Pudner's Nursing the Surgical Patient

4th Edition - August 26, 2020
Editors: Ian Peate, Jay Macleod
Language: English
Paperback ISBN:
9 7 8 - 0 - 7 0 2 0 - 7 8 6 5 - 1
eBook ISBN:
9 7 8 - 0 - 7 0 2 0 - 7 8 6 6 - 8

Contemporary and fully updated, the new edition of this accessible guide builds on the success of previous editions to bring together all the key principles of nursing care for su… Read more

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Contemporary and fully updated, the new edition of this accessible guide builds on the success of previous editions to bring together all the key principles of nursing care for surgical patients. Split into two sections, the first section explains the basis of surgical care. The second section has comprehensive coverage of all major areas of surgical practice, providing both a theoretical and practical understanding across a wide range of procedures.

Written from a patient-centred perspective but with an added emphasis on safety and the role of the nurse in relation to current legislation, the new Pudner’s Nursing the Surgical Patient offers all you need to provide the best care. Its user-friendly format will make it invaluable not only to nurses but to a range of health care practitioners.

Cover image
Title page
Table of Contents
Copyright
Preface
Acknowledgements
List of Contributors
Glossary
Section I: The basis of surgical care
Chapter 1. Preoperative assessment
Chapter Contents
Introduction
Core elements of a preoperative assessment
Optimization in preoperative assessment
Protocols, policies and guidelines
Research and audit
References
Further reading
Chapter 2. Perioperative care
Chapter Contents
Introduction
Preoperative care
Care during anaesthesia
Intraoperative care
Immediate postoperative care
Conclusion
References
Further reading
Chapter 3. Day surgery
Chapter Contents
Introduction
Advantages of day surgery
Disadvantages of day surgery
Day surgery nursing
Anaesthesia in day surgery
Recovery in day surgery
Discharge of the patient from the day surgery unit
Conclusion
References
Further reading
Relevant websites
Chapter 4. Perioperative stress and anxiety in the surgical patient
Chapter Contents
Introduction
Anxiety in the surgical patient
Benefits of reducing anxiety in the surgical patient
Methods of relieving anxiety in the surgical patient
Conclusion
References
Chapter 5. Wound healing in the surgical patient
Chapter Contents
Introduction
Structure and function of the skin
Mechanisms of wound closure
Process of wound healing
Factors affecting the healing process
Methods of skin closure
Use of wound drains
Principles of care for a patient with a surgical wound
Discharge advice
Regenerative medicine
Conclusion
References
Chapter 6. Nutrition and the surgical patient
Chapter Contents
Introduction
Malnutrition
Identifying patients at risk of malnutrition
The nutritional needs of the surgical patient
The evidence for nutritional support in the surgical patient
Methods of nutritional support
Ethics
Monitoring nutritional support
References
List of useful resources
Chapter 7. Altered body image and the surgical patient
Chapter Contents
Introduction
What is meant by body image?
Perceptions of altered body image
Reactions to altered body image
Conclusion
References
Further reading
Chapter 8. Concepts of pain and the surgical patient
Chapter Contents
Introduction
Classification of pain
General principles in the management of acute pain
Methods of administering postoperative analgesia
Pharmacology in acute pain management
The Acute Pain Service team
References
Chapter 9. Discharge planning following surgery
Chapter Contents
Introduction
What is discharge planning?
Policy and guidelines: discharge planning
Communication and collaboration
Patients with complex needs
Teaching and education
Discharge medication
Barriers and challenges to discharge planning
Conclusion
References
Further reading
Section II: Nursing care for specific surgical procedures
Chapter 10. Patients requiring neurosurgery
Chapter Contents
Introduction
Overview of the anatomy and function of the brain
Indications for neurosurgery
Symptoms and presentations
Investigation and diagnosis
Neurosurgery
Operative approaches
Neurosurgical operations
Preoperative assessment
Observations
Preoperative preparation
Postoperative care
Recovering from neurosurgery
Early rehabilitation and the multidisciplinary team
The future
Conclusion: nursing the neurosurgical patient
Care plans
References
Further reading
Chapter 11. Patients requiring ophthalmic surgery
Chapter Contents
Introduction
Structure of the eye
Assessment of the eye
Preoperative assessment
Pre- and postoperative care of patients undergoing intraocular surgery
Pre- and postoperative care of patients undergoing extraocular surgery
Discharge planning
Conclusion
Acknowledgements
References
Further reading
Chapter 12. Patients requiring surgery to the ear, nose and throat
Chapter Contents
Introduction
The ear
The nose
