INITIAL MANAGEMENT OF ACUTE MEDICAL PATIENTS
INITIAL MANAGEMENT OF ACUTE MEDICAL PATIENTS
A GUIDE FOR NURSES AND HEALTHCARE PRACTITIONERS
Second Edition
Initial Management of Acute Medical Patients is a clinically focused, practical and contemporary guide for assessing and managing patients with acute medical conditions. Suitable for all nurses and healthcare practitioners working in medical assessment units, medical wards and emergency departments, it presents a structured approach based on common presenting features and focuses on the first 24 hours of the patient’s hospital stay. The book draws on a wide range of supporting evidence and also provides the reader with sources for further reading.
KEY FEATURES
* Written predominantly by nurses for nurses, this text is also suitable for a range of healthcare professionals, including paramedics and nurse practitioners, and anybody working in an acute care environment including primary care assessment units, clinical decision units and intermediate care.
* Designed as a quick reference text for use in clinical practice.
* Extensively referenced throughout, thus increasing its appeal to practitioners at all stages of their careers and to those who are undertaking further study.
* Devotes two entire chapters to assessing and meeting the acute care needs of vulnerable adults (i.e. older adults, those with mental health needs and those with learning disabilities), and discussing best practice in dealing with sudden death.
* Each chapter offers clear, concise and down-to-earth information based on a common presenting symptom and provides practical advice, supported by best evidence and the most up-to-date clinical guidelines.
* Fully updated and extensively expanded to include recent guidelines and procedures.
Spis treści
List of Contributors iv
Preface vi
Acknowledgements vii
Introduction viii
Normal Clinical Values ix
1 Initial Assessment of the Acute Medical Patient 1
Judith Morgan and Ian Wood
2 Vulnerable Adults 23
Louise Nelson, Scott Inglis, Fiona Howell, Michael Gibbs and Judi Thorley
3 Sudden Death 56
Sue Read and Jane Jervis
4 Cardiac Arrest 80
Carole Donaldson
5 Shock 108
Judith Morgan and Ian Wood
6 Altered Consciousness 133
Ian Wood and Carole Donaldson
7 Shortness of Breath 170
Michelle Garner, Susan Hope and Ian Wood
8 Chest Pain 221
Michelle Garner Copyrighted Material
9 Abdominal Pain and Upper Gastrointestinal Bleeding 262
Toni Jordan, Ruth Harris and Terry Wardle
10 Extremity Pain and Swelling 288
Ian Wood
Index 300
O autorze
ABOUT THE EDITORS
Ian Wood is a Lecturer in the School of Nursing & Midwifery, Keele University. His clinical background is in emergency nursing and, in this context, he has worked in emergency departments in Manchester, Leicester and Stoke on Trent.
Michelle Garner is a Senior Lecturer and pathway lead for acute and critical care within the Faculty of Health & Wellbeing, University of Cumbria. Her clinical background is in cardiology and she has worked in cardiac units in Stoke on Trent, Macclesfield and London.
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