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Lewis's Medical-Surgical Nursing

Lewis's Medical-Surgical Nursing

Diane Brown | Helen Edwards | Lesley Seaton | Thomas Buckley

(2017)

Additional Information

Book Details

Abstract

Perfect for:

  • • Undergraduate Nursing Students
  • • Postgraduate Specialist Nursing Pathways (Advanced Medical Surgical Nursing)
  • • TAFE Bachelor of Nursing Program

Lewis’s Medical–Surgical Nursing: Assessment and Management of Clinical Problems, 4th Edition is the most comprehensive go-to reference for essential information about all aspects of professional nursing care of patients.

Using the nursing process as a framework for practice, the fourth edition has been extensively revised to reflect the rapid changing nature of nursing practice and the increasing focus on key nursing care priorities.

Building on the strengths of the third Australian and New Zealand edition and incorporating relevant global nursing research and practice from the prominent US title Medical–Surgical Nursing, 9Th Edition, Lewis’s Medical–Surgical Nursing, 4th Edition is an essential resource for students seeking to understand the role of the professional nurse in the contemporary health environment.

  • 49 expert contributors from Australia and New Zealand
  • Current research data and Australian and New Zealand statistics
  • Focus on evidence-based practice
  • Review questions and clinical reasoning exercises
  • Evolve Resources for instructor and student, including quick quiz’s, test banks, review questions, image gallery and videos.

• Chapter on current national patient safety and clinical reasoning • Over 80 new and revised case studies • Chapter on rural and remote area nursing • Fully revised chapter on chronic illness and complex care • Chapter on patient safety and clinical reasoning • Greater emphasis on contemporary health issues, such as obesity and emergency and disaster nursing • Australia and New Zealand sociocultural focus

