Medical-Surgical Nursing in Canada - 4th Edition - ISBN: 9781771720489, 9781771720502

Medical-Surgical Nursing in Canada

4th Edition

Editors: Maureen Barry Jana Lok Jane Tyerman Sandra Goldsworthy
Authors: Sharon Lewis Linda Bucher Margaret Heitkemper Mariann Harding
eBook ISBN: 9781771720502
Hardcover ISBN: 9781771720489
eBook ISBN: 9781771721356
Paperback ISBN: 9780323848435
Imprint: Mosby Canada
Published Date: 9th February 2018
Page Count: 1968

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Learn how to become an exceptional caregiver in Canada’s evolving health care environment! Adapted by a team of 4 experienced Canadian nurse-educators and a slate of expert contributors from across the country, the 4th Canadian Edition of Medical-Surgical Nursing in Canada offers up-to-date coverage of the latest trends, hot topics, and clinical developments in the field. Completely revised and updated content explores patient care in various clinical settings and focuses on key topics such as patient safety, exam preparation, evidence-informed practice, prioritization, patient and caregiver teaching, culturally competent care, and the determinants of health. A variety of helpful boxes and tables make it easy for students to find essential information and the accessible writing style makes even the most complex concepts easy to grasp. Best of all — a complete collection of learning and study resources helps students learn more effectively and offers valuable, real-world preparation for clinical practice.

Key Features

  • Highly readable format offers a strong foundation in medical-surgical nursing.
  • Content written and reviewed by leading experts in the field ensures that information is comprehensive, current, and clinically accurate.
  • Revised Chapter 1 situates nursing practice in the unique Canadian context, discussing patient-centred care, interprofessional practice (including delegation and assignment), information-communication technologies, patient safety and quality improvement
  • Culturally competent care chapter and special sections discuss culture as a determinant of health, Indigenous populations; health equity and health equality issues; and practical suggestions for developing cultural competence in nursing care
  • Determinants of Health boxes focus on the Public Health Agency of Canada’s determinants of health, as they apply to particular disorders.
  • UNIQUE! "Levels of Care" approach organizes nursing care in three levels: health promotion, acute intervention, and ambulatory and home care.
  • Examination review questions at the end of each chapter reinforce key content while helping you prepare for examinations.
  • Expanded chapter on genetics focuses on the practical application of genetics to nursing care of patients and includes current changes in Canadian clinical practice.
  • Genetics in Clinical Practice boxes address key topics such as genetic testing, Alzheimer’s disease, sickle cell disease, and genetics-related ethical issues.
  • Assessment Abnormalities tables alert readers to abnormalities frequently encountered in practice, as well as their possible etiologies
  • More than 60 comprehensive nursing care plans on the Evolve website defining characteristics, expected outcomes, specific nursing interventions with rationales, evaluation criteria, and collaborative problems

Table of Contents

Section One – Concepts in Nursing Practice

1 Introduction to Medical-Surgical Nursing Practice in Canada
2 Cultural Competence and Health Equity in Care
3 Health History and Physical Examination
4 Patient and Caregiver Teaching
5 Chronic Illness
6 Community-Based Nursing and Home Care
7 Older Adults
8 Stress and Stress Management
9 Sleep and Sleep Disorders
10 Pain
11 Substance Use
12 Complementary and Alternative Therapies
13 Palliative Care at the End of Life

Section Two – Pathophysiological Mechanisms of Disease

14 Inflammation and Wound Healing
15 Genetics
16 Altered Immune Response and Transplantation
17 Infection and Human Immunodeficiency Virus Infection
18 Cancer
19 Fluid, Electrolyte, and Acid–Base Imbalances

Section Three – Perioperative Care

20 Nursing Management: Preoperative Care
21 Nursing Management: Intraoperative Care
22 Nursing Management: Post-operative Care

Section Four – Problems Related to Altered Sensory Input

23 Nursing Assessment: Visual and Auditory Systems
24 Nursing Management: Visual and Auditory Problems
25 Nursing Assessment: Integumentary System
26 Nursing Management: Integumentary Problems
27 Nursing Management: Burns

Section Five – Problems of Oxygenation: Ventilation

28 Nursing Assessment: Respiratory System
29 Nursing Management: Upper Respiratory Problems
30 Nursing Management: Lower Respiratory Problems
31 Nursing Management: Obstructive Pulmonary Diseases

