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Doody's Review ServiceReviewer: Sharon Willadsen, MSN, RN (Lakeshore Technical College)
Description: This is a comprehensive review of important assessment data needed by today's critical care nurse.
Purpose: Complete information is provided related to assessment of the critically ill adult as well as to the unique assessment differences of critically ill elderly. Additionally, an in-depth understanding of the assessment process is included, as the authors not only provide the necessary information of the how and when of assessment, but also the why, through a discussion of underlying pathophysiology. Critical care practitioners will also appreciate the attention given to the "art" of assessment. The authors provide strategies found by advanced practitioners that work when acquiring assessment data from challenging patients.
Audience: This book is aimed at the critical care practitioner.
Features: The chapters are arranged by body systems which provides for ease when locating information. A chapter is also assigned to the critically ill geriatric patient; the information provided is important, but it is not always included in other texts of this nature. With the reliance on bedside monitoring techniques as part of the critical care assessment data collection, it is wonderful to read the chapter on this important aspect of assessment in the critical care milieu. The illustrations and explanations of each of the waveforms in EKG and hemodynamic monitoring are very well done. Although the nursing perspective is provided with a very good discussion of assessment within the nursing process, identification and prioritization of nursing diagnoses would provide the important link to nursing. As always, nursing assessment provides the important data so necessary in diagnosing, not only for the medical practitioner but also the nurse practitioner at the bedside.
Assessment: The information is well presented. I especially appreciate the use of color for transitions of information and for special emphasis within charts and illustrations. This book will become a part of many critical care practitioners' libraries.