Perry & Potter’s Canadian Clinical Nursing Skills and Techniques, 2nd Edition helps equip you with the skills you need to successfully care for patients within the Canadian social and institutional context. Offering comprehensive coverage of more than 200 basic, intermediate, and advanced skills, this textbook features nearly 1,000 full-colour photographs and illustrations, a nursing process framework, step-by-step instructions with rationales, and a focus on critical thinking and evidence-informed practice. New to this edition are unit openers, safety alerts, documentation examples, COVID-19 precautions and protocols, and case studies and questions for the Next-Generation NCLEX®.
1. Introduction - p. 1 2. 1. Evidence-Informed Nursing Practice - p. 2 3. 2. Transitions in Care - p. 13 4. 3. Communication and Collaboration - p. 34 5. 4. Documentation and Informatics - p. 54 6. Unit 2. Infection Control - p. 71 7. Introduction - p. 73 8. 5. Medical Asepsis - p. 74 9. 6. Sterile Technique - p. 95 10. Unit 3. Vital Signs and Physical Assessment - p. 107 11. Introduction - p. 109 12. 7. Vital Signs - p. 110 13. MEDIA RESOURCES - p. 110 14. PURPOSE - p. 110 15. STANDARDS OF CARE - p. 110 16. PRINCIPLES FOR PRACTICE - p. 111 17. PERSON-CENTRED CARE - p. 111 18. EVIDENCE-INFORMED PRACTICE - p. 111 19. SAFETY GUIDELINES - p. 111 20. SKILL 7.1. Measuring Body Temperature - p. 112 21. SKILL 7.2. Teaching Patients to Measure Body Temperature - p. 123 22. SKILL 7.3. Assessing Radial Pulse - p. 126 23. SKILL 7.4. Assessing Apical Pulse - p. 131 24. SKILL 7.5. Assessing Respirations - p. 135 25. SKILL 7.6. Assessing Arterial Blood Pressure - p. 140 26. SKILL 7.7. Teaching Blood Pressure and Pulse Measurement - p. 149 27. 8. Health Assessment - p. 160 28. MEDIA RESOURCES - p. 160 29. PURPOSE - p. 160 30. STANDARDS OF CARE - p. 160 31. PRINCIPLES FOR PRACTICE - p. 160 32. PERSON-CENTRED CARE - p. 161 33. EVIDENCE-INFORMED PRACTICE - p. 161 34. SAFETY GUIDELINES - p. 162 35. ASSESSMENT TECHNIQUES - p. 162 36. PREPARATION FOR ASSESSMENT - p. 164 37. PHYSICAL ASSESSMENT OF VARIOUS AGE GROUPS - p. 166 38. SKILL 8.1. General Survey - p. 166 39. SKILL 8.2. Head and Neck Assessment - p. 174 40. SKILL 8.3. Thorax and Lung Assessment - p. 179 41. SKILL 8.4. Cardiovascular Assessment - p. 187 42. SKILL 8.5. Abdominal Assessment - p. 199 43. SKILL 8.6. Genitalia and Rectum Assessment - p. 205 44. SKILL 8.7. Musculoskeletal and Neurological Assessment - p. 209 45. Unit 4. Special Procedures - p. 221 46. Introduction - p. 223 47. 9. Specimen Collection - p. 224 48. MEDIA RESOURCES - p. 224 49. PURPOSE - p. 224 50. STANDARDS OF CARE - p. 224 51. PRINCIPLES FOR PRACTICE - p. 225 52. PERSON-CENTRED CARE - p. 225 53. EVIDENCE-INFORMED PRACTICE - p. 225 54. SAFETY GUIDELINES - p. 225 55. SKILL 9.1. Urine Specimen Collection: Midstream (Clean-Voided) and Sterile Urinary Catheter - p. 226 56. SKILL 9.2. Measuring Occult Blood in Stool - p. 234 57. SKILL 9.3. Measuring Occult Blood in Gastric Secretions (Gastroccult) - p. 238 58. SKILL 9.4. Collecting Nose and Throat Specimens for Culture - p. 240 59. SKILL 9.5. Obtaining Vaginal or Urethral Discharge Specimens - p. 244 60. SKILL 9.6. Collecting a Sputum Specimen by Suction - p. 247 61. SKILL 9.7. Obtaining Wound Specimens for Culture - p. 251 62. SKILL 9.8. Collecting Blood Specimens and Culture by Venipuncture (Syringe and Vacutainer Method) - p. 254 63. SKILL 9.9. Blood Glucose Monitoring - p. 263 64. SKILL 9.10. Obtaining an Arterial Specimen for Blood Gas Measurement - p. 269 65. 10. Diagnostic Procedures - p. 275.e1 66. Unit 5. Activity and Mobility - p. 275.e31 67. Introduction - p. 277 68. 11. Safe Patient Handling, Transfer, and Positioning - p. 278 69. 12. Exercise, Mobility, and Immobilization Devices - p. 302 70. 13. Support Surfaces and Specialty Beds - p. 337 71. Unit 6. Safety and Comfort - p. 355 72. Introduction - p. 357 73. 14. Patient Safety - p. 358 74. 