Nursing Management of the Neurosurgical Patient: An Interprofessional Approach
- 1st Edition - January 16, 2024
- Editors: Newton Mei, Lauren Malinowski-Falk, Allison M. Lang, Jesse Edwards, René Daniel
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 9 3 4 4 7 - 3
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 3 4 8 7 - 9
Use this new text/reference from a nationally recognized center of excellence to ensure high quality nursing care of neurosurgical patients! Nursing Management of the Ne… Read more
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Request a sales quoteUse this new text/reference from a nationally recognized center of excellence to ensure high quality nursing care of neurosurgical patients! Nursing Management of the Neurosurgical Patient: An Interprofessional Approach is a concise new resource for best practices in both neurosurgery-specific nursing care and general hospital care. Topics include everything from preoperative assessment and bedside management to common procedures and pathophysiology of the brain and spine; neurosurgical issues such as diabetes, acute kidney injury, and coronary conditions; and pain management, substance abuse, and rehabilitation. A reader-friendly style includes photos, algorithms, flowcharts, and checklists to make it easy to find essential information quickly. Written by experienced neuroscience nurses and Nurse Practitioners, neurosurgeons, and hospitalist physicians, this book uses a team-based, collaborative approach to neurosurgical nursing care.
- Team-based, interprofessional collaborative, evidence-based approach provides an in-depth guide to neurosurgical nursing care.
- Consistent, streamlined format serves well as both a textbook and a reference for clinical settings.
- Abundant, easy-to-reference algorithms help you respond quickly and effectively to resolve neurosurgical patient problems.
- Discussion and Nursing Considerations sections are provided in every chapter to describe the practical application of key chapter content.
- Case study with application-level questions is included in every chapter to help you apply key content to neurosurgical nursing practice.
- Answer key for each case study is provided in every chapter to reinforce understanding and provide remediation.
- Interprofessional collaborative authorship provides wide-ranging expertise, with each chapter written by a team consisting of a neuroscience nurse or Nurse Practitioner, a neurosurgeon, and a hospitalist physician.
- Cover image
- Title page
- Copyright
- Dedication
- Contributors
- Reviewers
- Preface
- Contents
- Section 1 Introduction to Neurosurgery and Medical Management
- CHAPTER 1 Preoperative Assessment and Perioperative Bedside Management
- Introduction
- History
- Physical Exam
- Lab Work
- Preoperative Risk Assessment
- Assessing Acute Symptoms
- Calculating Patient Risk
- Metabolic Equivalents
- Postoperative Management
- Conclusion
- References
- Questions
- Answers
- CHAPTER 2 Nursing Approach to the Neurologic Exam
- Introduction
- Outline of the Neurologic Exam
- Mental Status1,2
- Cranial Nerves
- Motor Function
- Reflexes
- Coordination
- Sensory
- Gait
- Abbreviated/Screening Exams
- Coma Exam
- When Functional Neurologic Disorder or Malingering Is Suspected
- Conclusion
- References
- Questions
- Answers
- Section 2 Common Procedures and Pathology of the Brain
- Chapter 3 Management of the Patient With Subarachnoid Hemorrhage
- Patient Presentation
- Physiology and Diagnosis
- Management
- Vasospasms
- Hydrocephalus
- Ventriculoperitoneal Shunt
- Treatment
- Special Considerations for Endovascular Procedures
- Contrast Complications
- Access Site Complications
- Conclusion
- References
- Questions
- Answers
- CHAPTER 4 Pathophysiology and Nursing Management of Brain Bleeds
- Introduction
- Types of Brain Bleeds
- Initial Management of Brain Bleeds
- Medical Management of Brain Bleeds
- Surgical Management of Brain Bleeds
- Conclusion
- References
- Questions
- Answers
- CHAPTER 5 Nursing Management of the Patient With Acute Ischemic Stroke
- Introduction
- Acute Stroke Evaluation
- Blood Pressure Management
- Interventions for the Emergent Treatment of Acute Ischemic Stroke
- Thrombolytic Therapy: r-tPA and TNK
- Mechanical Thrombectomy
- Conclusion
- References
- Questions
- Answers
- CHAPTER 6 Nursing Management of the Patient With a Brain Tumor
- Introduction
- Common Treatment Pathways
