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Serial, consistent, and well-documented neurological assessments are the most important aspect of nursing care for the pediatric neurosurgical patient. Subtle changes in the neurological assessment may first be noted by a bedside nurse. Keen observation skills and the ability to extract information about a patient’s baseline level of neurological function from the parents or primary caregiv…
Patient safety is not a new concept for health care practitioners, but the attention focused on it by the Institute of Medicine (IOM) report, To Err is Human: Building a Safer Health System galvanized public and media attention as well as policymakers (Kohn, Corrigan, & Donaldson, 2000). While safety issues are not new for most caregivers, knowledge of how mistakes and errors occur has been adv…
Origin of the Electrocardiogram The waveform of the electrocardiogram (ECG) recorded from the body surface depends on the properties of the generator (i.e., cardiac action potential), the spread of excitation, and the characteristics of the volume conductor. The electrocardiographic theory attempts to integrate these three elements.1 Figure 1–1 shows the temporal relation between the…
Over the last 2 decades, cognitive behavior therapy (CBT) has been demonstrated to be among the most efficacious psychological models for the treatment of a broad range of psychological disorders. It is short term and efficient—aimed at "fixing" negative thought patterns and behaviors rather than the whole psyche. In addition to its use in theory, CBT has also been applied to areas of staff t…
Inmaximum extension,theregion ofthe atlantooccipital jointislocked and rotation largelytakesplace in the lower segmentsof the cervical spine and in the cervicothoracic junction. Restricted mobility with pain isa sign of segmentaldysfunction.The mostlikely causes include degenerative changes in the middle and lower cervical spine (spondylosis, spondylarthritis, or uncovertebral arthritis). Verti…
Old-time clinicians surmised the presence of eclamptic hypertension from the hard, bounding pulse, but confirmation was long delayed for want of methods for measuring the blood pressure. Sphygmographic tracings were interpreted as showing arterial hypertension, but no absolute values could be specified. Mahomed reported that such tracings indicated the presence of hypertension in nearly a…
The nursing process (Fig. 1.1) is used to identify, prevent, and treat actual or potential health problems and promote wellness. It provides a framework in which to practice nursing.Think of it as a continuous, circular process that revolves around your patient. You begin with assessment, collect data, cluster the data, and then formulate nursing diagnoses. Once you have identified the nursing…
As new scientific information becomes available through basic and clinical research, recommended treatments and drug therapies undergo changes. The author(s) and publisher have done everything possible to make this book accurate, up to date, and in accord with accepted standards at the time of publication. The author(s), editors, and publisher are not responsible for errors or omissions or for …
The first and second editions of this book were conceived to provide distilled, up-to-date information to nursing students and staff nurses about many conditions and diagnoses encountered in nursing practice. With the third edition, we have responded to the ever-changing health care environment as well as to the recommendations of our readers and editors. We have held true to our initial pur…
Aged-care nursing is a specialised field of nursing. Although care of the aged has been part of nursing since the beginning of the profession, it is only in more recent times that this specialty has ‘come of age’. With increased life expectancy, the aged population has grown markedly throughout the world. In parallel with this, a plethora of research means that nurses now have an ever-incre…