, Theoretical Basis for Nursing
SIXTH EDITION
Melanie McEwen PhD, RN, CNE, ANEF, FAAN
Distinguished Teaching Professor
University of Texas Health Science Center at Houston
Cizik School of Nursing
Houston, Texas
Evelyn M. Wills PhD
Professor (Retired)
Department of Nursing
College of Nursing & Allied Health Professions
University of Louisiana at Lafayette
Lafayette, Louisiana
1
,Vice President, Nursing Segment: Julie K. Stegman
Director, Nursing Education and Practice Content: Jamie Blum
Senior Development Editor: Julie M. Vitale
Editorial Coordinators: Lesley Drewi , Vinoth Ezhumalai
Marketing Manager: Bri any Riney
Editorial Assistant: Molly Kennedy
Production Project Manager: Kirstin Johnson
Manager, Graphic Arts & Design: Stephen Druding
Art Director: Jennifer Clements
Manufacturing Coordinator: Margie Orzech-Zeranko
Prepress Vendor: TNQ Technologies
6th Edition
Copyright © 2023 Wolters Kluwer
Copyright © 2019, 2014, 2011 Wolters Kluwer Health | Lippinco
Williams & Wilkins. Copyright © 2007, 2002 Lippinco Williams
& Wilkins. All rights reserved. This book is protected by
copyright. No part of this book may be reproduced or transmi ed
in any form or by any means, including as photocopies or
scanned-in or other electronic copies, or utilized by any
information storage and retrieval system without wri en
permission from the copyright owner, except for brief quotations
embodied in critical articles and reviews. Materials appearing in
this book prepared by individuals as part of their official duties as
U.S. government employees are not covered by the above-
mentioned copyright. To request permission, please contact
Wolters Kluwer at Two Commerce Square, 2001 Market Street,
Philadelphia, PA 19103, via email at , or via
our website at shop.lww.com (products and services).
9 8 7 6 5 4 3 2 1
Printed in Singapore
Library of Congress Cataloging-in-Publication Data
2
, ISBN-13: 978-1-975175-65-8
Cataloging in Publication data available on request from
publisher.
This work is provided “as is,” and the publisher disclaims any
and all warranties, express or implied, including any warranties
as to accuracy, comprehensiveness, or currency of the content of
this work.
This work is no substitute for individual patient assessment based
upon healthcare professionals’ examination of each patient and
consideration of, among other things, age, weight, gender, current
or prior medical conditions, medication history, laboratory data,
and other factors unique to the patient. The publisher does not
provide medical advice or guidance, and this work is merely a
reference tool. Healthcare professionals, and not the publisher, are
solely responsible for the use of this work, including all medical
judgments, and for any resulting diagnosis and treatments.
Given continuous, rapid advances in medical science and health
information, independent professional verification of medical
diagnoses, indications, appropriate pharmaceutical selections and
dosages, and treatment options should be made, and healthcare
professionals should consult a variety of sources. When
prescribing medication, healthcare professionals are advised to
consult the product information sheet (the manufacturer’s
package insert) accompanying each drug to verify, among other
things, conditions of use, warnings, and side effects and to
identify any changes in dosage schedule or contraindications,
particularly if the medication to be administered is new,
infrequently used, or has a narrow therapeutic range. To the
maximum extent permi ed under applicable law, no
responsibility is assumed by the publisher for any injury and/or
damage to persons or property, as a ma er of products liability,
negligence law or otherwise, or from any reference to or use by
any person of this work.
shop.lww.com
3
SIXTH EDITION
Melanie McEwen PhD, RN, CNE, ANEF, FAAN
Distinguished Teaching Professor
University of Texas Health Science Center at Houston
Cizik School of Nursing
Houston, Texas
Evelyn M. Wills PhD
Professor (Retired)
Department of Nursing
College of Nursing & Allied Health Professions
University of Louisiana at Lafayette
Lafayette, Louisiana
1
,Vice President, Nursing Segment: Julie K. Stegman
Director, Nursing Education and Practice Content: Jamie Blum
Senior Development Editor: Julie M. Vitale
Editorial Coordinators: Lesley Drewi , Vinoth Ezhumalai
Marketing Manager: Bri any Riney
Editorial Assistant: Molly Kennedy
Production Project Manager: Kirstin Johnson
Manager, Graphic Arts & Design: Stephen Druding
Art Director: Jennifer Clements
Manufacturing Coordinator: Margie Orzech-Zeranko
Prepress Vendor: TNQ Technologies
6th Edition
Copyright © 2023 Wolters Kluwer
Copyright © 2019, 2014, 2011 Wolters Kluwer Health | Lippinco
Williams & Wilkins. Copyright © 2007, 2002 Lippinco Williams
& Wilkins. All rights reserved. This book is protected by
copyright. No part of this book may be reproduced or transmi ed
in any form or by any means, including as photocopies or
scanned-in or other electronic copies, or utilized by any
information storage and retrieval system without wri en
permission from the copyright owner, except for brief quotations
embodied in critical articles and reviews. Materials appearing in
this book prepared by individuals as part of their official duties as
U.S. government employees are not covered by the above-
mentioned copyright. To request permission, please contact
Wolters Kluwer at Two Commerce Square, 2001 Market Street,
Philadelphia, PA 19103, via email at , or via
our website at shop.lww.com (products and services).
9 8 7 6 5 4 3 2 1
Printed in Singapore
Library of Congress Cataloging-in-Publication Data
2
, ISBN-13: 978-1-975175-65-8
Cataloging in Publication data available on request from
publisher.
This work is provided “as is,” and the publisher disclaims any
and all warranties, express or implied, including any warranties
as to accuracy, comprehensiveness, or currency of the content of
this work.
This work is no substitute for individual patient assessment based
upon healthcare professionals’ examination of each patient and
consideration of, among other things, age, weight, gender, current
or prior medical conditions, medication history, laboratory data,
and other factors unique to the patient. The publisher does not
provide medical advice or guidance, and this work is merely a
reference tool. Healthcare professionals, and not the publisher, are
solely responsible for the use of this work, including all medical
judgments, and for any resulting diagnosis and treatments.
Given continuous, rapid advances in medical science and health
information, independent professional verification of medical
diagnoses, indications, appropriate pharmaceutical selections and
dosages, and treatment options should be made, and healthcare
professionals should consult a variety of sources. When
prescribing medication, healthcare professionals are advised to
consult the product information sheet (the manufacturer’s
package insert) accompanying each drug to verify, among other
things, conditions of use, warnings, and side effects and to
identify any changes in dosage schedule or contraindications,
particularly if the medication to be administered is new,
infrequently used, or has a narrow therapeutic range. To the
maximum extent permi ed under applicable law, no
responsibility is assumed by the publisher for any injury and/or
damage to persons or property, as a ma er of products liability,
negligence law or otherwise, or from any reference to or use by
any person of this work.
shop.lww.com
3
