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

Assessment and Management of Clinical Problems
Authors :
Jane Tyerman & Shelley Cobbett & Mariann M. Harding & Jeffrey Kwong & Dottie Roberts & Debra Hagler & Courtney Reinisch
Date of Publication: 03/2023
Master the role and skills of the medical-surgical nurse in Canada with the book that has it all! Lewis's Medical-Surgical Nursing in Canada: Assessment and Management of Clinical Problems, 5th Edition reflects the expertise of nurses from across Can ...view more

Master the role and skills of the medical-surgical nurse in Canada with the book that has it all! Lewis's Medical-Surgical Nursing in Canada: Assessment and Management of Clinical Problems, 5th Edition reflects the expertise of nurses from across Canada with evidence-informed guidelines, a focus on clinical trends, and a review of pathophysiology. Clear examples make it easy to understand every concept in nursing care — from health promotion to acute intervention to ambulatory care. An Evolve website includes new case studies to enhance your skills in clinical judgement and prepare you for the Next Generation NCLEX®, CPNRE®, and REx-PN™. From Canadian educators Jane Tyerman and Shelley L. Cobbett, this comprehensive guide provides a solid foundation in perioperative care as well as nursing care of disorders by body system.

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Master the role and skills of the medical-surgical nurse in Canada with the book that has it all! Lewis's Medical-Surgical Nursing in Canada: Assessment and Management of Clinical Problems, 5th Edition reflects the expertise of nurses from across Canada with evidence-informed guidelines, a focus on clinical trends, and a review of pathophysiology. Clear examples make it easy to understand every concept in nursing care — from health promotion to acute intervention to ambulatory care. An Evolve website includes new case studies to enhance your skills in clinical judgement and prepare you for the Next Generation NCLEX®, CPNRE®, and REx-PN™. From Canadian educators Jane Tyerman and Shelley L. Cobbett, this comprehensive guide provides a solid foundation in perioperative care as well as nursing care of disorders by body system.


New to this edition
  • 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™.

Key Features
  • Easy-to-understand content is written and reviewed by leading experts in the field, ensuring that information is comprehensive, current, and clinically accurate.
  • More than 800 full-colour illustrations and photographs demonstrate disease processes and related anatomy and physiology.
  • 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.
  • 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 you apply important concepts and procedures to real-life patient care.
  • 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).
  • Safety Alerts and Drug Alerts highlight important safety issues in patient care.
  • 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.
  • 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.
  • More than 60 comprehensive nursing care plans on the Evolve website include defining characteristics, expected outcomes, specific nursing interventions with rationales, evaluation criteria, and collaborative problems.

Author Information
By Jane Tyerman, RN, BA, BScN, MScN, PhD, Assistant Professor, School of Nursing, Faculty of Health Sciences, University of Ottawa, Ottawa, ON.; Shelley Cobbett, RN, BN, GnT, MN, EdD, Assistant Professor; Nursing and BScN Site Administrator, School of Nursing – Yarmouth Campus, Dalhousie University, Yarmouth, Nova Scotia; Mariann M. Harding, PhD, RN, CNE, FAADN, Nursing Program Director and Professor of Nursing, Kent State University Tuscarawas, United States; Jeffrey Kwong, DNP, MPH, AGPCNP-BC, FAANP, FAAN, Professor, Division of Advanced Nursing Practice, School of Nursing, Rutgers University, Newark, New Jersey; Dottie Roberts, RN, EdD, MSN, MACI, OCNS-C, CMSRN, CNE, Instructor, University of South Carolina College of Nursing, Columbia, South Carolina; Debra Hagler, PhD, RN, ACNS-BC, CNE, CHSE, ANEF, FAAN, Clinical Professor, Edson College of Nursing and Health Innovation, Arizona State University, United States and Courtney Reinisch, RN, DNP, FNP-BC, Director of Undergraduate Nursing, School of Nursing, Montclair State University, Montclair, New Jersey