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Medical-Surgical Nursing : An Integrated Approach,9780766825666
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Medical-Surgical Nursing : An Integrated Approach

by
Edition:
2nd
ISBN13:

9780766825666

ISBN10:
0766825663
Format:
Hardcover
Pub. Date:
8/9/2001
Publisher(s):
Cengage Learning

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  • Medical Surgical Nursing : An Integrated Approach
    Medical Surgical Nursing : An Integrated Approach





Summary

Medical Surgical Nursing: An Integrated Approach is designed for students in practical/vocational nursing programs. All aspects of this nursing field are examined, from how and where the health care delivery system is set up, to the nurse's role in care related to IV therapy and diagnostic testing, to legal and ethical responsibilities, communication and cultural diversity. This revised edition also includes new chapters covering alternative therapies, loss grief and death, mental illness and responding to emergencies. Case studies, critical thinking questions and exercises developing care plans encourage students to think beyond the classroom. Full color illustrations, cross-referencing between chapters, and suggested resources are among the many features that will appeal to students. ? Diagnostic tests are listed alphabetically in chart form making important information about the test, normal values and nursing responsibilities easy to find ? Chapter end critical thinking questions help students apply chapter content ? "Web Flash" box suggests Internet sites students can consult for additional information ? Text includes a glossary, a list of abbreviations and acronyms, a listing of the latest NANDA nursing diagnoses and Standard Precautions

Table of Contents

Reviewersp. xiii
Contributorsp. xiv
Prefacep. xvi
How to Use this Textp. xix
Foundations of Nursing
Factors Affecting Nursing Carep. 2
The Health Care Delivery Systemp. 3
Types of Health Care Servicesp. 3
Health Care Delivery Systemp. 4
Health Care Teamp. 8
Economics of Health Carep. 10
Factors Influencing Health Carep. 13
Challenges within the Health Care Systemp. 14
Nursing's Response to Health Care Challengesp. 16
Trends and Issuesp. 18
Critical Thinkingp. 21
Critical Thinkingp. 21
Skills of Critical Thinkingp. 23
Standards for Critical Thinkingp. 25
Reasoning and Problem-Solvingp. 27
Traits of a Disciplined Thinkerp. 30
Critical Thinking and the Nursing Processp. 31
Legal Responsibilitiesp. 33
Basic Legal Conceptsp. 34
Nursing Practice and the Lawp. 36
Nurse-Client Relationshipp. 37
Informed Consentp. 41
Advance Directivesp. 43
Incident Reportsp. 45
Professional Liabilityp. 48
Impaired Nursep. 48
Ethical Responsibilitiesp. 53
Concept of Ethicsp. 54
Ethical Principlesp. 54
Ethical Theoriesp. 57
Ethics and Valuesp. 57
Ethical Codesp. 59
The Client's Rightsp. 59
Ethical Dilemmasp. 62
Ethical Decision Makingp. 63
Ethics and Nursingp. 63
Holistic Nursing Carep. 67
Communicationp. 69
Process of Communicationp. 69
Methods of Communicationp. 71
Influences on Communicationp. 72
Congruency of Messagesp. 73
Listening/Observingp. 74
Therapeutic Communicationp. 74
Psychosocial Aspects of Communicationp. 78
Nurse-Client Communicationp. 81
