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• Cover image
• Title page
• Disclaimer
• Table of Contents
• Copyright
• About the Authors
• Contributors
• Authors of Teaching and Learning Resources
• Preface
• Concept Exemplars
• Special Features
• Reviewers
• Section 1. Concepts in Nursing Practice
• 1. Professional Nursing
• Professional Nursing Practice
• Influences on Professional Nursing Practice
• Patient-Centered Care
• Interprofessional Partnerships
• Safety
• Quality Improvement
• Informatics
• Evidence-Based Practice
• 2. Social Determinants of Health
• Social Determinants of Health
• Health Disparities and Health Equity
• Culture
• Cultural Competence
• Cultural Factors Affecting Health and Health Care
• Nursing Management: Social Determinants of Health and Culturally Competent Care
• 3. Health History and Physical Examination
• Data Collection
• Nursing History: Subjective Data
• Physical Examination: Objective Data
• Types of Assessment
• 4. Patient and Caregiver Teaching
• Role of Patient and Caregiver Teaching
• Teaching-Learning Process
• Process of Patient Teaching
• 5. Chronic Illness and Older Adults
• Chronic Illness
• Older Adults
• 6. Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and Gender Diverse Patients
• Biologic Sex, Gender Identity, and Sexual Orientation
• LGBTQ+ Health Inequities
• Gerontologic Considerations
• Establishing Inclusive Environments
• Preventive Health
• Gender Affirmation Therapy
• Nursing Management: Gender Affirming Surgery
• Section 2. Problems Related to Comfort and Coping
• 7. Stress Management
• What is stress?
• Physiologic Response to Stress
• Mind-Body-Spirit Connection
• Effects of Stress on Health
• Coping Strategies
• Relaxation Strategies
• Nursing Management: Stress
• 8. Sleep and Sleep Disorders
• Sleep
• Insufficient Sleep and Sleep Disturbances
• Sleep Disorders
• 9. Pain
• Extent of Pain Problem
• Definitions and Dimensions of Pain
• Classification of Pain
• Pain Assessment
• Pain Treatment
• Nursing and Interprofessional Management: Pain
• Institutionalizing Pain Education and Management
• Managing Pain in Special Populations
• 10. Palliative and End-of-Life Care
• Palliative Care
• Hospice Care
• Domains of Palliative Care
• Death
• Nursing Management: End of Life
• Special Needs of Caregivers and Nurses in End-of-Life Care
• 11. Substance Use Disorders in Acute Care
• Drugs Associated With Substance use Disorder
• Use of Other Substances
• Section 3. Problems Related to Homeostasis and Protection
• 12. Inflammation and Healing
• Inflammatory Response
• Nursing Management: Inflammation
• Healing Process
• Nursing and Interprofessional Management: Wound Healing
• Pressure Injuries
• Nursing Management: Pressure Injuries
• 13. Genetics
• Genetics and Genomics
• Genetic Disorders
• Genetic Screening and Testing
• Pharmacogenomics and Pharmacogenetics
• Gene Therapy
• Stem Cell Therapy
• Nursing Management: Genetics and Genomics
• 14. Immune Responses and Transplantation
• Normal Immune Response
• Altered Immune Response
• Allergic Disorders
• Nursing Management: Immunotherapy
• Nursing Management: Latex Allergies
• Autoimmunity
• Immunodeficiency Disorders
• Human Leukocyte Antigen System
• Organ Transplantation
• Graft-Versus-Host Disease
• 15. Infection
• Infections
• COVID-19
• Human Immunodeficiency Virus Infection
• 16. Cancer
• Biology of Cancer
• Benign Versus Malignant Neoplasms
• Classification of Cancer
• Prevention and Detection of Cancer
• Interprofessional Care
• Complications of Cancer
• 17. Fluid, Electrolyte, and Acid-Base Imbalances
• Water Content of the Body
• Electrolytes
• Mechanisms Controlling Fluid and Electrolyte Movement
• Fluid Movement in Capillaries
• Fluid Spacing
• Regulation of Water Balance
• Fluid Volume Imbalances
• Sodium Imbalances
• Potassium Imbalances
• Calcium Imbalances
• Phosphate Imbalances