Section Six – Problems of Oxygenation: Transport

32 Nursing Assessment: Hematological System
33 Nursing Management: Hematological Problems

Section Seven – Problems of Oxygenation: Perfusion

34 Nursing Assessment: Cardiovascular System
35 Nursing Management: Hypertension
36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
37 Nursing Management: Heart Failure
38 Nursing Management: Dysrhythmias
39 Nursing Management: Inflammatory and Structural Heart Diseases
40 Nursing Management: Vascular Disorders

Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination

41 Nursing Assessment: Gastrointestinal System
42 Nursing Management: Nutritional Problems
43 Nursing Management: Obesity
44 Nursing Management: Upper Gastrointestinal Problems
45 Nursing Management: Lower Gastrointestinal Problems
46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems

Section Nine – Problems of Urinary Function

47 Nursing Assessment: Urinary System
48 Nursing Management: Renal and Urological Problems
49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Section Ten – Problems Related to Regulatory and Reproductive Mechanisms

50 Nursing Assessment: Endocrine System
51 Nursing Management: Endocrine Problems
52 Nursing Management: Diabetes Mellitus
53 Nursing Assessment: Reproductive System
54 Nursing Management: Breast Disorders
55 Nursing Management: Sexually Transmitted Infections
56 Nursing Management: Female Reproductive Problems
57 Nursing Management: Male Reproductive Problems

Section Eleven – Problems Related to Movement and Coordination

58 Nursing Assessment: Nervous System
59 Nursing Management: Acute Intracranial Problems
60 Nursing Management: Stroke
61 Nursing Management: Chronic Neurological Problems
62 Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias
63 Nursing Management: Peripheral Nerve and Spinal Cord Problems
64 Nursing Assessment: Musculoskeletal System
65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
66 Nursing Management: Musculoskeletal Problems
67 Nursing Management: Arthritis and Connective Tissue Diseases

Section Twelve – Nursing Care in Specialized Settings

68 Nursing Management: Critical Care Environment
69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-Organ Dysfunction Syndrome
70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome
71 Nursing Management: Emergency Care Situations
72 Emergency Management and Disaster Planning

Appendix A – Nursing Diagnoses
Appendix B – Laboratory Reference Intervals



No. of pages:
© Mosby Canada 2018
9th February 2018
Mosby Canada
eBook ISBN:
Hardcover ISBN:
eBook ISBN:
Paperback ISBN:

About the Editors

Maureen Barry

Maureen A. Barry, RN, MScN

Affiliations and Expertise

Associate Professor, Teaching Stream, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON.

Jana Lok

Jana Lok, RN, MN, PhD, ENC(C)

Affiliations and Expertise

Assistant Professor, Teaching Stream, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON.

Jane Tyerman

Jane Tyerman, RN, BA, BScN, MScN, PhD, CCSNE Professor at the University of Ottawa, School of Nursing, Dr. Tyerman has over 25 years of experience in acute care clinical practice, and 15 years academic BScN and graduate level teaching experience. Other clinical areas of experience include critical care (intensive care, neonatal intensive care, and neurosurgical critical care), medical-surgical nursing, and psychiatric nursing. Her research focuses on simulation design and evaluation, neurofeedback, and mental health. Dr. Tyerman is Co-President of the national Canadian Alliance of Nurse Educators using Simulation (CAN-sim), which serves as a platform for simulation collaboration among health educators.

Affiliations and Expertise

Assistant Professor, School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON.

Sandra Goldsworthy

Dr. Sandra Goldsworthy, RN, CNCC(C), CMSN(C), CCSNE, PhD

Affiliations and Expertise

Director, Blended and Online Learning Technology; Associate Professor, Faculty of Nursing, University of Calgary, Calgary, AB.

About the Authors

Sharon Lewis

Sharon L. Lewis, RN, PhD, FAAN

Affiliations and Expertise

Research Professor, Castella Distinguished Professor, School of Nursing, University of Texas Health Science Center at San Antonio, San Antonio, TX

Linda Bucher

Linda Bucher, RN, PhD, CEN, CNE

Affiliations and Expertise

Professor, School of Nursing, University of Delaware, Newark, DE; Staff Nurse, Emergency Department, Virtua Memorial Hospital, Mt. Holly, NJ

Margaret Heitkemper

Margaret M. Heitkemper, RN, PhD, FAAN

Affiliations and Expertise

Professor and Chairperson, Biobehavioral Nursing and Health Systems, Elizabeth Sterling Soule Endowed Chair in Nursing, School of Nursing; Adjunct Professor, Division of Gastroenterology, School of Medicine, University of Washington, Seattle, WA

Mariann Harding

Affiliations and Expertise

Professor, Department of Nursing, Kent State University at Tuscarawas, New Philadelphia, Ohio