Communicating with the Health Care Teamp. 84
Communicating with Yourselfp. 86
Cultural Diversity and Nursingp. 89
Culturep. 89
Cultural Influences on Health Care Beliefs and Practicesp. 92
Cultural and Racial Influences on Client Carep. 96
Cultural Aspects and the Nursing Processp. 102
Sample Nursing Care Plan: The Family with Ineffective Copingp. 105
Wellness Conceptsp. 111
Healthp. 111
Wellnessp. 112
Health Promotionp. 113
Illness Preventionp. 114
Factors Affecting Healthp. 117
Guidelines for Healthy Livingp. 122
Alternative/Complementary Therapiesp. 125
Historical Influences on Contemporary Practicesp. 126
Modern Trendsp. 127
Alternative/Complementary Interventionsp. 128
Nursing and Alternative/Complementary Approachesp. 140
Loss, Grief, and Deathp. 145
Lossp. 146
Griefp. 146
Deathp. 153
Sample Nursing Care Plan: The Client with a Terminal Illness/Cancer of the Lungp. 164
Areas of Medical-Surgical Nursing Care
Basic Concepts of Medical-Surgical Nursingp. 170
Fluid, Electrolyte, and Acid-Base Balancep. 171
Homeostasisp. 172
Chemical Organizationp. 172
Waterp. 175
Gasesp. 175
Acids, Bases, Salts, and pHp. 176
Buffersp. 176
Substance Movementp. 177
Fluid and Electrolyte Balancep. 179
Disturbance in Electrolyte Balancep. 182
Acid-Base Balancep. 184
Disturbances in Acid-Base Balancep. 185
Nursing Processp. 187
Sample Nursing Care Plan: The Client with Excess Fluid Volumep. 193
IV Therapyp. 197
Parenteral Fluidsp. 197
Equipmentp. 199
Preparing an Intravenous Solutionp. 200
Initiating IV Therapyp. 201
Administering IV Therapyp. 202
Managing IV Therapyp. 203
Intravenous Drug Therapyp. 204
Documentationp. 206
Blood Transfusionp. 206
Sample Nursing Care Planp. 208
Health Assessmentp. 211
Health Historyp. 213
Physical Examinationp. 215
Head-to-Toe Assessmentp. 216
Diagnostic Testsp. 231
Diagnostic Testingp. 232
Laboratory Testsp. 235
Radiological Studiesp. 258
Ultrasonographyp. 264
Magnetic Resonance Imagingp. 265
Radioactive Studiesp. 265
Electrodiagnostic Studiesp. 266
Endoscopyp. 268
Aspiration/Biopsyp. 268
Other Testsp. 273
Pain Managementp. 281
Definitions of Painp. 282
Nature of Painp. 282
Common Myths about Painp. 283
Types of Painp. 283
Purpose of Painp. 285
Physiology of Painp. 285
Factors Affecting the Pain Experiencep. 288
JCAHO Standardsp. 288
Nursing Processp. 288
Sample Nursing Care Plan: The Client with Chronic Painp. 302
Anesthesiap. 307
Preanesthetic Preparationp. 308
Sedationp. 309
Regional Anesthesiap. 310
General Anesthesiap. 313
Postoperative Pain Managementp. 316
Nursing Care of the Surgical Clientp. 321
Preoperative Phasep. 322
Intraoperative Phasep. 332
Postoperative Phasep. 339
Ambulatory Surgeryp. 353
Elderly Clients Undergoing Surgeryp. 354
Nursing Care of the Oncology Clientp. 359
Incidencep. 359
Pathophysiologyp. 360
Risk Factorsp. 361
Detectionp. 362
Common Diagnostic Testsp. 363
Staging of Tumorsp. 363
Grading of Tumorsp. 363
Treatment Modalitiesp. 364
Symptom Managementp. 369
Medical Emergenciesp. 373
Hypercalcemiap. 373
Spinal Cord Compressionp. 374
Superior Vena Cava Syndromep. 374
Cardiac Tamponadep. 374
Psychosocial Alterationsp. 374
Sample Nursing Care Plan: The Client with Lung Cancerp. 377
Oxygenation and Perfusionp. 382
Nursing Care of the Client: Respiratory Systemp. 383