- Preoperative Period
- Perioperative Period
- Conclusion
- References
- Questions
- Answers
- CHAPTER 7 Nursing Management of the Patient With a Headache Disorder
- Introduction
- Common Headache Disorders
- Commonly Used Medications for Abortive Treatment
- CGRP and Its Importance to Headache
- Antiepileptic Medications in Headache
- Antidepressants and Headache
- Blood Pressure Medications and Headache
- Special Considerations for New-Onset Headache
- Conclusion
- References
- Questions
- Answers
- CHAPTER 8 Nursing Management of the Patient With Encephalitis or Meningitis
- Introduction
- Evaluation of a Patient Presenting With Meningitis
- Bacterial Meningitis
- Viral Encephalitis
- Intravenous Immunoglobulin Aseptic Meningitis or Encephalitis
- Autoimmune Encephalitis
- Nursing Considerations
- Conclusion
- References
- Questions
- Answers
- CHAPTER 9 Nursing Management of the Patient With Acute Encephalopathy
- Introduction
- Types of Encephalopathy
- Assessment—History and Physical Exam
- Common Strategies for the Prevention and Treatment of Delirium4 (Fig. 9.3)
- Conclusion
- References
- Questions
- Answers
- Section 3 Common Procedures and Pathology of the Spine
- CHAPTER 10 Nursing Protocol for Elective Spine Surgery
- Introduction
- Anatomy and Terminology of the Spine
- Elective Spine Surgery Preoperative Pathway
- Postoperative Pathways/Enhanced Recovery After Surgery
- Conclusion
- References
- Questions
- Answers
- CHAPTER 11 Nursing Management of the Patient With Acute Traumatic Spinal Cord Injury
- Introduction
- Physical Exam
- Common Complications From SCI (Table 11.1)
- Chronic SCI
- Conclusion
- References
- Questions
- Answers
- CHAPTER 12 Spinal Cord Stimulator Management for Nurses
- Introduction
- Stimulator Implantation
- Modality of Treatment
- Perioperative Monitoring and Harm Reduction
- Conclusion
- References
- Questions
- Answers
- CHAPTER 13 Nursing Management of Neoplastic Spinal Cord Compression
- Introduction
- Spinal Cord Anatomy and Pathogenesis
- Clinical Presentation
- Diagnostic Evaluation
- Management
- Nursing Interventions
- Conclusion
- References
- Questions
- Answers
- CHAPTER 14 Nursing Management of Vertebral Osteomyelitis and Spinal Epidural Abscess
- Introduction
- Initial Management
- Antibiotic Selection and Treatment Monitoring
- Conclusion
- References
- Questions
- Answers
- Section 4 Medical Management of Common Neurosurgical Issues
- CHAPTER 15 Diabetes Management in the Neurosurgical Patient
- Introduction
- Physiology
- Classification
- Diagnosis
- Inpatient Management
- Steroid-Induced Hyperglycemia
- Hypoglycemia
- Discharge Planning
- Conclusion
- References
- Questions
- Answers
- CHAPTER 16 Nursing Management of Acute Kidney Injury
- Introduction
- Epidemiology and Demographics
- Etiology1,3–5
- History
- Diagnostic Workup1,3–5
- Prevention Strategies
- Hemodynamic monitoring and management1
- Pearls and Considerations
- Conclusion
- References
- Questions
- Answers
- CHAPTER 17 Nursing Management of the Patient With Arrhythmias and Acute Coronary Syndrome
- Introduction
- Basics of the Heart
- Bradyarrhythmia, Tachyarrhythmia, and Acute Coronary Syndrome
- Overview of Tachyarrhythmia
- Overview of Acute Coronary Syndrome
- Conclusion
- References
- Questions
- Answers
- CHAPTER 18 Anticoagulation for Venothromboembolism
- Introduction
- Diagnostics
- Causes and Classification of VTE
- DVT Prophylaxis
- Best Practice in VTE Management
- Inferior Vena Cava Filter
- Conclusion
- References
- Questions
- Answers
- CHAPTER 19 Nursing Management of the Airway and Shortness of Breath
- Introduction
- Airway and Breathing
- Common Symptoms of Shortness of Breath: Dyspnea vs Orthopnea
- Common Postoperative Respiratory Complications
- Tracheostomy Care and Oxygen Therapy
- Conclusion
- References
- Questions
- Answers
- CHAPTER 20 Sodium Disorders in Neurosurgical Patients
- Introduction
- Physiology and the Consequences of Dysregulation
- Hyponatremia
- Hypernatremia
- Conclusion
- References
- Questions
- Answers
- CHAPTER 21 Identification and Management of Hypopituitarism
- Introduction
- Anatomic Structures and Hormone Production
- Hormone Significance
- Adrenal Insufficiency
- Clinical Presentation
- Diagnosis
- Treatment
- Patient Education
- Hypopituitarism
- Central Diabetes Insipidus
- Conclusion
- References
- Questions
- Answers
- CHAPTER 22 Nursing Management of Anemia
- Introduction
