Trauma Nursing 1st edition by Karen McQuillan, Mary Beth Flynn Makic – Ebook PDF Instant Download/Delivery: 0323594752 , 9780323594752
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ISBN 10: 0323594752
ISBN 13: 9780323594752
Author: Karen McQuillan, Mary Beth Flynn Makic
Learn to provide state-of-the-art care to any patient in any setting with the most comprehensive trauma nursing resource available. Using the unique cycles of trauma framework, Trauma Nursing: From Resuscitation Through Rehabilitation, 5th Edition features coverage of cutting-edge research findings and current issues, trends, and controversies in trauma nursing. The thoroughly updated fifth edition guides you through all phases of care – from preventive care and the time of injury to the resuscitative, operative, critical, intermediate, and rehabilitative stages. Plus, new chapters address unique trauma patient populations including pregnant women, children, the elderly, bariatric individuals, burned patients, those with a history of substance abuse and organ donors. With timely discussions on emerging topics such as mass casualty events and rural trauma, this is the most complete resource available for both students and experienced trauma nurses.
- UPDATED! Disaster preparedness, response and recovery for mass casualty incidents prepares students to act quickly and confidently in the event of a disaster, with guidelines for initial response and sustained response.
- UPDATED! The latest sepsis protocols, opioid use and pain/sedation protocols, and treating injured patients with diabetes.
- Special populations coverage prepares you to meet the needs of unique trauma patient populations including pregnant women, children, the elderly, bariatric individuals, burn patients, those with a history of substance abuse and organ donors.
- Coverage of specific issues that affect all patients regardless of their injury, gives you a solid understating of mechanism of injury, traumatic shock, patient/family psychosocial responses to trauma, pain, anxiety, delirium and sleep management; infection; wound healing, and nutrition.
- Tables and illustrations throughout add clarity to the content being discussed.
- NEW! Information on a team-centered, interdisciplinary approach to care.
- NEW! Up-to-date evidence-based information about issues that affect trauma care systems, includes injury pathophysiology, and state-of-the-art care for the trauma patient during all phases of care.
- NEW! All new content includes information on cultural sensitivity, care for caregivers, and how to handle self-harm injuries and suicide.
- NEW! Certification review questions help you to prepare for certification by listing the correct answers and rationales.
- NEW! Current recommendations for measuring fluid administration responsiveness.
Trauma Nursing 1st Table of contents:
PART I. General Concepts in Trauma Nursing
1. The evolution of trauma systems, trauma centers, and trauma nursing
Trauma systems development
The evolution of trauma nursing
Nursing practice from trauma resuscitation through rehabilitation
In-hospital resuscitation and operative phase
Critical care
Rehabilitation phase of care
Summary
Review questions
References
2. Economic and administrative considerations in trauma care
Trauma designation
Trauma care funding—a historic perspective
Funding a trauma program
Trauma center designation and associated costs
Managing costs
Professional education
Injury prevention
Performance improvement and outcomes management
Advanced practice provider considerations
The value of philanthropy
Political skill: A necessary attribute
Military collaboration
Other administrative considerations
The strategic administrator
Summary
Review questions
References
3. Performance improvement and patient safety in trauma care
Historic perspective of performance improvement in trauma care
Patient safety
Trauma performance improvement plan
Integration of trauma performance improvement with institution and system performance improvement
Patient/issue identification
Trauma performance improvement process: Levels of review
Performance improvement forums
Performance indicators: Audit filters, occurrences, and complications
Practice management guidelines
Registry: Performance improvement integration
Technology
Looking to the future
Summary
Review questions
References
4. Ethics and legal issues in trauma nursing
The difference between ethics and law
The code of ethics for nurses
Ethics
Moral theories
The ethics of caring
An ethical decision-making approach
Issues in trauma care
Summary
Review questions
References
5. Injury prevention
An overview of injury prevention
Identifying and defining the injury problem
Measuring the injury problem
Identifying key determinants
Identifying potential intervention strategies
Selecting strategies to implement
Planning the implementation
Program evaluation
Challenges to effective injury and violence prevention
Review questions
References
6. Prehospital care of the trauma patient
The prehospital care team
The trauma scene
Initial care of the trauma victim
Prehospital trauma care: How much and when?
