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BRUNNER AND SUDDATH'S TEXT BOOK OF MEDICAL SURGICAL NURSING 12TH EDITION

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BRUNNER AND SUDDATH'S TEXT BOOK OF MEDICAL SURGICAL NURSING 12TH EDITION

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  • August 28, 2024
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  • BRUNNER AND SUDDATH'S TEXT BOOK OF MEDICAL SURGICA
  • BRUNNER AND SUDDATH'S TEXT BOOK OF MEDICAL SURGICA
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, ● Contents


Unit 1 Occupational Health Programs
School Health Programs 24
24

Basic Concepts in Nursing Practice 2 Care for the Homeless 25


1 Health Care Delivery 3 Critical Thinking, Ethical Decision
and Nursing Practice 4 Making, and the Nursing Process 26
THE HEALTH CARE INDUSTRY AND DEFINITION OF CRITICAL THINKING 27
THE NURSING PROFESSION 5 CRITICAL THINKING PROCESS 27
Nursing Defined 5 Rationality and Insight 27
The Patient/Client: Consumer of Nursing and Health Care 5 Components of Critical Thinking 27
Critical Thinking in Nursing Practice 27
Health Care in Transition 6
HEALTH, WELLNESS, AND HEALTH PROMOTION 6 ETHICAL NURSING CARE 28
DOMAIN OF NURSING ETHICS 28
Health 6
Ethics Versus Morality 28
Wellness 6
Ethics Theories 29
Health Promotion 6
Approaches to Ethics 29
INFLUENCES ON HEALTH CARE DELIVERY 6 Moral Situations 30
Population Demographics 7
Types of Ethical Problems in Nursing 30
Changing Patterns of Disease 7 PREVENTIVE ETHICS 33
Advances in Technology and Genetics 8 Advance Directives 33
Economic Changes 8 ETHICAL DECISION MAKING 34
Demand for Quality Care 8 STEPS OF THE NURSING PROCESS 34
Alternative Health Care Delivery Systems 9 USING THE NURSING PROCESS 34
ROLES OF THE NURSE 14 Assessment 34
Practitioner Role 14 Diagnosis 37
Leadership Role 15 Planning 37
Research Role 15 Implementation 40
MODELS OF NURSING CARE DELIVERY 15 Evaluation 40
Team Nursing 15 Documentation of Outcomes and Revision of Plan 41
Primary Nursing 15
Community-Based Nursing and Community Health–Public
Health Nursing 16
4 Health Education
EXPANDED NURSING ROLES 16 and Health Promotion 45
Collaborative Practice 17 HEALTH EDUCATION TODAY 46
The Purpose of Health Education 46
2 Community-Based Nursing Practice 19 ADHERENCE TO THE THERAPEUTIC REGIMEN 46
THE NATURE OF TEACHING AND LEARNING 47
THE GROWING NEED FOR COMMUNITY-BASED Learning Readiness 47
HEALTH CARE 20 The Learning Environment 48
Community-Based Care 20 Teaching Techniques 49
Home Health Care 21 Teaching People With Disabilities 49
HOSPITAL AND COMMUNITY-BASED NURSING 21 THE NURSING PROCESS IN PATIENT TEACHING 51
DISCHARGE PLANNING FOR HOME CARE 22 Assessment 51
COMMUNITY RESOURCES AND REFERRALS 22 Nursing Diagnosis 51
PREPARING FOR A HOME VISIT 22 Planning 51
CONDUCTING A HOME VISIT 22 Implementation 52
Personal Safety Precautions 22 Evaluation 52
Initial Home Visit 23 HEALTH PROMOTION 52
Determining the Need for Future Visits 23 Health and Wellness 53
Closing the Visit 24 Health Promotion Models 53
OTHER COMMUNITY-BASED HEALTH CARE SETTINGS 24 Definition of Health Promotion 53
Ambulatory Settings 24 Health Promotion Principles 54

