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Brunner and Suddarth’s Textbook of Medical Surgical Nursing, 12th Edition


Author: Suzanne C. Smeltzer and Brenda G. Bare

Publisher: LWW


Publish Date: December 1, 2009

ISBN-10: 781785898

Pages: 2368

File Type: PDF

Language: English

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Book Preface

The first edition of Brunner & Suddarth’s Textbook of Medical-Surgical Nursing was published in 1964 under the leadership of Lillian Sholtis Brunner and Doris Smith Suddarth. Lillian and Doris pioneered a medical-surgical nursing textbook that has become a classic. Medical-surgical nursing has come a long way since 1964 but continues to be strongly influenced by the expansion of science, medicine, surgery, and technology, as well as a myriad of social, cultural, economic, and environmental changes throughout the world. Nurses must be particularly skilled in critical thinking and clinical decision-making as well as in consulting and collaborating with other members of the multidisciplinary health care team.

Along with the challenges that today’s nurses confront, there are many opportunities to provide skilled, compassionate nursing care in a variety of health care settings, for patients in the various stages of illness, and for patients across the age continuum. At the same time, there are significant opportunities for fostering health promotion activities for individuals and groups; this is an integral part of providing nursing care.

Continuing the tradition of Lillian’s and Doris’s first edition,this 12th edition of Brunner & Suddarth’s Textbook of Medical-Surgical Nursing is designed to assist nurses in preparing for their roles and responsibilities within the complex health care delivery system. A goal of the textbook is to provide balanced attention to the art and science of adult medical-surgical nursing. The textbook focuses on physiologic, pathophysiologic, and psychosocial concepts as they relate to nursing care, and emphasis is placed on integrating a variety of concepts from other disciplines such as nutrition, pharmacology, and gerontology. Content relative to health care needs of people with disabilities, nursing research findings, ethical considerations, and evidence-based practice has been expanded to provide opportunities for the nurse to refine clinical decision-making skills.


Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 12th edition, is organized into 16 units. Units 1 through 4 cover core concepts related to medical-surgical nursing practice. Units 5 through 16 discuss adult health conditions that are treated medically or surgically. Each unit covering adult health conditions is structured in the following way, to facilitate understanding:
• The first chapter in the unit covers assessment and includes a review of normal anatomy and physiology of the body system being discussed.
• The subsequent chapters in the unit cover management of specific disorders. Pathophysiology, clinical manifestations, assessment and diagnostic findings, medical management, and nursing management are presented. Special “Nursing Process” sections, provided for selected conditions, clarify and expand on the nurse’s role in caring for patients with these conditions.


Practice-Oriented Features

Nurses assume many different roles when caring for patients. Many of the features in this textbook have been developed to help nurses fulfill these varied roles.

The Nurse as Practitioner

One of the central roles of the nurse is to provide holistic care to patients and their families, both independently and through collaboration with other health care professionals. Many features in Brunner & Suddarth’s Textbook of Medical-Surgical Nursing Process sections. The nursing process is the basis for all nursing practice. Special sections throughout the text, organized according to the nursing process framework, clarify the nurse’s responsibilities in caring for patients with selected disorders.

Plans of Nursing Care. These plans, provided for selected disorders, illustrate how the nursing process is applied to meet the person’s health care and nursing needs.

Applying Concepts from NANDA, NIC, and NOC. Each unit begins with a case study and a chart presenting examples of NANDA, NIC, and NOC terminologies related to the case study. Concept maps, which provide a visual representation of the NANDA, NIC, and NOC chart for each case study, are found on the accompanying Web site to this book at This feature introduces the student to the NIC and NOC language and classifications and brings them to life in graphic form.

Assessment charts. These charts help to focus the student’s attention on data that should be collected as part of the assessment step of the nursing process. Risk Factor charts. These charts draw the student’s attention to factors that can impair health.

Guidelines charts. These charts review key nursing interventions, and the rationales for those interventions, for specific patient care situations.

Pharmacology charts and tables. Pharmacology charts and tables remind the student of important considerations relative to administering medications and monitoring drug therapy.

Nursing Alerts. These special sections offer brief tips for clinical practice and red-flag warnings to help students avoid common mistakes.

Critical Care. These special sections highlight nursing process considerations for the critically ill patient. Gerontologic Considerations. In the United States, older adults comprise the fastest-growing segment of the population. This icon is applied to headings, charts, and tables as appropriate to highlight information that pertains specifically to the care of the older adult patient.

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