دانلود کتاب پرستاری پزشکی-جراحی لوئیس – ارزیابی و مدیریت بالینی

The twelfth edition of Lewis’s Medical-Surgical Nursing: Assessment and Management of Clinical Problems incorporates the most current medical-surgical nursing information in an easy-to-use format. This textbook is a comprehensive resource describing standards of nursing clinical practice for providing safe and comprehensive patient care. The text and accompanying resources include many features to help students learn key medical-surgical nursing content, including patient and caregiver teaching, gerontology, interprofessional care, diversity, patient safety, nutrition and drug therapy, evidence-based practice, and much more. This edition features several important changes. Chapter 2, Social Determinants of Health, focuses on nursing awareness of patient circumstances on health outcomes. The discussion includes health status differences among groups of people related to access to care, economic aspects of health care, gender and cultural issues, and the nurse’s role in promoting health equity. New to this edition, Chapter 6, Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and Gender Diverse Patients, addresses the unique health care needs of the LGBTQ+ population with the goal of promoting high-quality care. Another new chapter to this edition is Chapter 28, Supporting Ventilation. Promoting a concept-based approach to optimizing ventilation, this chapter focuses on various strategies used use to promote optimal ventilation and oxygenation. Covered content includes O2 therapy, chest tubes, respiratory therapy, chest surgeries, and mechanical ventilation. Textbook reorganization to support a concept-based approach includes adding Acute Respiratory Failure and ARDS to the Ventilation Section and Shock, Sepsis, and MODS to the Perfusion Section. Chapter 12, Inflammation and Healing, and Chapter 15, Infection, have been revised to include more concept-based care for the patient with an infection or experiencing inflammation. New tables addressing the nursing management of the patient with a fever and infection and antibiotic, antiviral, and antifungal Drug Therapy tables enhance the content. Care of the patient with COVID-19 infection is included. Critical care nursing is now addressed throughout the textbook, an approach that reflects the needs of patients in various care environments. Varying levels of hemodynamic monitoring now occur outside the critical care unit and are included in the enhanced Cardiovascular System Assessment chapter. Similarly, advanced techniques to assess oxygenation are included in the new Supporting Ventilation chapter. Care of the patient experiencing problems such as pain, difficulty sleeping, and delirium are addressed in the respective textbook chapters. Special content has been added to assist with NCLEX® preparation and the development of clinical judgment based on NCSBN’s Clinical Judgment Measurement Model (CJMM). At the end of each unit, the reader will find Applying Clinical Judgment With Multiple Patients, featuring traditional and Next-Generation NCLEX® (NGN)–style questions. Discussion questions in the management chapters’ Case Studies focus on the 6 cognitive skills identified in the CJMM: Recognize Cues, Analyze Cues, Prioritize Hypotheses, Generate Solutions, Take Actions, and Evaluate Outcomes. Great effort has been put into continuing to improve readability and lower the reading level. Readers will find clearer and easier-to-read language, with an engaging conversational style. The narrative addresses the reader, helping make the text more personal and an active learning tool.