Table of Contents

Section Title Page Action Price
Front Cover\r Cover
Lewis‘s Medical-Surgical Nursing: Assessment and Management of Clinical Problems v
Copyright Page vi
Table of Contents vii
Navigate the text by colour xviii
Text structure xix
Preface xxi
Acknowledgements xxiii
Contributors xxiv
Reviewers xxvii
Section 1: Concepts in nursing practice 1
Chapter 1. The importance of nursing 2
The evolution of nursing as an essential service in Australia and New Zealand 3
Definitions of nursing 4
Key aspects of nursing practice 4
Multidisciplinary teamwork 9
Influences on professional nursing practice 9
Patient-centred care 11
Informatics and technology 14
Evidence-based practice 15
Coordinating care between healthcare team members 17
Conclusion 18
REVIEW QUESTIONS 18
REFERENCES 19
RESOURCES 20
Chapter 2. Patient safety and clinical reasoning: Thinking like a nurse 21
Patient safety 21
Clinical reasoning 22
What role can nurses play in improving practice? 25
REVIEW QUESTIONS 29
REFERENCES 30
RESOURCES 31
Chapter 3. Health disparities and cultural care 32
Social determinants of health 32
HEALTH DISPARITIES AND HEALTH EQUITY 33
WHAT IS CULTURE, AND WHY DOES IT MATTER IN HEALTHCARE? 36
Cultural care and health services 37
Cultural diversity in the healthcare workplace 38
Cultural–social factors that may affect health and healthcare 39
REVIEW QUESTIONS 45
REFERENCES 46
RESOURCES 47
Chapter 4. Pain management 48
Magnitude of the pain problem 48
Definitions and dimensions of pain 49
Classification of pain 54
Pain assessment 55
Pain treatment 60
Institutionalising pain education and management 74
Ethical issues in pain management 76
Managing pain in special populations 77
REVIEW QUESTIONS 78
REFERENCES 79
RESOURCES 80
Chapter 5. Palliative care 81
Introduction 81
A brief history 81
Palliative care definitions 82
Palliative care and nursing 83
Palliative care contexts 83
Identifying transitions of care 83
Physical symptoms at the end of life 84
Psychosocial symptoms at the end of life 85
Culturally competent palliative care 86
Spiritually appropriate palliative care 87
Legal issues influential in palliative care 87
Standards and guidelines for palliative care practice 89
Special needs of carers in palliative care 94
REFERENCES 95
RESOURCES 96
Chapter 6. Substance use and dependency 97
Overview of addictive behaviours 98
COMMON DRUGS OF ABUSE: STIMULANTS 101
Nicotine 101
Cocaine 104
Amphetamines 106
Caffeine 106
COMMON DRUGS OF ABUSE: DEPRESSANTS 107
Alcohol 107
Sedatives 109
Opioids 110
Cannabis 111
Hallucinogens 112
Inhalants (solvents) 112
REVIEW QUESTIONS 122
REFERENCES 122
RESOURCES 124
Chapter 7. Rural and remote area nursing 125
Introduction 125
Definitions of rural and remote areas 126
Remote area and rural nursing 127
History of remote area healthcare services in Australia 127
Māori health in New Zealand 130
Health definitions and determinants 130
Primary Health Care approach 132
Characteristics of remote area and rural nursing 132
Advanced practice 135
Collaborative practice 136
Professional support for rural and remote area nurses 137
Remote area nurse model of consultation 137
Rewards of working in rural and remote area nursing 138
Education pathways for remote and rural nurses 138
Future of remote area and rural nursing 138
REVIEW QUESTIONS 140
REFERENCES 140
RESOURCES 142
Section 2: Pathophysiological mechanisms of disease 143
CHAPTER 8. NURSING MANAGEMENT: Inflammation and wound healing 144
Inflammatory response 144
Healing process 149
Pressure injuries 157
REVIEW QUESTIONS 162
REFERENCES 163
RESOURCES 163
Chapter 9. Genetics and genomics 164
Genetics and genomics 164
Genetic disorders 167
Genetic testing 169
Pharmacogenetics and pharmacogenomics 172
Gene therapy 173
REVIEW QUESTIONS 174
REFERENCES 175
RESOURCES 175
Chapter 10. Altered immune responses and transplantation 176
Normal immune response 176
Altered immune response 182
Allergic disorders 186
Autoimmunity 190
Immunodeficiency disorders 192
Human leucocyte antigen system 192
