this text provides students with a basic understanding of complex patients and the ability to provide nursing care across a variety of settings by using a series of reality-based, self-paced, self-contained modules that focus on multiple system problems frequently encountered in working with high acuity patients. Using a nuts and bolts approach, it addresses essentials by using examples, analogies, and metaphors; focuses on concepts and principles that can be applied across practice settings and patient populations; and includes nursing diagnoses. The modules progress from simple to complex and contain pretests and posttests with answers, learning objectives, glossary, abbreviations, and review questions and answers.

Table of Contents

Preface v
About the Authors vii
Contributors ix
Reviewers xi
Acknowledgments xiii
Part I: Special Topics 1(104)
Caring for the Critically III Patient: Patient, Family, and Nursing Considerations
3(26)
Acute Pain in the High-Acuity Patient
29(22)
Fluid and Electrolyte Balance in the High-Acuity Patient
51(24)
Organ Transplantation
75(30)
Part II: Respiration And Ventilation 105(116)
Respiratory Process
107(36)
Arterial Blood Gas Analysis
143(22)
Mechanical Ventilation
165(40)
Nursing Care of the Patient with Altered Respiratory Function
205(16)
Part III: Cellular Oxygenation 221(54)
Oxygenation
223(14)
Shock States
237(16)
Multiple Organ Dysfunction Syndrome
253(12)
Nursing Care of the Patient with Impaired Oxygenation
265(10)
Part IV: Perfusion 275(108)
Determinants of Cardiac Output
277(12)
Hemodynamic Monitoring
289(32)
Acute Cardiac Dysfunction and Electrocardiographic Monitoring
321(48)
Nursing Care of the Patient with Altered Tissue Perfusion
369(14)
Part V: Neurologic 383(136)
Consciousness
385(32)
Acute Cerebral Dysfunction
417(58)
Nursing Care of the Patient with Altered Cerebral Function
475(8)
Spinal Cord Injury
483(30)
Nursing Care of the Patient with Spinal Cord Injury
513(6)
Part VI: Metabolic 519(162)
Metabolic Responses
521(28)
Acute Hematologic Dysfunction
549(30)
Altered Immune Function
579(38)
Altered Glucose Metabolism
617(28)
Acute Renal Dysfunction
645(26)
Nursing Care of the Patient with Altered Metabolic Function
671(10)
Part VII: Gastrointestinal 681(98)
Acute Gastrointestinal Dysfunction
683(34)
Acute Hepatic Dysfunction
717(28)
Acute Pancreatic Dysfunction
745(22)
Nursing Care of the Patient with Altered Gastrointestinal Function
767(12)
Part VIII: Injury 779(100)
Complex Wound Management
781(24)
Acute Burn Injury
805(26)
Trauma Assessment and Resuscitation
831(34)
Nursing Care of the Patient with Multiple Injuries
865(14)
Part IX: Life Span: Special Needs 879(126)
Nursing Care of the Acutely III Pediatric Patient
881(40)
Nursing Care of the Acutely III Obstetric Patient
921(58)
Nursing Care of the Acutely III Elderly Patient
979(26)
Index 1005

Excerpts

PREFACE When the first edition ofHigh-Acuity Nursingwas published in 1992, the termhigh acuitywas largely confined to leveling patient acuity for determining hospital staffing needs rather than being applied to nursing education. Our choice of titles was unusual and perhaps a little risky since nursing programs were using medical-surgical nursing texts or sometimes critical care nursing texts for teaching complex care concepts. Today, there is a growing trend to offer a high-acuity nursing course as part of the required undergraduate nursing curriculum. This, we believe, reflects the changing nature of the acute care patient population and the need to adequately prepare new nurses (and retool experienced nurses) to meet these rapidly changing needs. The termhigh acuityrefers to a level of patient problems beyond uncomplicated acute illness on a health-illness continuum. Today, high-acuity patients are increasingly found outside of critical care units or even acute care institutions. The patient population is older and sicker upon entering the health care system, and hospitalized patients are being discharged earlier, often in a poorer state of health. In the home health setting, nurses are providing care to clients with mechanical ventilators, central intravenous lines, IV antibiotic therapy, and complicated injuries. Whereas critical care units are considered specialty areas within the hospital walls, much of the knowledge required to work within that specialty is generalist in nature. It is this generalist knowledge base that is needed by all nurses who work with patients experiencing complex care problems to assure competent and safe nursing practice. Purpose of the Text TheHigh-Acuity Nursingtext delivers information using learner-focused, active learning principles, and concise language and format. The format breaks down complex information into small, understandable chunks for easier understanding. Self-testing is provided throughout the text, using Pretests, short section quizzes, and Posttests. All answers are provided to give learners immediate feedback on their command of section content before proceeding to the next module section. The self-study modules in this book focus on the relationship between pathophysiology and the nursing process with the following goals in mind: Revisit and translate critical pathophysiologic concepts pertaining to the high-acuity patient in a clinically applicable manner Examine the interrelationships among physiologic concepts Enhance clinical decision-making skills Free class time to focus on clinical application Hold learners accountable for their own learning Provide immediate feedback to the learner regarding assimilation of concepts and principles Provide self-paced learning Ultimately, the goal for the learner is to be able to approach patient care conceptually, so that care is given with a strong underlying understanding of its rationale. This book is appropriate for use in multiple educational settings, for example, nursing students, novice nurses, novice critical care nurses, and community health/home health nurse. It is also a review book for the experienced nurse wanting to update knowledge in high-acuity nursing for continuing education purposes. Hospital staff development departments will find it useful as supplemental or required reading for nursing staff high-acuity or critical care classes. It has also been used for teaching basic pathophysiology, and as a review book for the NCLEX exam. Organization of the Text The book consists of nine parts: Special Topics, Respiration and Ventilation, Cellular Oxygenation, Perfusion, Neurologic, Metabolic, Gastrointestinal, Injury, and Life Span: Special Needs. For continuity, the modules in Parts I through VIII are written in a consistent manner, using a single concep


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