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Doody's Review ServiceReviewer: Sharon Willadsen, MSN, RN (Lakeshore Technical College)
Description: This is a comprehensive review of essential information necessary for the critical care nurse.
Purpose: It provides the most up-to-date information on the care and treatment of the critically ill patient, which is invaluable in the ever-changing healthcare environment.
Audience: This is an excellent resource for critical care practitioners. The underlying tenets of anatomy and physiology as well as pathophysiology are well presented and assist in the understanding of important assessment data and appropriate interventions necessary in critical care.
Features: The chapters are arranged by the major body systems, which provides for information that is easy located. Information is presented in outline format, which may be helpful for some readers while others may find it a difficult format to follow. A clinical pathway is provided for patients who have been poisoned or have overdosed. With the increased use of clinical pathways in the clinical arena, it may be useful to incorporate the use of these pathways in other areas of the book. The nursing perspective is provided with the use of the nursing process. Identification of appropriate nursing diagnoses as well as the outcomes, interventions, and evaluations are included for each medical disorder. It may also be useful to prioritize the nursing diagnoses. For example, with Guillain-Barre Syndrome, the priority diagnosis is alteration in respiratory function related to paralysis of respiratory muscles. This would support a further understanding of the most important aspects of nursing care as they relate to the medical diagnosis. The book lacks color, and using color to emphasize different content areas as well as enhance illustrations would better assist understanding the material.
Assessment: The information is well presented and complete. This is without question a book that provides necessary information for the critical care nurse. However, additional content on bladder perforation would have been helpful. Trauma, especially in the pelvic region, puts clients at risk for bladder perforation and is important information for the critical care nurse. Additionally, in the mechanically ventilated patient, the risk of self-extubation and related concerns may be important to address.