• Magnesium Imbalances
• Acid-Base Imbalances
• Section 4. Perioperative and Emergency Care
• 18. Preoperative Care
• Surgical Settings
• Patient Interview
• Assessment of Preoperative Patient
• Nursing Management: Preoperative Patient
• 19. Intraoperative Care
• Physical Environment of the Operating Room
• Surgical Team
• Nursing Management: Patient Before Surgery
• Nursing Management: Patient During Surgery
• Management: Patient After Surgery
• Anesthesia
• 20. Postoperative Care
• Postoperative Care of Surgical Patient
• Respiratory Problems
• Nursing Management: Respiratory Problems
• Cardiovascular Problems
• Nursing Management: Cardiovascular Problems
• Neurologic and Psychologic Problems
• Nursing Management: Neurologic and Psychologic Problems
• Pain and Discomfort
• Nursing Management: Pain
• Temperature Changes
• Nursing Management: Temperature Changes
• Gastrointestinal Problems
• Nursing Management: Gastrointestinal Problems
• Urinary Problems
• Nursing Management: Urinary Problems
• Skin Problems
• Nursing Management: Surgical Wounds
• Discharge From The Pacu
• Ambulatory Surgery
• 21. Emergency and Disaster Nursing
• Care of Emergency Patient
• Environmental Emergencies
• Section 5. Problems Related to Altered Sensory Input
• 22. Assessment and Management: Visual Problems
• Structures and Functions of Visual System
• Visual Pathway
• Assessment of Visual System
• Diagnostic Studies of Visual System
• Vision Problems
• Visual Impairment
• Nursing Management: Visual Impairment
• Eye Trauma
• Extraocular Inflammation And Infection
• Nursing Management: Inflammation and Infection
• Dry Eye Disorders
• Strabismus
• Corneal Disorders
• Intraocular Disorders
• Nursing Management: Cataracts
• Retinopathy
• Retinal Detachment
• Age-Related Macular Degeneration
• Glaucoma
• Nursing Management: Glaucoma
• Intraocular Inflammation and Infection
• Ocular Tumors
• Enucleation
• 23. Assessment and Management: Auditory Problems
• Auditory System
• External Ear And Canal Problems
• Middle Ear and Mastoid Problems
• Inner Ear Problems
• 24. Assessment: Integumentary System
• Structures and Functions of Skin and Appendages
• Assessment of Integumentary System
• Diagnostic Studies of Integumentary System
• 25. Integumentary Problems
• Environmental Hazards
• Skin Cancer
• Nonmelanoma Skin Cancer
• Melanoma
• Skin Infections and Infestations
• Allergic Skin Problems
• Benign Skin Problems
• Interprofessional Care: Skin Problems
• Nursing Management: Skin Problems
• Cosmetic Procedures
• Nursing Management: Cosmetic Surgery
• Skin Grafts
• 26. Burns
• Types of Burn Injury
• Classification of Burn Injury
• Prehospital and Emergency Care
• Phases of Burn Management
• Section 6. Problems of Oxygenation: Ventilation
• 27. Assessment: Respiratory System
• Structures and Functions of Respiratory System
• Assessment of Respiratory System
• Diagnostic Studies of Respiratory System
• 28. Supporting Ventilation
• Respiratory Physiotherapy
• O2 Therapy
• Nursing Management: O2 Therapy
• Artificial Airways
• Procedures to Support Ventilation
• Nursing management: Chest drainage
• Noninvasive Ventilation
• Nursing management: Noninvasive ventilation
• Mechanical Ventilation
• Tracheostomy
• Nursing Management: Patient With a Tracheostomy
• 29. Upper Respiratory Problems
• Nasal and Paranasal Sinus Problems
• Upper Respiratory Infections
• Pharyngeal Problems
• Laryngeal and Tracheal Problems
• 30. Lower Respiratory Problems
• Lower Respiratory Tract Infections
• Restrictive Respiratory Disorders
• Interstitial Lung Diseases
• Chest Trauma And Thoracic Injuries
• Vascular Lung Disorders
• Pulmonary Hypertension
• 31. Obstructive Pulmonary Diseases
• Bronchiectasis
• Interprofessional Care
• Nursing Management: Bronchiectasis
• Cystic Fibrosis
• Nursing Management: Cystic Fibrosis
• Asthma
• Nursing Management: Asthma
• Chronic Obstructive Pulmonary Disease
