Ebook KDM : Fundamentals of medical-surgical nursing : a systems approach
The impetus for this book came from the experience of teaching undergraduate and postgraduate
nursing students and the realisation that a comprehensive textbook on medical and surgical nursing
was needed to inform and guide learning related to the nursing care of adults. This book is designed
to provide a broad overview and a practical understanding of the principles related to adult nursing.
It examines the principles underpinning medical and surgical nursing and includes contemporary devel-
opments in clinical care, drawing extensively on national and international evidence. Using a systems
approach, the book is designed to provide a comprehensive application of the relevant anatomy and
physiology, which will inform medical and surgical nursing practice.
The book comprises 22 chapters and is presented in two sections that are designed to guide readers
so they can reach an understanding of the context and the key aspects of medical and surgical nursing
practice.
• Part 1: Common Principles Underlying Medical and Surgical Nursing Practice
• Part 2: Adult Medical and Surgical Nursing
Part 1 addresses common principles that underpin medical and surgical nursing practice. Chapter 1
presents an overview of the principles underlying the comprehensive nursing assessment of patient
care needs. The management of medications is a major component of the everyday work of the nurse
in a medical-surgical environment, and Chapters 2 and 3 provide a comprehensive overview of the
principles underlying care and the nurses’ responsibilities in relation to drug administration, both oral
and parental. Nutritional assessment and support is a key responsibility of medical-surgical nursing
care and is given detailed consideration in Chapter 4. The prevention and control of infection is dis-
cussed in Chapter 5 as this a fundamental element of all healthcare practice. Influenced by changing
demographics, caring for the older person represents a significant proportion of everyday medical-
surgical nursing practice, and Chapter 6 seeks to develop an understanding of the unique care needs
of this population. Chapter 7 aims to develop the nurse’s ability to provide appropriate and individu-
alised care to families at the final stage of life. Chapter 8 provides students with an overview of the
principles of perioperative nursing. High-dependency care is an increasing feature of medical and surgi-
cal care environments and is addressed in Chapter 9. The final chapter in this section gives the reader
an overview of emergency department nursing and an understanding of the diverse nature of present-
ing medical/surgical emergencies, trauma and shock.
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