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Medical-Surgical Nursing
Concepts for Interprofessional Collaborative Care
- 10th Edition - October 1, 2020
- Authors: Donna D. Ignatavicius, M. Linda Workman, Cherie R. Rebar, Nicole M. Heimgartner
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 6 1 2 4 1 - 8
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 7 4 9 7 8 - 7
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 6 5 4 0 4 - 3
Master the essential medical-surgical nursing content you’ll need for success on the Next Generation NCLEX® Exam (NGN) and safe clinical practice! Medical-Surgical Nursing: Concept… Read more
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Request a sales quoteMaster the essential medical-surgical nursing content you’ll need for success on the Next Generation NCLEX® Exam (NGN) and safe clinical practice! Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 10th Edition uses a conceptual approach to provide adult health knowledge and help you develop the clinical nursing judgment skills that today’s medical-surgical nurses need to deliver safe, effective care. "Iggy" emphasizes three emerging trends in nursing — interprofessional collaborative care, concept-based learning, and clinical judgment and systems thinking — trends that will ground you in how to think like a nurse and how to apply your knowledge in the classroom, simulation laboratory, and clinical settings. A perennial bestseller, "Iggy" also features NCLEX Exam-style Challenge and Mastery questions to prepare you for success on the NGN!
- Consistent use of interprofessional terminology promotes interprofessional collaboration through the use of a common healthcare language, instead of using isolated nursing-specific diagnostic language.
- UNIQUE! Enhanced conceptual approach to learning integrates nursing concepts and exemplars, providing a foundation in professional nursing concepts and health and illness concepts, and showing their application in each chapter.
- Unparalleled emphasis on clinical reasoning and clinical judgment helps you develop these vital skills when applying concepts to clinical situations.
- Emphasis on QSEN and patient safety focuses on safety and evidence-based practice with Nursing Safety Priority boxes, including Drug Alert, Critical Rescue, and Action Alert boxes.
- Direct, easy-to-read writing style features concise sentences and straightforward vocabulary.
- Emphasis on health promotion and community-based care reflects the reality that most adult health care takes place in environments outside of high-acuity (hospital) settings.
- Instructions for online access
- Cover image
- Title page
- Table of Contents
- Priority Concept Exemplars
- Front Matter
- Copyright
- Contributors
- Reviewers
- Preface
- Dedication
- About the Authors
- Acknowledgments
- Guide to Special Features
- UNIT I. Concepts for Medical-Surgical Nursing
- 1. Overview of Professional Nursing Concepts for Medical-Surgical Nursing
- Quality and Safety Education for Nurses’ Competencies
- Patient-Centered Care
- Safety
- Teamwork and Collaboration
- Evidence-Based Practice
- Quality Improvement
- Informatics
- Clinical Judgment
- Ethics
- Health Care Disparities
- 2. Clinical Judgment and Systems Thinking
- Overview
- Health Care Concepts
- Individual Patient Care: Critical Thinking, Clinical Reasoning, and Decision Making
- Individual Patient Care: Clinical Judgment
- The Health Care System: Environment of Care
- The Health Care System: Role of the Interprofessional Health care Team
- The Need for Systems Thinking
- Moving from Clinical Judgment to Systems Thinking
- 3. Overview of Health Concepts for Medical-Surgical Nursing
- Acid-Base Balance
- Cellular Regulation
