, CARING FOR THE
Vulnerable
MARY DE CHESNAY, PHD, RN, PMHCNS-BC, FAAN
Retired Professor, WellStar School of Nursing, Kennesaw State University, Kennesaw, Georgia
BARBARA A. ANDERSON, DRPH, RN, CNM, FACNM, FAAN
Professor Emerita, Frontier Nursing University, Hyden, Kentucky
,World Headquarters
Jones & Bartlett Learning
5 Wall Street
Burlington, MA 01803
978-443-5000
www.jblearning.com
Jones & Bartlett Learning books and products are available through most bookstores and online booksellers. To contact Jones & Bartlett Learning
directly, call 800-832-0034, fax 978-443-8000, or visit our website, www.jblearning.com.
Substantial discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional associations, and
other qualified organizations. For details and specific discount information, contact the special sales department at Jones & Bartlett Learning via
the above contact information or send an email to .
Copyright © 2020 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or mechanical, including
photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owner.
The content, statements, views, and opinions herein are the sole expression of the respective authors and not that of Jones & Bartlett Learning, LLC.
Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or
imply its endorsement or recommendation by Jones & Bartlett Learning, LLC and such reference shall not be used for advertising or product endorsement
purposes. All trademarks displayed are the trademarks of the parties noted herein. Caring for the Vulnerable: Perspectives in Nursing Theory, Practice, and
Research, Fifth Edition is an independent publication and has not been authorized, sponsored, or otherwise approved by the owners of the trademarks
or service marks referenced in this product.
There may be images in this book that feature models; these models do not necessarily endorse, represent, or participate in the activities represented in
the images. Any screenshots in this product are for educational and instructive purposes only. Any individuals and scenarios featured in the case studies
throughout this product may be real or fictitious, but are used for instructional purposes only.
The authors, editor, and publisher have made every effort to provide accurate information. However, they are not responsible for errors, omissions, or for
any outcomes related to the use of the contents of this book and take no responsibility for the use of the products and procedures described. Treatments
and side effects described in this book may not be applicable to all people; likewise, some people may require a dose or experience a side effect that is not
described herein. Drugs and medical devices are discussed that may have limited availability controlled by the Food and Drug Administration (FDA)
for use only in a research study or clinical trial. Research, clinical practice, and government regulations often change the accepted standard in this field.
When consideration is being given to use of any drug in the clinical setting, the health care provider or reader is responsible for determining FDA status
of the drug, reading the package insert, and reviewing prescribing information for the most up-to-date recommendations on dose, precautions, and
contraindications, and determining the appropriate usage for the product. This is especially important in the case of drugs that are new or seldom used.
Production Credits
VP, Product Management: Amanda Martin Rights & Media Specialist: John Rusk
Director of Product Management: Matt Kane Media Development Editor: Troy Liston
Product Manager: Tina Chen Cover Image (Title Page, Part Opener, Chapter Opener): © RichLegg/E+/
Product Assistant: Anna-Maria Forger Getty Images; © Dragana991/ iStock/ Getty Images; © Gustavofrazao/
Project Specialist: Alex Schab iStock/ Getty Images; © MachineHeadz/ iStock/ Getty Images; © Johnrob/
Marketing Coordinator: Molly Gross E+/ Getty Images; © Bartosz Hadyniak/ E+/ Getty Images
Product Fulfillment Manager: Wendy Kilborn Printing and Binding: McNaughton & Gunn
Composition and Project Management: S4Carlisle Publishing Services Cover Printing: McNaughton & Gunn
Cover Design: Kristin E. Parker
Library of Congress Cataloging-in-Publication Data
Names: De Chesnay, Mary, author. | Anderson, Barbara A., 1948- author.
Title: Caring for the vulnerable : perspectives in nursing theory, practice,
and research / Mary de Chesnay, Barbara A. Anderson.
Description: Fifth edition. | Burlington, Massachusetts : Jones & Bartlett
Learning, [2020] | Includes bibliographical references and index.
Identifiers: LCCN 2018036792 | ISBN 9781284146813 (paperback)
Subjects: LCSH: Nursing--Social aspects. | Transcultural nursing. |
Nursing--Cross-cultural studies. | Nursing--Philosophy. | BISAC: MEDICAL /
Nursing / Home & Community Care.
Classification: LCC RT86.5 .C376 2020 | DDC 610.73--dc23 LC record available at https://lccn.loc.gov/2018036792
6048
Printed in the United States of America
23 22 21 20 19 10 9 8 7 6 5 4 3 2 1
, To Donna Chambers, APRN, an exemplary nurse
whose commitment to the vulnerable people she
cares for and about is an inspiration.
–MdC
To my daughter, Laura, whose life has been
characterized by caring for vulnerable youth, and to
my son, Rob, who has alleviated the vulnerability of
blindness by his superb technical skills.
