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
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
Navigate the text by colour
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.
Next page