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Diane Brown - Lewiss Medical Surgical Nursing: Assessment and Management of Clinical Problems

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A fully-revised new edition of Australia and New Zealands most highly esteemed medical-surgical nursing text. The thoroughly revised third edition of Lewiss MedicalSurgical Nursing builds on the respected quality content of its previous editions. Authored by Di Brown and Helen Edwards with contributions from an impressive pedigree of leading academics and clinical experts, this latest edition cements Lewiss position as the regions premier medical-surgical nursing textbook. Fully updated, this hardback nursing text reflects recent changes in clinical nursing practice in Australia and New Zealand. Its local focus is strengthened by up-to-date research, data, policies, procedures and guidelines with an emphasis on current issues. All text in Lewiss MedicalSurgical Nursing is underpinned by evidence-based practice with an emphasis on the pathophysiological mechanisms of disease. Lewiss MedicalSurgical Nursing 3e provides nurses in Australia and New Zealand with clear and concise guidance on the assessment and management of conditions. The content is arranged by body systems and addresses myriad conditions relevant to medical-surgical nursing, including respiratory problems, cardiovascular disease, cancer, gastrointestinal problems, renal and urological problems, reproductive problems, movement and coordination and emergency care. Lewiss MedicalSurgical Nursing 3e by Brown and Edwards is accompanied by an impressive suite of resources for instructors and students including a test bank, image banks and PowerPoint slides available on Elseviers Evolve website. Also available for purchase separately are companion publications Simulation Learning System for Lewiss Medical-Surgical Nursing (9780729541060 AU $89.95) ANZ adaptation by Karen Wotton & Mark Neill and Clinical Companion for Medical-Surgical Nursing 2e (9780729539968 AU $ 49.95) by Gayle McKenzie and Tanya Porter together form a highly comprehensive learning package. Learning Objectives Key Terms Each section is organised into two themes: Assessment and Management Assessment chapters focus on the body systems; outlining anatomy and physiology, health history and physical assessment skills Management chapters focus on pathophysiology, clinical manifestations, collaborative care and nursing management of disease and disorders Features boxes include: o Nursing Research o Evidence Based Practice o Clinical Practice o Health Promotion o Complementary and Alternative therapies o Health Disparities Tables featuring the most up-to-date data for ANZ Boxed information across a range of nursing care issues Nursing care plans Case studies accompanied by critical thinking questions Multiple choice review questions at the end of each chapter Extensive References and Online Resources listed at the end of each chapter for further research Evolve and resources

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Lewiss medicalsurgical nursing

Assessment and Management of Clinical Problems

Third Edition

Di Brown, RN, PhD, MCN, AFCHSM

Practice Improvement Coordinator, Sanglah General Hospital, Denpasar, Bali

Volunteer, Australian Volunteers for International Development

Professorial Fellow, Charles Darwin University

Adjunct Professor, University of Technology, Sydney

Helen Edwards, OAM, RN, PhD, FRCNA

Professor and Head, School of Nursing, Institute of Health and Biomedical Innovation, Queensland University of Technology

MOSBY

Copyright

Lewiss Medical Surgical Nursing Assessment and Management of Clinical Problems - image 1

Mosby is an imprint of Elsevier

Elsevier Australia. ACN 001 002 357

(a division of Reed International Books Australia Pty Ltd)

Tower 1, 475 Victoria Avenue, Chatswood, NSW 2067

This edition 2012 Elsevier Australia. Reprinted 2013.

1st edition 2005; 2nd edition 2008 Elsevier Australia

This edition is an adaptation of Medical-Surgical Nursing: Assessment and Management of Clinical Problems by Sharon L. Lewis, RN, PhD, FAAN, et al.

Copyright 2011, 2007, 2004, 2000, 1996, 1992, 1987, 1983, by Mosby, Inc., an affiliate of Elsevier Inc.

This publication is copyright. Except as expressly provided in the Copyright Act 1968 and the Copyright Amendment (Digital Agenda) Act 2000, no part of this publication may be reproduced, stored in any retrieval system or transmitted by any means (including electronic, mechanical, microcopying, photocopying, recording or otherwise) without prior written permission from the publisher.

Every attempt has been made to trace and acknowledge copyright, but in some cases this may not have been possible. The publisher apologises for any accidental infringement and would welcome any information to redress the situation.