Organ transplantation 193
Stem cell therapy 197
Graft-versus-host disease 198
REVIEW QUESTIONS 198
REFERENCES 199
RESOURCES 199
Chapter 11. NURSING MANAGEMENT: Infection and human immunodeficiency virus infection 200
INFECTIONS 200
Types of pathogens 200
Infection prevention and control 205
HUMAN IMMUNODEFICIENCY VIRUS INFECTION 205
REVIEW QUESTIONS 220
REFERENCES 221
RESOURCES 222
Chapter 12. Cancer 223
Biology of cancer 224
Classification of cancer 229
Prevention and early detection of cancer 231
Diagnosis of cancer 232
MULTIDISCIPLINARY CARE 233
Surgical therapy 234
Prevention 234
Chemotherapy 235
Radiation therapy 238
Haematopoietic growth factors 250
Haematopoietic stem cell transplantation 251
Gene therapy 253
COMPLICATIONS RESULTING FROM CANCER 253
Cancer pain 255
Psychological support 256
Cancer survivorship 258
Culturally competent care 258
REVIEW QUESTIONS 259
REFERENCES 260
Section 3: Perioperative care 293
Chapter 14. NURSING MANAGEMENT: Preoperative care 294
Surgical settings 294
Patient interview 295
Nursing assessment of the preoperative patient 295
Culturally competent care 309
REVIEW QUESTIONS 309
REFERENCES 310
RESOURCES 311
Chapter 15. NURSING MANAGEMENT:\rIntraoperative care 312
Infection control and physical environment of the operating suite 312
Surgical team 314
Anaesthesia 320
Catastrophic events in the operating room 326
Future considerations 326
REVIEW QUESTIONS 327
REFERENCES 328
RESOURCES 329
Chapter 16. NURSING MANAGEMENT:\rPostoperative care 330
IMMEDIATE POSTOPERATIVE CARE OF THE SURGICAL PATIENT 330
Staffing the PARU 330
Fast-tracking 331
Postanaesthesia recovery unit admission 331
Potential alterations in respiratory function 333
Potential alterations in cardiovascular function 336
Potential alterations in neurological function 337
Pain and discomfort 337
Potential alterations in thermoregulation 338
Alterations in gastrointestinal function: Nausea and vomiting 339
Surgical-specific care of the patient in the PARU 340
Discharge from the PARU 340
CARE OF THE POSTOPERATIVE PATIENT IN THE CLINICAL UNIT/INPATIENT WARD 341
Potential alterations in respiratory function 341
Potential alterations in cardiovascular function 343
Potential alterations in urinary function 344
Potential alterations in gastrointestinal function 345
Potential alterations of the integument 346
Pain and discomfort 347
Potential alterations in temperature 348
Potential alterations in neurological and psychological function 349
REVIEW QUESTIONS 351
REFERENCES 352
RESOURCES 353
Section 4: Problems related to altered sensory input 355
Chapter 17. NURSING ASSESSMENT: Visual and auditory systems 356
VISUAL SYSTEM 356
Assessment of the visual system 360
Diagnostic studies of the visual system 366
AUDITORY SYSTEM 367
Assessment of the auditory system 369
Diagnostic studies of the auditory system 372
REVIEW QUESTIONS 373
REFERENCES 374
RESOURCES 374
Chapter 18. NURSING MANAGEMENT: Visual and auditory problems 375
VISUAL PROBLEMS 375
Correctable refractive errors 375
Uncorrectable visual impairment 379
Eye trauma 381
EXTRAOCULAR DISORDERS 381
Inflammation and infection 381
Dry eye disorders 384
Strabismus 384
Corneal disorders 384
INTRAOCULAR DISORDERS 385
Cataract 385
Retinopathy 388
Retinal detachment 388
Age-related macular degeneration 390
Glaucoma 391
Intraocular inflammation and infection 395
Ocular tumours 395
Enucleation, eviseration and exenteration 395
Ocular symptoms of systemic diseases 396
AUDITORY PROBLEMS 396
EXTERNAL EAR AND CANAL 396
Trauma 396
Otitis externa 397
Cerumen and foreign bodies in the external ear canal 398
Malignancy of the external ear 398
MIDDLE EAR AND MASTOID 398
Otitis media 398
Otosclerosis 400
INNER EAR PROBLEMS 401
Ménière’s disease 401
Benign paroxysmal positional vertigo 402
Acoustic neuroma 402
Hearing loss and deafness 402
REVIEW QUESTIONS 408
REFERENCES 409
RESOURCES 410
Chapter 19. NURSING ASSESSMENT: Integumentary system 411
Structures and functions of theskin and appendages 411
Assessment of the integumentary system 414