- Clotting
- Cognition
- Comfort
- Elimination
- Fluid and Electrolyte Balance
- Gas Exchange
- Glucose Regulation
- Immunity
- Infection
- Inflammation
- Mobility
- Nutrition
- Pain
- Perfusion
- Sensory Perception
- Sexuality
- Tissue Integrity
- 4. Common Health Problems of Older Adults
- Overview
- Health Issues for Older Adults in Community-Based Settings
- Health Issues for Older Adults in Hospitals and Long-Term Care Settings
- Care Coordination and Transition Management
- 5. Assessment and Concepts of Care for Patients With Pain
- Overview of Pain
- 6. Concepts of Genetics and Genomics
- Overview
- Genetic Biology Review
- Patterns of Inheritance
- Genetic/Genomic Testing
- The Role of the Medical-Surgical Nurse in Genetic Counseling
- Gene Therapy
- 7. Concepts of Rehabilitation for Chronic and Disabling Health Problems
- Overview
- 8. Concepts of Care for Patients at End of Life
- Overview of Death, Dying, and End of Life
- Comfort Concept Exemplar: End of Life
- Ethics and Dying
- 9. Concepts of Care for Perioperative Patients
- Surgery Overview
- Preoperative Phase
- Postoperative Phase
- UNIT II. Concepts of Emergency Care and Disaster Preparedness
- 10. Concepts of Emergency and Trauma Nursing
- The Emergency Department Environment of Care
- Staff and Patient Safety Considerations
- Scope of Emergency Nursing Practice
- Emergency Nursing Principles
- Trauma Nursing Principles
- 11. Concepts of Care for Patients With Common Environmental Emergencies
- Heat-Related Illnesses
- Heat Exhaustion
- Heat Stroke
- Snakebites and Arthropod Bites and Stings
- Lightning Injuries
- Cold-Related Injuries
- Hypothermia
- Frostbite
- Altitude-Related Illnesses
- Drowning
- 12. Concepts of Disaster Preparedness
- Types of Disasters
- Impact of External Disasters
- Emergency Preparedness and Response
- Event Resolution and Debriefing
- Role of Nursing in Community Emergency Preparedness and Response
- Psychosocial Response of Survivors to Mass Casualty Events
- UNIT III. Interprofessional Collaboration for Patients With Problems of Fluid, Electrolyte, and Acid-Base Balance
- 13. Concepts of Fluid and Electrolyte Balance
- Anatomy and Physiology Review
- Fluid and Electrolyte Balance
- Fluid and Electrolyte Balance Concept Exemplar: Dehydration
- Fluid Overload
- Sodium Imbalance: Hyponatremia
- Sodium Imbalance: Hypernatremia
- Potassium Imbalance: Hypokalemia
- Potassium Imbalance: Hyperkalemia
- Calcium Imbalance: Hypocalcemia
- Calcium Imbalance: Hypercalcemia
- Magnesium Imbalance: Hypomagnesemia
- Magnesium Imbalance: Hypermagnesemia
- 14. Concepts of Acid-Base Balance
- Maintaining Acid-Base Balance
- Acid-Base Chemistry
- Body Fluid Chemistry
- Acid-Base Regulatory Actions and Mechanisms
- Acid-Base Imbalances
- Acid-Base Balance Concept Exemplar: Acidosis
- Alkalosis
- 15. Concepts of Infusion Therapy
- Overview
- Peripheral Intravenous Therapy
- Central Intravenous Therapy
- Infusion Systems
- Nursing Care For Patients Receiving Intravenous Therapy
- Complications of Intravenous Therapy
- Intravenous Therapy and Care of the Older Adult
- Subcutaneous Infusion Therapy
- Intraosseous Infusion Therapy
- Intra-Arterial Infusion Therapy
- Intraperitoneal Infusion Therapy
- Intraspinal Infusion Therapy
- UNIT IV. Interprofessional Collaboration for Patients With Problems of Immunity
- 16. Concepts of Inflammation and Immunity
- Overview
- General Immunity: Inflammation
- Adaptive Immunity
- 17. Concepts of Care for Patients With HIV Disease
- Immunity Concept Exemplar: HIV Infection And Aids (HIV-III)
- 18. Concepts of Care for Patients With Hypersensitivity (Allergy) and Autoimmunity
- Hypersensitivities/Allergies
- Types of Hypersensitivity Reactions
- Angioedema
