Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume, 6e [Hardcover]

Sharon M. Lewis (Editor), Margaret M. Heitkemper (Editor), Shannon R. Dirksen (Editor)

Book Description

ISBN-10: 0323016103 | ISBN-13: 978-0323016100 | Publication Date: June 20, 2003 | Edition: 6

This book contains solid, research-based content presented in a concise, readable, and consistent format. Special features highlight the content that is most relevant and challenging for today's nursing students, including patient teaching, community and home care, gerontology, cultural and ethnic considerations, collaborative care, nutrition, and critical thinking. Nursing management content is discussed in a unique levels-of-care approach, with separate headings for Health Promotion, Acute Intervention, and Ambulatory and Home Care. More than just a textbook, it is a comprehensive resource with the essential information that students need to prepare for lectures, classroom activities, examinations, clinical assignments, and comprehensive care of patients.

• All content is written and reviewed by leading experts in the field to ensure that information is comprehensive, current, and clinically accurate.
• Extensive gerontologic content identifies age-related changes for each body system and alerts the nurse to differences often encountered in older patients.
• Attractive four-color design and over 1,300 full-color illustrations enhance learning by presenting disease processes and related anatomy and physiology more clearly.
• More than 70 comprehensive nursing care plans are thoroughly updated to incorporate current NANDA diagnoses, defining characteristics, expected outcomes, specific nursing interventions with rationales, evaluation criteria, and collaborative problems.
• Ethical Dilemmas boxes promote critical thinking for timely and sensitive issues that nursing students will face in practice-topics such as informed consent, patient adherence, guardianship, confidentiality, and sterilization.
• More than 70 Patient and Family Teaching Guides provide students with critical information to include in teaching patients about care of conditions and stress points for educating family members when they will be helping to care for the patient.
• Critical Thinking Exercises at the end of each nursing management chapter include Case Studies with Critical Thinking Questions to help students apply information presented and promote critical thinking. Also included are Nursing Research Issues questions to highlight current topics for research and encourage further study.
• Collaborative Management headings and Collaborative Care tables emphasize the importance of total patient care in today's health care settings and provide a clear understanding of each provider's role in managing disorders.
• Multiple-choice Review Questions at the end of each chapter test students' mastery of the content and correspond with learning objectives in the chapter openers.
• Nutritional Therapy tables summarize nutritional interventions and promote healthy lifestyles in patients with various conditions.
• Gerontologic Differences in Assessment and Effects of Aging tables present information about older adults' special needs for nursing care.
• Nursing Research boxes apply research to clinical practice and cover such timely topics such as pain medication adherence, ethnic influences on cancer screening, family-centered focus in lung transplant care, health promotion for women with multiple sclerosis, and caring for battered women in the emergency department.
• Emergency Management tables outline the treatment of health problems most likely to create medical emergencies.
• Common Assessment Abnormalities tables alert the nurse to typically encountered abnormalities.
• Nursing Assessment tables summarize the subjective and objective data for which the nursing student assesses.
• Health History tables present key assessment questions to summarize important assessment parameters.
• Diagnostic Studies tables highlight important information relevant to diagnostic studies.
• Drug Therapy tables pull out medication information in a format that provides easy student reference
• Learning Objectives at the beginning of each chapter help students identify key content

• New chapter on Culturally Competent Care discusses cultural variations affecting health care and key nursing implications to help prepare nurses to interact with the increasingly diverse patient populations entrusted to nursing care.
• New chapter on End-of-Life Care discusses the physical and psychosocial manifestations at the end of life, related legal and ethical issues, palliative care, and the special needs of caregivers.
• New chapter on Nursing Management: Alzheimer's Disease and Dementia covers Alzheimer's disease and other causes of dementia.
• Evidence-Based Practice boxes discuss non-nursing or interdisciplinary research topics.
• Genetics in Clinical Practice boxes cover timely topics such as genetic testing, Alzheimer's disease, sickle cell anemia, and genetics-related ethics issues.
• Complementary and Alternative Therapies boxes summarize what nurses need to know about topics such as various herbal remedies, acupuncture, and biofeedback.
• The accompanying CD-ROM has been expanded and includes: case studies, disorder overviews, interactive learning activities, NCLEX-style review questions, and a comprehensive glossary.
• Selected nursing care plans incorporating NIC (Nursing Interventions Classification) and NOC (Nursing Outcomes Classification) show how NIC and NOC are used in clinical practice.
• Included on the Evolve website are the concept map creator program and sample concept maps to familiarize students these clinical tools which are used by increasing numbers of nursing instructors.
• Chapter 9: Pain has been completely updated and rewritten.
• New chapter on Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery covers sprains, strains, fractures, joint surgery, and other related conditions.
• The Genetics and Altered Immune Responses chapter includes expanded content on genetics and immunosuppressant therapy for transplant patients.
• Key Terms are listed in chapter openers (with page numbers) and bolded where defined in the text narrative.
• The Addictive Behaviors chapter features a more holistic approach and contains expanded content on tobacco abuse and smoking cessation.
• New color photos throughout feature ethnic and cultural diversity.