Anatomy and Physiology Reviewp. 384
Assessmentp. 387
Common Diagnostic Testsp. 389
Infectious/Inflammatory Disordersp. 389
Infectious/Inflammatory Disorders of the Upper Respiratory Tractp. 389
Pneumoniap. 391
Tuberculosisp. 394
Sample Nursing Care Plan: The Client with Tuberculosisp. 399
Pleurisy/Pleural Effusionp. 402
Acute Respiratory Tract Disordersp. 404
Atelectasisp. 404
Pulmonary Embolismp. 407
Pulmonary Edemap. 408
Adult Respiratory Distress Syndromep. 410
Acute Respiratory Failurep. 411
Chronic Respiratory Tract Disordersp. 412
Chronic Obstructive Pulmonary Diseasep. 412
Asthmap. 412
Chronic Bronchitisp. 414
Emphysemap. 416
Bronchiectasisp. 419
Chest Traumap. 421
Pneumothorax/Hemothoraxp. 421
Neoplasm of the Respiratory Tractp. 423
Benign Neoplasmsp. 423
Lung Cancerp. 423
Laryngeal Cancerp. 425
Disorders of the Nosep. 426
Epistaxisp. 426
Nursing Care of the Client: Cardiovascular Systemp. 431
Anatomy and Physiology Reviewp. 432
Health Historyp. 434
Assessmentp. 435
Common Diagnostic Testsp. 437
Cardiac Rhythm/Dysrhythmiap. 437
Normal Sinus Rhythmp. 437
Dysrhythmiasp. 438
Bradycardiap. 438
Tachycardiap. 438
Atrial Dysrhythmiasp. 438
Ventricular Dysrhythmiasp. 440
Atrioventricular Blocksp. 442
Inflammatory Disordersp. 443
Rheumatic Heart Diseasep. 443
Infective Endocarditisp. 444
Myocarditisp. 444
Pericarditisp. 445
Valvular Heart Diseasesp. 445
Stenosis and Insufficiencyp. 446
Mitral Valve Prolapsep. 446
Occlusive Disordersp. 449
Arteriosclerosisp. 449
Angina Pectorisp. 449
Myocardial Infarctionp. 452
Congestive Heart Failurep. 455
Cor Pulmonalep. 458
Cardiac Transplantationp. 458
Peripheral Vascular Disordersp. 459
Venous Thrombosis/Thrombophlebitisp. 459
Varicose Veinsp. 462
Buerger's Disease (Thromboangiitis Obliterans)p. 463
Raynaud's Disease/Phenomenonp. 463
Aneurysmp. 465
Hypertensionp. 467
Sample Nursing Care Plan: The Client with Hypertensionp. 471
Nursing Care of the Client: Hematologic and Lymphatic Systemsp. 477
Anatomy and Physiology Reviewp. 478
Assessmentp. 481
Common Diagnostic Testsp. 483
Red Blood Cell Disorders: Anemias and Polycythemiap. 483
Iron Deficiency Anemiap. 483
Hypoplastic (Aplastic) Anemiap. 484
Pernicious Anemiap. 484
Acquired Hemolytic Anemiap. 485
Sickle Cell Anemia (Inherited Hemolytic Anemia)p. 485
Sample Nursing Care Plan: The Client with Sickle Cell Anemiap. 487
Polycythemiap. 490
White Blood Cell Disordersp. 491
Leukemiap. 491
Acute Leukemiap. 492
Chronic Leukemiap. 492
Agranulocytosisp. 494
Coagulation Disordersp. 496
Disseminated Intravascular Coagulationp. 496
Hemophiliap. 497
Thrombocytopeniap. 498
Lymph Disordersp. 499
Hodgkin's Diseasep. 500
Non-Hodgkin's Lymphomap. 501
Plamsa Cell Disorderp. 502
Multiple Myelomap. 502
Body Defensesp. 506
Nursing Care of the Client: Integumentary Systemp. 507
Anatomy and Physiology Reviewp. 508
Assessmentp. 510
Common Diagnostic Testsp. 515
Woundsp. 515
Burnsp. 520
Neoplasms: Malignantp. 527
Basal Cell Carcinomap. 527
Squamous Cell Carcinomap. 527
Malignant Melanomap. 528
Mycosis Fungoidesp. 528
Neoplasms: Nonmalignantp. 529
Infectious Disorders of the Skinp. 529
Sample Nursing Care Plan: The Client with Scabiesp. 532
Inflammatory Disorders of the Skinp. 536
Dermatitisp. 536
Eczemap. 536