- Anaphylaxis
- General Autoimmunity
- Immunity Concept Exemplar: Systemic Lupus Erythematosus
- Lyme Disease
- 19. Concepts of Cancer Development
- Pathophysiology Review
- Cancer Development
- Health Promotion: Cancer Prevention
- 20. Concepts of Care for Patients With Cancer
- Impact of Cancer on Physical Function
- Impaired Immunity and Clotting
- Altered GI Function
- Altered Peripheral Nerve Function
- Motor and Sensory Deficits
- Altered Respiratory and Cardiac Function
- Cancer Pain and Quality of Life
- Cancer Management
- Surgery
- Radiation Therapy
- Cytotoxic Systemic Therapy
- Oncologic Emergencies
- Sepsis and Disseminated Intravascular Coagulation
- Syndrome of Inappropriate Antidiuretic Hormone
- Spinal Cord Compression
- Hypercalcemia
- Superior Vena Cava Syndrome
- Tumor Lysis Syndrome
- Survivorship
- 21. Concepts of Care for Patients With Infection
- Infection
- Antimicrobial Resistance
- Occupational and Environmental Exposure to Sources of Infection
- Emerging Infectious Diseases and Bioterrorism
- Problems Resulting from Inadequate Antimicrobial Therapy
- UNIT V. Interprofessional Collaboration for Patients With Problems of the Skin, Hair, and Nails
- 22. Assessment of the Skin, Hair, and Nails
- Anatomy And Physiology Review
- Assessment: recognize Cues
- 23. Concepts of Care for Patients With Skin Problems
- Tissue Integrity Concept Exemplar: Pressure Injury
- Irritation Skin Disorders
- Urticaria
- Inflammatory Skin Disorders
- Psoriasis
- Skin Infections
- Parasitic Disorders
- Skin Trauma
- Burns
- Skin Cancer
- Life-Threatening Skin Disorders
- UNIT VI. Interprofessional Collaboration for Patients With Problems of the Respiratory System
- 24. Assessment of the Respiratory System
- Anatomy and Physiology Review
- Health Promotion and Maintenance
- Assessment: Recognize Cues
- 25. Concepts of Care for Patients Requiring Oxygen Therapy or Tracheostomy
- Oxygen Therapy
- Tracheostomy
- 26. Concepts of Care for Patients With Noninfectious Upper Respiratory Problems
- Upper Airway Obstruction
- Gas Exchange Concept Exemplar: Obstructive Sleep Apnea
- Epistaxis
- Fractures of the Nose
- Facial Trauma
- Laryngeal Trauma
- Cancer of the Nose and Sinuses
- Head and Neck Cancer
- 27. Concepts of Care for Patients With Noninfectious Lower Respiratory Problems
- Asthma
- Gas Exchange Concept Exemplar: Chronic Obstructive Pulmonary Disease
- Cystic Fibrosis
- Pulmonary Arterial Hypertension
- Idiopathic Pulmonary Fibrosis
- Lung Cancer
- 28. Concepts of Care for Patients With Infectious Respiratory Problems
- Seasonal Influenza
- Pandemic Respiratory Infections
- Gas Exchange Concept Exemplar: Pneumonia
- Infection Concept Exemplar: Pulmonary Tuberculosis
- Rhinosinusitis
- Peritonsillar Abscess
- Inhalation Anthrax
- Endemic/Geographic Respiratory Infection
- 29. Critical Care of Patients With Respiratory Emergencies
- Gas Exchange Concept Exemplar: Pulmonary Embolism
- Acute Respiratory Failure
- Acute Respiratory Distress Syndrome
- The Patient Requiring Intubation and Ventilation
- Chest Trauma
- Pneumothorax and Hemothorax
- UNIT VII. Interprofessional Collaboration for Patients With Problems of the Cardiovascular System
- 30. Assessment of the Cardiovascular System
- Anatomy and Physiology Review
- Assessment: Recognize Cues
- 31. Concepts of Care for Patients With Dysrhythmias
- Review of Cardiac Conduction System
- Electrocardiography
- Common Dysrhythmias
- Sinus Dysrhythmias
- Atrial Dysrhythmias
- Interprofessional Collaborative Care
- Perfusion Concept Exemplar: Atrial Fibrillation
- Ventricular Dysrhythmias
- 32. Concepts of Care for Patients With Cardiac Problems
- Perfusion Concept Exemplar: Heart Failure
- Valvular Heart Disease