The throat
Head and neck
Conclusion
References
Further reading
Relevant websites
Chapter 13. Patients requiring thyroid surgery
Chapter Contents
Introduction
Anatomy and physiology
Disorders of the thyroid gland
Conservative management of hyperthyroidism
Specific investigations of a patient with thyroid dysfunction
Nursing assessment of a patient requiring thyroid surgery
Assessment of the patient's voice and trachea
Specific preoperative preparation
Surgical interventions
Specific postoperative care
Potential problems following thyroid surgery
Discharge planning and patient education
Conclusion
References
Relevant website
Chapter 14. Care of the patient requiring cardiac interventions and surgery
Chapter Contents
Introduction
Anatomy and physiology of the heart
Basic pathophysiology of the heart
Assessment and investigations
Therapeutic catheterization
Cardiac treatments
Open cardiac surgery
Heart transplantation
Conclusion
References
Relevant websites
Chapter 15. Care of the patient requiring thoracic surgery
Chapter Outline
Introduction
An overview of the respiratory system and the mechanics of breathing
Respiratory assessment
Common disorders requiring surgical intervention
Specific investigations required prior to surgery
Preoperative care
Thoracic surgical procedures
Postoperative care
Specific health education/patient teaching and preparation for discharge
Conclusion
References
Further reading
Relevant website
Chapter 16. Patients requiring upper gastrointestinal surgery
Chapter Contents
Introduction
Overview of the anatomy and physiology of the digestive system
Investigations
Upper gastrointestinal disorders
Bariatric surgery (by Nuala Davison)
References
Further reading
Chapter 17. Patients requiring colorectal and anal surgery
Chapter Contents
Introduction
Investigations
Colorectal and anal disorders
Enhanced recovery following colorectal surgery
References
Further reading
Relevant websites
Chapter 18. Patients requiring surgery on the renal and urinary tract
Chapter Contents
Introduction
Anatomy and physiology of the urinary tract
Renal and urological investigations
Nursing assessment of the individual requiring surgery for a urological condition
Surgical interventions on the kidney
Surgical management of bladder cancer
Conclusion
References
Relevant websites
Chapter 19. Patients requiring surgery on the male reproductive system
Chapter Contents
Introduction
Care of the patient following prostate surgery
Care of the patient following scrotal surgery
Care of the patient following penile surgery
Care of the patient following urethral surgery
Conclusion
References
Further reading and relevant websites
Chapter 20. Patients requiring gynaecological surgery
Chapter Contents
Introduction
Anatomy and physiology of the reproductive system
Specific investigations for patients requiring gynaecological surgery
Assessment of patient requiring gynaecological surgery
Minor gynaecological surgery
Laparoscopic surgery
Nursing care for minor gynaecological and laparoscopic surgery
Myomectomy
Hysterectomy
Nursing care for major gynaecological surgery
Endometrial ablation
Levonorgestrel intrauterine system
Vaginal repair surgery/colporrhaphy
Continence surgery
Laparoscopic treatment of prolapse
Nursing care for patients requiring vaginal repair and continence surgery
Laparoscopic treatment of ectopic pregnancy
Treatment for gynaecological cancers
Conclusion
Dedication
Resources
References
Further reading
Chapter 21. Patients requiring breast surgery
Chapter Contents
Introduction
Anatomy and physiology
Assessment and investigations
Breast surgery
Breast cancer
Nursing care of a patient undergoing surgery for breast cancer
Conclusion
Useful addresses
References
Further reading
Chapter 22. Care of patients requiring vascular surgery
Chapter Contents
Introduction
Physiology of circulation
Arterial occlusive disease
The patient with chronic ischaemia
Nursing assessment of patients with peripheral vascular disease
Management of the patient with intermittent claudication
Acute leg ischaemia
Management of the patient requiring lower limb amputation
Management of the patient with an abdominal aortic aneurysm
Management of the patient requiring carotid endarterectomy
Management of the patient with varicose veins
References
Further reading
Chapter 23. Patients requiring orthopaedic surgery
Chapter Contents
Introduction
The musculoskeletal system
Common orthopaedic disorders
Nursing assessment of the orthopaedic patient
Orthopaedic investigations and tests
Lower limb orthopaedic surgery
Upper limb orthopaedic surgery
Orthopaedic surgery of the spine
Fractures
General discharge planning and advice
Conclusion
Useful addresses
References
Relevant websites
Chapter 24. Patients requiring plastic surgery
Chapter Contents
Introduction
Surgical procedures associated with plastic surgery
Skin grafts
Flaps
Conclusion
References
Index

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Ian Peate

Jay Macleod