Timby's MedSurg 14e

Contents

UNIT 1 Nursing Roles and Responsibilities 1 1 Concepts and Trends in Healthcare 1 Concepts Related to Health 2 Healthcare 3 Financing the Costs of Healthcare 4 Changes and Trends in Healthcare 6 2 Settings and Models for Nursing Care 12 Nursing Care 12

Care Options for the Dying Client 106 Signs of Approaching Death 108 Nursing Management for End-of-Life Care 108

UNIT 3 Foundations of Medical-Surgical Nursing 115 11 Pain Management 115 Types of Pain 116

Pain Transmission 118 Pain Assessment 121 Pain Management 123

Settings and Types of Nursing Care 13 Models for Nursing Care Delivery 16

12 Infection 134

3 The Nursing Process 20

Infectious Agents and Infectious Disorders 135 Transmission of Infection 138 Defenses Against Infection 139 Pathophysiology of Infection 140 Sepsis 142 Types of Infections 142

Steps of the Nursing Process 21 The Nursing Process and Clinical Reasoning/Critical Thinking 24 Concept Care Mapping 25 4 Interviewing and Physical Assessment 27 The Interview Process 28 Summary and Closing Phase 31 The Physical Assessment 31 5 Legal and Ethical Issues 36 Legal Issues in Nursing Practice 36 Ethical Issues in Nursing Practice 46 6 Leadership Roles and Management Functions 52 Leadership and Management 52 The Licensed Practical/Vocational Nurse as Leader/Manager 55

Infection Control and Prevention 144 Care of the Client With Infection 148

13 Intravenous Therapy 153

Indications for IV Therapy 153 Types of IV Solutions 154 Administering IV Therapy 158 Special Considerations for IV Therapy 166

14 Perioperative Care 172 Preoperative Care 174 Intraoperative Care 181 Postoperative Care 188 15 Disaster Situations 201

UNIT 2 Client Care Concerns 61 7 Nurse–Client Relationships 61

Characteristics of Disasters 202 Types of Disasters 202 Human Disasters 203 Biologic Disasters 204 Chemical Disasters 207 Disaster Management 209 The Role of Nurses in a Disaster 210

Scope of the Nurse–Client Relationship 62 Communication 66 Client Teaching 72

8 Cultural Care Considerations 77 Cultural Concepts 77

UNIT 4 Caring for Clients With Multisystem Disorders 215 16 Caring for Clients With Fluid, Electrolyte,

Culturally Influenced Characteristics 79 Assessment Considerations 82 Transcultural Nursing 83 9 Integrative Medicine and Alternative Therapies 87

Alternative Medical Systems 87 Changes in Western Medicine 89

and Acid–Base Imbalances 215 Fluid and Electrolyte Balance 216 Fluid Imbalances 219 Electrolyte Imbalances 225 Acid–Base Balance 230 Acid–Base Imbalances 230

Copyright © 2025 Wolters Kluwer, Inc. Unauthorized reproduction of the content is prohibited.

Research and Development of Integrative Medicine 90 Nursing Role in Integrative Medicine and Alternative Therapies 99

10 End-of-Life Care 102

Supporting the Dying Client 103

xv