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Each edition of Medical-Surgical Nursing has not only covered new developments in nursing, it has actively anticipated trends and advances. The 7th edition keeps readers on the cutting edge with the very latest information on nursing practice. It presents more detailed coverage of basic anatomy and physiology, pathophysiology, medical management, and nursing care than any other book available. Its focus on clinical outcome management emphasizes patient outcomes and makes the material understandable. A completely new design integrates information in the book with web enhancements on the accompanying Evolve website, such as online exercises, care plans, client education guides, and clinical pathways, as well as more on chapter topics such as diversity, ethics, religious beliefs affecting health care, and more.
• Evidence Based Practice in Action boxes in certain management chapters present a synopsis of the research with 4-5 supporting article summaries, to help readers understand the clinical significance of a problem. This feature has been revised for this edition.
• Concept Maps link pathophysiological processes, clinical manifestations, and medical and nursing interventions. A concept map creator on Evolve further enhances learning (Online).
• Complementary & Alternative Therapy boxes throughout the text highlight nontraditional therapies used by clients and healthcare providers to treat various conditions. This feature has been completely rewritten for this edition.
• Case studies present complex client scenarios with in-depth clinical problems, most with multiple clinical problems. An introduction in the text ties each case to chapter content, and specific details about the case are presented on Evolve, followed by discussions, multiple-choice questions, and a nursing care plan (Online).
• Thinking Critically Questions conclude each nursing care chapter and pose short, typical client scenarios followed by questions about what actions to take. Discussions of all the questions on Evolve provide insight into the reasoning behind appropriate actions (Online).
• Diversity in Health Care boxes feature discussions of health and illness related to particular populations.
• Client Education Guides provide examples worded in client-centered language demonstrate how to teach clients to collaborate in their own care.
• Care plans are a tabular presentation of nursing care, using the nursing process format, highlighting both nursing diagnoses and collaborative problems, expected outcomes, interventions with rationale, and evaluation.
• Ethical Issues in Nursing discussions present an ethical dilemma in the form of a question, followed by an in-depth discussion (Online).
• Case Management boxes are all written by a practicing case manager, presenting key coordination and anticipatory issues to link nursing care with patient-focused case management (Online).
• Bridge to Home Health Care feature describes specific applications and strategies for med-surg care in the home, while broadening applications of content beyond hospital to the home setting where many nurses now practice.
• Management and Delegation boxes present the primary concerns associated with delegating care activities to assistive personnel. Three new topics include Overview of Health Care Delivery, Clients Having Surgery, and Management of Clients with Vascular Disorders.
• NOC boxes appear in chapters containing nursing diagnoses content. Appropriate suggested NOC outcome labels are presented at the beginning of chapters containing nursing diagnoses content to introduce readers to NOC language, the standardized nursing vocabulary for measuring patient outcomes.
• Bridge to Critical Care feature highlights major critical care concerns, and includes new bridges for defibrillation and transplant.
• Critical Monitoring boxes alert the reader to clinical manifestations that must be reported to the physician immediately.
• Anatomy & Physiology Review sections serve as introductions to each body system unit with a brief review of the relevant anatomy and physiology of the body system.
• Physical Assessment Findings in the Health Adult remind students of the relevant normal findings for each body system and demonstrate how to chart those findings with clinical precision.
• Excerpts from actual pathways used in hospitals are accompanied by a guide that shows what should occur at specific points in the pathway, as well as how to stay on track when caring for the client (Online).
• Appendices on Evolve include: Religious Beliefs and Practices Affecting Health Care, A Health History Format that Integrates the Assessment of Functional Health Patterns, and Laboratory Values of Clinical Importance in Medical-Surgical Nursing (Online).
• Special features, interactive exercises, weblinks, and bonus material on the Evolve website expand readers' learning and expose them to additional content and study tools online, beyond the comprehensive textbook material.(Online)
• Evidence-based content and references throughout the text are noted in the margin with a special icon.
• Integrating Pharmacology boxes address the purpose of each medication, how the medication reverses or corrects the pathophysiology or reduces side effects, and how the combinations of medications are synergistic.
• Genetic Links boxes present the description, genetics, diagnosis/testing, and management of specific diseases and "link" it to its corresponding genetics.
• Terrorism Alert boxes highlight the symptoms and diseases associated with bioterrorism.
• A list of special features on the Evolve site is provided on every chapter opener, as a quick, user-friendly summary that prompts readers to use the Evolve site as a complement to the text content.
• The most up-to-date content is presented in four new chapters: Genetics; Complementary & Alternative Therapy; Critical Care; and Rehabilitation.
• Anatomy & Physiological Review: Physiological Genomics unit opener for chapters on genetics, perspectives in oncology, cancer, wounds, and infectious disorders orients readers to important anatomy and physiology concepts.
• Anatomy & Physiological Review: Arousal, Pain and Conscious Awareness unit opener for chapters on pain, palliative care, sleep, psychosocial, and substance abuse orients readers to information that will be relevant to chapters in that unit.
• Spanish translations of all Client Education Guides are provided on Evolve (Online).
