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Alexander's Nursing Practice E-Book

Alexander's Nursing Practice E-Book

Chris Brooker | Maggie Nicol | Margaret F. Alexander

(2011)

Additional Information

Book Details

Abstract

The most comprehensive UK Adult Nursing core text, now in its fourth edition, for the next generation of nurses…

This best-selling textbook has been fully revised by a team of experienced nurses for nurses focusing on the issues that are important to them. It provides a comprehensive source of the knowledge and skills required for competent, evidence-based nursing practice. High quality nursing care is patient-centred, knowledgeable and based on the best available evidence. This book will help you to achieve that.

  • Key nursing issues summarise each chapter and enable you to check your understanding

  • Interactive Reflection and Evidence-based practice boxes help make links between theory and practice

  • A Reflection and Learning feature in each chapter to help you consider your learning and professional development and how you can use it to enhance patient/client care
  • Now in full colour
  • A customisable electronic version of the book, which makes searching for information easy and accessible
  • An exciting companion website including:

    • Self-test quiz questions with full explanations with the answers
    • Critical-thinking questions with outline answers
    • Full colour photographs, diagrams, tables and care plans
    • Hyper-linked references

    • All the images from the book

  • Increased prominence of nursing and health promotion

Table of Contents

Section Title Page Action Price
Front Cover Cover
Alexander’s Nursing Practice iii
Copyright iv
Contents v
Contributors vii
Preface xi
Foreword xiii
Acknowledgements xv
Chapter 1: Nursing practice - the essence of caring 1
Introduction 1
Section 1: Care of patients with common disorders 7
Chapter 2: Nursing patients with cardiovascular disorders 9
Introduction 9
Anatomy and physiology of the heart 10
Anatomy and physiology of the blood vessels 13
Atherosclerosis 14
Ischaemia 15
Risk factors for cardiovascular disease 15
Coronary heart disease 15
Acute coronary syndrome 20
Arrhythmias 28
Heart block 30
Heart failure 32
Pericardial disease 35
Myocarditis 35
Infective endocarditis 35
Valvular disorders 36
Hypertension 38
Aortic aneurysm 40
Peripheral vascular disease 42
Summary: Key Nursing Issues 47
Reflection and Learning - What Next? 47
References xiv
Section 2: Core nursing issues 497
Chapter 16: Infection prevention and control 499
Introduction 499
An overview of the problems with and management of health care associated infection and infectious diseases 499
Specific infection prevention measures 507
Other areas of practice that relate to infection prevention and control 514
Infection prevention and control measures at home 515
Summary: Key Nursing Issues 515
Reflection and Learning - What Next? 515
References 515
Further Reading 516
Useful Websites 516
Chapter 17: Stress and anxiety 519
Introduction 519
Physiological responses to stress 520
Models of stress 523
Stress and disease 525
Psychosomatic problems 525
Coping 528
Management of stress 528
Summary: Key Nursing Issues 532
Reflection and Learning - What Next? 532
References 532
Further Reading 533
Useful Websites 533
Chapter 18: Recognising and managing shock 535
Introduction 535
The pathophysiology of shock 535
Types of shock 538
General principles of the management and treatment of shock 541
Monitoring the patient in shock 546
Summary: Key Nursing Issues 549
Reflection and Learning - What Next? 549
References 549
Further Reading 550
Chapter 19: Pain management 551
Introduction 551
Defining pain: competing perspectives 552
Theories of pain 553
Pain physiology and functional anatomy - an overview 554
Classification of Types of Pain 555
Acute pain 555
Chronic pain 557
Nociceptive pain 558
Neuropathic pain 558
Key Concepts 559
Pain threshold 559
Pain tolerance 559
Pain myths 559
Individual differences in pain perception 560
Management of Pain 561
Pain assessment 561
Pain measurement 561
Clinical governance in pain management 570
Summary: Key Nursing Issues 571
Reflection and Learning - What Next? 571
References 571
Further Reading 573
Useful Websites 573
Chapter 20: Maintaining fluid, electrolyte and acid-base balance 575
Introduction 575
Fluid in the body 576
Electrolytes in the body 576
Water and electrolyte homeostasis 577
Fluid and electrolyte disturbances 579
Maintaining acid-base balance 583
Problems associated with fluid and electrolyte imbalance 590
Summary: Key Nursing Issues 591
Reflection and Learning - What Next? 592
References 592
Further Reading 592
Useful Websites 593
Chapter 21: Nutrition and health 595
Introduction 595
Principles of nutritional science 596
Public health nutrition 599
Nutritional screening and assessment 600
Nutritional Intervention 602
Enhancing nutritional intake 604
Enteral feeding by tube 606
Parenteral nutrition 609
Evaluation 613
The Nutrition Support Team and the Nutrition Nurse Specialist 613
Future directions in nutritional care 613
Summary: Key Nursing Issues 613
Reflection and Learning - What Next? 613
References 614
Further Reading 615
Useful Websites 615
Chapter 22: Maintaining body temperature 617
Introduction 617
Normal body temperature 617
Regulation of body temperature 618
Fluctuations in a healthy person's temperature 620
The measurement of body temperature 623
Disturbances in temperature regulation 625
Summary: Key Nursing Issues 629
Reflection and Learning - What Next? 629
References 629
Further Reading 630
Chapter 23: Tissue viability and managing chronic wounds 633
Introduction 633