Contact Dermatitisp. 536
Exfoliative Dermatitisp. 537
Psoriasisp. 537
Ulcersp. 539
Stasis Ulcersp. 539
Pressure Ulcersp. 541
Alopeciap. 544
Nursing Care of the Client: Immune Systemp. 547
Anatomy and Physiology Reviewp. 548
Assessmentp. 550
Common Diagnostic Testsp. 550
Hypersensitive Immune Responsep. 550
Allergiesp. 550
Anaphylactic Reactionp. 552
Transfusion Reactionsp. 554
Transplant Rejectionp. 555
Latex Allergyp. 556
Autoimmune Diseasesp. 556
Rheumatoid Arthritisp. 556
Systematic Lupus Erythematosusp. 559
Myasthenia Gravisp. 562
Sample Nursing Care Plan: The Client with Myasthenia Gravisp. 563
Nursing Care of the Client: HIV and AIDSp. 569
Demographics of AIDS in the United Statesp. 571
Modes of Transmissionp. 572
Common Diagnostic Testsp. 573
Pulmonary Opportunistic Infectionsp. 573
Pneumocystis Carinii Pneumoniap. 573
Histoplasmosisp. 574
Tuberculosisp. 574
Gastrointestinal Opportunistic Infectionsp. 575
Mycobacterium Avium Complexp. 575
Cytomegalovirusp. 575
Cryptosporidiosisp. 576
Hepatitisp. 576
HIV-Wasting Syndromep. 576
Oral Opportunistic Infectionsp. 577
Oral and Esophageal Candidiasisp. 577
Oral Hairy Leukoplakiap. 578
Gynecological Opportunistic Infectionsp. 578
Vaginal Candidiasisp. 578
Cervical Intraepithelial Neoplasiap. 579
Central Nervous System Opportunistic Infectionsp. 579
AIDS Dementia Complexp. 579
Toxoplasmosisp. 580
Cryptococcosisp. 580
Opportunistic Malignanciesp. 581
Kaposi's Sarcomap. 581
Sample Nursing Care Plan: The Client with Kaposi's Sarcomap. 581
Non-Hodgkin's Lymphomap. 583
Control, Mobility, Coordination, and Regulationp. 586
Nursing Care of the Client: Musculoskeletal Systemp. 587
Anatomy and Physiology Reviewp. 588
Assessmentp. 590
Common Diagnostic Testsp. 591
Musculoskeletal Traumap. 591
Strainp. 591
Sprainp. 591
Dislocationp. 592
Fracturep. 592
Compartment Syndromep. 593
Inflammatory Disordersp. 598
Rheumatoid Arthritisp. 598
Bursitisp. 598
Polymyositisp. 598
Osteomyelitisp. 599
Degenerative Disordersp. 600
Osteoporosisp. 600
Degenerative Joint Disease (Osteoarthritis)p. 602
Total Joint Arthroplastyp. 603
Total hip Replacementp. 603
Total Knee Replacementp. 604
Musculoskeletal Disordersp. 605
Amputationsp. 605
Sample Nursing Care Plan: The Client with a Below the Knee Amputationp. 607
Temporomandibular Joint Disease/Disorderp. 608
Carpal Tunnel Syndromep. 609
Systematic Disorders with Musculoskeletal Manifestationsp. 610
Goutp. 610
Lyme Diseasep. 610
Nursing Care of the Client: Neurological Systemp. 613
Anatomy and Physiology Reviewp. 614
Neurological Nursing Assessmentp. 618
Common Diagnostic Testsp. 624
Head Injuryp. 624
Scalpp. 624
Skullp. 624
Brainp. 625
Brain Tumorp. 629
Cerebrovascular Accident/Transient Ischemic Attacksp. 630
Epilepsy/Seizure Disorderp. 633
Herniated Intervertebral Diskp. 635
Spinal Cord Injuryp. 637
Parkinson's Diseasep. 642
Multiple Sclerosisp. 646
Sample Nursing Care Plan: The Client with Multiple Sclerosisp. 648
Amyothrophic Lateral Sclerosis (Lou Gehrig's Disease)p. 651
Alzheimer's Diseasep. 652
Guillian Barre Syndrome (Polyradiculoneuropathy)p. 655
Headachep. 657
Primary Headachesp. 657
Secondary Headachesp. 657
Trigeminal Neuralgia (Tic Duoloureux)p. 659
Encephalitis, Meningitisp. 660
Huntington's Disease or Choreap. 660
