P. Lemone – Medical-Surgical Nursing (2nd Australian edition, 2014)

Автор: P. Lemone
Название книги: Medical-Surgical Nursing (2nd Australian edition)
Формат: PDF
Жанр: Медицина
Страницы: 2091
Качество: Изначально компьютерное, E-book

VOLUME 1
UNIT 1 Dimensions of Medical–Surgical Nursing 1
CHAPTER 1 Medical–Surgical Nursing 2
CHAPTER 2 Health and Illness in Adults 16
CHAPTER 3 Community Care 35
UNIT 2 Alterations in Patterns of Health 58
CHAPTER 4 Nursing Care of People Having Surgery 59
CHAPTER 5 Nursing Care of People Experiencing Loss, Grief and Death 90
CHAPTER 6 Nursing Care of People with Problems of Substance Abuse 107
CHAPTER 7 Nursing Care of People in the Emergency Department or Experiencing Disasters 135
UNIT 3 Pathophysiology and Patterns of Health 152
CHAPTER 8 Genetic Implications of Adult Health Nursing 153
CHAPTER 9 Nursing Care of People Experiencing Pain 177
CHAPTER 10 Nursing Care of People with Altered Fluid, Electrolyte and Acid–Base Balance 203
CHAPTER 11 Nursing Care of People Experiencing Trauma and Shock 264
CHAPTER 12 Nursing Care of People with Infections 296
CHAPTER 13 Nursing Care of People with Altered Immunity 339
CHAPTER 14 Nursing Care of People with Cancer 380
UNIT 4 Responses to Altered Integumentary Structure and Function 430
CHAPTER 15 A Person-centred Approach to Assessing the Integumentary System 431
CHAPTER 16 Nursing Care of People with Integumentary Disorders 449
CHAPTER 17 Nursing Care of People with Burns 494
UNIT 5 Responses to Altered Endocrine Function 527
CHAPTER 18 A Person-centred Approach to Assessing the Endocrine System 528
CHAPTER 19 Nursing Care of People with Endocrine Disorders 544
CHAPTER 20 Nursing Care of People with Diabetes Mellitus 575
VOLUME 2
UNIT 6 Responses to Altered Gastrointestinal Function 615
CHAPTER 21 A Person-centred Approach to Assessing the Gastrointestinal System 616
CHAPTER 22 Nursing Care of People with Nutritional Disorders 646
CHAPTER 23 Nursing Care of People with Upper Gastrointestinal Disorders 671
CHAPTER 24 Nursing Care of People with Bowel Disorders 710
CHAPTER 25 Nursing Care of People with Gallbladder, Liver and Pancreatic Disorders 791
UNIT 7 Responses to Altered Urinary Elimination 831
CHAPTER 26 A Person-centred Approach to Assessing the Renal System 832
CHAPTER 27 Nursing Care of People with Urinary Tract Disorders 849
CHAPTER 28 Nursing Care of People with Kidney Disorders 887
UNIT 8 Responses to Altered Cardiovascular Function 937
CHAPTER 29 A Person-centred Approach to Assessing the Cardiovascular and Lymphatic Systems 938
CHAPTER 30 Nursing Care of People with Coronary Heart Disease 981
CHAPTER 31 Nursing Care of People with Cardiac Disorders 1042
CHAPTER 32 Nursing Care of People with Vascular and Lymphatic Disorders 1086
CHAPTER 33 Nursing Care of People with Haematological Disorders 1140
VOLUME 3
UNIT 9 Responses to Altered Respiratory Function 1195
CHAPTER 34 A Person-centred Approach to Assessing the Respiratory System 1196
CHAPTER 35 Nursing Care of People with Upper Respiratory Disorders 1214
CHAPTER 36 Nursing Care of People with Ventilation Disorders 1248
CHAPTER 37 Nursing Care of People with Gas Exchange Disorders 1298
UNIT 10 Responses to Altered Musculoskeletal Function 1358
CHAPTER 38 A Person-centred Approach to Assessing the Musculoskeletal System 1359
CHAPTER 39 Nursing Care of People with Musculoskeletal Trauma 1378
CHAPTER 40 Nursing Care of People with Musculoskeletal Disorders 1411
UNIT 11 Responses to Altered Neurological Function 1476
CHAPTER 41 A Person-centred Approach to Assessing the Nervous System 1477
CHAPTER 42 Nursing Care of People with Intracranial Disorders 1502
CHAPTER 43 Nursing Care of People with Cerebrovascular and Spinal Cord Disorders 1553
CHAPTER 44 Nursing Care of People with Neurological Disorders 1590
UNIT 12 Responses to Altered Visual and Auditory Function 1642
CHAPTER 45 A Person-centred Approach to Assessing the Eye and Ear 1643
