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For more than 65 years, Alexander''s Care of the Patient in Surgery has been a trusted source for detailed information on perioperative nursing. Well-known author and educator Jane C. Rothrock sets up a solid foundation for practice, and offers step-by-step instructions for over 400 surgical interventions as well as many minimally invasive surgical procedures, all backed by the latest research. More than 1,000 full-color illustrations and photos depict procedures and methods, as well as surgical anatomy and instrumentation. This edition adds Rapid Response Team boxes with suggested interventions, plus coverage of new trends in patient and staff safety, the increase in interventional radiology, and the growth of outpatient ambulatory surgery. Alexander''s gives you the tools you need to provide safe, cost-effective, high-quality patient care. Cutting-edge information keeps you up to date with the latest technological advances related to surgical procedures, both invasive and non-invasive, including areas such as interventional radiology. 1,250 full-color illustrations and photos show surgical anatomy, instrumentation, procedures, and methods. Over 400 specialty surgical interventions are included, as well as many minimally invasive surgical procedures. A full-color design highlights special features and makes it easier to focus on essential concepts. Patient and Family Education boxes include specific guidelines for preprocedural and postprocedural care, side effects and complications, home care, discharge/follow-up care, psychosocial care, and referrals. Surgical Pharmacology tables summarize and offer quick reference to the drugs most commonly used for specific surgical procedures, including generic and trade names, purpose/description, and pharmacokinetics. Patient Safety boxes highlight recent Joint Commission initiatives and important safety topics. Evidence for Practice boxes apply scientific research to perioperative nursing. Research Highlight boxes provide the latest research and apply it to patient care. History boxes summarize significant historical events related to surgery and perioperative nursing. A clear and consistent chapter format makes it easy to find information, including general discussions of surgical anatomy and perioperative nursing considerations followed by more specific discussions of procedural considerations and operative procedure for each surgical intervention. Sample plans of care include nursing diagnosis, outcome, and interventions, linking specific interventions to clearly identified outcomes. An emphasis on workplace safety includes recent OSHA guidelines, and helps you recognize and address an unsafe work environment. Comprehensive discussions of Perioperative Nursing Considerations cover Assessment, Nursing Diagnosis, Outcome Identification, Planning, Implementation, Evaluation, Patient and Family Education and Discharge Planning. Coverage of emergency preparedness and bioterrorism helps you know what to look for and how to handle different situations. Coverage of cross-specialty areas includes special considerations for pediatric, geriatric, and trauma surgeries, as well as interventional radiology, complementary and alternative therapy, plus workplace issues and staff safety. Expanded Evolve website now includes new printable flashcards, OR Live links, and AHRQ case studies, and continues to have medical animations, surgical instrumentation photos, content updates, patient and family education tables, and surgical pharmacology tables. Patient Safety and Risk Management chapter addresses growing concerns for patient safety and liability within the OR, including issues related to documentation, legal issues, and patients'' rights. Interventional Radiology chapter covers the patient care needs associated with outpatient procedures done via scopes. Workplace Issues and Staff Safety chapter explores how a positive workplace can improve morale, safety, and productivity. Ambulatory Surgery Considerations boxes highlight information related to outpatient surgery. Risk Reduction Strategies boxes describe ways to minimize negative outcomes in the perioperative setting. Unique Rapid Response Team boxes suggest ways to intervene earlier in critical situations with the goal of preventing an emergency crisis response. Unique pharmacology index provides a quick and easy reference to drug information.… (more)
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UNIT I FOUNDATIONS FOR PRACTICE
1. Concepts Basic to Perioperative Nursing