Gilles de la Tourette's Syndromep. 661
Nursing Care of the Client: Sensory Systemp. 665
Sensation, Perception, and Cognitionp. 666
Anatomy and Physiology Reviewp. 666
Assessmentp. 668
Common Diagnostic Testsp. 671
Sensory, Perceptual, and Cognitive Alterationsp. 672
Sensory Deficitp. 672
Sensory Deprivationp. 672
Sensory Overloadp. 672
Disorders of the Earp. 673
Impaired Hearingp. 673
Types of Hearing Lossp. 673
Behaviors Indicating Hearing Lossp. 673
Hearing Aids/Assistive Devicesp. 673
Meniere's Diseasep. 675
Otosclerosisp. 677
Acoustic Neuromap. 678
Otitis Mediap. 679
Otitis Externap. 680
Mastioditisp. 680
Disorders of the Eyep. 680
Cataractsp. 680
Glaucomap. 682
Retinal Detachmentp. 683
Infectionsp. 685
Keratitisp. 685
Styep. 685
Chalazionp. 685
Conjunctivitis (Pink Eye)p. 685
Refractive Errorsp. 685
Injuryp. 686
Foreign Bodiesp. 687
Chemical Burnsp. 687
Impaired Visionp. 687
Macular Degenerationp. 687
Sample Nursing Care Plan: The Client with Macular Degenerationp. 688
Other Sensesp. 690
Tastep. 690
Smellp. 690
Touchp. 691
Nursing Care of the Client: Endocrine Systemp. 693
Anatomy and Physiology Reviewp. 694
Common Diagnostic Testsp. 696
Diabetes Mellitusp. 696
Diagnosis and Classificationp. 697
Pituitary Disordersp. 711
Hyperpituitarismp. 711
Gigantismp. 711
Acromegalyp. 711
Syndrome of Inappropriate Antidiuretic Hormonep. 713
Pituitary Tumorsp. 713
Hypopituitarismp. 714
Simmonds' Diseasep. 715
Diabetes Insipidusp. 715
Thyroid Disordersp. 716
Hyperthyroidismp. 716
Sample Nursing Care Plan: The Client with Hyperthryoidismp. 720
Hypothyroidismp. 722
Cretinismp. 722
Myxedemap. 722
Hashimoto's Thyroiditisp. 724
Thyroid Tumorsp. 724
Cancer of the Thyroidp. 724
Goiterp. 725
Parathyroid Disordersp. 725
Hyperparathyroidismp. 725
Hypoparathyroidismp. 726
Adrenal Disordersp. 728
Cushing's Disease/Syndrome (Adrenal Hyperfunction)p. 728
Addison's Disease (Adrenal Hypofunction)p. 730
Pheochromocytomap. 731
Digestion and Eliminationp. 736
Nursing Care of the Client: Gastrointestinal Systemp. 737
Anatomy and Physiology Reviewp. 738
Assessmentp. 740
Common Diagnostic Testsp. 741
Disorders of the Gastrointestinal Tractp. 741
Stomatitisp. 741
Esophageal Varicesp. 742
Gastroesophageal Reflux Diseasep. 744
Gastritisp. 745
Ulcersp. 746
Appendicitisp. 749
Diverticulosis and Diverticulitisp. 750
Stomal/Ostomy Managementp. 750
Discharge Teaching of the Ostomy Clientp. 751
Sample Nursing Care Plan: The Client with Diverticulitisp. 753
Inflammatory Bowel Diseasep. 755
Intestinal Obstructionp. 757
Herniasp. 759
Peritonitisp. 760
Hemorrhoidsp. 761
Constipationp. 762
Disorders of the Accessory Organsp. 763
Cirrhosisp. 763
Hepatitisp. 765
Pancreatitisp. 767
Cholecystitis and Cholelithiasisp. 769
Neoplasms of the Gastrointestinal Systemp. 770
Oral Cancerp. 770
Colorectal Cancerp. 771
Liver Cancerp. 773
Nursing Care of the Client: Urinary Systemp. 775
Anatomy and Physiology Reviewp. 776
Assessmentp. 777
Common Diagnostic Testsp. 777
Altered Urinary Elimination Patternsp. 778
Urinary Retentionp. 778
Urinary Incontinencep. 778
Stress Incontinencep. 778
Urge Incontinencep. 779
Overflow Incontinencep. 779
Total Incontinencep. 779
Nocturnal Enuresisp. 779
Infectious Disordersp. 779
Cystitisp. 779
Pyelonephritisp. 781
