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,Each update, each change has been made in hopes of providing a premier text to guide
the nursing student in their quest for a quality education toward the entry into what
I believe to be one of the most satisfying career choices. With each topic I have read
and each page written I am in awe of nursing and all it encompasses. None of this
would have been possible without the unwavering support of my family, friends, and
colleagues.
To my husband Anthony and my daughter Jaelyn Elizabeth, whose love and cheers
have encouraged me in this process, I appreciate your support and understanding
of the long hours and hard work needed to bring this book to publication. I love you
both.
To my writing partner, Kelly Gosnell, words cannot express my respect for your hard
work and dedication to our dream to produce a work we are infinitely proud of. You
have been a source of strength and friendship in this endeavor. I look forward to many
future chapters of writing adventures. Finally to the Elsevier team, I thank you for
the continued belief in this title and the partnership striving to produce it.
Kim Cooper
To my husband Ed and my daughters Katelyn and Kinsey, I thank you for your love,
patience, and understanding during the time it took to complete this endeavor start-
ing with the seventh edition. Your acceptance of the demands on my time made it all
possible. In the last edition I expressed my gratitude to the newest family members,
Jared and Miles. Since that time, we have added three new family members to the life
of a nursing textbook author. Taj, Ivory, and Owen have now become a part of our
textbook! I appreciate all you have done to support and brighten the road along the
way.
To all my wonderful family, friends, and colleagues, your constant support and belief
in me while completing this project mean more to me than I can express.
To my writing partner, Kim Cooper, without you getting me into the crazy world of
ancillary writing years ago, I would not have had the opportunity to tackle this fan-
tastic opportunity of nursing textbook authorship with you. It has been, and hope-
fully will continue to be, an awesome ride.
Kelly Gosnell
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, EDITION
9
Adult Health
Nursing
Kim Cooper, RN, MSN
Associate Professor and Dean
School of Nursing
Ivy Tech Community College
Terre Haute, Indiana
President, Indiana State Board of Nursing
Kelly Gosnell, RN, MSN
Associate Professor and Department Chair
School of Nursing
Ivy Tech Community College
Terre Haute, Indiana
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