Lewis's Medical-Surgical Nursing in Canada, 5th Edition

• NEW and UNIQUE! Concepts-Based Curriculum Map on the Evolve website supports instructors who are teaching medical-surgical nursing with a concepts-based approach.
• NEW! Learning tools in the book and on Evolve encourage the development of clinical reasoning and judgement, helping students succeed on the Next Generation NCLEX^®, CPNRE^®, and REx-PN™.
• NEW! Coverage of the COVID-19 pandemic and the SARS-CoV-2 virus focuses on COVID’s impact on nurses and patients alike.
• NEW! Updated Introduction to Medical-Surgical Nursing Practice in Canada chapter shows how nursing education in Canada incorporates models and guidelines that focus on critical thinking, clinical judgement, and clinical decision-making, and places nursing practice in a unique Canadian context, covering patient-centred care, interprofessional practice, information-communication technologies, patient safety, and quality improvement.
• NEW! Updated Community-Based Nursing and Home Care chapter adds content on the impact of the COVID-19 pandemic and the changes required in primary care settings, including home health monitoring and the integration of virtual care.
• NEW! Updated Nursing Management: Obstructive Pulmonary Diseases chapter expands content specific to asthma, including an overview of environmental and physiological triggers, diagnostic testing, and treatment options, as well as modifications to infection control practices and respiratory treatment protocols resulting from the SARS-CoV-2 virus.
• NEW! Updated Substance Use chapter covers stigmatizing behaviours by health care providers that negatively impact patient outcomes, the impact of substance use experienced by Indigenous people, and expanded treatment options for opioid use disorders.
• NEW! Updated content includes the latest Canadian statistics, research, clinical guidelines, assessment and screening tools, and more, all using SI units and metric measurements.
• NEW! Expanded and updated coverage of topics includes Bill C-14 and proposed Bill C-7, on medical assistance in dying (MAID), the Cannabis Act and its implications for certain disorders, rural and remote nursing, interprofessional collaboration, and Indigenous health vis-à-vis the Truth and Reconciliation Commission findings and its Calls to Action.
• NEW! Current and inclusive terminology supports Indigenous people and a commitment to eliminating gender bias and cisnormative language, including patient profiles in case studies, Ethical Dilemmas boxes, and Evidence-Informed Practice boxes that use preferred pronouns as well as initials in place of full names.
• UNIQUE! Levels of Care approach organizes nursing management into three levels: health promotion, acute intervention, and ambulatory and home care.
• Nursing Management chapters focus on the pathophysiology, clinical manifestations, laboratory and diagnostic study results, interprofessional care, and nursing management of various diseases and disorders, and are organized to follow the steps of the nursing process (assessment, nursing diagnoses, planning, implementation, and evaluation).
• Nursing Assessment chapters focus on individual body systems and include a brief review of related anatomy and physiology, a discussion of health history and non-invasive physical assessment skills, and note common diagnostic studies, expected results, and related nursing responsibilities.
• Unfolding case studies in each assessment chapter help students apply important concepts and procedures to real-life patient care.
• Easy-to-understand content is written and reviewed by leading experts in the field, ensuring that information is comprehensive, current, and clinically accurate.
• Cultural Competence and Health Equity in Nursing Care chapter discusses culture as a determinant of health, especially in regard to Indigenous populations; health equity and health equality issues as they relate to marginalized groups in Canada; and practical suggestions for developing cultural competence in nursing care.
• Focus on key areas includes the determinants of health, patient and caregiver teaching, age-related considerations, collaborative care, cultural considerations, nutrition, home care, evidence-informed practice, and patient safety.
• More than 60 comprehensive nursing care plans on Evolve include defining characteristics, expected outcomes, specific nursing interventions with rationales, evaluation criteria, and collaborative problems.
• More than 800 full-colour illustrations and photographs demonstrate disease processes and related anatomy and physiology.
• Informatics boxes discuss the importance and use of technology with topics such as use of social media in the context of patient privacy, teaching patients to manage self-care using smartphone apps, and using Smart infusion pumps.
• Safety Alerts and Drug Alerts highlight important safety issues in patient care.

• NEW! Coverage of the COVID-19 pandemic and the SARS-CoV-2 virus focuses on COVID’s impact on nurses and patients alike.
• NEW! Updated content includes the latest Canadian statistics, research, clinical guidelines, assessment and screening tools, and more, all using SI units and metric measurements.
• NEW! Current and inclusive terminology supports Indigenous people and a commitment to eliminating gender bias and cisnormative language, including patient profiles that use preferred pronouns as well as initials in place of full names.
• NEW! Expanded and updated coverage of topics includes Bill C-14 and proposed Bill C-7, on medical assistance in dying (MAID), the Cannabis Act and its implications for certain disorders, rural and remote nursing, interprofessional collaboration, and Indigenous health vis-à-vis the Truth and Reconciliation Commission findings and its Calls to Action.
• NEW! Updated Introduction to Medical-Surgical Nursing Practice in Canada chapter focuses on critical thinking, clinical judgement, and clinical decision-making, and places nursing practice in a unique Canadian context.
• NEW! Updated Community-Based Nursing and Home Care chapter adds content on the impact of the COVID-19 pandemic, addressing changes such as home health monitoring and the integration of virtual care.
• NEW! Updated Substance Use chapter covers stigmatizing behaviours by health care providers that negatively impact patient outcomes, the impact of substance use experienced by Indigenous people, and treatment options for opioid use disorders.
• NEW! Updated Nursing Management: Obstructive Pulmonary Diseases chapter expands content on asthma, including an overview of environmental and physiological triggers, diagnostic testing, and treatment options, and adds modifications to respiratory treatment protocols and infection control practices resulting from the SARS-CoV-2 virus.
• NEW! Learning tools in the book and on the Evolve website help you develop skills in clinical reasoning and judgement, preparing you to succeed on the Next Generation NCLEX^®, CPNRE^®, and REx-PN™.