Acute Glomerulonephritisp. 782
Chronic Glomerulonephritisp. 785
Obstructive Disordersp. 786
Urolithiasisp. 786
Urinary Bladder Tumorsp. 789
Renal Tumorsp. 791
Polycystic Kidneyp. 792
Renal Failurep. 793
Acute Renal Failurep. 793
Postrenal ARFp. 793
Prerenal ARFp. 793
Intrarenal ARFp. 793
Sample Nursing Care Plan: The Client with Acute Renal Failurep. 796
Chronic Renal Failure (End-Stage Renal Disease)p. 797
Dialysisp. 800
Kidney Transplantationp. 802
Reproductive and Sexual Disordersp. 806
Nursing Care of the Client: Female Reproductive Systemp. 807
Anatomy and Physiology Reviewp. 808
Common Diagnostic Testsp. 809
Inflammatory Disordersp. 809
Pelvic Inflammatory Diseasep. 809
Endometriosisp. 812
Vaginitisp. 813
Toxic Shock Syndromep. 814
Benign Neoplasmsp. 816
Fibrocystic Breast Diseasep. 816
Fibroid Tumorsp. 818
Malignant Neoplasmsp. 819
Breast Cancerp. 819
Sample Nursing Care Plan: The Client with Breast Cancerp. 824
Cervical Cancerp. 826
Endometrial Cancerp. 829
Ovarian Cancerp. 830
Menstrual Disordersp. 832
Dysmenorrheap. 832
Amenorrheap. 833
Other Disordersp. 833
Premenstrual Syndromep. 834
Complications of Menopausep. 835
Structural Disordersp. 837
Cystocele, Urethrocele, Rectocele, Prolapsed Uterusp. 837
Infertilityp. 839
Contraceptionp. 841
Natural Methodp. 841
Barrier and Spermicide Methodsp. 842
Hormonal Methodsp. 842
Intrauterine Device Methodp. 842
Sterilization Methodp. 843
Nursing Care of the Client: Male Reproductive Systemp. 847
Anatomy and Physiology Reviewp. 848
Common Diagnostic Testsp. 848
Inflammatory Disordersp. 849
Epididymitis/Orchitis/Prostatitisp. 849
Benign Prostatic Hyperplasiap. 851
Malignant Neoplasmsp. 854
Breast Cancerp. 854
Prostate Cancerp. 855
Testicular Cancerp. 857
Penile Cancerp. 859
Structural Disordersp. 860
Functional Disorders and Concernsp. 861
Impotencep. 861
Sample Nursing Care Plan: The Client Experiencing Impotencep. 863
Infertilityp. 864
Contraceptionp. 864
Nursing Care of the Client: Sexually Transmitted Diseasesp. 867
Anatomy and Physiology Reviewp. 868
Common Diagnostic Testsp. 870
Chlamydiap. 870
Gonorrheap. 870
Syphilisp. 871
Genital Herpesp. 872
Cytomegalovirusp. 873
Genital Wartsp. 874
AIDSp. 874
Trichomoniasisp. 875
Hepatitis Bp. 875
Sample Nursing Care Plan: The Client with Genital Herpesp. 876
Physical and Mental Integrityp. 882
Nursing Care of the Client: Mental Illnessp. 883
Mental Health and Illnessp. 884
Relationship Developmentp. 884
The Client Experiencing a Crisisp. 886
The Client Who is Anxiousp. 886
Mild Anxietyp. 886
Moderate Anxietyp. 886
Severe Anxietyp. 887
Panic Anxietyp. 887
The Client with Generalized Anxiety Disorderp. 887
The Client with Panic Disorderp. 887
The Client with Post-Traumatic Stress Disorderp. 887
The Client Who is Depressedp. 890
Mild Depressionp. 891
Moderate Depressionp. 891
Severe Depressionp. 891
The Client with Major Depressive Disorderp. 891
The Client with Dysthymic Disorderp. 891
The Client Who is Potentially Violentp. 895
The Client Who is Homicialp. 896
The Client Who is Suicidalp. 896
The Client with Suicidal Ideationsp. 896
The Client Who is Actively Suicidalp. 896
Sample Nursing Care Plan: The Suicidal Client with Major Depressionp. 900
The Client Who is Psychoticp. 903
The Client with Schizophreniap. 903
