Fundamentals of Medical-Surgical Nursing
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Fundamentals of Medical-Surgical Nursing: a Systems Approach is a comprehensive yet easy-to-read overview of medical and surgical nursing, designed specifically to support all nursing students learning to care for the adult patient. Highly illustrated and with an easy-to-follow systems-based structure, it provides a thorough foundation in anatomy and physiology, pathophysiology, medical management, and nursing care for the full spectrum of adult health conditions.

Key features include:

  • Extensive coverage of principles of nursing assessment, medication administration, infection prevention and control, and nutritional care
  • Key need-to-know-information and definitions for the anatomy, physiology, and pathology of a range of illnesses and conditions
  • Detailed overviews of nursing care, including patient education, treatment, and complications
  • An online resource centre with a range of extras for both lecturers and students, including case studies, reflective activities, interactive multiple choice questions, and further reading lists

Fundamentals of Medical-Surgical Nursing: a Systems Approach is the ideal textbook to help students succeed on their adult nursing course.

It is also available:

  • as a Wiley E-Text, powered by VitalSource: an interactive digital version of the book featuring downloadable text and images, highlighting and note-taking facilities, book-marking, cross-referencing, in-text searching, and linking to references and glossary terms.
  • instantly on CourseSmart at CourseSmart offers extra functionality, as well as an immediate way to review the text. For more details, visit or


Anne-Marie Brady has been involved in undergraduate and postgraduate education since 2000 and is currently an Assistant Professor at Trinity College Dublin, Ireland. She completed a Masters in Nursing at Northeastern University Boston, Massachusetts in 1999 and a Postgraduate Diploma in Clinical Health Sciences Education in 2001. Her particular areas of research and teaching interest is general nursing and healthcare management. She has considerable international nursing experience, having worked in the United Kingdom, United States of American and the Irish Republic.

Catherine McCabe qualified as a nurse in 1988 and has experience in surgical and emergency nursing. Following completion of a Bachelors Degree in Nursing Studies at University College Dublin in 1996, Catherine has been involved in developing and teaching undergraduate and postgraduate nursing programmes. In January 2001 she was awarded an MSc in Nursing by the University of Manchester and in February 2002 joined Trinity College, School of Nursing and Midwifery as a lecturer. She completed her PhD in 2009 and is currently an Assistant Professor at Trinity College Dublin, Ireland.

Margaret McCann is currently an Assistant Professor at Trinity College Dublin, Ireland and was previously employed as a lecturer in the Faculty of Nursing and Midwifery, Royal College of Surgeons in Ireland. Margaret obtained an MSc in Nursing from the University of Manchester and Royal College of Nursing in 2001. She has been involved in nurse education since 1996. Margaret's primary teaching and research interests lie in the area of urology and renal care.


About the series ix

Preface x

About the editors xii

Contributors xiii

How to get the best out of your textbook xviii

About the companion website xxi

Part 1: Common Principles Underlying Medical and Surgical Nursing Practice 1

Chapter 1 Principles of nursing assessment 2
Naomi Elliott

Chapter 2 Principles of drug administration 12
Sue Jordan

Chapter 3 Principles of intravenous therapy 26
Lisa Dougherty

Chapter 4 Principles of nutritional care 44
Carolyn Best and Helen Hitchings

Chapter 5 Principles of infection prevention and control 58
Sile Creedon and Maura Smiddy

Chapter 6 Principles of acute care for older people 78
Louise Daly, Debbie Tolson and Anna Ayton

Chapter 7 Principles of end of life care 90
Kevin Connaire

Chapter 8 Principles of perioperative nursing 104
Joy O’Neill, Bernie Pennington and Adele Nightingale

Chapter 9 Principles of high-dependency nursing 124
Tina Day

Chapter 10 Principles of emergency nursing 142
Valerie Small, Gabrielle Dunne and Catherine McCabe

Part 2: Adult Medical and Surgical Nursing 155

Chapter 11 Nursing care of conditions related to the skin 156
Zena Moore and Julie Jordan O’Brien

Chapter 12 Nursing care of conditions related to the respiratory system 176
Anne Marie Corroon and Geralyn Hynes

Chapter 13 Nursing care of conditions related to the circulatory system 210
Kate Olson and Tracey Bowden

Chapter 14 Nursing care of conditions related to the digestive system 240
Joanne Cleary-Holdforth and Therese Leufer

Chapter 15 Nursing care of conditions related to the urinary system 262
Margaret McCann, Ciara White and Louisa Fleure

Chapter 16 Nursing care of conditions related to the endocrine system 298
David Chaney and Anna Clarke

Chapter 17 Nursing care of conditions related to the neurological system 326
Elaine Pierce and Mary E. Braine

Chapter 18 Nursing care of conditions related to the immune system 364
Michael Coughlan and Mary Nevin

Chapter 19 Nursing care of conditions related to haematological disorders 386
Mairead Ni Chonghaile and Laura O’Regan

Chapter 20 Nursing care of conditions related to the musculoskeletal system 422
Sonya Clarke and Julia Kneale

Chapter 21 Nursing care of conditions related to the ear, nose, throat and eye 448
Dympna Tuohy, Jane McCarthy, Carmel O’Sullivan and Niamh Hurley

Chapter 22 Nursing care of conditions related to reproductive health 478
Debra Holloway and Louisa Fleure

Index 510


“This is book is aimed at pre-registration nursing students and other healthcare students but would also be appropriate for training or qualified assistant practitioners. It would also be useful to newly qualified nurses working in medical or surgical areas.”  (Nursing Times, 1 August 2014)