Unit I: Promotion of Self-Care
1. Health Promotion
2. Health Promotion in Middle-Aged Adults
3. Health Promotion in Older Adults
4. Health Assessment
5. Alternative & Complementary Therapies (NEW)
Unit II: Health Care Delivery Systems
6. Overview of Health Care Delivery
7. Ambulatory Health Care
8. Acute Health Care
9. Critical Care (NEW)
10. Home Health Care
11. Long-Term Care
12. Rehabilitation (NEW)
Unit III: Foundations of Medical-Surgical Nursing
Anatomy & Physiology Review: Body Fluid Compartments and Cellular Function
13. Clients with Fluid Imbalances
14. Clients with Electrolyte Imbalances
15. Acid-Base Balance
16. Clients Having Surgery
Unit IV: Physiological Foundations of Medical-Surgical Nursing
Anatomy & Physiology Review: Physiological Genomics (NEW)
17. Perspectives in Genetics (NEW)
18. Perspectives in Oncology
19. Clients with Cancer
20. Clients with Wounds
21. Perspectives on Infectious Disorders
Unit V: Psychosocial Foundations of Medical-Surgical Nursing
Anatomy & Physiology Review: Arousal, Pain and Conscious Awareness (NEW)
22. Clients with Pain: Promoting Positive Outcomes
23. Perspectives in Palliative Care
24. Clients with Sleep and Rest Disorders and Fatigue
25. Clients with Psychosocial and Mental Health Concerns
26. Clients with Substance Abuse Disorders
Unit VI: Mobility Disorders
Anatomy & Physiology Review: Musculoskeletal System
27. Assessment of the Musculoskeletal System
28. Management of Clients with Musculoskeletal Disorders
29. Management of Clients with Musculoskeletal Trauma or Overuse
Unit VII: Nutritional Disorders
Anatomy and Physiology Review: The Nutritional (Gastrointestinal) System
30. Assessment of Nutrition and the Digestive System
31. Management of Clients with Malnutrition
32. Management of Clients with Ingestive Disorders
33. Management of Clients with Digestive Disorders
Unit VIII: Elimination Disorders
Anatomy and Physiology Review: The Elimination Systems
34. Assessment of Elimination
35. Management of Clients with Intestinal Disorders
36. Management of Clients with Urinary Disorders
37. Management of Clients with Renal Disorders
38. Management of Clients with Renal Failure
Unit IX: Sexuality and Reproductive Disorders
Anatomy and Physiology Review: The Reproductive Systems
39. Assessment of the Reproductive System
40. Management of Men with Reproductive Disorders
41. Management of Women with Reproductive Disorders
42. Management of Clients with Breast Disorders
43. Management of Clients with Sexually Transmitted Diseases
Unit X: Metabolic Disorders
Anatomy and Physiology Review: The Metabolic Systems
44. Assessment of the Endocrine and Metabolic Systems
45. Management of Clients with Thyroid and Parathyroid Disorders
46. Management of Clients with Adrenal and Pituitary Disorders
47. Management of Clients with Diabetes Mellitus
48. Management of Clients with Exocrine Pancreatic and Biliary Disorders
49. Management of Clients with Hepatic Disorders
Unit XI: Integumentary Disorders
Anatomy and Physiology Review: The Integumentary System
50. Assessment of the Integumentary System
51. Management of Clients with Integumentary Disorders
52. Management of Clients with Burn Injury
Unit XII: Circulatory Disorders
Anatomy and Physiology Review: The Circulatory System
53. Assessment of the Vascular System
54. Management of Clients with Hypertensive Disorders
55. Management of Clients with Vascular Disorders
Unit XIII: Cardiac Disorders
Anatomy and Physiology Review: The Heart
56. Assessment of the Cardiac System
57. Management of Clients with Structural Cardiac Disorders
58. Management of Clients with Functional Cardiac Disorders
59. Management of Clients with Dysrhythmias
60. Management of Clients with Myocardial Infarction
Unit XIV: Oxygenation Disorders
Anatomy and Physiology Review: The Respiratory System
61. Assessment of the Respiratory System
62. Management of Clients with Upper Airway Disorders
63. Management of Clients with Lower Airway and Pulmonary Vessel Disorders
64. Management of Clients with Parenchymal and Pleural Disorders
65. Management of Clients with Acute Pulmonary Disorders
Unit XV: Sensory Disorders
Anatomy and Physiology Review: The Eyes and Ears
66. Assessment of the Eyes and Ears
67. Management of Clients with Visual Disorders
68. Management of Clients with Hearing and Balance Disorders
Unit XVI: Cognitive and Perceptual Disorders
Anatomy and Physiology Review: The Neurologic System
69. Assessment of the Neurologic System
70. Management of Comatose or Confused Clients
71. Management of Clients with Cerebral Disorders
72. Management of Clients with Stroke
73. Management of Clients with Peripheral Nervous System Disorders
74. Management of Clients with Degenerative Neurologic Disorders
75. Management of Clients with Neurologic Trauma
Unit XVII: Protective Disorders
Anatomy and Physiology Review: The Hematopoietic System
76. Assessment of the Hematopoietic System
77. Management of Clients with Hematologic Disorders
78. Management of Clients with Immune Disorders
79. Management of Clients with Rheumatic Disorders
80. Management of Clients with Acquired Immunodeficiency Syndrome
81. Management of the Client with Leukemia and Lymphoma
Unit XVIII: Multisystem Disorders
82. Management of Clients Requiring Transplantation
83. Management of Clients with Shock and Multisystem Disorders
84. Management of Clients in the Emergency Department