The Client with Bipolar Disorderp. 907
The Client Requiring Special Considerationp. 910
The Client with Attention Deficit/Hyperactivity Disorderp. 910
Predominantly Hyperactive-Impulsive Typep. 910
Predominantly Inattentive Typep. 910
Combined Typep. 910
The Client Experiencing Neglect and/or Abusep. 913
Elder Abuse and Neglectp. 913
Domestic Violencep. 913
Rapep. 913
The Client with an Eating Disorderp. 915
Nursing Care of the Client: Substance Abusep. 919
Historical Perspectivesp. 920
Factors Related to Substance Abusep. 921
Preventionp. 922
Diagnostic Testingp. 922
Treatment/Recoveryp. 923
Substance Use Patternsp. 923
CNS Depressantsp. 923
Alcoholp. 923
Benzodiazepines and Other Sedative-Hypnoticsp. 928
Cannabisp. 928
CNS Stimulantsp. 929
Cocainep. 929
Amphetaminesp. 930
Caffeinep. 931
Nicotinep. 931
Methylphenidate Hydrochloride (Ritalin)p. 932
Hallucinogensp. 932
Lysergic Acid Diethylamidep. 932
Phencyclidinep. 933
Opioidsp. 934
Inhalantsp. 936
Anabolic Steroidsp. 936
Codependencyp. 938
The Impaired Nursep. 939
Special Areas of Medical-Surgical Nursingp. 942
Nursing Care of the Older Clientp. 943
Gerontological Nursingp. 944
Theories of Agingp. 945
Myths and Realities of Agingp. 945
Health and Agingp. 948
Physiologic Changes Associated with Agingp. 952
Sample Nursing Care Plan: The Client with Alzheimer's Disease (AD)p. 965
Financing Elder Care in the 21st Centuryp. 969
Rehabilitation, Home Health, Long-Term Care, and Hospicep. 973
Legal and Ethical Responsibilitiesp. 974
Sources of Reimbursementp. 975
Licensure, Certification, and Accreditationp. 976
Rehabilitationp. 977
Home Health Carep. 979
Long-Term Carep. 980
Hospicep. 981
Sample Nursing Care Plan: The Client Requiring Rehabilitative Carep. 982
Integration of Body Systemsp. 988
Nursing Care of the Client: Responding to Emergenciesp. 989
Approaches to Emergency Carep. 990
Shockp. 992
Cardiopulmonary Emergenciesp. 993
Neurological/Neurosurgical Emergenciesp. 995
Abdominal Emergenciesp. 996
Genitourinary Emergenciesp. 997
Ocular Emergenciesp. 999
Musculoskeletal Emergenciesp. 1000
Soft-Tissue Emergenciesp. 1001
Sample Nursing Care Plan: The Client with a Soft-Tissue Injuryp. 1002
Poisoning and Overdosesp. 1005
Environmental/Temperature Emergenciesp. 1006
Multiple-System Traumap. 1008
Legal Issuesp. 1008
Death in the Emergency Departmentp. 1009
Critical Thinking on Multiple Systemsp. 1011
Systems Reviewed in Diabetes Mellitus Exercisep. 1011
Critical Thinking Exercise with Diabetes Mellitusp. 1011
Systems Reviewed in Cirrhosis Exercisep. 1013
Critical Thinking Exercise with Cirrhosisp. 1013
Systems Reviewed in Hypertension, Congestive Heart Failure, and Chronic Renal Failure Exercisep. 1013
Critical Thinking Exercise with Hypertension, Congestive Heart Failure, and Chronic Renal Failurep. 1014
Systems Reviewed in Parkinson Disease Exercisep. 1014
Critical Thinking Exercise with Parkinson Diseasep. 1014
References/Suggested Readings and Resourcesp. 1017
NANDA Nursing Diagnoses 2001-2002p. 1051
Abbreviations, Acronyms, and Symbolsp. 1053
English/Spanish Words and Phrasesp. 1058
Glossaryp. 1064
Indexp. 1079
Table of Contents provided by Syndetics. All Rights Reserved.


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