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Doody's Review ServiceReviewer: Carole Ann Kenner, PhD, RN, FAAN (The College of New Jersey)
Description: This book reflects patient standards for the hospitalized patient, including discharge preparation and teaching. This is the seventh edition; the last edition was published in 1996.
Purpose: The purpose is for planning and delivery of care primarily in the hospital setting.
Audience: This book is written for bedside nurses, case managers, discharge planners, charge nurses, advanced practice nurses, nurse executives, and nurse managers. The latter two groups would use the book for quality improvement and for JCAHO accreditation.
Features: NANDA, examples of care pathways, and use of the nursing process are included. There is an introduction to collaborative practice with a presentation of the body system and assessment, followed by diagnostic statement, plan, implementation, and evaluation (including outcomes). This is a collaborative, multidisciplinary model of care. The dimensions of nursing care are centered to some degree on Gordon's functional patterns. The examples of care paths are good, especially in the appendix where there is a combined care path and documentation form. The biggest shortcoming is the lack of pediatric examples; this book would not be useful in the pediatric setting.
Assessment: This book is one among many that demonstrate use of patient standards and care plans, including a good basis for patient standards required by JCAHO. There are added sections on discharge and home care, but the major focus is in the hospital. This may be shortsighted, considering the shortened lengths of stay for most patients and the acuity level of patients in the community and home settings. The revision does reflect the newer terminology — partners in care, collaborative practice, care paths, and combined care paths and documentation. It is a good reference for students in adult health courses but would not be adequate to support the OB, neonatal, or pediatric areas of study.