Diagnostic studies of the integumentary system 422
REVIEW QUESTIONS 423
REFERENCES 424
RESOURCES 424
Chapter 20. NURSING MANAGEMENT: Integumentary problems 425
Health promotion 425
MALIGNANT SKIN NEOPLASMS 428
Risk factors 429
Non-melanoma skin cancers 429
Malignant melanoma 431
Skin infections and infestations 432
Allergic dermatological problems 436
Benign dermatological problems 436
Diseases with dermatological symptoms 439
Multidisciplinary care of dermatological problems 439
Cosmetic procedures 444
Skin grafts 446
REVIEW QUESTIONS 447
REFERENCES 448
RESOURCES 448
Chapter 21. NURSING MANAGEMENT: Burns 449
Types of burn injury 450
Classification of burn injury 452
PHASES OF BURN MANAGEMENT 453
Prehospital care 453
Emergent phase 454
Acute phase 463
Rehabilitation phase 468
Emotional/psychological needs of patients and carers 469
Special needs of nurses 470
REVIEW QUESTIONS 471
REFERENCES 472
RESOURCES 473
Section 5: Problems of oxygenation: Ventilation 475
Chapter 22. NURSING ASSESSMENT: Respiratory system 476
Structures and functions of therespiratory system 476
Assessment of the respiratory system 483
Diagnostic studies of the respiratory system 492
REVIEW QUESTIONS 498
REFERENCES 499
RESOURCES 499
Chapter 23. NURSING MANAGEMENT: Upper respiratory problems 500
PROBLEMS OF THE NOSE AND PARANASAL SINUSES 500
Deviated septum 500
Nasal fracture 500
Rhinoplasty 502
Epistaxis 502
Allergic rhinitis 503
Acute viral rhinitis 504
Influenza 505
Sinusitis 507
OBSTRUCTION OF THE NOSE AND SINUSES 508
Nasal polyps 508
Foreign bodies 508
PROBLEMS OF THE PHARYNX 509
Acute pharyngitis 509
Peritonsillar abscess 509
PROBLEMS OF THE TRACHEA AND LARYNX 509
Airway obstruction 509
Tracheostomy 509
Laryngeal polyps 515
Head and neck cancer 515
REVIEW QUESTIONS 522
REFERENCES 522
RESOURCES 523
Chapter 24. NURSING MANAGEMENT: Lower respiratory problems 524
LOWER RESPIRATORY TRACT INFECTIONS 524
Acute bronchitis 524
Pertussis 525
Pneumonia 525
Tuberculosis 531
Atypical mycobacteria 536
Pulmonary fungal infections 537
Lung abscess 537
Environmental lung diseases 538
LUNG CANCER 538
Other types of lung tumours 544
CHEST TRAUMA AND THORACIC INJURIES 544
Pneumothorax 544
Fractured ribs 547
Flail chest 547
Chest tubes and pleural drainage 547
Chest surgery 551
RESTRICTIVE RESPIRATORY DISORDERS 552
Bronchiectasis 553
Pleural effusion 553
Pleurisy 554
Atelectasis 554
INTERSTITIAL LUNG DISEASES 554
Idiopathic pulmonary fibrosis 554
Sarcoidosis 554
VASCULAR LUNG DISORDERS 554
Pulmonary oedema 554
Pulmonary embolism 555
PULMONARY HYPERTENSION 557
Idiopathic pulmonary arterial hypertension 557
Secondary pulmonary arterial hypertension 559
Cor pulmonale 559
LUNG TRANSPLANTATION 559
REVIEW QUESTIONS 561
REFERENCES 562
RESOURCES 563
Chapter 25. NURSING MANAGEMENT: Obstructive pulmonary diseases 564
Asthma 564
Chronic obstructive pulmonary disease 584
Cystic fibrosis 605
Bronchiectasis 609
REVIEW QUESTIONS 611
REFERENCES 611
RESOURCES 613
Section 6: Problems of oxygenation: Transport 615
Chapter 26. NURSING ASSESSMENT: Haematological system 616
Structures and functions of the haematological system 616
Assessment of the haematological system 622
Diagnostic studies of the haematological system 630
REVIEW QUESTIONS 635
REFERENCES 635
RESOURCES 636
Chapter 27. NURSING MANAGEMENT: Haematological problems 637
ANAEMIA 637
ANAEMIA CAUSED BY DECREASED ERYTHROCYTE PRODUCTION 640
Iron-deficiency anaemia 640
Thalassaemia 643
Megaloblastic anaemias 644
Anaemia of chronic disease 645
Aplastic anaemia 645
ANAEMIA CAUSED BY BLOOD LOSS 646
Acute blood loss 646
Chronic blood loss 647
ANAEMIA CAUSED BY INCREASED ERYTHROCYTE DESTRUCTION 647
Sickle cell disease 648
Diagnostic studies 650
Acquired haemolytic anaemia 651
OTHER RED BLOOD CELL DISORDERS 651
Haemochromatosis 651
Polycythaemia 652
Secondary polycythaemia 653
PROBLEMS OF HAEMOSTASIS 654
Thrombocytopenia 654
Haemophilia and von Willebrand disease 659
Disseminated intravascular coagulation 662
Neutropenia 665
Myelodysplastic syndrome 667
Leukaemia 668
LYMPHOMAS 674