Section One – Concepts in Nursing Practice

1 Introduction to Medical-Surgical Nursing Practice in Canada

2 Cultural Competence and Health Equity in Care

3 Health History and Physical Examination

4 Patient and Caregiver Teaching

5 Chronic Illness

6 Community-Based Nursing and Home Care

7 Older Adults

8 Stress and Stress Management

9 Sleep and Sleep Disorders

10 Pain

11 Substance Use

12 Complementary and Alternative Therapies

13 Palliative Care at the End of Life

Section Two – Pathophysiological Mechanisms of Disease

14 Inflammation and Wound Healing

15 Genetics

16 Altered Immune Response and Transplantation

17 Infection and Human Immunodeficiency Virus Infection

18 Cancer

19 Fluid, Electrolyte, and Acid–Base Imbalances

Section Three – Perioperative Care

20 Nursing Management: Preoperative Care

21 Nursing Management: Intraoperative Care

22 Nursing Management: Post-operative Care

Section Four – Problems Related to Altered Sensory Input

23 Nursing Assessment: Visual and Auditory Systems

24 Nursing Management: Visual and Auditory Problems

25 Nursing Assessment: Integumentary System

26 Nursing Management: Integumentary Problems

27 Nursing Management: Burns

Section Five – Problems of Oxygenation: Ventilation

28 Nursing Assessment: Respiratory System

29 Nursing Management: Upper Respiratory Problems

30 Nursing Management: Lower Respiratory Problems

31 Nursing Management: Obstructive Pulmonary Diseases

Section Six – Problems of Oxygenation: Transport

32 Nursing Assessment: Hematological System

33 Nursing Management: Hematological Problems

Section Seven – Problems of Oxygenation: Perfusion

34 Nursing Assessment: Cardiovascular System

35 Nursing Management: Hypertension

36 Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome

37 Nursing Management: Heart Failure

38 Nursing Management: Dysrhythmias

39 Nursing Management: Inflammatory and Structural Heart Diseases

40 Nursing Management: Vascular Disorders

Section Eight – Problems of Ingestion, Digestion, Absorption, and Elimination

41 Nursing Assessment: Gastrointestinal System

42 Nursing Management: Nutritional Problems

43 Nursing Management: Obesity

44 Nursing Management: Upper Gastrointestinal Problems

45 Nursing Management: Lower Gastrointestinal Problems

46 Nursing Management: Liver, Pancreas, and Biliary Tract Problems

Section Nine – Problems of Urinary Function

47 Nursing Assessment: Urinary System

48 Nursing Management: Renal and Urological Problems

49 Nursing Management: Acute Kidney Injury and Chronic Kidney Disease

Section Ten – Problems Related to Regulatory and Reproductive Mechanisms

50 Nursing Assessment: Endocrine System

51 Nursing Management: Endocrine Problems

52 Nursing Management: Diabetes Mellitus

53 Nursing Assessment: Reproductive System

54 Nursing Management: Breast Disorders

55 Nursing Management: Sexually Transmitted Infections

56 Nursing Management: Female Reproductive Problems

57 Nursing Management: Male Reproductive Problems

Section Eleven – Problems Related to Movement and Coordination

58 Nursing Assessment: Nervous System

59 Nursing Management: Acute Intracranial Problems

60 Nursing Management: Stroke

61 Nursing Management: Chronic Neurological Problems

62 Nursing Management: Delirium, Alzheimer’s Disease, and Other Dementias

63 Nursing Management: Peripheral Nerve and Spinal Cord Problems

64 Nursing Assessment: Musculoskeletal System

65 Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery

66 Nursing Management: Musculoskeletal Problems

67 Nursing Management: Arthritis and Connective Tissue Diseases

Section Twelve – Nursing Care in Specialized Settings

68 Nursing Management: Critical Care Environment

69 Nursing Management: Shock, Systemic Inflammatory Response Syndrome, and Multiple-Organ Dysfunction Syndrome

70 Nursing Management: Respiratory Failure and Acute Respiratory Distress Syndrome

71 Nursing Management: Emergency Care Situations

72 Emergency Management and Disaster Planning

Appendix A – Laboratory Reference Intervals

Glossary