New & updated material helps students continue to build a solid foundation of nursing concepts, theory, & practice. Color photos & art throughout the text enhance the content that nurse educators & students have come to trust. The Fifth Edition Update has been designed to include updated information without changing page numbers or chapter configuration - instructors get the benefit of the most up-to-date information without the inconvenience of changing their course syllabi. New to this Edition * New information in chapter 4-"Health Care Delivery Systems"-on community based care, home health care, & managed care. * An updated chapter entitled "Individuals & Families in the Home & Community" replaces chapter 14, "Individual, Family, & Community Health." * Chapter 15, "Ethnicity & Culture" has been extensively revised to include basic skills for providing culturally sensitive care. * New NANDA diagnoses as appropriate. * Nursing research boxes have been updated to reflect current studies. * New CDC/OSHA Guidelines. * New &/or updated statistics & information throughout the text on: - Community health settings, home health care delivery, managed care realities, outcomes measurement, & the role of the case manager in health care. - The changing role of the nurse, changing demands on nurses, & new job opportunities for nurses. - Current technologies in health care & how they affect nursing. - Holistic health & alternative health care providers. - Providing culturally-sensitive care to clients. Hallmark Features * What Would You Do? boxes help students determine appropriate responses to commonly encountered clinical situations. * Critical Pathways keep students up-to-date with the latest documentation format. * Wellness chapter & Wellness Teaching boxes explain the concepts of wellness, health promotion, & disease prevention as increasingly important aspects of nursing. * Nursing Diagnosis boxes present students with definitions, defining characteristics, & related factors for selected NANDA diagnoses. * Care Planning Guides help students apply diagnoses to clients & include client outcome criteria, interventions, & rationales. Contents Unit 1: Contemporary Nursing Practice Chapter 1: Introduction to Nursing Chapter 2: Dimensions of Nursing: Practice, Education, & Research Chapter 3: Nursing Theories & Conceptual Frameworks Chapter 4: Health Care Delivery Systems Unit 2: The Nursing Process Chapter 5: Assessing Chapter 6: Diagnosing Chapter 7: Planning Chapter 8: Implementing & Evaluating Chapter 9: Documenting & Reporting Chapter 10: Critical Thinking, Problem Solving, & Decision Making Unit 3: Professional Accountability & Advocacy Chapter 11: Ethics & Values Chapter 12: Legal Aspects of Nursing Practice Unit 4: Elements of Holistic Care Chapter 13: Wellness, Health, & Illness Chapter 14: Individuals & Families in the Home & Community Chapter 15: Ethnicity & Culture Chapter 16: Spirituality & Religion Chapter 17: Sexuality Unit 5: Integral Components of Client Care Chapter 18: Helping & Communicating Chapter 19: Teaching & Learning Chapter 20: Leading, Managing, & Influencing Change Unit 6: Assessing Health Chapter 21: Assessing Vital Signs Chapter 22: Assessing Adult Health Unit 7: Promoting Wellness Through the Life Span Chapter 23: Concepts of Growth & Development Chapter 24: Infancy Through Late Childhood Chapter 25: Adolescence Through Middle Adulthood Chapter 26: Late Adulthood Unit 8: Protecting Health Chapter 27: Preventing the Transfer of Microorganisms Chapter 28: Providing for Safety Chapter 29: Assisting with Hygiene Chapter 30: Maintaining Skin Integrity Unit 9: Promoting Psychosocial Health Chapter 31: Self-Concept & Role Relationships Chapter 32: Stress & Coping Chapter 33: Loss, Grieving, & Death Unit 10: Promoting Physiologic Health Chapter 34: Activity & Exercise Chapter 35: Rest & Sleep Chapter 36: Comfort & Pain Chapter 37: Nutrition Chapter 38: Fluid, Electrolyte, & Acid-Base Balance Chapter 39: Oxygenation Chapter 40: Fecal Elimination Chapter 41: Urinary Elimination Chapter 42: Sensory Perception & Cognition Unit 11: Implementing Special Nursing Measures Chapter 43: Medications Chapter 44: Wound Care Chapter 45: Perioperative Nursing Appendices Nursing Organizations & Publications ANA Human Rights Guidelines for Research