Wound definition, types and classification 633
Physiology of wound healing 634
Factors that adversely affect healing 636
Wound infection 638
Specific wound types 646
Sutured wounds 653
Traumatic wounds 653
Malignant wounds 653
Summary: Key Nursing Issues 655
Reflection and Learning - What Next? 655
References 655
Further Reading 656
Useful Websites 656
Chapter 24: Maintaining continence 657
Introduction 657
Continence 658
Incontinence 659
Urinary incontinence 659
Faecal incontinence 660
Epidemiology of incontinence - prevalence studies 660
Sociological factors in underreporting of incontinence 661
Factors contributing to incontinence 662
Medical management 663
Assessment 666
Planning care strategies for promoting continence: an overview 666
Managing symptoms related to conditions that exacerbate incontinence 670
Referring patients 671
Continence advisory services 671
Aids and equipment 671
Long-term catheterisation 672
Relationships - expressing sexuality 672
Summary: Key Nursing Issues 673
Reflection and Learning - What Next? 673
References 673
Further Reading 674
Useful Websites 674
Chapter 25: Promoting sleep 675
Introduction 675
What is sleep? 675
Functions of sleep 676
Normal sleep 677
Common sleep disorders 681
The effects of sleep deprivation 682
Helping patients to sleep 683
Treatments for insomnia 683
Summary: Key Nursing Issues 684
Reflection and Learning - What Next? 685
References 685
Further Reading 686
Useful Websites 686
Section 3: Nursing specific patient groups 687
Chapter 26: Nursing the patient undergoing surgery 689
Introduction 689
Pre-surgical care 690
Informed decision making 691
Pre-operative preparation 693
Peri-operative safety 700
Postoperative care 704
Discharge planning 715
Rehabilitation 716
Summary: Key Nursing Issues 716
Reflection and Learning - What Next? 716
References 716
Further Reading 720
Useful Websites 720
Chapter 27: Nursing the patient who experiences trauma 721
Introduction 721
Trauma: epidemiology and the need for injury prevention 722
Mechanism of injury 722
Death following trauma 722
Disability 723
Pre-hospital care 723
Emergency Department 723
Definitive care 728
Psychological care 729
Organ and tissue donation following trauma death 731
Staff stress and grief 731
Medico-legal aspects of trauma care 732
Aggressive situations 732
Mass casualty trauma care: major incidents 733
Summary: Key Nursing Issues 734
Reflection and Learning - What Next? 734
References 734
Further Reading 735
Useful Websites 735
Chapter 28: Nursing the unconscious patient 737
Introduction 737
Anatomical and physiological basis for consciousness 737
States of impaired consciousness 739
Assessment of the nervous system 741
Causes of unconsciousness 745
Emergency care of the unconscious patient 745
Nursing management of the unconscious patient 748
Summary: Key Nursing Issues 754
Reflection and Learning - What Next? 754
References 755
Useful Websites 756
Chapter 29: Nursing the critically ill patient 757
Introduction 757
Patient safety 758
Meeting the Physical Needs of the Critically Ill Patient 758
Respiratory needs and care 758
Cardiovascular care 762
Renal care and fluid balance 763
Neurological care 765
Sedation and pain management 767
Nutritional and gastrointestinal care 768
Hygiene, mobility and wound care 769
Meeting the psychosocial, cultural and spiritual needs of the critically ill patient 770
Summary: Key Nursing Issues 771
Reflection and Learning - What Next? 771
References 771
Further Reading 772
Useful Websites 772
Chapter 30: Nursing the patient with burn injury 773
Introduction 773
Prevention of burn injuries 773
First aid treatment of burns 774
Assessing the severity of burn injuries 775
The patient with extensive burns 779
The burn wound 782
Psychological effects of burn injuries 785
Summary: Key Nursing Issues 786
Reflection and Learning - What Next? 786
References 786
Further Reading 787
Useful Websites 787
Chapter 31: Nursing the patient with cancer 789
Introduction 789
Medical intervention and the nurse's role 797
Summary: Key Nursing Issues 819
Reflection and Learning - What Next? 819
References 819
Further Reading 821
Useful Websites 822
Chapter 32: Care and rehabilitation of people with long-term conditions 823
Introduction 823
What is a long-term condition? 823
Social perceptions of long-term conditions and disability 825
How prevalent are long-term conditions and disability? 826
Features of living with long-term conditions 828
Applying the Roper-Logan-Tierney model using the nursing process 843
Summary: Key Nursing Issues 846
Reflection and Learning - What Next? 847
References 847
Further Reading 849
Useful Websites 849
Chapter 33: Nursing patients who need palliative care 851
Introduction 851
What is palliative care? 851
The palliative care approach in practice 854
Summary: Key Nursing Issues 866
Reflection and Learning - What Next? 866
References 866
Further Reading 867
Useful Websites 868
Chapter 34: Nursing older adults 869
Introduction 869
What happens when we age? 870
Working with older people 871
Summary: Key Nursing Issues 879
Reflection and Learning - What Next? 879
References 879
Further Reading 881
Useful Websites 881
Chapter 35: Nursing patients with sexually transmitted infections and HIV/AIDS 883
Introduction 883
Parasitical infections 885
Bacterial sexually acquired infection 887
Viral sexually acquired infections 891
Acquired immune deficiency syndrome (AIDS) 896
Summary: Key Nursing Issues 907
Reflection and Learning - What Next? 908
References 908
Further Reading 910
Useful Websites and Helpline 910
Appendix – normal values 911
Notes on International system of units/Système International (SI) units 911
Reference ranges 912
Glossary 917
Reference 928
Index 929