This publication has been carefully reviewed and checked to ensure that the content is as accurate and current as possible at time of publication. We would recommend, however, that the reader verify any procedures, treatments, drug dosages or legal content described in this book. Neither the author, the contributors, nor the publisher assume any liability for injury and/or damage to persons or property arising from any error in or omission from this publication.

National Library of Australia Cataloguing-in-Publication Data

Lewiss medical-surgical nursing: assessment and management of clinical problems/Diane Brown; Helen Edwards.

3rd ed.

9780729539951 (hbk.)

Includes index.

Nursing.

Surgical nursing.

Brown, Diane.

Edwards, Helen.

610.73

Publisher: Libby Houston

Developmental Editor: Elizabeth Coady

Publishing Services Manager: Helena Klijn

Editorial Coordinator: Natalie Hamad

Edited by Caroline Hunter, Burrumundi Pty Ltd

Proofread by Tim Learner

Indexed by Michael Ferreira

Cover and internal design by Darben Design

Typeset by Midland Typesetters

Printed in China by China Translation and Printing Services

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Preface Having been written to address the needs of Australian and New Zealand - photo 2
Preface Having been written to address the needs of Australian and New Zealand - photo 3

Preface

Having been written to address the needs of Australian and New Zealand (ANZ) students and educators, the third ANZ edition of Lewiss MedicalSurgical Nursing: Assessment and Management of Clinical Problems builds on the combined strengths of the second ANZ edition and the eighth US edition. Professors Di Brown and Helen Edwards have led a team of nurse clinicians and academic contributors from across Australia and New Zealand to develop this cutting-edge text.

This third edition has been thoroughly revised and incorporates the most recent medicalsurgical nursing knowledge in an engaging and reader-friendly format. More than a textbook, this is a comprehensive resource containing essential information that students need in order to prepare for lectures, classroom activities, examinations, clinical assignments and the professional care of patients. In addition to its accessible writing style and quality illustrations, the text provides special featuressuch as evidence-based practice boxes, review questions and critical thinking exercisesto facilitate student learning. Recurring topics include patient and family teaching guides, gerontological advice, management of chronic diseases, multidisciplinary care, cultural and ethnic considerations, nutrition, community and home-based care, and nursing research.

).

Organisation

) present nursing assessment and nursing management of medicalsurgical problems both within acute care settings and within the community. The focus of each section is across the whole trajectory of healthcare, including health promotion, risk assessment, management of acute and chronic conditions, and the various nursing roles and responsibilities, as well as the roles of the whole multidisciplinary healthcare team. The various body systems are grouped to reflect their interrelated functions. Each section is organised around two central themes: assessment and management. Chapters dealing with assessment of a body system include a discussion of the following:

1. a brief review of anatomy and physiology, focusing on information that will promote an understanding of nursing care

2. health history and non-invasive physical assessment skills to expand the knowledge base on which decisions are made

3. common diagnostic studies, expected results and related nursing responsibilities to provide easily accessible information.

Management chapters focus on the pathophysiology, clinical manifestations, diagnostic study results, multidisciplinary care and nursing management of various diseases and disorders. The sections on nursing management are organised into assessment, nursing diagnoses, planning, implementation and evaluation. To emphasise the importance of patient care in various clinical settings, nursing implementation of all major health problems is organised by the following levels of care:

1. health promotion

2. acute intervention

3. ambulatory and community/home care.

Classic features

) and more than 80 patient and family teaching guides throughout the text.

) and special ambulatory and community care headings in the nursing implementation sections.

Multidisciplinary care is highlighted in special multidisciplinary care sections in all management chapters and more than 80 multidisciplinary care boxes and tables throughout the text.

) and appears throughout the text under gerontological considerations headings and in gerontological differences in assessment and effects of ageing boxes and tables.

). Nutritional therapy boxes and tables summarise nutritional interventions for patients with various health problems.

Nursing management is presented in a consistent and comprehensive format, with headings for health promotion, acute intervention, and ambulatory and community/home care. In addition, more than 55 nursing care plans appear in management chapters. These are thoroughly updated to reflect current nursing practice and include nursing diagnoses and defining characteristics, expected patient outcomes, specific nursing interventions with rationales and collaborative problems. The continued use of formal nursing diagnoses reflects the desire of the book to enable students of nursing to gain a comprehensive understanding of the nursing role and the differences (and similarities) in nursing and other healthcare roles and functions. The use of collaborative problems increases students understanding about the multidisciplinary nature of current healthcare practice and the roles that nurses play.

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