Fundamentals of Nursing, 12th Edition

• UPDATED! Content reflects the latest evidence-based practice, including the most current information on infection control standards, oxygenation, technology in health care, and more.
• UPDATED! More than 80 new photos and images present updated skills and represent the diversity of nurses and patients throughout.
• UNIQUE! Critical Thinking section incorporates clinical judgment and critical thinking to help you develop these valuable skills. The unique critical thinking/clinical judgment model is visually depicted by a series of progressive images that demonstrate the application of the nursing process, critical thinking, and clinical judgment — and how they all tie together.
• UNIQUE! Reflective Learning questions in every chapter are associated with each of the six clinical judgment skills. In clinical chapters, these coordinate directly with the case study presented in the care plan.
• UNIQUE! Building Competency boxes in every chapter incorporate nursing competencies, e.g., person-centered care, safety, and evidence-based practice. Each box presents a clinical situation followed by several open-ended questions designed to help you understand and apply these core competencies.
• UNIQUE! Caring for Patients with Chronic Illness chapter helps prepare you to address the unique health care needs of patients who have complex, long-term, chronic disease, who face the physical and emotional impacts of the illness, and the therapies used to treat it.
• Evidence-Based Practice boxes reflect current research, including a PICOT question, a summary of the results of a research study, and the impact the study has made in nursing practice. Where applicable, these EBP boxes will focus on “Never Events” (those events that are completely preventable, dangerous to patients, and non-reimbursable) and new related research.
• Case studies in all clinical chapters tie together the care plan, concept map, and reflective learning exercises.
• Clear delegation coverage notes which skills can and cannot be delegated and indicate exactly which tasks to delegate. Many chapters incorporate delegation considerations into the chapter case study and there is also a delegation section in every skill and procedural guideline.
• Planning and Outcomes Identification sections include sections on Outcomes, Setting Priorities, and Teamwork and Collaboration to help you plan and prioritize comprehensive patient care.
• Teamwork and Collaboration headings highlight information to help you work effectively both within the nursing team and within the larger healthcare team, allowing you to make the best use of available healthcare resources to improve patient care.
• Implementation sections include health promotion, acute care, and restorative and continuing care to prepare you for all levels of care in all settings.
• Patient Teaching boxes help you plan effective teaching by first identifying an outcome, then developing strategies on how to teach, and finally implementing measures to evaluate learning.
• Focus on Older Adult boxes highlight key aspects of nursing assessment and care for this population.
• Cultural Care boxes summarize cultural considerations related to the chapter topic and provide practical guidelines for how to meet patients’ cultural needs and preferences.
• Nursing Assessment Questions boxes help you learn to effectively phrase questions for patients.
• More than 50 skills are generously illustrated in a two-column format that includes rationales for each step alongside clear, step-by-step instructions for providing safe nursing care.
• Key terms at the beginning of each chapter help you learn the most important terminology for that area of content.
• Five review questions for each chapter include answers both in the book and on the Evolve companion website (with rationales).
• Unexpected Outcomes and Related Interventions for skills alert you to possible problems and appropriate nursing action.
• More than 30 procedural guidelines provide streamlined, step-by-step instructions for performing very basic skills.
• A consistent five-step nursing process framework for clinical chapters coordinates completely with the accompanying clinical judgment skills used for each step.
• More than 20 concept maps visually demonstrate planning care for patients with multiple nursing diagnoses.
• NOC outcomes, NIC interventions, and nursing diagnoses in care plans reflect the standard used by institutions nationwide.
• More than 20 care plans demonstrate the application of the five-step nursing process to individual patient problems to help you understand how a plan is developed and how to evaluate care. Patients in the care plan extend to the Reflective Learning activities at the end of each chapter.
• Evidence-Based Practice chapter helps you understand how nursing research serves as the basis for determining best practice, and the critical importance of this continually evolving dynamic.
• Safe Patient Handling Guidelines are included in the Patient Safety and Quality chapter.
• Practical study tools on the Evolve companion website include skills video clips, skills checklists, printable key points, answers to the practice questions in the book, a fluid & electrolytes tutorial, a concept map creator, an audio glossary, and more.
• Key points are tied to the chapter objectives and neatly summarize the most important content for each chapter to help you review and evaluate your learning.

CONTENTS

Unit 1: Nursing and the Health Care Environment

1. Nursing Today

2. The Health Care Delivery System

3. Population Health

4. Theoretical Foundations of Nursing Practice

5. Evidence-Based Practice
Unit 2: Caring Throughout the Life Span

6. Health and Wellness

7. Caring in Nursing Practice

8. Caring for Patients with Chronic Illness

9. Cultural Care

10. Family Dynamics

11. Developmental Theories

12. Conception Through Adolescence

13. Young and Middle Adults

14. Older Adults
Unit 3: Clinical Judgment in Nursing Practice

15. Critical Thinking and Clinical Judgment

16. Nursing Assessment

17. Analysis and Nursing Diagnosis

18. Planning and Outcomes Identification in Nursing Care

19. Implementing Nursing Care

20. Evaluation

21. Managing Patient Care
Unit 4: Professional Standards in Nursing Practice

22. Ethics and Values

23. Legal Implications in Nursing Practice

24. Communication

25. Patient Education

26. Informatics and Documentation
Unit 5: Foundations for Nursing Practice

27. Patient Safety and Quality

28. Infection Prevention and Control

29. Vital Signs

30. Health Assessment and Physical Examination

31. Medication Administration

32. Complementary, Alternative, and Integrative Therapies
Unit 6: Psychosocial Basis for Nursing Practice

33. Self-Concept

34. Sexuality

35. Spiritual Health

36. Loss and Grief

37. Stress and Coping
Unit 7: Physiological Basis for Nursing Practice

38. Activity and Exercise

39. Immobility

40. Hygiene

41. Oxygenation

42. Fluid, Electrolyte, Acid-Base Balance

43. Sleep

44. Pain Management

45. Nutrition

46. Urinary Elimination

47. Bowel Elimination

48. Skin Integrity and Wound Care

49. Sensory Alterations

50. Perioperative Nursing Care
Index