CHAPTER 46 Nursing Care of People with Eye and Ear Disorders 1665
UNIT 13 Responses to Altered Reproductive Function 1712
CHAPTER 47 A Person-centred Approach to Assessing the Male and Female Reproductive Systems 1713
CHAPTER 48 Nursing Care of Men with Reproductive System and Breast Disorders 1738
CHAPTER 49 Nursing Care of Women with Reproductive System and Breast Disorders 1765
CHAPTER 50 Nursing Care of People Who Have Sexually Transmitted Infections 1808
UNIT 14 Special Topics in Medical–Surgical Nursing 1830
CHAPTER 51 Mental Healthcare in the Australian Context 1831
CHAPTER 52: Nursing Care of People in Regional, Rural and Remote Areas of Australia 1854
APPENDIX A: Evidence-based Practice and ANMC Mapping A-1
APPENDIX B: Standard Precautions A-28
GLOSSARY G-1
INDEX I-1

This is an exciting time to become a nurse in Australia, with opportunities that are far reaching. As always, there is
a need for committed nurses whose practice is based on a strong foundation of knowledge, clinical skills and the
ability to think critically in challenging and complex situations. This book has been written to help you develop these
professional attributes.
This second Australian edition of Medical–Surgical Nursing: Critical Thinking for Person-centred Care will help prepare you
for your nursing journey. It will challenge you to excel and support you as you learn.
Throughout the text, we demonstrate how competent nurses provide person-centred care that is empathetic, respectful, holistic and individualised. This care takes into account the person’s age, ethnicity, culture and psychosocial
status.
Our goal—helping you to excel as a nurse
In writing this book, our commitment has been to provide students with a strong knowledge base, an understanding of
contemporary practice issues in Australia and the capacity for sound clinical reasoning. You will use these professional
attributes in order to provide safe and effective nursing care. This easily understood, straightforward Australian edition
integrates the following concepts: epidemiology, pathophysiology, pharmacology, legal and ethical issues, therapeutic
communication, interprofessional communication and cultural safety. Multiple learning strategies have been developed
to help you succeed. The inclusion of boxes, tables, special features and illustrations, as well as critical thinking exercises, will support your learning and your clinical practice.
We believe that students learn best when a textbook has consistent organisation and an a coherent structure. For this
reason we have designed a textbook that:
maintains a strong focus on nursing care as the essential element in learning. This is regardless of the age of the
person or the context of care
emphasises the nurse’s role as an essential member of the interprofessional healthcare team
fosters critical thinking and clinical reasoning skills as the basis for nursing excellence in clinical practice
emphasises that the person receiving care not only has a personal experience with health and illness, but is also an
active participant in maintaining and/or regaining health. Within this person-centred philosophy, the person who
is the recipient of care is seen as an integral member of the team and, as such, consideration of their needs and
wishes is paramount.
We are confident that this text will support your learning and professional practice, and we wish you well as you
undertake this wonderful nursing journey.
Organisation
The book contains 52 chapters in 14 units, organised by functional health patterns. The units are based on alterations
in human structure and function. Each unit has a focus on altered health states and opens with an assessment chapter, which draws upon the student’s prerequisite knowledge and serves to reinforce basic principles of anatomy and
physiology as applied to assessment in both health and illness.