- Relevance to Nursing
- Laboratory Evaluation1,9
- Clinical Features
- Postoperative Anemia After Spine Surgery
- Treatment
- Blood Transfusions
- Conclusion
- References
- Questions
- Answers
- CHAPTER 23 Nursing Management of Thrombocytopenia
- Introduction
- Initial Evaluation
- Treatment Strategy
- Platelet Transfusion
- Nursing Considerations
- Conclusion
- References
- Questions
- Answers
- CHAPTER 24 Nursing Management of Dysautonomia: Autonomic Dysreflexia and Paroxysmal Sympathetic Hypersensitivity
- Introduction
- Autonomic Dysreflexia
- Paroxysmal Sympathetic Hypersensitivity
- Conclusion
- References
- Questions
- Answers
- CHAPTER 25 Medical Management of Constipation
- Introduction
- Symptoms
- Workup
- Opioid-Induced Constipation
- Nonmedical Management of Constipation
- Medical Management of Constipation
- Conclusion
- Questions
- Answers
- References
- Questions
- Answers
- CHAPTER 26 Nursing Management of the Patient With Postoperative Ileus
- Introduction
- Pathophysiology
- Risk Factors
- Presentation/Clinical Features
- Diagnosis
- Complications
- Management/Treatment
- Nursing Considerations
- Conclusion
- References
- Questions
- Answers
- CHAPTER 27 Nursing Management of Nutrition in Neurosurgical Patients
- Introduction
- Enteral Nutrition: Normal Physiology and Common Complications
- Screening Tools: Nutrition and Dysphagia
- Modified Consistency Diets
- Tube Feeding
- Parenteral Nutrition
- Conclusion
- References
- Questions
- Answers
- CHAPTER 28 Wound Care in the Surgical Setting
- Introduction
- Principles of Wound Healing
- Stages of Wound Healing
- Surgical Site Complications
- Topical Wound Management
- Pressure Injury
- Pressure Injuries in the Perioperative Setting
- Conclusion
- References
- Questions
- Answers
- CHAPTER 29 Nursing Management of Postoperative Fever
- Introduction
- Basics
- Clinical Evaluation
- Treatment
- Rule of W
- Conclusion
- References
- Questions
- Answers
- Section 5 Complex Issues in Pain Management and Substance Abuse
- CHAPTER 30 Pain Management Using Multimodal Analgesia in the Neurosurgical Spine Patient
- Introduction
- Nursing Role and Assessment
- Multimodal Analgesia Pain Management
- Pharmacologic Options in Multimodal Analgesia
- Acute Pain Management Service Medications
- Conclusion
- References
- Questions
- Answers
- CHAPTER 31 Nursing Management of the Patient With Opioid Use Disorder
- Introduction
- Agonists, Partial Agonists, and Antagonists
- Commonly Used Medications in the Patient With Opioid Use Disorder
- COWS Score Monitoring
- Nursing Considerations
- Conclusion
- References
- Questions
- Answers
- CHAPTER 32 Social Work Management of the Patient With Opioid Use Disorder
- Introduction
- Screening and Assessment
- Interventions
- Referral
- Conclusion
- References
- Questions
- Answers
- Section 6 Posthospitalization Care
- CHAPTER 33 Rehabilitation of the Neurosurgical Patient
- Introduction
- Role of the Physical Therapist Versus Occupational Therapist
- Discharge Recommendations
- Activity Measure for Post-Acute Care
- Brace Utilization After Spinal Surgery
- Precautions and Restrictions After Neurosurgery
- Mobility Considerations After Neurosurgery
- Considerations for Nursing
- Conclusion
- References
- Questions
- Answers
- Index
- No. of pages: 368
- Language: English
- Edition: 1
- Published: January 16, 2024
- Imprint: Elsevier
- Paperback ISBN: 9780323934473
- eBook ISBN: 9780323934879
NM
Newton Mei
Affiliations and expertise
Director of Education, Departments of Medicine and Neurological Surgery, Thomas Jefferson University, Philadelphia, PennsylvaniaLM
Lauren Malinowski-Falk
Affiliations and expertise
Nurse Practitioner, Medicine, Neurological Surgery, Spine Unit and iNICU, Thomas Jefferson University, Philadelphia, PennsylvaniaAL
Allison M. Lang
Affiliations and expertise
Nurse Practitioner, Neurological Surgery, Spine Unit and iNICU, Thomas Jefferson UniversityJE
Jesse Edwards
Affiliations and expertise
Assistant Professor of Medicine Farber HospitalistDepartments of Medicine and Neurological Surgery, Thomas Jefferson University, Philadelphia, PennsylvaniaRD
René Daniel
Affiliations and expertise
Departments of Medicine and Neurological Surgery, Co-Director of the Farber Hospitalist Service (a Division of the Department of Neurological Surgery), Medical Director of the Spine Unit and iNICU, Thomas Jefferson University, Philadelphia, Pennsylvania