Hodgkin’s lymphoma 674
Non-Hodgkin’s lymphoma 676
Disorders of the spleen 680
Selected blood cell component therapy 681
REVIEW QUESTIONS 686
REFERENCES 687
RESOURCES 688
Section 7: Problems of oxygenation: Perfusion 691
Chapter 28. NURSING ASSESSMENT: Cardiovascular system 692
Structures and functions of the cardiovascular system 692
Assessment of the cardiovascular system 698
Diagnostic studies of the cardiovascular system 704
REVIEW QUESTIONS 714
REFERENCES 715
RESOURCES 715
Chapter 29. NURSING MANAGEMENT: Hypertension 716
Normal regulation of blood pressure 717
Hypertension 718
Hypertensive crisis 733
REVIEW QUESTIONS 735
REFERENCES 735
RESOURCES 736
Chapter 30. NURSING MANAGEMENT: Coronary artery disease andacute coronary syndrome 737
CORONARY ARTERY DISEASE 738
Risk factors for coronary artery disease 739
ANGINA 750
ACUTE CORONARY SYNDROME 757
SUDDEN CARDIAC DEATH 771
REVIEW QUESTIONS 773
REFERENCES 773
RESOURCES 774
Chapter 31. NURSING MANAGEMENT: Heart failure 775
Heart failure 775
Cardiac transplantation 792
REVIEW QUESTIONS 794
REFERENCES 794
RESOURCES 795
Chapter 32. NURSING MANAGEMENT: ECG monitoring and arrhythmias 796
Rhythm identification andtreatment 796
ECG changes associated with acute coronary syndrome 816
Syncope 818
REVIEW QUESTIONS 819
REFERENCES 819
RESOURCES 819
Chapter 33. NURSING MANAGEMENT: Inflammatory and structural heart disorders 820
INFLAMMATORY DISORDERS OF THE HEART 820
Infective endocarditis 820
Acute pericarditis 824
Chronic constrictive pericarditis 827
Myocarditis 827
Rheumatic fever and rheumatic heart disease 828
VALVULAR HEART DISEASE 830
Mitral valve stenosis 831
Mitral valve regurgitation 831
Mitral valve prolapse 832
Aortic valve stenosis 833
Aortic valve regurgitation 833
Tricuspid and pulmonic valve disease 833
CARDIOMYOPATHY 837
Dilated cardiomyopathy 838
Hypertrophic cardiomyopathy 839
Restrictive cardiomyopathy 840
REVIEW QUESTIONS 841
REFERENCES 841
RESOURCES 842
Chapter 34. NURSING MANAGEMENT: Vascular disorders 843
PERIPHERAL ARTERY DISEASE 843
Peripheral artery disease of the lower extremities 844
Acute arterial ischaemic disorders 850
Thromboangiitis obliterans 850
Raynaud’s phenomenon 851
AORTIC ANEURYSMS 851
Aortic dissection 855
VENOUS DISORDERS 857
Phlebitis 857
Venous thrombosis 857
Varicose veins 866
Chronic venous insufficiency and venous leg ulcers 867
REVIEW QUESTIONS 870
REFERENCES 871
RESOURCES 873
Section 8: Problems of ingestion, digestion, absorption and elimination 875
Chapter 35. NURSING ASSESSMENT: Gastrointestinal system 876
Assessment of the gastrointestinal system 882
Diagnostic studies of the gastrointestinal system 891
REVIEW QUESTIONS 897
REFERENCES 899
RESOURCES 899
Chapter 36. NURSING MANAGEMENT: Nutritional problems 900
Nutritional problems 900
Normal nutrition 900
Special diet: Vegetarian diet 904
Culturally competent care 904
Malnutrition 904
Types of specialised nutritional support 912
Eating disorders 918
REVIEW QUESTIONS 919
REFERENCES 919
RESOURCES 920
Chapter 37. NURSING MANAGEMENT: Obesity 921
Obesity 921
Health risks associated with obesity 926
Multidisciplinary care 929
Surgical therapy 932
Metabolic syndrome 937
REVIEW QUESTIONS 938
REFERENCES 939
RESOURCES 940
Chapter 38. NURSING MANAGEMENT: Upper gastrointestinal problems 941
Nausea and vomiting 941
Oral inflammation andinfections 944
Oral cancer 945
OESOPHAGEAL DISORDERSG 948
Gastro-oesophageal reflux disease 948
Hiatus hernia 951
Oesophageal cancer 953
Other oesophageal disorders 955
DISORDERS OF THE STOMACH AND UPPER SMALL INTESTINE 957
Gastritis 957
Peptic ulcer disease 958
Stomach cancer 968
Upper gastrointestinal bleeding 971
Food-borne illness 974
REVIEW QUESTIONS 976
REFERENCES 977
RESOURCES 977
Chapter 39. NURSING MANAGEMENT: Lower gastrointestinal problems 978
Diarrhoea 978
Faecal incontinence 981
Constipation 983
Acute abdominal pain 986
CHRONIC ABDOMINAL PAIN 989
Irritable bowel syndrome 989
Abdominal trauma 989
INFLAMMATORY DISORDERS 990
Appendicitis 990
Peritonitis 991
Gastroenteritis 992