–BA
Vulnerable
MARY DE CHESNAY, PHD, RN, PMHCNS-BC, FAAN
Retired Professor, WellStar School of Nursing, Kennesaw State University, Kennesaw, Georgia
BARBARA A. ANDERSON, DRPH, RN, CNM, FACNM, FAAN
Professor Emerita, Frontier Nursing University, Hyden, Kentucky
,World Headquarters
Jones & Bartlett Learning
5 Wall Street
Burlington, MA 01803
978-443-5000
www.jblearning.com
Jones & Bartlett Learning books and products are available through most bookstores and online booksellers. To contact Jones & Bartlett Learning
directly, call 800-832-0034, fax 978-443-8000, or visit our website, www.jblearning.com.
Substantial discounts on bulk quantities of Jones & Bartlett Learning publications are available to corporations, professional associations, and
other qualified organizations. For details and specific discount information, contact the special sales department at Jones & Bartlett Learning via
the above contact information or send an email to .
Copyright © 2020 by Jones & Bartlett Learning, LLC, an Ascend Learning Company
All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form, electronic or mechanical, including
photocopying, recording, or by any information storage and retrieval system, without written permission from the copyright owner.
The content, statements, views, and opinions herein are the sole expression of the respective authors and not that of Jones & Bartlett Learning, LLC.
Reference herein to any specific commercial product, process, or service by trade name, trademark, manufacturer, or otherwise does not constitute or
imply its endorsement or recommendation by Jones & Bartlett Learning, LLC and such reference shall not be used for advertising or product endorsement
purposes. All trademarks displayed are the trademarks of the parties noted herein. Caring for the Vulnerable: Perspectives in Nursing Theory, Practice, and
Research, Fifth Edition is an independent publication and has not been authorized, sponsored, or otherwise approved by the owners of the trademarks
or service marks referenced in this product.
There may be images in this book that feature models; these models do not necessarily endorse, represent, or participate in the activities represented in
the images. Any screenshots in this product are for educational and instructive purposes only. Any individuals and scenarios featured in the case studies
throughout this product may be real or fictitious, but are used for instructional purposes only.
The authors, editor, and publisher have made every effort to provide accurate information. However, they are not responsible for errors, omissions, or for
any outcomes related to the use of the contents of this book and take no responsibility for the use of the products and procedures described. Treatments
and side effects described in this book may not be applicable to all people; likewise, some people may require a dose or experience a side effect that is not
described herein. Drugs and medical devices are discussed that may have limited availability controlled by the Food and Drug Administration (FDA)
for use only in a research study or clinical trial. Research, clinical practice, and government regulations often change the accepted standard in this field.
When consideration is being given to use of any drug in the clinical setting, the health care provider or reader is responsible for determining FDA status
of the drug, reading the package insert, and reviewing prescribing information for the most up-to-date recommendations on dose, precautions, and
contraindications, and determining the appropriate usage for the product. This is especially important in the case of drugs that are new or seldom used.
Production Credits
VP, Product Management: Amanda Martin Rights & Media Specialist: John Rusk
Director of Product Management: Matt Kane Media Development Editor: Troy Liston
Product Manager: Tina Chen Cover Image (Title Page, Part Opener, Chapter Opener): © RichLegg/E+/
Product Assistant: Anna-Maria Forger Getty Images; © Dragana991/ iStock/ Getty Images; © Gustavofrazao/
Project Specialist: Alex Schab iStock/ Getty Images; © MachineHeadz/ iStock/ Getty Images; © Johnrob/
Marketing Coordinator: Molly Gross E+/ Getty Images; © Bartosz Hadyniak/ E+/ Getty Images
Product Fulfillment Manager: Wendy Kilborn Printing and Binding: McNaughton & Gunn
Composition and Project Management: S4Carlisle Publishing Services Cover Printing: McNaughton & Gunn
Cover Design: Kristin E. Parker
Library of Congress Cataloging-in-Publication Data
Names: De Chesnay, Mary, author. | Anderson, Barbara A., 1948- author.
Title: Caring for the vulnerable : perspectives in nursing theory, practice,
and research / Mary de Chesnay, Barbara A. Anderson.
Description: Fifth edition. | Burlington, Massachusetts : Jones & Bartlett
Learning, [2020] | Includes bibliographical references and index.
Identifiers: LCCN 2018036792 | ISBN 9781284146813 (paperback)
Subjects: LCSH: Nursing--Social aspects. | Transcultural nursing. |
Nursing--Cross-cultural studies. | Nursing--Philosophy. | BISAC: MEDICAL /
Nursing / Home & Community Care.
Classification: LCC RT86.5 .C376 2020 | DDC 610.73--dc23 LC record available at https://lccn.loc.gov/2018036792
6048
Printed in the United States of America
23 22 21 20 19 10 9 8 7 6 5 4 3 2 1
, To Donna Chambers, APRN, an exemplary nurse
whose commitment to the vulnerable people she
cares for and about is an inspiration.
–MdC
To my daughter, Laura, whose life has been
characterized by caring for vulnerable youth, and to
my son, Rob, who has alleviated the vulnerability of
blindness by his superb technical skills.
–BA
