Medical-Surgical Nursing: Critical Thinking in Client Care, Single Volume

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  • Edition: 4th
  • Format: Hardcover
  • Copyright: 2008-01-01
  • Publisher: Prentice Hall
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For courses in Medical Surgical Nursing. Students and instructors alike love this text's organization and clear presentation of patient care, with its consistent format and multiple methodologies for student learners-narrative text, boxes, tables, graphics, photographs. The text is built around functional health patterns, a framework used by many schools of nursing. With a focus on developing decision-making skills, the authors encourage students to think critically, thoughtfully, and realistically through an abundance of case studies and examples. Because nursing care is organized around prioritized diagnoses with interventions and rationales, students quickly understand the rationale of each action.

Table of Contents


Unit 1. Dimension of Medical-Surgical Nursing.

1. The Medical-Surgical Nurse.
2. The Adult Client in Health and Illness.
3. Community and Home Care of the Adult Client.

Unit 2. Alterations in Patterns of Health.

4. Nursing Care of Clients in Pain.
5. Nursing Care of Clients with Alterations in Fluid, Electrolyte, and Acid-Base Balance.
6. Nursing Care of Clients Experiencing Trauma and Shock.
7. Nursing Care of Clients Having Surgery.
8. Nursing Care of Clients with Infections.
9. Nursing Care of Clients with Altered Immunity.
10. Nursing Care of Clients with Cancer.
11. Nursing Care of Clients Experiencing Loss, Grief, and Death.
12. Nursing Care of Clients with Problems of Substance Abuse.


Unit 3. Responses to Altered Integumentary Structure and Function.

13. Assessing Clients with Integumentary Disorders.
14. Nursing Care of Clients with Integumentary Disorders.
15. Nursing Care of Clients with Burns.

Unit 4. Responses to Altered Endocrine Function.

16. Assessing Clients with Endocrine Disorders.
17. Nursing Care of Clients with Endocrine Disorders.
18. Nursing Care of Clients with Diabetes Mellitus.

Unit 5. Responses to Altered Nutrition.

Chapter 19. Assessing Clients with Nutritional and Gastrointestinal Disorders.
Chapter 20. Nursing Care of Clients with Nutritional Disorders.
Chapter 21. Nursing Care of Clients with Gastric Disorders.
Chapter 22. Nursing Care of Clients with Gallbladder, Liver, and Pancreatic Disorders.


Unit 6. Responses to Altered Bowel Elimination.

23. Assessing Clients with Bowel Elimination Disorders.
24. Nursing Care of Clients with Bowel Disorders.

Unit 7. Responses to Altered Urinary Elimination.

25. Assessing Clients with Urinary Elimination Disorders.
26. Nursing Care of Clients with Urinary Tract Disorders.
27. Nursing Care of Clients with Kidney Disorders.


Unit 8. Responses to Altered Cardiac Function.

28. Assessing Clients with Cardiac Disorders.
29. Nursing Care of Clients with Coronary Heart Disease.
30. Nursing Care of Clients with Cardiac Disorders.

Unit 9. Responses to Altered Peripheral Tissue Perfusion.

31. Assessing Clients with Hematologic, Peripheral Vascular, and Lymphatic Disorders.
32. Nursing Care of Clients with Hematologic Disorders.
33. Nursing Care of Clients with Peripheral Vascular and Lymphatic Disorders.

Unit 10. Responses to Altered Respiratory Function.

34. Assessing Clients with Respiratory Disorders.
35. Nursing Care of Clients with Upper Respiratory Disorders.
36. Nursing Care of Clients with Lower Respiratory Disorders.

Unit 11. Responses to Altered Musculoskeletal Function.

37. Assessing Clients with Musculoskeletal Disorders.
38. Nursing Care of Clients with Musculoskeletal Trauma.
39. Nursing Care of Clients with Musculoskeletal Disorders.


Unit 12 Responses to Altered Neurologic Function.

40. Assessing Clients with Neurologic Disorders.
41. Nursing Care of Clients with Cerebrovascular and Spinal Cord Disorders.
42. Nursing Care of Clients with Intracranial Disorders.
43. Nursing Care of Clients with Neurologic Disorders.

Unit 13. Responses to Altered Visual and Auditory Function.

44. Assessing Clients with Eye or Ear Disorders.
45. Nursing Care of Clients with Eye and Ear Disorders.


Unit 14. Responses to Altered Reproductive Function.

46. Assessing Clients with Reproductive Disorders.
47. Nursing Care of Men with Reproductive Disorders.
48. Nursing Care of Women with Reproductive Disorders.
49. Nursing Care of Clients with Sexually Transmitted Infections.


At no other time in recent history has there been a greater need for nurses. In fact, the need for new nurses is projected to be at or greater than 1 million by 2010. Registered nurses are the largest group of health care professionals in the United States, numbering over 2.6 million. However, various forces are in effect that may decrease their numbers or challenge their ability to meet client needs. As our currently employed nurses age and retire, the population will also become older. As the population ages, more people will develop chronic illnesses and disabilities that require skilled nursing care. This means that your knowledge and skills will be in demand to meet health care needs well into the future. Students are expected to build on a knowledge foundation of basic sciences, social sciences, and fundamentals of nursing to synthesize and critically analyze new knowledge necessary to provide holistic care that addresses the individualized human responses to potential or actual alterations in health. The third edition ofMedical-Surgical Nursing: Critical Thinking in Client Carehas been completely revised to provide you with that knowledge and the skills needed to care for clients to promote health, facilitate recovery from illness and injury, and provide support when coping with disability or grieving. The kaleidoscope cover image is a strong reflection of health care today. The meditative aspect of focusing on the images in the kaleidoscope calms and helps to integrate the mind, spirit, and body. As with nursing care, healing benefits are discovered through various complementary and alternative therapy methods. Nursing care, like the kaleidoscope, is the integration of mind-body-spirit. GOALS FOR THIS TEXTBOOK Although the information has been totally updated, we continue to believe that students learn best within a nursing model of care with consistent organization and understandable text. From the first edition, we have held fast to our vision that this textbook will: Provide the most current information possible about the art and science of nursing. Provide clear explanations of the pathophysiologic processes of human illnesses and injury, integrating that information as a vital component of treatment and nursing care. Emphasize the nurse's role as an essential member of the health care team. Prioritize nursing diagnoses and interventions specific to altered responses to illness. Provide case studies for each major illness or injury so students can envision the client as a person requiring care. Foster critical thinking and decision-making skills in clinical practice. NEW TO THIS EDITION The third edition of this textbook includes new content on cultural diversity that is integrated throughout the narrative as well as incorporated into the following feature boxes: Focus on Diversity, Nursing Care of the Older Adult, Meeting Individualized Needs, Nursing Research, and Multisystem Effects. Additionally, new content covers health promotion, gerontology, complementary and alternative therapies, genetics, and diseases specific to bioterrorism. The new health-promotion heads can be found in the nursing care section in every disorder chapter. Complementary and alternative therapies are integrated throughout the textbook where appropriate. Genetics as a risk factor or that increases incidence of a disease is included with the disorders, such as Huntington's chorea, Von Willebrand's disease, sickle cell disease, and hemophilia. Diseases are included if more prevalent as the result of inheritance (such as diabetes). Genetic counseling is included in nursing care as appropriate. Information about infections that may be caused by bioterrorism is included in Chapter 8. Based on reviewer feedback, two new chapters have been added: Chapter 12 concerns care of clients with substance abuse and Chapter 39 deals

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