Rural trauma and ems
Transport of the trauma patient
Summary
Review questions
References
7. Disaster preparedness, response, and recovery for mass casualty incidents
Introduction of disaster health care system preparedness and the role of trauma nursing
Defining disasters and the disaster life cycle
Applying the disaster life cycle to general health care systems and trauma services
Prehospital response and coordination during disaster operations
Modern challenges to an evolving emergency medical services system
Government response and coordination
Special considerations in disaster preparedness, response, and recovery
Special considerations in trauma care for disasters
Summary
Review questions
References
8. Rehabilitation of the trauma patient
Definition of rehabilitation
History of trauma rehabilitation
Rehabilitation service settings
Post-acute care services
Accreditation/certification
Trauma populations that require rehabilitation
Components of rehabilitation
Composition of the team
Rehabilitation plan
Rehabilitation outcome
Availability of rehabilitation for the trauma patient
Centers of excellence
Focus of rehabilitation throughout the cycle
Issues in trauma rehabilitation
Summary
Review questions
References
PART II. Clinical Management Topics
9. Mechanism of injury
Risk factors
Initial assessment and history
Mechanism of injury
Blunt injury
Self-harm injuries/suicide death
Penetrating trauma
Smoke inhalation and pulmonary burns
Explosive blasts
Terrorism
Injury scoring
Summary
Review questions
References
10. Traumatic shock
Categories of shock
Pathophysiology of shock
Systemic inflammatory response syndrome
Multiple organ dysfunction syndrome
Treatment of traumatic shock
Traumatic shock and special populations
Traumatic shock in the older adult
Summary
Review questions
References
11. Infection and infection prevention
The effects of trauma on defense mechanisms
Infection and sepsis syndrome in the trauma patient
Surveillance and identification of infection
Principles of antimicrobial therapy
Antimicrobial resistance
Antimicrobial prophylaxis for surgery
Additional strategies for prevention of infection
Infections related to disruption of the skin
Post-traumatic osteomyelitis
Infections of the cardiovascular system
Central nervous system infections associated with traumatic brain injuries
Infections of the respiratory tract
Infections of the intra-abdominal region or caused by altered intra-abdominal organ function
Urinary tract infections
Infection prevention in the health care setting
Summary
Review questions
References
12. Wound healing and soft-tissue injuries
Anatomy of skin
Physiology of wound healing
Types of traumatic wounds and soft-tissue injuries
Determinants of the healing process
Principles of wound assessment throughout the trauma cycle
Resuscitation phase: Wound assessment
Critical care phase: Wound assessment
Rehabilitation phase: Wound assessment
Wound management throughout the trauma cycle
Pressure injury
Summary
Review questions
References
13. Nutritional management of the trauma patient
Metabolism
Macronutrient substrate and depletion
The nutrition care process
Estimating nutrition needs
Nutrition support
Special populations
Interdisciplinary strategies
Summary
Review questions
References
14. Pain, anxiety, delirium, and sleep management
Undertreated pain
Definitions/classifications/physiologic pathways
Assessment of pain
Current state of pain management
Sedation in the trauma patient
Neuromuscular blockade in trauma patients
Delirium and sleep in trauma patients
Special situations
Nursing care through the phases of trauma
Summary
References
15. Psychosocial impact of trauma on the patient, family, and caregiver
Psychologic injury
Psychosocial impact of stress injury
Stress injury assessment and intervention framework
Psychosocial impact across the trauma cycle
Health care professional occupational stress
Summary
Review questions
References
PART III. Single System Injuries
16. Traumatic brain injuries
Epidemiology
Correlative neuroanatomy and physiology
Etiology
Pathophysiology of traumatic brain injury
Neurologic assessment
Management
Outcome from traumatic brain injury
Summary
Review questions
References
17. Maxillofacial trauma
Introduction
Etiology and mechanism of injury
Assessment of maxillofacial injuries with correlative facial anatomy
Specific types of maxillofacial injuries