xvii

,xviii Contents
HEALTH PROMOTION THROUGHOUT THE LIFE SPAN 54 STRESS AT THE CELLULAR LEVEL 88
Children and Adolescents 55 Control of the Steady State 88
Young and Middle-Aged Adults 55 Cellular Adaptation 89
Elderly Adults 55 Cellular Injury 90
IMPLICATIONS FOR NURSING 56 Cellular Response to Injury: Inflammation 92
Cellular Healing 93
5 Health Assessment 59 Nursing Implications 93
STRESS MANAGEMENT: NURSING INTERVENTIONS 93
THE ROLE OF THE NURSE IN ASSESSMENT 60 Promoting a Healthy Lifestyle 94
BASIC GUIDELINES FOR CONDUCTING Enhancing Coping Strategies 94
A HEALTH ASSESSMENT 60 Teaching Relaxation Techniques 94
ETHICAL USE OF HISTORY OR PHYSICAL Educating About Stress Management 95
EXAMINATION DATA 60 Enhancing Social Support 96
THE HEALTH HISTORY 60 Recommending Support and Therapy Groups 96
The Informant 61
Cultural Considerations 61
Content of the Health History 61 7 Individual and Family Considerations
Past Life Events Related to Health 62 Related to Illness 99
Education and Occupation 63 HOLISTIC APPROACH TO HEALTH
Environment 63 AND HEALTH CARE 100
Lifestyle 65 THE BRAIN AND PHYSICAL
Physical or Mental Disability 65 AND EMOTIONAL HEALTH 100
Self-Concept 65 EMOTIONAL HEALTH AND EMOTIONAL DISTRESS 101
Sexuality 65 FAMILY HEALTH AND DISTRESS 102
Risk for Abuse 66 ANXIETY 103
Stress and Coping Responses 66 POSTTRAUMATIC STRESS DISORDER 104
Other Health History Formats 66 DEPRESSION 105
PHYSICAL ASSESSMENT 67 SUBSTANCE ABUSE 107
Inspection 67 LOSS AND GRIEF 108
Palpation 68 DEATH AND DYING 109
Percussion 68 SPIRITUALITY AND SPIRITUAL DISTRESS 109
Auscultation 69
NUTRITIONAL ASSESSMENT
Body Mass Index 70
69 8 Perspectives in Transcultural Nursing 113
Biochemical Assessment 71 DEFINITIONS OF CULTURE 114
Clinical Examination 71 Subcultures and Minorities 114
Dietary Data 71 TRANSCULTURAL NURSING 115
Conducting the Dietary Interview 71 CULTURALLY COMPETENT NURSING CARE 115
Evaluating the Dietary Information 72 Cross-Cultural Communication 115
Factors Influencing Nutritional Status in Varied Situations 72 CULTURALLY MEDIATED CHARACTERISTICS 116
Analysis of Nutritional Status 74 Space and Distance 116
ASSESSMENT IN THE HOME AND COMMUNITY 74 Eye Contact 117
Time 117
Touch 117
Unit 2 Communication 118
Observance of Holidays 118
Diet 118
Biophysical and Psychosocial Biologic Variations 119
Concepts in Nursing Practice 78 Complementary and Alternative Therapies 119
CAUSES OF ILLNESS 119
6 Homeostasis, Stress, and Adaptation 80 Biomedical or Scientific 119
Naturalistic or Holistic 120
STRESS AND FUNCTION 81 Magico-Religious 120
DYNAMIC BALANCE: THE STEADY STATE 81 FOLK HEALERS 120
Historical Theories of the Steady State 82
CULTURAL ASSESSMENT 120
Stress and Adaptation 82
ADDITIONAL CULTURAL CONSIDERATIONS:
STRESSORS: THREATS TO THE STEADY STATE 82
KNOW THYSELF 121
Types of Stressors 82
THE FUTURE OF TRANSCULTURAL
Stress as a Stimulus for Disease 83
NURSING CARE 121
Psychological Responses to Stress 83
Physiologic Response to Stress 84
Maladaptive Responses to Stress 87 9 Genetics Perspectives in Nursing 123
Indicators of Stress 87 A FRAMEWORK FOR INTEGRATING GENETICS
Nursing Implications 88 INTO NURSING PRACTICE 124

