Nursing the surgical patient / edited by Rosie Pudner ; illustrations by Ian Ramsden.

Previous ed.: Edinburgh: Ballière Tindall, 2000.

Includes bibliographical references and index.

and the mechanics of breathing--Blood gas concentration--Respiratory asessment--Common disorders requiring surgical intervention--Specific investigations required prior to surgery-- preoperative care--Thoracic surgical procedures--Postoperative care--Specific health education/patient teaching and preparation for discharge--Conclusion--15. Patients requiring gastrtointestinal/colorectal surgery:- Introduction--Overview of the anatomy and physiology of the digesstive system--Investigations--Upper gastrointestinal disorders--Lower gastrointestinal disorders--16. Patients requiring surgery on the renal and urinary tract:- Introduction -- Anatomy and physiology of the urinary tract--Renal and urological investigations--Nursing assessment of individual requiring surgery for a urological condition--Surgical interventions on the kidney--Surgical management of bladder cancer--Conclusion--17. Patients requiring surgery on the male reproductive system:- Introduction--Anatomy and physiology of the male reproductive system--Surgery on the prostate gland--Carcinoma of the prostate gland--Penile conditions and surgery--Scrotal conditions and surgery--Nursing care for penile and scrotal surgery--Surgery on the male urethra--Conclusion--18. Patients requiring gynaecological surgery:- Introduction--Anatomy and physiology of the reproductive system--Specific investigations for patients requiring gynaecological surgery--Assessment of patient requiring gynaecological surgery--Minor gynaecological surgery--Laparoscopic surgery--Laparoscopic treatment for polysystic ovarian disease--Nursing care for minor gynaecological and laparoscopic surgery--Myomectomy--Hysterectomy--Nursing care for major gynaecological surgery--Endomentrial ablation--Levonorgestrel intrauterine system--Vaginal repair surgery/colporrhaphy--Continence surgery--Nursing care for patients requiring vaginal repair and continence surgery--Laparoscopic treatment of ectopic pregnancy--Vulvectomy--Total pelvic exenteration--Sexual healing--Conclusion--19. Patients requiring breast surgery:- Introduction--Anatomy and physiology--Assessment and investigations--Breast surgery--Breast cancer--Nursing care of a patient undergoing surgery for breast cancer--Conclusion--20. Care of patients requiring vascular surgery:- Introduction--Physiology of circulation--Arterial occlusive disease--The patient with chronic ischaemia--Nursing assessment of patients with peripheral vascular disease--Management of the patient with chronic limb ischaemia--Acute leg ischaemia--Management of the patient requiring lower limb amputation--Management of the patient with an abdominal aortic aneurysm--Management of the patient requiring carotid endarterectomy--Management of the patient with varicose veins--21. Patients requiring orthopaedic surgery:- Introduction--The musculoskeletal system--Common orthopaedic disorders--Nursing assessment of the orthopaedic patient--Orthopaedic investigations and tests--Lower limb orthopaedic surgery--Upper limb orthopaedic surgery--Orthopaedic surgery of the spine--Fractures--General discharge planning and advice--Conclusion--22. Patients requiring plastic surgery:- Introduction--Types of wound closure--Skin grafts--Flaps--Use of leeches in reconstructive surgery--Use of tissue expanders in reconstructive surgery--Discharge planning--Conclusion.

SECTION 1: The Basis of Surgical Care:- 1. Preoperative assessment:- Introduction--What is preoperative assessment?--Nurse-led preoperative assessment--Informed consent--Social assessment-Patient information--Record keeping--Conclusion--2. Perioperative Care:- Introduction--Perioperative period--Elective or emergency surgery--The principles of intraoperative care--Immediate postoperative care--Conclusion--3. Day Surgery:- Introduction--Advantages of day surgery--Disadvantages of day surgery--Day surgery nursing--Anaesthesia in day surgery--Recovery in day surgery--Discharge of the patient from the day surgery unit--Conclusion--4. Wound healing in the surgical patient:- Introduction--The structure and function of the skin--Mechanisms of wound closure--The process of wound healing--Factors affecting the healing process--Methods of skin closure--Use of wound drains--Principles of care for a patient with a surgical wound--Discharge advice--Conclusion--5. Nutrition and the surgical patient:- Introduction--Nutritional requirements--Nutritional changes during starvation--Metabolic and nutritional changes after surgery--The evidence for nutritional support in the surgical patient--Planning and delivering nutritional care to the surgical patient--Monitoring nutritional support--The multidisciplinary team--6. Altered body image and the surgical patient:- Introduction--What is meant by body image?--Perceptions of altered body image--Reactions to altered body image--Conclusion--7. Concepts of pain and the surgical patient:- Introduction--Classification of pain--Pain theories--a brief history--General principles in the management of acute pain--Pain assessment--Methods of administering postoperative analgesia-- Pharmacology in acute pain management--The role of the nurse and the acute pain team--8. Diacharge planning following surgery:- Introduction--Defining and describing multidisciplinary discharge planning--Discharge planning within the context of past and present Government policy--Patient assessment--Development of a discharge plan--The provision of services--Evaluation of discharge planning--Models of discharge planning--Two case studies--Conclusion--SECTION 2: Nursing care for specific surgical procedures:- 9. Patients requiring neurosurgery:- Introduction--Overview of the anatomy and physiology of the nervous system--Specialist investigations--Neurosurgery--Preoperative assessment of the patient undergoing cerebral surgery--Planning care for the neurosurgical patient--The principles of postoperative care of a patient following a craniotomy--Conclusion--10. Patients requiring ophtalmic surgery:- Introduction--Structure of the eye--Assessment of the eye--Preoperative assessment--Pre- and postoperative care of patients undergoing intraocular surgery--Pre- and postoperative care of patients undergoing extraocular surgery--Discharge planning--Conclusion--11. Introduction--The ear--The nose--The throat--Head and neck--Conclusion--12. Patients requiring thyroid surgery:- Introduction--Anatomy and physiology-- Disorders of the thyroid gland--Conservative management of hyperthyroidism--Specific investigations of a patient with thyroid dysfunction--Nursing assessment of a patient requiring thyroid surgery--Assessment of the patient\'s voice and trachea--Specific preoperative preparation--Surgical interventions--Specific postoperative nursing care--Potential problems following thyroid surgery--Discharge planning and patient education--Conclusion--13. Care of the patient requiring cardiac interventions and surgery:- Introduction--Anatomy and physiology of the heart--Basic pathophysiology of the heart--Assessment and investigations--Therapeutic catheterization--Cardiac treatments--Cardiac surgery--Heart transplantation--Conclusion--14. Care of the patient requiring thoracic surgery:- Introduction--An overview of the respiratory system

This text takes a comprehensive, patient-centred approach to the nursing care of patients requiring a wide variety of surgical procedures. It offers readers case studies and care plans from which to build their knowledge of surgical care.