Inflammatory bowel disease 992
Intestinal obstruction 1000
Polyps of the large intestine 1002
Colorectal cancer 1003
Ostomy surgery 1008
Diverticulosis and diverticulitis 1012
Hernias 1013
MALABSORPTION SYNDROME 1014
Coeliac disease 1015
Lactase deficiency 1017
Short bowel syndrome 1017
Gastrointestinal stromal tumours 1017
ANORECTAL PROBLEMS 1018
Haemorrhoids 1018
Anal fissure 1019
Anorectal abscess 1019
Anal fistula 1020
Anal cancer 1020
Pilonidal sinus 1020
REVIEW QUESTIONS 1021
REFERENCES 1022
RESOURCES 1023
Chapter 40. NURSING MANAGEMENT: Liver, pancreas and biliary tract problems 1024
DISORDERS OF THE LIVER 1024
Hepatitis 1024
Drug- and chemical-induced liverdiseases 1034
Autoimmune, genetic and metabolic diseases 1034
Cirrhosis 1035
Acute liver failure 1045
Liver cancer (hepatocellular cancer) 1046
Liver transplantation 1047
DISORDERS OF THE PANCREAS 1048
Acute pancreatitis 1048
Chronic pancreatitis 1052
Pancreatic cancer 1053
DISORDERS OF THE BILIARY TRACT 1054
Gall-bladder cancer 1059
REVIEW QUESTIONS 1060
REFERENCES 1061
RESOURCES 1062
Section 9. Problems of urinary function 1065
Chapter 41. NURSING ASSESSMENT: Urinary system 1066
Structures and functions of the urinary system 1066
Assessment of the urinary system 1072
Diagnostic studies of the urinary system 1077
REVIEW QUESTIONS 1084
REFERENCES 1085
RESOURCES 1085
Chapter 42. NURSING MANAGEMENT: Renal and urological problems 1086
INFECTIOUS AND INFLAMMATORY DISORDERS OF THE URINARY SYSTEM 1086
Urinary tract infection 1086
Acute pyelonephritis 1091
Chronic pyelonephritis 1093
Urethritis 1093
Urethral diverticula 1093
Interstitial cystitis/painful bladder syndrome 1093
IMMUNOLOGICAL DISORDERS OF THE KIDNEY 1095
Glomerulonephritis 1095
Nephrotic syndrome 1097
OBSTRUCTIVE UROPATHIES 1098
Urinary tract calculi 1099
Strictures 1103
RENAL TRAUMA 1104
RENAL VASCULAR PROBLEMS 1104
Nephrosclerosis 1104
Renal artery stenosis 1104
Renal vein thrombosis 1104
HEREDITARY KIDNEY DISEASES 1105
Polycystic kidney disease 1105
Medullary cystic disease 1106
Alport’s syndrome 1106
URINARY TRACT TUMOURS 1106
Kidney cancer 1106
Bladder cancer 1107
BLADDER DYSFUNCTION 1109
Urinary incontinence 1109
Urinary retention 1114
CATHETERISATION 1114
Indications for and complications of catheterisation 1114
Catheter construction 1115
Types of catheters 1115
SURGERY OF THE URINARY TRACT 1117
Renal and ureteral surgery 1117
Urinary diversion 1117
REVIEW QUESTIONS 1121
REFERENCES 1122
RESOURCES 1122
Chapter 43. NURSING MANAGEMENT: Acute kidney injury and chronic kidney disease 1124
Acute kidney injury 1124
Chronic kidney disease 1130
DIALYSIS 1141
General principles of dialysis 1141
Peritoneal dialysis 1142
Haemodialysis 1144
Continuous renal replacement therapy 1148
Kidney transplantation 1149
REVIEW QUESTIONS 1155
REFERENCES 1156
RESOURCES 1157
Section 10: Problems related to regulatory and reproductive mechanisms 1159
Chapter 44. NURSING ASSESSMENT: Endocrine system 1160
Structures and functions of the endocrine system 1160
Assessment of the endocrine system 1168
Diagnostic studies of the endocrine system 1175
REVIEW QUESTIONS 1180
REFERENCES 1180
RESOURCES 1180
Chapter 45. NURSING MANAGEMENT: Diabetes mellitus 1181
DIABETES MELLITUS 1181
Normal insulin metabolism 1182
Type 1 diabetes mellitus 1183
Type 2 diabetes mellitus 1184
Prediabetes 1185
Gestational diabetes 1185
Secondary diabetes 1185
Glucose-lowering agents 1187
ACUTE COMPLICATIONS OFDIABETES MELLITUS 1207
Diabetic ketoacidosis 1207
Hyperosmolar hyperglycaemic syndrome 1209
Hypoglycaemia 1210
CHRONIC COMPLICATIONS OF DIABETES MELLITUS 1212
Angiopathy 1212
Nephropathy 1214
Neuropathy 1214
Complications of feet and lower extremities 1215
Integumentary complications 1216
Infection 1217
Psychological considerations 1217
REVIEW QUESTIONS 1218
REFERENCES 1219
RESOURCES 1220
Chapter 46. NURSING MANAGEMENT: Endocrine problems 1221
DISORDERS OF THE ANTERIOR PITUITARY GLAND 1221
Acromegaly 1221
Excesses of other trophic hormones 1223
Hypofunction of pituitary gland 1223