- Inflammations and Infections
- Pericarditis
- Rheumatic Carditis
- Cardiomyopathy
- 33. Concepts of Care for Patients With Vascular Problems
- Perfusion Concept Exemplar: Hypertension
- Arteriosclerosis and Atherosclerosis
- Peripheral Arterial Disease
- Acute Peripheral Arterial Occlusion
- Aneurysms of the Central Arteries
- Aneurysms of the Peripheral Arteries
- Aortic Dissection
- Peripheral Venous Disease
- Clotting Concept Exemplar: Venous Thromboembolism
- Venous Insufficiency
- Varicose Veins
- 34. Critical Care of Patients With Shock
- Overview
- Perfusion Concept Exemplar: Hypovolemic Shock
- Infection Concept Exemplar: Sepsis and Septic Shock
- 35. Critical Care of Patients With Acute Coronary Syndromes
- Chronic Stable Angina Pectoris
- Perfusion Concept Exemplar: Acute Coronary Syndrome
- UNIT VIII. Interprofessional Collaboration for Patients With Problems of the Hematologic System
- 36. Assessment of the Hematologic System
- Anatomy and Physiology Review
- Assessment: recognize cues
- 37. Concepts of Care for Patients With Hematologic Problems
- Perfusion Concept Exemplar: Sickle Cell Disease
- Anemia
- Polycythemia Vera
- Immunity Concept Exemplar: Leukemia and Preleukemia
- Malignant Lymphomas
- Multiple Myeloma
- Thrombocytopenic Purpura
- Transfusion Therapy
- UNIT IX. Interprofessional Collaboration for Patients With Problems of the Nervous System
- 38. Assessment of the Nervous System
- Anatomy and Physiology Review
- Assessment: Recognize Cues
- 39. Concepts of Care for Patients With Problems of the Central Nervous System: The Brain
- Cognition Concept Exemplar: Alzheimer’s Disease
- Mobility Concept Exemplar: Parkinson Disease
- Migraine Headache
- Seizures and Epilepsy
- Meningitis
- 40. Concepts of Care for Patients With Problems of the Central Nervous System: The Spinal Cord
- Immunity Concept Exemplar: Multiple Sclerosis
- Mobility Concept Exemplar: Spinal Cord Injury
- Low Back Pain (Lumbosacral Back Pain)
- Cervical Neck Pain
- 41. Critical Care of Patients With Neurologic Emergencies
- Transient Ischemic Attack
- Perfusion Concept Exemplar: Stroke
- Cognition Concept Exemplar: Traumatic Brain Injury
- Brain Tumors
- UNIT X. Interprofessional Collaboration for Patients With Problems of the Sensory System
- 42. Assessment and Concepts of Care for Patients With Eye and Vision Problems
- Anatomy and Physiology Review
- Assessment: Recognize cues
- Sensory Perception Concept Exemplar: Cataract
- Sensory Perception Concept Exemplar: Glaucoma
- Corneal Disorders
- Corneal Abrasion, Ulceration, And Infection
- Keratoconus
- Retinal Disorders
- Retinal Holes, Tears, and Detachments
- Refractive Errors
- Trauma
- 43. Assessment and Concepts of Care for Patients With Ear and Hearing Problems
- Anatomy and Physiology Review
- Sensory Perception Concept Exemplar: Hearing Loss
- Otitis Media
- External Otitis
- Cerumen or Foreign Bodies
- Mastoiditis
- Tinnitus
- Ménière Disease
- Acoustic Neuroma
- UNIT XI. Interprofessional Collaboration for Patients With Problems of the Musculoskeletal System
- 44. Assessment of the Musculoskeletal System
- Anatomy and Physiology Review
- Assessment: recognize cues
- 45. Concepts of Care for Patients With Musculoskeletal Problems
- Cellular Regulation Concept Exemplar: Osteoporosis
- Osteomyelitis
- Bone Tumors
- Disorders of the Hand
- Disorders Of the Foot
- 46. Concepts of Care for Patients With Arthritis and Total Joint Arthroplasty
- Mobility Concept Exemplar: Osteoarthritis
- Immunity Oncept Exemplar: Rheumatoid Arthritis
- 47. Concepts of Care for Patients With Musculoskeletal Trauma
- Mobility Concept Exemplar: Fracture
- Lower Extremity Fractures
- Fractures of the Chest and Pelvis
- Compression Fractures of the Spine