• Nursing Management: COPD
• 32. Acute Respiratory Failure and Acute Respiratory Distress Syndrome
• Acute Respiratory Failure
• Nursing and Interprofessional Management: ARF
• Acute Respiratory Distress Syndrome
• Nursing And Interprofessional Management: ARDS
• Section 7. Problems of Oxygenation: Transport
• 33. Assessment: Hematologic System
• Structures and Functions of Hematologic System
• Assessment of Hematologic System
• Diagnostic Studies of Hematologic System
• 34. Hematologic Problems
• Anemia
• Nursing and Interprofessional Management: Anemia
• Anemia Caused by Decreased RBC Production
• Megaloblastic Anemias
• Anemia Caused by Blood Loss
• Anemia Caused by Increased RBC Destruction
• Other Red Blood Cell Disorders
• Problems of Hemostasis
• Lymphomas
• Section 8. Problems of Oxygenation: Perfusion
• 35. Assessment: Cardiovascular System
• Structures and Functions of Cardiovascular System
• Assessment of Cardiovascular System
• Hemodynamic Monitoring
• Nursing Management: Hemodynamic Monitoring
• Diagnostic Studies of Cardiovascular System
• 36. Hypertension
• Normal Regulation of Blood Pressure
• Hypertension
• Nursing Management: Primary Hypertension
• Hypertensive Crisis
• 37. Coronary Artery Disease and Acute Coronary Syndrome
• Coronary Artery Disease
• Interprofessional and Nursing MANAGEMENT: Coronary Artery Disease
• Chronic Stable Angina
• Interprofessional and Nursing Care: Chronic Stable Angina
• Acute Coronary Syndrome
• Unstable Angina
• St-Elevation and Non–St-Elevation Myocardial Infarction
• Interprofessional Care: Acute Coronary Syndrome
• Nursing Management: Acute Coronary Syndrome
• Sudden Cardiac Death
• 38. Heart Failure
• Heart Failure
• Nursing Management: Heart Failure
• Mechanical Circulatory Support Devices
• Nursing and Interprofessional Management: Mechanical Circulatory Support
• Heart Transplantation
• 39. Dysrhythmias
• Rhythm Identification and Treatment
• Interprofessional and Nursing Management: Dysrhythmias
• Syncope
• 40. Inflammatory and Structural Heart Disorders
• Inflammatory Heart Disorders
• Valvular Heart Disease
• Cardiomyopathy
• 41. Vascular Disorders
• Peripheral Artery Disease
• Aortic Aneurysms
• Acute and Chronic Venous Disorders
• 42. Shock, Sepsis, and Multiple Organ Dysfunction Syndrome
• Shock
• Nursing Management: Shock
• Systemic Inflammatory Response Syndrome and Multiple Organ Dysfunction Syndrome
• Nursing and Interprofessional Management: Sirs and Mods
• Section 9. Problems of Ingestion, Digestion, Absorption, and Elimination
• 43. Assessment: Gastrointestinal System
• Structures and Functions of Gastrointestinal System
• Assessment of Gastrointestinal System
• Diagnostic Studies of Gastrointestinal System
• 44. Nutrition Problems
• Nutrition Problems
• Normal Nutrition
• Vegetarian Diet
• Malnutrition
• Nursing and Interprofessional Management: Malnutrition
• Specialized Nutrition Support
• Nursing Management: Parenteral Nutrition
• Eating Disorders
• 45. Obesity
• Obesity
• Health risks Associated With Obesity
• Nursing and Interprofessional Management: Obesity
• Bariatric Surgery
• Nursing Management: Perioperative Care of the Patient With Obesity
• Cosmetic Surgery
• Metabolic Syndrome
• Nursing and Interprofessional Management: Metabolic Syndrome
• 46. Upper Gastrointestinal Problems
• Nausea and Vomiting
• Nursing Management: Nausea and Vomiting
• Oral Inflammation and Infections
• Oral Cancer
• Nursing Management: Oral Cancer
• Esophageal PROBLEMS
• Stomach and Upper Small Intestine PROBLEMS
• 47. Lower Gastrointestinal Problems
• Diarrhea
• Nursing Management: Acute Infectious Diarrhea
• Fecal Incontinence
• Nursing Management: Fecal Incontinence
• Constipation
• Nursing Management: Constipation
• Acute Abdominal Pain and Laparotomy
• Nursing Management: Acute Abdominal Pain
• Abdominal Trauma
• Chronic Abdominal Pain
• Inflammatory Disorders