DISORDERS OF THE POSTERIOR PITUITARY GLAND 1224
Syndrome of inappropriate antidiuretic hormone 1224
Diabetes insipidus 1225
DISORDERS OF THE THYROID GLAND 1226
Goitre 1227
Thyroiditis 1227
Hyperthyroidism 1228
Hypothyroidism 1233
Thyroid nodules and cancer 1236
Multiple endocrine neoplasia 1236
DISORDERS OF THE PARATHYROID GLANDS 1237
Hyperparathyroidism 1237
Hypoparathyroidism 1238
DISORDERS OF THE ADRENAL CORTEX 1239
Cushing’s syndrome 1239
Adrenocortical insufficiency 1243
Corticosteroid therapy 1245
Hyperaldosteronism 1246
DISORDERS OF THE ADRENAL MEDULLA 1247
Phaeochromocytoma 1247
REVIEW QUESTIONS 1248
REFERENCES 1248
RESOURCES 1249
Chapter 47 URSING ASSESSMENT: Reproductive system 1250
Structures and functions of the male and female reproductive systems 1250
Assessment of male and female reproductive systems 1258
Diagnostic studies of reproductive systems 1266
REVIEW QUESTIONS 1271
REFERENCES 1271
RESOURCES 1271
Chapter 48. NURSING MANAGEMENT: Breast disorders 1272
Assessment of breast disorders 1272
BENIGN BREAST DISORDERS 1274
Mastalgia 1274
Breast infections 1274
Fibrocystic changes 1275
Fibroadenoma 1275
Nipple discharge 1276
Gynaecomastia in men 1276
BREAST CANCER 1276
Culturally competent care 1288
Mammoplasty 1291
REVIEW QUESTIONS 1295
REFERENCES 1296
RESOURCES 1297
Chapter 49. NURSING MANAGEMENT: Sexually transmitted infections 1298
Sexually transmitted infections 1298
BACTERIAL INFECTIONS 1299
Gonorrhoea 1299
Syphilis 1301
Chlamydial infections 1303
Genital warts 1308
REVIEW QUESTIONS 1312
REFERENCES 1313
RESOURCES 1314
Chapter 50. NURSING MANAGEMENT: Female reproductive problems 1315
Infertility 1315
Abortion 1317
PROBLEMS RELATED TO MENSTRUATION 1318
Premenstrual syndrome 1318
Dysmenorrhoea 1319
Abnormal vaginal bleeding 1320
Ectopic pregnancy 1322
Perimenopause and postmenopause 1323
Culturally competent care: Menopause 1325
CONDITIONS OF THE VULVA, VAGINA AND CERVIX 1325
Pelvic inflammatory disease 1327
Chronic pelvic pain 1328
Endometriosis 1329
BENIGN TUMOURS OF THE FEMALE REPRODUCTIVE SYSTEM 1330
Section 11. Problems related to movement and coordination 1375
Chapter 52. NURSING ASSESSMENT: Nervous system 1376
Structures and functions of the nervous system 1376
Assessment of the nervous system 1389
Diagnostic studies of the nervous system 1397
REVIEW QUESTIONS 1402
REFERENCES 1402
RESOURCES 1403
Chapter 53. NURSING MANAGEMENT: Acute intracranial problems 1404
Intracranial pressure 1404
Increased intracranial pressure 1406
Head injury 1416
Brain tumours 1423
Cranial surgery 1427
INFLAMMATORY CONDITIONS OF THE BRAIN 1429
Brain abscess 1429
Bacterial meningitis 1430
Viral meningitis 1432
Encephalitis 1433
Rabies 1433
REVIEW QUESTIONS 1434
REFERENCES 1434
RESOURCES 1435
Chapter 54. NURSING MANAGEMENT: The patient with a stroke 1436
Pathophysiology of stroke 1437
Risk factors for stroke 1438
Types of stroke 1439
REVIEW QUESTIONS 1456
REFERENCES 1457
RESOURCES 1458
Chapter 55. NURSING MANAGEMENT: Chronic neurological problems 1459
HEADACHES 1459
Tension-type headache 1459
Migraine headache 1461
Cluster headache 1461
Other types of headaches 1462
CHRONIC NEUROLOGICAL DISORDERS 1465
Seizure disorders and epilepsy 1465
Restless legs syndrome (RLS) 1473
DEGENERATIVE NEUROLOGICAL DISORDERS 1474
Multiple sclerosis 1474
Parkinson’s disease 1480
Myasthenia gravis 1486
Motor neuron disease 1488
Huntington’s disease 1488
REVIEW QUESTIONS 1490
REFERENCES 1490
RESOURCES 1491
Chapter 56. NURSING MANAGEMENT: Delirium, depression and dementia 1492
Delirium 1492
Depression 1499
Dementia 1500
Alzheimer’s disease (AD) 1503
Other neurodegenerative diseases 1508
REVIEW QUESTIONS 1513
REFERENCES 1514
RESOURCES 1515
Chapter 57. NURSING MANAGEMENT: Peripheral nerve and spinal cord problems 1517
CRANIAL NERVE DISORDERS 1517
Trigeminal neuralgia 1517
Bell’s palsy 1519
POLYNEUROPATHIES 1520
Guillain-Barré syndrome 1520
Botulism 1522
Tetanus 1522
Neurosyphilis 1522
SPINAL CORD PROBLEMS 1522
Spinal cord injury 1522
Spinal cord tumours 1541
Post-polio syndrome 1542
