Lewis's Medical-Surgical Nursing, 13th Edition

• UPDATED content throughout reflects the latest research evidence and national and international guidelines.
• ENHANCED coverage emphasizes the development of clinical judgment and preparation for the Next-Generation NCLEX® exam.
• STRONGER integration of nursing concepts includes key concepts from the AACN Essentials, the 2020-2030 Future of Nursing Report, and Healthy People 2030.
• NEW chapters address social determinants of health (SDH), caring for LGBTQ+ patients, and supporting ventilation.
• GREATER focus on applying clinical judgment includes multiple patient case studies, including unit-ending cases.
• ENHANCED Pathophysiology Maps feature a more prominent, colorful design.
• NEW COVID-19 disease heading highlights updates on neurologic sequelae and long COVID.
• REVISED introductory chapter incorporates the 2021 AACN Essentials and the “Spheres of Care” terminology.
• SIMPLIFIED coverage of topics such as “equality” versus “equity” focuses on health disparities and addresses social determinants of health.
• REFOCUSED cultural content emphasizes cultural humility instead of cultural competence.
• STREAMLINED index and references include lists with QR codes for easy online access.
• INCREASED focus on diversity in illustrations and images ensures more representative provider and patient photos.
• Trusted content from one of the bestselling medical-surgical nursing textbooks of all time equips students with the knowledge and skills they need for success on today’s Next-Generation NCLEX® Exam (NGN) and in medical-surgical nursing.
• Evidence-based content features a unique emphasis on levels of care, from health promotion to acute intervention to ambulatory care, along with a strong focus on essential pathophysiology review.
• Clear delineation of nursing care and interprofessional collaborative care makes it easy to identify key nursing responsibilities and how to collaborate effectively with other members of the healthcare team.
• In-text learning aids include unique Pathophysiology Maps, Check Your Practice questions, Biologic Sex Considerations boxes, Genetics in Clinical Practice boxes, Interprofessional Care boxes, Promoting Health Equity boxes, Promoting Population Health boxes, and much more.
• True-to-life case studies help students understand and apply key content and develop their clinical judgment for safe, effective clinical practice in the care of adult patients.
• This title is also available in Sherpath! Sold separately, this innovative teaching and learning technology offers interactive course content and resources that streamline class preparation and assessment and give students personalized help to reach their learning goals. Sherpath fully includes the ebook of this title for all-in-one digital course delivery.
• Robust ancillary package includes access to extensive online resources with every new book purchase, as well as a Study Guide and Clinical Companion (both sold separately).

• UPDATED content throughout reflects the latest research evidence and national and international guidelines.
• ENHANCED coverage emphasizes the development of clinical judgment and preparation for the Next-Generation NCLEX® exam.
• STRONGER integration of nursing concepts incorporates key concepts from the AACN Essentials, the 2020-2030 Future of Nursing Report, and Healthy People 2030.
• NEW chapters address social determinants of health (SDH), caring for LGBTQ+ patients, and supporting ventilation.
• GREATER focus on applying clinical judgment includes multiple patient case studies, including unit-ending cases.
• ENHANCED Pathophysiology Maps feature a more prominent, colorful design.
• NEW COVID-19 disease heading highlights updates on neurologic sequelae and long COVID.
• REVISED introductory chapter incorporates the 2021 AACN Essentials and the “Spheres of Care” terminology.
• SIMPLIFIED coverage of topics such as “equality” versus “equity” focuses on health disparities and addresses social determinants of health.
• REFOCUSED cultural content emphasizes cultural humility instead of cultural competence.
• STREAMLINED index and references include lists with QR codes for easy online access.
• INCREASED focus on diversity in illustrations and images ensures more representative provider and patient photos.

Section 1: Concepts in Nursing Practice
1. Professional Nursing
2. Social Determinants of Health
3. Health History and Physical Examination
4. Patient and Caregiver Teaching
5. Chronic Illness and Older Adults
6. Caring for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, and Gender Diverse Patients

Section 2: Problems Related to Comfort and Coping
7. Stress Management
8. Sleep and Sleep Disorders
9. Pain
10. Palliative and End-of-Life Care
11. Substance Use Disorders in Acute Care

Section 3: Problems Related to Homeostasis and Protection
12. Inflammation and Healing
13. Genetics
14. Immune Responses and Transplantation
15. Infection
16. Cancer
17. Fluid, Electrolyte, and Acid-Base Imbalances

Section 4: Perioperative and Emergency Care
18. Management: Preoperative Care
19. Management: Intraoperative Care
20. Management: Postoperative Care
21. Emergency and Disaster Nursing

Section 5: Problems Related to Altered Sensory Input
22. Assessment and Management: Visual Problems
23. Assessment and Management: Auditory Problems
24. Assessment: Integumentary System
25. Integumentary Problems
26. Burns

Section 6: Problems of Oxygenation: Ventilation
27. Assessment: Respiratory System
28. Supporting Ventilation
29. Upper Respiratory Problems
30. Lower Respiratory Problems
31. Obstructive Pulmonary Diseases
32. Respiratory Failure and ARDS

Section 7: Problems of Oxygenation: Transport
33. Assessment: Hematologic System
34. Hematologic Problems

Section 8: Problems of Oxygenation: Perfusion
35. Assessment: Cardiovascular System
36. Hypertension
37. Coronary Artery Disease and Acute Coronary Syndrome
38. Heart Failure
39. Dysrhythmias
40. Inflammatory and Structural Heart Disorders
41. Vascular Disorders
42. Shock, Sepsis, and MODS

Section 9: Problems of Ingestion, Digestion, Absorption, and Elimination
43. Assessment: Gastrointestinal System
44. Nutrition Problems
45. Obesity
46. Upper Gastrointestinal Problems
47. Lower Gastrointestinal Problems
48. Liver, Biliary Tract, Pancreas

Section 10: Problems of Urinary Function
49. Assessment: Urinary System
50. Renal and Urologic Problems
51. Acute Renal Failure and Chronic Kidney Disease

Section 11: Problems Related to Regulatory and Reproductive Mechanisms
52. Assessment: Endocrine System
53. Diabetes Mellitus
54. Endocrine Problems
55. Assessment: Reproductive System
56. Breast Disorders
57. Sexually Transmitted Infections
58. Female Reproductive Problems
59. Male Reproductive Problems

Section 12: Problems Related to Movement and Coordination
60. Assessment: Nervous System
61. Acute Intracranial Problems
62. Stroke
63. Chronic Neurologic Problems
64. Dementia and Delirium
65. Spinal Cord and Peripheral Nerve Problems
66. Assessment: Musculoskeletal System
67. Musculoskeletal Trauma and Orthopedic Surgery
68. Musculoskeletal Problems
69. Arthritis and Connective Tissue Diseases

Appendixes
A: Basic Life Support for Health Care Providers
B: Nursing Diagnoses
C: Laboratory Reference Intervals