Overview of Perioperative Nursing Practice
Standards of Perioperative Nursing Practice
Evidence-based Practice
Performance Improvement
Perioperative Nursing Roles
2. Patient Safety and Risk Management
History
Major Association Safety Activities
Perioperative Nursing Safety Issues
Patient Rights
3. Workplace Issues and Staff Safety
Ergonomics
Safe Patient Handling and Movement
Slips, Trips, and Falls
Sharps Safety and Bloodborne Pathogens
Personal Protective Equipment
Blunt Suture Needles
Responding to Exposure
Culture of Safety
Waste Anesthetic Gases
Chemicals
Standard Precautions
Immunizations and Infectious Disease Exposure
Radiation Safety
Latex Allergy
Workplace Violence
4. Infection Prevention and Control
Causes of Infection
Preventing Infection
Aseptic Practices to Prevent Infection
5. Anesthesia
Anesthesia Providers
Patient Safety
Environmental Noise
Awareness During Anesthesia
Preoperative Preparation
Types of Anesthesia Care
Perioperative Monitoring
Anesthesia Machines and Anesthetic Gases
General Anesthesia
Regional Anesthesia
Monitored Anesthesia Care
Moderate Sedation
Analgesia
Local Anesthesia
Pain Management
Temperature Control
Malignant Hyperthermia
Perioperative Nursing Considerations
6. Positioning the Patient for Surgery
Anatomic and Physiologic Considerations
Perioperative Nursing Considerations
OR Beds and Accessories
Standard Surgical Positions
7. Sutures, Needles, and Instruments
Suture Materials
Surgical Needles
Suture Packaging, Storage, and Selection
Suturing Techniques
Wound Closures
Hemostasis
Instruments
Perioperative Nursing Considerations
8. Surgical Modalities
Minimally Invasive Surgery Overview
Video Technology
Practices and Potential Risks During MIS
Energies Used During Surgery
9. Wound Healing, Dressings, and Drains
Anatomy
Etiology of Wounds
Types of Wound Closure
Phases of Wound Healing
Factors Affecting Wound Healing
Wound Classification
Antimicrobial Prophylaxis
Nursing Diagnoses
Patient and Family Education and Discharge Planning
Wound Management
Dressings
Drains
10. Postoperative Patient Care and Pain Management
Perianesthesia Considerations
Perianesthesia Complications
Discharge from the PACU
Admission to the Ambulatory Surgery Phase II Unit
Admission to the Surgical Unit
Postoperative Nursing Considerations
Patient and Family Education and Discharge Planning
UNIT II SURGICAL INTERVENTIONS
11. Gastrointestinal Surgery
Surgical Anatomy
Perioperative Nursing Considerations
Surgical Interventions
Laparotomy
Minimally Invasive Surgery
-Laparoscopy
Abdominal Access: Closed Technique
Abdominal Access: Cutdown or Hasson Technique
Abdominal Access: Direct Visual Entry
Single-Incision Laparoscopy Surgery
Robotic-Assisted Laparoscopy
Natural Orifice Transluminal Endoscopic Surgery (NOTES)
Gastrointestinal Endoscopy
Surgery of the Esophagus
Surgery of the Stomach
Bariatric Surgery
Surgery of the Small Bowel
Surgery of the Colon
Surgery of the Rectum
12. Surgery of the Liver, Biliary Tract, Pancreas, and Spleen
Surgical Anatomy
Perioperative Nursing Considerations
Surgical Interventions
Surgery of the Biliary Tract
Surgery of the Pancreas
Surgery of the Liver
Surgery of the Spleen
13. Hernia Repair
Surgical Anatomy
Inguinal Hernias
Femoral Hernias
Abdominal Hernias
Direct and Indirect Inguinal Hernias
Perioperative Nursing Considerations
Surgical Interventions
Surgery for Repair of Groin Hernias
Surgery for Repair of Hernias of the Anterior Abdominal Wall
14. Gynecologic and Obstetric Surgery
Surgical Anatomy
Female External Genital Organs (Vulva)
Pelvic Cavity
Bony Pelvis
Pelvic Floor
Perioperative Nursing Considerations
Lasers in Gynecologic Surgery
Surgical Interventions
Vulvar Surgery
Gynecologic Surgery Using Vaginal Approach
Gynecologic Surgery Using Minimally Invasive Techniques
Gynecologic Surgery Using the Abdominal Approach
Surgery for Conditions Affecting Fertility
Obstetric Surgery
Abdominal Surgery During Pregnancy
15. Genitourinary Surgery
Surgical Anatomy
Perioperative Nursing Considerations
Surgical Interventions
Diagnostic and Endoscopic Procedures
Surgery of the Penis and the Urethra
Surgery of the Scrotum and Testicles
Surgery of the Prostate Gland
Surgery of the Bladder
Surgery of the Ureters and Kidneys
16. Thyroid and Parathyroid Surgery
Surgical Anatomy
Perioperative Nursing Considerations
Surgical Interventions
Unilateral Thyroid Lobectomy, Subtotal Lobectomy, Bilateral Subtotal Lobectomy, Near-Total
Thyroidectomy, and TotalThyroidectomy
Substernal or Intrathoracic Thyroidectomy
Minimally Invasive Thyroidectomy