Following the assessment chapter the nursing care chapters provide information about major conditions and diseases; each has a consistent format, including three key components:
Pathophysiology The discussion of each major illness or condition begins with incidence and prevalence, with an
overview of pathophysiology, followed by manifestations and complications.
Interprofessional care The role of both nurses and the other members of the healthcare team in managing illness is
then profiled. This section includes information about specific tests necessary for diagnosis, medications, surgery and
treatments, fluid management, dietary management, and complementary and alternative therapies.
Nursing care This section begins with health promotion information because illness prevention is critical in healthcare
today. We discuss nursing care within a context of priority nursing diagnoses and interventions, with rationales
provided for each intervention. Boxes that present information essential to person-centred care are Nursing care, Meeting individualised needs, Consideration for practice, Medication administration and Nursing research.
Lastly, for each major disorder or condition, we provide a narrative Nursing care plan that begins with a brief case study, followed by the steps of the nursing process. Chapter highlights This end-of-chapter section concludes with multiple-choice review questions to reinforce comprehension
of the chapter content. (The correct answers with rationales are found in the Instructors’ Manual.)
Language and terminology
In developing this text we have used terminology that is familiar and applicable to most Australians. While person-
centred care is most often used to reflect our philosophical stance the term patient is also used as appropriate
throughout the text, according to the context. Indigenous Australians
Throughout the text we have integrated issues relevant to the Indigenous Australian population. In covering these
issues we have acknowledged the importance of using non-discriminatory and appropriate language to describe
groups of people, policies and events, and have thus followed the guidelines set out by NSW Health in its publication
Communicating positively: A guide to appropriate Aboriginal terminology.
Nursing diagnoses
In this updated edition of Medical–Surgical Nursing we refer to the well-known and oft-used nursing process as a logical
approach to managing care. Within this process we refer to Australian diagnostic terminologies that are typical of
those used by practising nurses. What’s new in the second edition
This edition of Medical–Surgical Nursing features a reorganisation of some units, as follows:
Responses to Altered Gastrointestinal Function (Unit 6) includes chapters on assessment and care of people
with nutritional disorders, upper gastrointestinal disorders, bowel disorders, and disorders of the gallbladder, liver
and pancreas.
Responses to Altered Cardiac Function (Unit 8) includes chapters on assessment and care of people with
coronary heart disease, cardiac disorders, vascular and lymphatic disorders, and haematological disorders.
Responses to Altered Neurological Function (Unit 11) includes chapters on assessment and care of people
with intracranial disorders, spinal cord disorders and neurological disorders.
Further details of some of the changes are:
Chapter 1: Medical−Surgical Nursing includes a more detailed explanation of how to make a nursing diagnosis. Chapter 3: Community Care contains additional coverage of primary health care, i.e. prevention.
Chapter 7: Nursing Care of People in the Emergency Department or Experiencing Disasters has been expanded
to cover the nursing care for people in the ED.
Chapter 21: A Person-Centred Approach to Assessing the Gastrointestinal System includes coverage of bariatric
nursing
Chapter 52, renamed Nursing Care of People in Regional, Rural and Remote Areas of Australia, has been expanded
to incorporate consideration of people living just outside metropolitan areas, i.e. those needing to attend tertiary
referral centres. Visual engagement and accuracy
The authors understand the importance of not only making the text visually engaging but also ensuring that any visual
representations accurately reflect nursing in Australia. For this reason the photographs featured in Medical–Surgical
Nursing have been carefully selected to ensure that they accurately depict Australian nursing equipment, uniforms, clinical settings, processes and procedures. Culturally safe nursing
Chapter 1 introduces the concept of culturally safe nursing and the need to understand the culture and history of
Indigenous peoples in Australia. These themes are threaded throughout the text, with direct reference to the Nursing
and Midwifery Board of Australia’s (NMBA) National Competency Standards for the Registered Nurse (2006) (current
as at January 2013). Focus on cultural diversity boxes present cultural nursing in context and highlight the importance of
acknowledging the dignity, culture, values, beliefs and rights of not only Indigenous Australians, but all cultures.