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medical-surgical, pediatric, maternity, and psychiatric nursing care plans. Questions and Answers

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This unique book has four sections for medical-surgical, pediatric, maternity, and psychiatric nursing care plans. The medical-surgical care plans are organized alphabetically within each body system. Each care plan uses the following consistent format: OVERVIEW/PATHOPHYSIOLOGY • Brief introduction to the disorder or condition • Includes a review of pathophysiology, where appropriate HEALTH CARE SETTING • Specified for each care plan, because these conditions are treated in various settings • Examples include acute, primary, community, and long-term care ASSESSMENT • Covers signs and symptoms of the disorder, divided into chronic and acute indicators, where appropriate • Includes key health history and physical assessment points DIAGNOSTIC TESTS • Summarizes tests that might be used to diagnose (or rule out), treat, and monitor the condition NURSING DIAGNOSIS WITH DESIRED OUTCOME • Includes the most recent NANDA nursing diagnoses • Outcome criteria with specific timelines ASSESSMENT/INTERVENTIONS AND RATIONALES • Two-column format for quick reference • Detailed rationales for each nursing intervention help you apply concepts to clinical practice • Safety icons alert you to assessment and intervention data that necessitate special care and attention PATIENT-FAMILY TEACHING AND DISCHARGE PLANNING • Highlight key patient education topics such as recommended follow-up care, when to contact a health care provider, and considerations related to medications, diet, and exercise • Include referrals to community resources and organizations for further information ALL-IN-ONE NURSING CARE PLANNING RESOURCE Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health This page intentionally left blank 4e ALL-IN-ONE NURSING CARE PLANNING RESOURCE Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health Pamela L. Swearingen, RN Special Project Editor 3251 Riverport Lane St. Louis, Missouri 63043 ALL-IN-ONE NURSING CARE PLANNING RESOURCE, FOURTH EDITION Copyright © 2016 by Mosby, an imprint of Elsevier Inc. Copyright © 2012, 2008, 2004 by Mosby, Inc., an affiliate of Elsevier Inc. ISBN: 978-0-323-26286-6 All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Library of Congress Cataloging-in-Publication Data All-in-one nursing care planning resource : medical-surgical, pediatric, maternity, psychiatric nursing care plans / Pamela L. Swearingen, special project editor. – 4th edition. p. ; cm. Includes bibliographical references and index. ISBN 978-0-323-26286-6 I. Swearingen, Pamela L., editor. [DNLM: 1. Nursing Process–organization & administration. 2. Nursing Care–methods. 3. Patient Care Planning. WY 100.1] RT49 610.73–dc23 5 Executive Content Strategist: Lee Henderson Content Development Manager: Billie Sharp Content Development Specialist: Charlene Ketchum Publishing Services Manager: Hemamalini Rajendrababu Project Manager: Maria Bernard Design Direction: Ashley Miner Printed in Canada Last digit is the print number: 9 8 7 6 5 4 3 2 1 Dedication To the memory of Carol Monlux Swift, RN, BSN, CNRN, whose integrity, talent, and dedication to the nursing profession live on. v This page intentionally left blank MEDICAL-SURGICAL NURSING CARE PLANS Lolita M. Adrien-Dunlap, RN, MS, CNS, CWON Professor of Nursing, Retired Contra Costa College San Pablo, California *Contributed care plans for Crohn’s Disease, Fecal Diversions, and Ulcerative Colitis. Marianne Baird, RN, MN Clinical Nurse Specialist Magnet Program Director Saint Joseph’s Hospital of Atlanta Atlanta, Georgia *Contributed Endocrine Care Plans. Lynda K. Ball, RN, MSN, CNN Quality Improvement Coordinator Northwest Renal Network Seattle, Washington


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