Medical-Surgical Nursing Care

Karen M. Burke, RN, MS. Karen M. Burke is the Director of Health Occupations and the Nursing Program at Clatsop Community College in Astoria, Oregon. She obtained her initial nursing education at Emanuel Hospital School of Nursing in Portland, Oregon, later completing baccalaureate studies at Oregon Health & Sciences University, and a muster's degree at University of Portland. Ms. Burke has extensive clinical nursing experience in acute care and community-based settings. At Clatsop Community College since the inception of the Associate Degree Nursing program, Ms. Burke is known as a leader and an innovator. She led the nursing faculty in developing an online program to deliver nursing education to a distant rural community. Ms. Burke is actively involved in nursing education in Oregon. She is a member of the Oregon Council of Associate Degree Nursing Programs (OCAP) and is currently on the planning committee for the 2002 Oregon Health & Science University Nursing Education Institute. She has served on Board of Nursing task forces to develop guidelines for practical nursing practice related to intravenous fluid maintenance and medication administration, and t<~ update administrative rules for nursing education. Ms. Burke has presented workshops on using interactive learning in the classroom. Ms. Burke is co-author of several other nursing texts: Medical Surgical Nursing: Critical Thinking in Client Care (3rd ed.), with Priscilla LeMone; a clinical handbook to accompany the above text; and Fundamentals of Nursing: Concepts, Process, and Practice (6th ed.), with Barbara Kozier, Glenora Erb, and Audrey Berman. Priscilla LeMone, RN, DSN, FAAN. Priscilla LeMone has spent most of her career as a nurse educator, teaching medical-surgical nursing and pathophysiology at all levels from diploma to doctoral students. She has a diploma in nursing from Deaconess College of Nursing (St. Louis, Missouri), baccalaureate and master's degrees from Southeast Missouri State University, and a doctorate in nursing from the University of Alabama-Birmingham. She is currently an Associate Professor and Director of Undergraduate Studies, Sinclair School of Nursing, University of Missouri-Columbia. Dr. LeMone has had numerous awards for scholarship and teaching during her over 30 years as a nurse educator. She is most honored for receiving the Kemper Fellowship for Teaching Excellence from the University of Missouri-Columbia and the Unique Contribution Award from the North American Nursing Diagnosis Association, and for being selected as a Fellow in the American Academy of Nursing. She believes that her education gave her solid and everlasting roots in nursing. Her work with students has given her the wings that allow her love of nursing and teaching to continue through the years. A widow, Dr. LeMone lives with her dog and shares time with her two children and her granddaughter. When she has time, she enjoys growing flowers and reading fiction. Elaine L. Molin-Brown, RN, EdD. Elaine L. Mohn-Brown received her diploma in nursing from Akron General Medical Center School of Nursing in Akron, Ohio. She has baccalaureate and master's degrees in nursing and health education from Metropolitan State College and University of Northern Colorado, and an EdD in higher education administration from Brigham Young University. She has worked in critical care units in Ohio and Colorado. Her first teaching position was as a practical nursing instructor at Larimer County Vocational-Technical Center in Colorado. For the past 23 years, she has been on the faculty of the ADN Program at Chemeketa Community College in Salem, Oregon. Through thought-provoking classroom presentations and hands-on acute care medical-surgical experiences, she has encouraged students to question and understand the rationale for their nursing care. Dr. Mohn-Brown serves as a member of the Editorial Advisory Board for Nurse Educator. She has served on two Oregon State Board of Nursing task forces. She has published nationally and conducts workshops at the national level. Her love of nursing and teaching has taken her to numerous international and national conferences. When not working, she and her husband, Gene, spend time I traveling and she enjoys flower gardening.

I. MEDICAL - SURGICAL NURSING PRACTICE.

Introduction to Medical-Surgical Nursing.
 1. The Medical-Surgical Nurse. 2. The Adult Client in Health and Illness. 3. Community-Based Care of the Adult Client. 4. Guidelines for Health Assessment.Alterations in Health Patterns.
 5. Caring for Clients with Alterations in Fluid, Electrolyte, or Acid-Base Balance. 6. Caring for Clients in Pain. 7. Caring for Clients Having Surgery. 8. Caring for Clients with Cancer. 9. Caring for Clients Experiencing Loss, Grief, and Death.II. HEALTH PERCEPTION - HEALTH MANAGEMENT PATTERN.

Altered Health Management Responses.
10. Caring for Clients Experiencing Trauma or Critical Illness.11. Caring for Clients with Problems of Substance Abuse.Altered Immune System Responses.
12. Caring for Clients with Inflammation and Infections.13. Caring for Clients with Altered Immunity.III. NUTRITIONAL - METABOLIC PATTERN.

Altered Integumentary System Problems.
14. Caring for Clients with Common Skin Problems.15. Caring for Clients with Burns.Altered Endocrine System Responses.
16. Caring for Clients with Pituitary, Thyroid, and Adrenal Disorders.17. Caring for Clients with Diabetes Mellitus.Altered Nutritional Responses.
18. Caring for Clients with Nutritional and Upper GI Disorders.19. Caring for Clients with Gallbladder, Liver, and Pancreatic Disorders.IV. ELIMINATION PATTERNS.

Altered Elimination Responses.
20. Caring for Clients with Bowel Disorders.21. Caring for Clients with Kidney and Urinary Tract Disorders.V. ACTIVITY - EXERCISE PATTERN.

Altered Cardiovascular System Responses.
22. Caring for Clients with Cardiac Disorders.23. Caring for Clients with Peripheral Vascular Disorders.24. Caring for Clients with Hematologic and Lymphatic Disorders.Altered Respiratory System Responses.
25. Caring for Clients with Upper Respiratory Disorders.26. Caring for Clients with Lower Respiratory Disorders.Altered Musculoskeletal System Responses.
27. Caring for Clients with Musculoskeletal Trauma.28. Caring for Clients with Musculoskeletal Disorders.VI. COGNITIVE - PERCEPTUAL PATTERN.

Altered Neurologic System Responses.
29. Caring for Clients with Intracranial Disorders.30. Caring for Clients with Degenerative Neurologic and Spinal Cord Disorders.Altered Sensory Responses.
31. Caring for Clients with Eye and Ear Disorders.VII. SEXUALITY - REPRODUCTIVE PATTERN.

Altered Sexual and Reproductive System Responses.
32. Caring for Male Clients with Reproductive System Disorders.33. Caring for Female Clients with Reproductive System Disorders.34. Caring for Clients with Sexually Transmitted Diseases.Bibliography.Appendices.
A: Standard Precautions.B: NANDA Nursing Diagnoses.C: Laboratory Values.D: Glossary.E: NCLEX-PN Answers and Hints for Critical Thinking.