• Malabsorption Syndrome
• Anorectal Problems
• 48. Liver, Biliary Tract, and Pancreas Problems
• Liver Problems
• Pancreas Problems
• Biliary Tract Problems
• Section 10. Problems of Urinary Function
• 49. Assessment: Urinary System
• Structures and Functions of Urinary System
• Assessment of Urinary System
• Diagnostic Studies of Urinary System
• 50. Renal and Urologic Problems
• Infectious and Inflammatory Urinary Problems
• Immunologic Kidney Problems
• Obstructive Uropathies
• Renal Vascular Problems
• Hereditary Kidney Diseases
• Urinary Tract Tumors
• Bladder Dysfunction
• Catheterization
• Urinary Tract Surgery
• 51. Acute Kidney Injury and Chronic Kidney Disease
• Acute Kidney Injury
• Nursing Management: Acute Kidney Injury
• Chronic Kidney Disease
• Nursing Management: Chronic Kidney Disease
• Dialysis
• Section 11. Problems Related to Regulatory and Reproductive Mechanisms
• 52. Assessment: Endocrine System
• Structures and Functions of Endocrine System
• Assessment of Endocrine System
• Diagnostic Studies of Endocrine System
• 53. Diabetes
• Diabetes
• Nursing Management: Diabetes
• Acute Complications of Diabetes
• Chronic Complications Associated With Diabetes
• 54. Endocrine Problems
• Anterior Pituitary Gland Problems
• Posterior Pituitary Gland Problems
• Thyroid Gland Problems
• Parathyroid Gland Problems
• Adrenal Cortex Problems
• Adrenal Medulla Problems
• 55. Assessment: Reproductive System
• Structures and Functions of Male and Female Reproductive Systems
• Assessment of Male and Female Reproductive Systems
• Diagnostic Studies of Reproductive Systems
• 56. Breast Problems
• Assessment of Breast Problems
• Benign Breast Problems
• Breast Cancer
• 57. Sexually Transmitted Infections
• Factors Affecting Incidence Of STIs
• STIs Characterized by Discharge, Cervicitis, or Urethritis
• STIs Characterized by Genital Lesions or Ulcers
• 58. Female Reproductive Problems
• Infertility
• Pregnancy Loss
• Ectopic Pregnancy
• Problems Related to Menstruation
• Female Reproductive System Cancers
• 59. Male Reproductive Problems
• Problems of the Prostate Gland
• Problems of the Penis
• Problems of Scrotum and Testes
• Sexual Function
• Section 12. Problems Related to Movement and Coordination
• 60. Assessment: Nervous System
• Structures and Functions of Nervous System
• Assessment of Nervous System
• Diagnostic Studies of Nervous System
• 61. Acute Intracranial Problems
• Intracranial Regulation
• Increased Intracranial Pressure
• Nursing Management: Increased Intracranial Pressure
• Head Injury
• Nursing Management: Head Injury
• Brain Tumors
• Nursing Management: Brain Tumors
• Cranial Surgery
• Nursing Management: Cranial Surgery
• Inflammatory Conditions of the Brain
• 62. Stroke
• Pathophysiology of Stroke
• Risk Factors For Stroke
• Types of Stroke
• Clinical Manifestations
• Diagnostic Studies
• Interprofessional Care
• Nursing Management: Stroke
• 63. Chronic Neurologic Problems
• Headaches
• Degenerative Neurologic Disorders
• 64. Dementia and Delirium
• Dementia
• Delirium
• 65. Spinal Cord and Peripheral Nerve Problems
• Spinal Cord Problems
• Cranial Nerve Disorders
• Polyneuropathies
• 66. Assessment: Musculoskeletal System
• Structures and Functions of Musculoskeletal System
• Assessment of Musculoskeletal System
• Diagnostic Studies of Musculoskeletal System
• 67. Musculoskeletal Trauma and Orthopedic Surgery
• Health Promotion
• Soft Tissue Injuries
• Types of Fractures
• Common Joint Surgeries
• 68. Musculoskeletal Problems
• Osteomyelitis
• Nursing Management: Osteomyelitis
• Bone Tumors
• Low Back Pain
• Metabolic Bone Diseases
• 69. Arthritis and Connective Tissue Diseases
• Arthritis
• Spondyloarthropathies
• Appendix. Basic Life Support for Health Care Providers
• AppendixB. Clinical Problems With Definitions
• AppendixC. Laboratory Reference Intervals
• Index
• Abbreviations