REVIEW QUESTIONS 1543
REFERENCES 1544
RESOURCES 1545
Chapter 58. NURSING ASSESSMENT: Musculoskeletal system 1546
Structures and functions of the musculoskeletal system 1546
Falls and ageing 1550
Assessment of the musculoskeletal system 1551
Diagnostic studies of the musculoskeletal system 1560
REVIEW QUESTIONS 1564
REFERENCES 1565
RESOURCES 1565
Chapter 59. NURSING MANAGEMENT: Musculoskeletal trauma and orthopaedic surgery 1566
SOFT TISSUE INJURIES 1567
Sprains and strains 1567
Dislocation and subluxation 1569
Repetitive strain injury 1570
Carpal tunnel syndrome 1570
Rotator cuff injury 1571
Meniscus injury 1571
Anterior cruciate ligament injury 1572
Bursitis 1572
FRACTURES 1573
COMPLICATIONS OF FRACTURES 1584
Infection 1584
Compartment syndrome 1584
Venous thromboembolism (VTE) 1586
Fat embolism syndrome 1586
TYPES OF FRACTURES 1587
Colles’ fracture 1587
Fracture of humerus 1587
Fracture of pelvis 1587
Fracture of hip 1588
Femoral shaft fracture 1591
Fracture of tibia 1591
Stable vertebral fracture 1591
Facial fracture 1592
Mandibular fracture 1592
Amputation 1593
COMMON JOINT SURGICAL PROCEDURES 1597
Indications for joint surgery 1597
Types of joint surgery 1597
REVIEW QUESTIONS 1601
REFERENCES 1602
RESOURCES 1604
Chapter 60. NURSING MANAGEMENT: Musculoskeletal problems 1605
Osteomyelitis 1605
BONE TUMOURS 1608
Benign bone tumours 1608
Malignant bone tumours 1608
Muscular dystrophy 1611
LOW BACK PAIN 1612
Acute low back pain 1612
Chronic low back pain 1614
Intervertebral disc disease 1615
NECK PAIN 1618
FOOT DISORDERS 1619
METABOLIC BONE DISEASES 1621
Osteomalacia 1621
Osteoporosis 1622
Paget’s disease 1626
Osteogenesis imperfecta 1626
Scheuermann’s disease 1627
REVIEW QUESTIONS 1628
REFERENCES 1628
RESOURCES 1629
Chapter 61. NURSING MANAGEMENT: Arthritis and connective tissue diseases 1630
Osteoarthritis 1630
Rheumatoid arthritis 1638
Gout 1646
Tick-borne disease 1649
Septic arthritis 1649
SPONDYLOARTHROPATHIES 1650
Ankylosing spondylitis 1650
Psoriatic arthritis 1651
Reactive arthritis 1651
Systemic lupus erythematosus 1652
Scleroderma 1657
Polymyositis and dermatomyositis 1659
Mixed (overlapping) connective tissue disease 1660
Sjögren’s syndrome 1660
Myofascial pain syndrome 1661
Fibromyalgia 1661
Chronic fatigue syndrome 1662
REVIEW QUESTIONS 1664
REFERENCES 1664
RESOURCES 1665
Section 12. Nursing care inspecialised settings 1669
Chapter 62. NURSING MANAGEMENT: Critical care environment 1670
Critical care nursing 1670
Culturally competent care: Critical care patients 1675
Haemodynamic monitoring 1676
Circulatory assist devices 1684
Artificial airways 1687
Mechanical ventilation 1692
Other critical care content 1702
REVIEW QUESTIONS 1703
REFERENCES 1703
RESOURCES 1705
Chapter 63. NURSING MANAGEMENT: Shock, systemic inflammatory response syndrome and multiple organ dysfunction syndrome 1706
Shock 1706
Systemic inflammatory response syndrome and multiple organ dysfunction syndrome 1725
REVIEW QUESTIONS 1728
REFERENCES 1729
RESOURCES 1729
Chapter 64. NURSING MANAGEMENT: Respiratory failure and acute respiratory distress syndrome 1730
Acute respiratory failure 1730
Acute respiratory distress syndrome 1743
REVIEW QUESTIONS 1749
REFERENCES 1749
RESOURCES 1750
Chapter 65. NURSING MANAGEMENT: Emergency care situations 1751
Assessment and management of the emergency patient 1751
ENVIRONMENTAL EMERGENCIES 1760
Heat-related emergencies 1760
Cold-related emergencies 1762
Submersion injuries 1764
Stings and bites 1765
Envenomation 1767
Poisonings/toxicology 1771
Major incident and disaster preparedness 1774
REVIEW QUESTIONS 1778
REFERENCES 1778
RESOURCES 1779
Chapter 66. Chronic illness and complex care 1780
Chronic illness 1780
Management of chronic illness 1782
REVIEW QUESTIONS 1792
REFERENCES 1792
RESOURCES 1793
Appendix A: Cardiopulmonary resuscitation and basic life support 1795
Introduction to basic life support 1795
REFERENCES 1799
Appendix B: Nursing diagnoses 1801
Appendix C: Answer key to review questions 1803
Appendix D: Image and text credits 1805
Index 1817