- Perfusion Concept Exemplar: Amputation
- Carpal Tunnel Syndrome
- Knee Injuries
- Rotator Cuff Injuries
- UNIT XII. Interprofessional Collaboration for Patients With Problems of the Gastrointestinal System
- 48. Assessment of the Gastrointestinal System
- Anatomy and Physiology Review
- Assessment: Recognize Cues
- 49. Concepts of Care for Patients With Oral Cavity and Esophageal Problems
- A Healthy Oral Cavity
- Tissue Integrity Concept Exemplar: Stomatitis
- Oral Cavity Disorders
- Erythroplakia
- Leukoplakia
- Oral Cancer
- Sialadenitis
- Nutrition Concept Exemplar: Gastroesophageal Reflux Disease (Gerd)
- Hiatal Hernias
- Esophageal Tumors
- Esophageal Trauma
- 50. Concepts of Care for Patients With Stomach Disorders
- Gastritis
- Infection Concept Exemplar: Peptic Ulcer Disease (PUD)
- Gastric Cancer
- 51. Concepts of Care for Patients With Noninflammatory Intestinal Disorders
- Elimination Concept Exemplar: Intestinal Obstruction
- Colorectal Cancer
- Irritable Bowel Syndrome
- Herniation
- Hemorrhoids
- 52. Concepts of Care for Patients With Inflammatory Intestinal Disorders
- Infection Concept Exemplar: Peritonitis
- Appendicitis
- Gastroenteritis
- Inflammation Concept Exemplar: Ulcerative Colitis
- Crohn’s Disease
- Diverticular Disease
- Celiac Disease
- Parasitic Infection
- 53. Concepts of Care for Patients With Liver Problems
- Cellular Regulation Concept Exemplar: Cirrhosis
- Infection Concept Exemplar: Hepatitis
- Liver Transplantation
- 54. Concepts of Care for Patients With Problems of the Biliary System and Pancreas
- Inflammation Concept Exemplar: Cholecystitis
- Inflammation Concept Exemplar: Acute Pancreatitis
- Chronic Pancreatitis
- Pancreatic Cancer
- 55. Concepts of Care for Patients With Malnutrition: Undernutrition and Obesity
- Nutrition Standards for Health Promotion and Maintenance
- Food Sensitivities
- Nutrition Assessment
- Nutrition Concept Exemplar: Undernutrition
- Nutrition Concept Exemplar: Obesity
- UNIT XIII. Interprofessional Collaboration for Patients With Problems of the Endocrine System
- 56. Assessment of the Endocrine System
- Anatomy and Physiology Review
- Assessment: Recognize Cues
- 57. Concepts of Care for Patients With Pituitary and Adrenal Gland Problems
- Disorders of the Pituitary Gland
- Hyperpituitarism
- Diabetes Insipidus
- Syndrome of Inappropriate Antidiuretic Hormone
- Disorders of the Adrenal Gland
- Fluid and electrolyte balance concept exemplar: hypercortisolism (cushing disease)
- Hyperaldosteronism
- 58. Concepts of Care for Patients With Problems of the Thyroid and Parathyroid Glands
- Cellular Regulation Concept Exemplar: Hypothyroidism
- Hyperthyroidism
- Thyroiditis
- Thyroid Cancer
- Hypoparathyroidism
- Hyperparathyroidism
- 59. Concepts of Care for Patients With Diabetes Mellitus
- Glucose Regulation Concept Exemplar: Diabetes Mellitus
- UNIT XIV. Interprofessional Collaboration for Patients With Problems of the Renal/Urinary System
- 60. Assessment of the Renal/Urinary System
- Anatomy and Physiology Review
- Assessment: Recognize Cues
- 61. Concepts of Care for Patients With Urinary Problems
- Elimination Concept Exemplar: Urinary Incontinence
- Cystitis
- Urethritis
- Urolithiasis
- Urothelial Cancer
- 62. Concepts of Care for Patients With Kidney Disorders
- Elimination Concept Exemplar: Pyelonephritis
- Acute Glomerulonephritis
- Chronic Glomerulonephritis
- Nephrotic Syndrome
- Nephrosclerosis
- Polycystic Kidney Disease
- Hydronephrosis and Hydroureter
- Renovascular Disease
- Diabetic Nephropathy
- Renal Cell Carcinoma
- Kidney Trauma
- 63. Concepts of Care for Patients With Acute Kidney Injury and Chronic Kidney Disease
- Acute Kidney Injury
- Elimination Concept Exemplar: Chronic Kidney Disease