Editorial Reviews

About the Author

Sharon Mantik Lewis, RN, PhD, FAAN, Professor, School of Nursing and Medicine, University of Texas Health Science Center; Clinical Nurse Scientist, Geriatric Research, Education, and Clinical Center, South Texas Veterans Health Care System, San Antonio, Texas; Margaret McLean Heitkemper, RN, PhD, FAAN, Professor, Biobehavioral Nursing and Health Systems, School of Nursing; Adjunct Professor, Division of Gastroenterology, School of Medicine, University of Washington, Seattle, Washington; and Shannon Ruff Dirksen, RN, PhD, Associate Professor, College of Nursing, Arizona State University, Tempe, Arizona

Product Details

• Hardcover: 2176 pages
• Publisher: Mosby; 6 edition (June 20, 2003)
• Language: English
• ISBN-10: 0323016103
• ISBN-13: 978-0323016100
• Product Dimensions: 11.1 x 8.8 x 2.4 inches
• Shipping Weight: 7.8 pounds
• Average Customer Review: 3.6 out of 5 stars  See all reviews (21 customer reviews)
• Amazon Best Sellers Rank: #326,875 in Books (See Top 100 in Books)

Customer Reviews

Most Helpful Customer Reviews

24 of 24 people found the following review helpful:

5.0 out of 5 stars Very Readable; One of the Best in My Experience, February 27, 2006

By 

Jacob Hantla "hantla.com" (Chandler, AZ United States) - See all my reviews
(TOP 1000 REVIEWER)    (REAL NAME)   

This review is from: Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume, 6e (Hardcover)

I have now in my 3rd semester of using this nursing textbook. I understand the hatred for textbooks in general, but hatred for this textbook specifically is beyond me. In contrast to the many other reviews on Amazon, I have found the book extremely well written. I have likely read every word of over half of this textbook and have found it to be the most helpful of all of those textbooks we have used in the nursing program with the exception of Lehne's Pharmacology text which is exceptional.

I would go so far as to recommend this textbook as a useful tool for a practicing nurse (not a student) to purchase as an at-home reference to read prior to entering a new field of critical care or med-surg nursing or to touch up on areas which have been missed.

The general format of the book is within each body system or area of nursing, first a chapter or two of background information the physiology and pathophysiology of the systems are included. Then nursing functions within that area are presented. First health history and noninvasive physical assessments are discussed, followed by common diagnostic coverage. There are tons of tables and charts which make learning easy.

In summary, I found this book to be one of the most readable and useful of my double-major college experience. Highly recommmended.

http://www.hantla.com/blog/pivot/entry.php?id=234

40 of 46 people found the following review helpful:

2.0 out of 5 stars and thus the nursing students speak. . . ., August 1, 2004

By 

Orestes (Houston, Texas United States) - See all my reviews

This review is from: Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume, 6e (Hardcover)

I just graduated from the second largest nursing school in Texas and we used this textbook for two semesters, (the school has a contract to use only Mosby textbooks). I, along with many of my fellow classmates, hated this textbook for a number of reasons. First, I found the content to be "wordy," confusing, and often times contradictory. The bottom line is that it's a poorly written text. There are grammatical errors throughout the text that made me absolutely cringe and there was not a week that didn't go by that we didn't have to approach our professors asking them "what are they trying to say here?" In fact, some of us were thinking of contacting Mosby publishing and asking them to have a non-medical English professor proof-read the text before publication. It's interesting to note that we found this same problem with other Mosby textbooks: Pediatric, maternity, foundations, etc. The only time we didn't have a problem with the text was when we did our psych rotation. The Mosby Psych text was not ready and so we had to go with another publisher: Saunders, which was far superior to Mosby. In fact, I asked my clinical professor why the school didn't use Saunders and that's when I learned that the school was contracted with Mosby. Damn Politics! I would go as far to say that the main reason I made it through Nursing school was because I went out and bought the Saunders (and Lippincott) textbooks. Anytime I didn't understand what Mosby was trying to say (which was often!) I would refer to Saunders or Lippincott and the light-bulb would always come on. Bottom line: avoid Mosby if you can.

24 of 28 people found the following review helpful:

5.0 out of 5 stars Excellent Medical-Surgical Resource for Nurses, November 24, 2004

By 

Una Catania (Silver Spring, Maryland) - See all my reviews
(REAL NAME)   

This review is from: Medical-Surgical Nursing: Assessment and Management of Clinical Problems, Single Volume, 6e (Hardcover)

It took me almost two months to deeply appreciate this book. I must admit that I disliked the book initially, much like several of the other reviewers listed here. However, after one of my classmates in our Nursing Refresher Course raved about the book's nursing care plans, I took a deeper look at the material and was thrilled by the comprehensiveness and timeliness of the information presented. For example, the chapter on Alzheimer's disease and dementia contained information about diagnostic tests that is often only found in neurology textbooks intended for physicians. When I worked for a neurologist, the only resources I had for very specific diagnostic studies were the Mayo Clinic's diagnostic studies manual and the physician's neurology textbooks, some of which were several years old.

Overall, I believe this book serves as an excellent resource for pathophysiology, diagnostic studies, and nursing care plans. The tables and illustrations are beautiful, user friendly, and highly informative. Each chapter is organized according to the nursing process, which focuses on critical thinking and problem solving.

Don't delay in adding this textbook to your nursing library. This textbook is a great resource for nurses working in hospitals, doctors offices, clinics, wound care, patient education, and public health nursing. There is also an excellent section in the chapter on emergency care situations that covers agents of bioterrorism, which is very useful to nurses working in trauma centers and the military.