, Contents xix

GENETICS CONCEPTS 125 PHYSICAL HEALTH PROBLEMS
Genes and Their Role in Human Variation 126 IN OLDER POPULATIONS 201
Inheritance Patterns in Families 128 Geriatric Syndromes: Multiple Problems With Multiple
Chromosomal Differences and Genetic Conditions 132 Etiologic Factors 201
CLINICAL APPLICATIONS OF GENETICS 132 Acquired Immunodeficiency Syndrome in Older Adults 203
Genetic Testing 132 COMMON MENTAL HEALTH PROBLEMS
Genetic Screening 133 IN OLDER POPULATIONS 204
Testing and Screening for Adult-Onset Conditions 133 Depression 204
Individualizing Genetic Profiles 137 Delirium 204
APPLICATIONS OF GENETICS IN NURSING PRACTICE 137 The Dementias: Multi-Infarct Dementia
Genetics and Health Assessment 138 and Alzheimer’s Disease 205
Genetic Counseling and Evaluation Services 140 THE OLDER ADULT IN AN ACUTE CARE SETTING:
ETHICAL ISSUES 143 ALTERED RESPONSES TO ILLNESS 210
Increased Susceptibility to Infection 210
10 Chronic Illness 146 Altered Pain and Febrile Responses 211
Altered Emotional Impact 211
THE PHENOMENON OF CHRONICITY 147 Altered Systemic Response 211
Definition of Chronic Conditions 147
Prevalence and Causes of Chronic Conditions 147
THE CHARACTERISTICS OF CHRONIC CONDITIONS
The Problems of Managing Chronic Conditions 150
Implications for Nursing 151
149
Unit 3
Phases of Chronic Illness 151 Concepts and Challenges
Care by Phase: Applying the Nursing Process 152 in Patient Management 214
PROMOTING HOME AND COMMUNITY-BASED CARE 155
Teaching Patients Self-Care 155
Continuing Care 155
13 Pain Management 216
Nursing Care for Special Populations With Chronic Illness 155 THE FIFTH VITAL SIGN 217
TYPES OF PAIN 217
11 Principles and Practices Acute Pain 218
Chronic (Nonmalignant) Pain 218
of Rehabilitation 158 Cancer-Related Pain 218
AMERICANS WITH DISABILITIES ACT 159 Pain Classified by Location 218
RIGHT TO ACCESS TO HEALTH CARE Pain Classified by Etiology 218
AND HEALTH PROMOTION 160 HARMFUL EFFECTS OF PAIN 218
FOCUS OF REHABILITATION 160 Effects of Acute Pain 218
THE REHABILITATION TEAM 161 Effects of Chronic Pain 218
AREAS OF SPECIALTY PRACTICE 162 PATHOPHYSIOLOGY OF PAIN 220
ASSESSMENT OF FUNCTIONAL ABILITIES 163 Pain Transmission 220
Nursing Process: The Patient With Self-Care Deficit Factors Influencing the Pain Response 223
in Activities of Daily Living 163 NURSING ASSESSMENT OF PAIN 226
Nursing Process: The Patient With Impaired Physical Mobility 165 Characteristics of Pain 226
Nursing Process: The Patient With Impaired Skin Integrity 175 Instruments for Assessing the Perception of Pain 228
Nursing Process: The Patient With Altered Elimination Patterns 181 Nurse’s Role in Pain Management 230
DISABILITY AND SEXUALITY ISSUES 183 PAIN MANAGEMENT STRATEGIES 232
FATIGUE 183 Pharmacologic Interventions 232
HOME AND COMMUNITY-BASED CARE 183 Routes of Administration 237
COMPLEMENTARY THERAPIES 184 Nonpharmacologic Interventions 240
CONTINUING CARE 184 NEUROLOGIC AND NEUROSURGICAL APPROACHES
TO PAIN MANAGEMENT 241
12 Health Care of the Older Adult 188 Stimulation Procedures 242
Alternative Therapies 243
OVERVIEW OF AGING 189 PROMOTING HOME AND COMMUNITY-BASED CARE 243
Demographics of Aging 189 Teaching Patients Self-Care 243
Health Costs of Aging 189 Continuing Care 244
Ethical and Legal Issues Affecting the Older Adult 190 EVALUATING PAIN MANAGEMENT STRATEGIES 244
Nursing Care of Older Adults 191 Reassessments 245
NORMAL AGE-RELATED CHANGES AND HEALTH
PROMOTION ACTIVITIES 191
Physical Aspects of Aging 191
14 Fluid and Electrolytes:
Psychosocial Aspects of Aging 197 Balance and Distribution 249
Cognitive Aspects of Aging 198 FUNDAMENTAL CONCEPTS 250
Environmental Aspects of Aging 198 Amount and Composition of Body Fluids 250
Pharmacologic Aspects of Aging 201 Regulation of Body Fluid Compartments 251

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