- UNIT XV. Interprofessional Collaboration for Patients With Problems of the Reproductive System
- 64. Assessment of the Reproductive System
- Anatomy and Physiology Review
- Assessment: Recognize Cues
- 65. Concepts of Care for Patients With Breast Disorders
- Benign Breast Disorders
- Proliferative Breast Lesion With Atypia: Atypical Hyperplasia
- Proliferative Breast Lesion Without Atypia: Fibroadenoma
- Nonproliferative Breast Lesions: Fibrocystic Changes (Fccs) And Cysts
- Large Breasts
- Small Breasts
- Breast Inflammation and Infection
- Cellular Regulation Concept Exemplar: Breast Cancer
- 66. Concepts of Care for Patients With Gynecologic Problems
- Sexuality Concept Exemplar: Uterine Leiomyoma
- Pelvic Organ Prolapse
- Endometrial Cancer
- Ovarian Cancer
- Cervical Cancer
- Vulvovaginitis
- Toxic Shock Syndrome
- 67. Concepts of Care for Patients With Male Reproductive Problems
- Elimination Concept Exemplar: Benign Prostatic Hyperplasia
- Cellular Regulation Concept Exemplar: Prostate Cancer
- Testicular Cancer
- Erectile Dysfunction
- Vasectomy
- Other Conditions Affecting the Male Reproductive System
- 68. Concepts of Care for Transgender Patients
- Patient-Centered Terminology
- Transgender Health Issues
- 69. Concepts of Care for Patients With Sexually Transmitted Infections
- Introduction to Sexually Transmitted Infections
- Genital Herpes
- Syphilis
- Condylomata Acuminata (Genital Warts)
- Chlamydia Infection
- Gonorrhea
- Sexuality, Infection, and Pain Concept Exemplar: Pelvic Inflammatory Disease
- NCLEX® Examination Challenges Answer Key
- Mastery Questions Answer Key
- Index
- No. of pages: 1744
- Language: English
- Edition: 10
- Published: October 1, 2020
- Imprint: Elsevier
- Paperback ISBN: 9780323612418
- Paperback ISBN: 9780323749787
- eBook ISBN: 9780323654043
DI
Donna D. Ignatavicius
Donna Ignatavicius is nationally recognized as an expert in nursing education and medical-surgical/gerontological nursing and has a wealth of experiences as a nurse educator, clinical nurse specialist, and administrator for over 40 years. Currently, she provides curriculum consultation and presentations for nursing faculty on topics such as concept-based curriculum, assessment of learning methods, and active learning strategies through her consulting company, DI Associates, Inc. Additionally, she is the primary author of numerous articles and books, including Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 11th ed. (2024) and her new student workbooks, Developing Clinical Judgment for Professional Nursing Practice and NGN Readiness, 2nd ed. (2024) and Developing Clinical Judgment for Practical/Vocational Nursing and the Next-Generation NCLEX-PN® Examination (2021). In 2007 she was inducted as a fellow into the prestigious Academy of Nursing Education (ANEF) for her national contribution to the field of nursing education. In 2016 she obtained her Certified Nurse Educator® (CNE) credential; in 2020 she obtained her Academic Clinical Nurse Educator (CNEcl) credential.
Affiliations and expertise
Speaker and Curriculum Consultant for Academic Nursing Programs; Founder, Boot Camp for Nurse Educators; President, DI Associates, Inc. Littleton, Colorado, USAMW
M. Linda Workman
Affiliations and expertise
Visiting Professor, Case Western Reserve University, Cleveland, OhioCR
Cherie R. Rebar
Affiliations and expertise
Subject Matter Expert and Nursing Education Consultant, Beavercreek, Ohio; Professor of Nursing, Wittenberg University, Springfield, OhioNH
Nicole M. Heimgartner
Affiliations and expertise
Subject Matter Expert and Nursing Education Consultant, Louisville, Kentucky; Adjunct Faculty, American Sentinel University, Aurora, Colorado