Thyroglossal Duct Cystectomy
Neck Dissection
Parathyroidectomy
17. Breast Surgery
Surgical Anatomy
Benign Lesions of the Breast
Breast Cancer in Men
Breast Cancer in Women
Screening Technologies
Diagnostic Techniques
Surgical Treatment Options
Perioperative Nursing Considerations
Surgical Interventions
Biopsy of Breast Tissue
Incision and Drainage for Abscess
Breast-Conserving Surgery
Sentinel Lymph Node Biopsy
Axillary Lymph Node Dissection
Subcutaneous Mastectomy
Simple Mastectomy
Modified Radical Mastectomy
18. Ophthalmic Surgery
Surgical Anatomy
Refractive Apparatus
Supporting Structures
Perioperative Nursing Considerations
Surgical Interventions
Surgery of the Lens
Surgery of the Retina
Surgery for Glaucoma
Surgery of the Conjunctiva
Surgery of the Cornea
Surgery of the Lacrimal Gland and Apparatus
Surgery of the Eyelids
Surgery of the Globe and Orbit
19. Otorhinolaryngologic Surgery
Surgical Anatomy
External, Middle and Inner Ear
Nasal Anatomy
Throat Anatomy
Proximal Structures
Perioperative Nursing Considerations
Surgical Interventions
Otologic Procedures
Rhinologic (Nasal) Procedures
Oral Cavity
Laryngologic
20. Orthopedic Surgery
Surgical Anatomy
Anatomic Structures
Vertebrae
Shoulder and Upper Extremity
Wrist and Hand
Pelvis Hip, and Femur
Knee, Tibia, and Fibula
Ankle and Foot
Perioperative Nursing Considerations
Surgical Interventions
Allografts and Autografts
Electrical Stimulation
Fractures and Dislocations
Surgery of the Shoulder
Surgery of the Humerus, Radius, and Ulna
Surgery of the Hand
Surgery of the Hip and Lower Extremity
Surgery of the Lower Leg (Distal Femur, Tibia, and Fibula)
Surgery of the Ankle and Foot
Pelvic Fractures and Disruption
Total Joint Arthroplasty
Arthroscopy
Surgery of the Spine
21. Neurosurgery
Surgical Anatomy
Brain and Adjacent Structures
Spine, Spinal Cord, and Adjacent Structures
Perioperative Nursing Considerations
Surgical Interventions
Minimally Invasive and Specialized Neurosurgery Techniques
Surgical Approaches to the Brain
Surgery of the Brain and Cranium
Surgery of the Spine
22. Reconstructive and Aesthetic Plastic Surgery
Surgical Anatomy
Perioperative Nursing Considerations
Surgical Interventions
Reconstructive Plastic Surgery
Aesthetic Surgery
23. Thoracic Surgery
Surgical Anatomy
Perioperative Nursing Considerations
Surgical Interventions
Endoscopy (Diagnostic or Therapeutic)
Lung Surgery
24. Vascular Surgery
Surgical Anatomy
Arterial Disease
Venous Disease
Perioperative Nursing Considerations
Surgical Interventions
Arterial Surgical Interventions
Venous Surgical Interventions
25. Cardiac Surgery
Surgical Anatomy
Perioperative Nursing Considerations
Surgical Interventions
Extracorporeal Circulation Procedures
Pericardiectomy
Surgery for Coronary Artery Disease
Surgery for Heart Failure
Surgery for the Mitral Valve
Surgery for the Tricuspid Valve
Surgery for the Pulmonary Valve
Surgery for the Aortic Valve
Surgery for the Thoracic Aorta
Assisted Mechanical Circulation
Heart and Heart-Lung Transplantation
Surgery for Conduction Disturbances
UNIT III SPECIAL CONSIDERATIONS
26. Pediatric Surgery
Pediatric Surgical Anatomy
Psychologic Development
Perioperative Nursing Considerations
Surgical Interventions
Vascular Access
Minimally Invasive Surgery
Bariatric Surgery
Fetal Surgery
General Surgery
-Gastrointestinal Procedures
General Surgery
-Hernias
General Surgery
-Abdominal Procedures
General Surgery
-Resection of Tumors
Genitourinary Surgery
Otorhinolaryngologic Procedures
Neurosurgical Procedures
Orthopedic Procedures
Plastic and Reconstructive Surgery
Pediatric Ophthalmic Surgery
Trauma
Surgery for Congenital Heart Disease
27. Geriatric Surgery
Perioperative Nursing Considerations
Surgical Interventions
Contents note continued: Common Surgical Procedures in Geriatric Patients
Additional Considerations
28. Trauma Surgery
Perioperative Nursing Considerations
Surgical Interventions
Damage Control Surgery
Injuries of the Head and Spinal Column
Injuries of the Face
Injuries of the Eye
Injuries of the Neck
Injuries of the Chest and Heart
Injuries of the Abdomen
Injuries of the Genitourinary System
Skeletal Injuries
Hypothermia
Thermal Injuries
Organ and Tissue Procurement
29. Interventional and Image-Guided Procedures
Interventional Radiology
Nursing Care of the Interventional Radiology Patient
Procedures
30. Integrative Health Practices: Complementary and Alternative Therapies
Energy Therapies History and Background
Major Categories of Integrated Health Practices and Complementary and Alternative Medicine
Integrative Health Practices Use and Surgery.