This book contains solid, research-based content presented in a concise, readable, and consistent format. Special
features highlight the content that is most relevant and challenging for today's nursing students, including patient
teaching, community and home care, gerontology, cultural and ethnic considerations, collaborative care, nutrition,
and critical thinking. Nursing management content is discussed in a unique levels-of-care approach, with separate
headings for Health Promotion, Acute Intervention, and Ambulatory and Home Care. More than just a textbook, it
is a comprehensive resource with the essential information that students need to prepare for lectures, classroom
activities, examinations, clinical assignments, and comprehensive care of patients.
Key Features
All content is written and reviewed by leading experts in the field to ensure that information is comprehensive,
current, and clinically accurate.
Extensive gerontologic content identifies age-related changes for each body system and alerts the nurse to
differences often encountered in older patients.
Attractive four-color design and over 1,300 full-color illustrations enhance learning by presenting disease
processes and related anatomy and physiology more clearly.
More than 70 comprehensive nursing care plans are thoroughly updated to incorporate current NANDA diagnoses,
defining characteristics, expected outcomes, specific nursing interventions with rationales, evaluation criteria,
and collaborative problems.
Ethical Dilemmas boxes promote critical thinking for timely and sensitive issues that nursing students will
face in practice--topics such as informed consent, patient adherence, guardianship, confidentiality, and sterilization.
More than 70 Patient and Family Teaching Guides provide students with critical information to include in teaching
patients about care of conditions and stress points for educating family members when they will be helping to care
for the patient.
Critical Thinking Exercises at the end of each nursing management chapter include Case Studies with Critical
Thinking Questions to help students apply information presented and promote critical thinking. Also included are
Nursing Research Issues questions to highlight current topics for research and encourage further study.
Collaborative Management headings and Collaborative Care tables emphasize the importance of total patient care
in today's health care settings and provide a clear understanding of each provider's role in managing disorders.
Multiple-choice Review Questions at the end of each chapter test students' mastery of the content and correspond
with learning objectives in the chapter openers.
Nutritional Therapy tables summarize nutritional interventions and promote healthy lifestyles in patients with
various conditions.
Gerontologic Differences in Assessment and Effects of Aging tables present information about older adults'
special needs for nursing care.
Nursing Research boxes apply research to clinical practice and cover such timely topics such as pain medication
adherence, ethnic influences on cancer screening, family-centered focus in lung transplant care, health promotion
for women with multiple sclerosis, and caring for battered women in the emergency department.
Emergency Management tables outline the treatment of health problems most likely to create medical emergencies.
Common Assessment Abnormalities tables alert the nurse to typically encountered abnormalities.
Nursing Assessment tables summarize the subjective and objective data for which the nursing student assesses.
Health History tables present key assessment questions to summarize important assessment parameters.
Diagnostic Studies tables highlight important information relevant to diagnostic studies.
Drug Therapy tables pull out medication information in a format that provides easy student reference
Learning Objectives at the beginning of each chapter help students identify key content
New to this Edition
New chapter on Culturally Competent Care discusses cultural variations affecting health care and key nursing
implications to help prepare nurses to interact with the increasingly diverse patient populations entrusted to
nursing care.
New chapter on End-of-Life Care discusses the physical and psychosocial manifestations at the end of life,
related legal and ethical issues, palliative care, and the special needs of caregivers.
New chapter on Nursing Management: Alzheimer's Disease and Dementia covers Alzheimer's disease and other causes
of dementia.
Evidence-Based Practice boxes discuss non-nursing or interdisciplinary research topics.
Genetics in Clinical Practice boxes cover timely topics such as genetic testing, Alzheimer's disease, sickle
cell anemia, and genetics-related ethics issues.
Complementary and Alternative Therapies boxes summarize what nurses need to know about topics such as various
herbal remedies, acupuncture, and biofeedback.
The accompanying CD-ROM has been expanded and includes: case studies, disorder overviews, interactive learning
activities, NCLEX-style review questions, and a comprehensive glossary.
Selected nursing care plans incorporating NIC (Nursing Interventions Classification) and NOC (Nursing Outcomes
Classification) show how NIC and NOC are used in clinical practice.
Included on the Evolve website are the concept map creator program and sample concept maps to familiarize students
these clinical tools which are used by increasing numbers of nursing instructors.
Chapter 9: Pain has been completely updated and rewritten.
New chapter on Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery covers sprains, strains, fractures,
joint surgery, and other related conditions.
The Genetics and Altered Immune Responses chapter includes expanded content on genetics and immunosuppressant
therapy for transplant patients.
Key Terms are listed in chapter openers (with page numbers) and bolded where defined in the text narrative.
The Addictive Behaviors chapter features a more holistic approach and contains expanded content on tobacco
abuse and smoking cessation.
New color photos throughout feature ethnic and cultural diversity.
Table of Contents
Section One: Concepts in Nursing Practice
1: Critical Thinking in the Nursing Process (NEW)
2: Culturally Competent Care
3: Health History and Physical Examination
4: Patient and Family Teaching
5: Older Adults
6: Community-Based Nursing and Home Care
7: Complementary and Alternative Therapies
8: Stress
9: Pain (NEW)
10: End-of-Life Care
11: Addictive Behaviors
Section Two: Pathophysiologic Mechanisms of Disease
12: Injury, Inflammation, and Healing
13: Genetics and Altered Immune Responses
14: Human Immunodeficiency Virus (HIV) Infection
15: Cancer
16: Fluid, Electrolyte, and Acid-Base Imbalances Section Three: Perioperative Care
17: Nursing Management: Preoperative Care
18: Nursing Management: Intraoperative Care
19: Nursing Management: Postoperative Care
Section Four: Problems Related to Altered Sensory Input
20: Nursing Assessment: Visual and Auditory Systems
21: Nursing Management: Visual and Auditory Problems
22: Nursing Assessment: Integumentary System
23: Nursing Management: Integumentary Problems
24: Nursing Management: Burns
Section Five: Problems of Oxygenation: Ventilation