Management
Summary
Review questions
References
18. Ocular trauma
Anatomy and physiology
Prevention
Trauma management
Summary
Review questions
References
19. Spinal cord injuries
Epidemiology
Prevention
Basic spinal anatomy
Mechanism of injury
Spinal column injuries
Prehospital phase
Resuscitation phase
The operative phase
The critical care phase
Intermediate care and rehabilitation phases
Summary
Review questions
References
20. Thoracic trauma
Introduction
Epidemiology of thoracic injuries
Thoracic assessment in trauma
Injuries
Nursing therapeutics for the patient with thoracic trauma
Nursing therapeutics in the intermediate and rehabilitation care phases
Summary
Review questions
References
21. Abdominal injuries
The abdomen: Anatomy and physiology
Mechanism of injury
Abdominal assessment
Diagnostic studies
Laboratory data
Monitoring
Intermediate and rehabilitation phases of care
Complications of abdominal trauma
Summary
Review questions
References
22. Genitourinary injuries and renal management
Epidemiology
Mechanism of injury
Resuscitation phase
Specific organ injury
Critical care phase
Intermediate/rehabilitation phases
Summary
Review questions
References
23. Musculoskeletal injuries
Anatomy and physiology
Epidemiology
Resuscitation phase
Operative phase
Critical care phase
Intermediate care and rehabilitation phases
Summary
References
PART IV. Unique Patient Populations
24. Trauma in pregnancy
Introduction
Epidemiology
Mechanism of injury
Pregnancy—a quick review
Physiologic changes of pregnancy that impact trauma care
Trauma care for pregnant women: An evidence-based approach
Summary
Review questions
References
25. Trauma in the pediatric patient
Epidemiology/incidence
Patterns of injury
Nonaccidental trauma
Injury prevention strategies
Pediatric considerations
Critical care phase
Total systems assessment
Clinical management
Intermediate care and rehabilitation phases
Clinical management
Summary
Review questions
References
26. Trauma in the elderly
Epidemiology
Care of the elderly throughout each phase of the trauma cycle
Transition to intermediate or acute care and planning for rehabilitation
Predicting outcome
Summary
Review questions
References
27. Trauma in the bariatric patient
Epidemiology
Mechanism of injury
Medical history
Clinical management/team approach
Assessment and treatment of the bariatric trauma patient
Comorbidities associated with obesity
Special management considerations
Intraoperative phase
Anesthesia
Positioning the patient for surgery
Electrosurgery
Critical care phase
Postoperative complications
Pain control
Preventing skin breakdown
Nutrition
Bariatric surgery
Intermediate care/rehabilitation
Mobility
Psychosocial support
Community reintegration phase
Referrals
Home health care
Future trends and prevention
Nursing research and education
Review questions
References
28. Burn injuries
Pathophysiologic features of burn injury
Management of the patient with a burn injury
Nursing management of the burn patient
Reparative phase
Rehabilitative and reconstructive phase
Evidence-based nursing management of the burn patient
Summary
Review questions
References
29. Substance abuse and trauma care
Terminology and classification
Substance use and injury epidemiology
Alcohol and trauma
Opiates, stimulants, marijuana
Etiology of substance use disorders
Pharmacologic, physiologic, and clinical effects of psychoactive drugs
Tolerance and physical dependence
Alcohol and central nervous system depressants
Opiates
Cocaine and amphetamines
Nicotine
Marijuana
Resuscitation phase
Management priorities
Perioperative phase
Critical care phase
Intermediate care and rehabilitation phases
Nursing management considerations
Intervening in substance use disorders
Community reintegration
Follow-up trauma care
Summary
Review questions
References
30. The organ and tissue donor
The critical shortage
Federal regulations and the timely referral of potential organ donors
Donor profile
Brain death
The organ donation process
The national system for organ allocation and research
Donation after cardiac death
The national initiative is improving organ donation rates
Tissue donation
Medical examiner cases
Transplant recipients as trauma patients
Summary
Review questions
References
Answer key
Index
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Tags: Karen McQuillan, Mary Beth Flynn Makic, Trauma Nursing