15. Emergency Preparedness and Disaster Management - p. 389 75. 16. Pain Assessment and Management - p. 411 76. 17. Palliative and End-of-Life Care - p. 445 77. Unit 7. Hygiene - p. 469 78. Introduction - p. 471 79. 18. Personal Hygiene and Bed Making - p. 472 80. MEDIA RESOURCES - p. 472 81. PURPOSE - p. 472 82. STANDARDS OF CARE - p. 472 83. PRINCIPLES FOR PRACTICE - p. 472 84. PERSON-CENTRED CARE - p. 473 85. EVIDENCE-INFORMED PRACTICE - p. 473 86. SAFETY GUIDELINES - p. 473 87. THE SKIN - p. 473 88. THE MOUTH - p. 474 89. EYES, EARS, AND HAIR - p. 475 90. THE NAILS - p. 476 91. SKILL 18.1. Complete or Partial Bed Bath - p. 476 92. SKILL 18.2. Oral Hygiene - p. 485 93. SKILL 18.3. Performing Mouth Care for an Unconscious or Debilitated Patient - p. 495 94. SKILL 18.4. Performing Nail and Foot Care - p. 503 95. 19. Care of the Eye and Ear - p. 516 96. Unit 8. Medications - p. 533 97. Introduction - p. 535 98. 20. Safe Medication Preparation - p. 536 99. 21. Nonparenteral Medications - p. 560 100. MEDIA RESOURCES - p. 560 101. PURPOSE - p. 560 102. STANDARDS OF CARE - p. 560 103. PRINCIPLES FOR PRACTICE - p. 561 104. PERSON-CENTRED CARE - p. 561 105. EVIDENCE-INFORMED PRACTICE - p. 561 106. SAFETY GUIDELINES - p. 562 107. SKILL 21.1. Administering Oral Medications - p. 562 108. SKILL 21.2. Administering Medications Through a Feeding Tube - p. 570 109. SKILL 21.3. Applying Topical Medications to the Skin - p. 575 110. SKILL 21.4. Administering Ophthalmic Medications - p. 581 111. SKILL 21.5. Administering Ear Medications - p. 587 112. SKILL 21.6. Administering Nasal Instillations - p. 591 113. SKILL 21.7. Using Metered-Dose Inhalers - p. 595 114. SKILL 21.8. Using Small-Volume Nebulizers - p. 602 115. SKILL 21.9. Administering Vaginal Instillations - p. 606 116. SKILL 21.10. Administering Rectal Suppositories - p. 610 117. 22. Parenteral Medications - p. 617 118. MEDIA RESOURCES - p. 617 119. PURPOSE - p. 617 120. STANDARDS OF CARE - p. 617 121. PRINCIPLES FOR PRACTICE - p. 618 122. PERSON-CENTRED CARE - p. 618 123. EVIDENCE-INFORMED PRACTICE - p. 618 124. SAFETY GUIDELINES - p. 619 125. SKILL 22.1. Preparing Injections From Ampoules and Vials - p. 622 126. SKILL 22.2. Administering Intradermal Injections - p. 633 127. SKILL 22.3. Administering Subcutaneous Injections - p. 637 128. SKILL 22.4. Administering Continuous Subcutaneous Infusions - p. 644 129. SKILL 22.5. Administering Intramuscular Injections - p. 648 130. SKILL 22.6. Administering Intravenous Medications by Direct Route - p. 654 131. SKILL 22.7. Administering Intravenous Medications by Intermittent Infusion - p. 660 132. Unit 9. Oxygenation - p. 667 133. Introduction - p. 669 134. 23. Airway Management - p. 670 135. MEDIA RESOURCES - p. 670 136. PURPOSE - p. 670 137. STANDARDS OF CARE - p. 670 138. PRINCIPLES FOR PRACTICE - p. 671 139. PERSON-CENTRED CARE - p. 671 140. EVIDENCE-INFORMED PRACTICE - p. 671 141. SAFETY GUIDELINES - p. 671 142. SKILL 23.1. Performing Oropharyngeal Suctioning - p. 672 143. SKILL 23.2. Performing Airway Suctioning - p. 676 144. SKILL 23.3. Performing Endotracheal Tube Care - p. 688 145. SKILL 23.4. Performing Tracheostomy Care - p. 695 146. SKILL 23.5. Teaching Home Tracheostomy Care and Suctioning - p. 703 147. 24. Performing Chest Physiotherapy - p. 710 148. 25. Oxygen Therapy - p. 723 149. MEDIA RESOURCES - p. 723 150. PURPOSE - p. 723 151. STANDARDS OF CARE - p. 723 152. PRINCIPLES FOR PRACTICE - p. 723 153. PERSON-CENTRED CARE - p. 724 154. EVIDENCE-INFORMED PRACTICE - p. 724 155. SAFETY GUIDELINES - p. 724 156. SKILL 25.1. Applying an Oxygen Delivery Device - p. 725 157. SKILL 25.2. Teaching Patients to Use Home Oxygen Equipment - p. 733 158. SKILL 25.3. Using Incentive Spirometry - p. 739 159. SKILL 25.4. Care of a Patient Receiving Noninvasive Positive-Pressure Ventilation - p. 743 160. SKILL 25.5. Care of a Patient on a Mechanical Ventilator - p. 749 161. 26. Cardiac Monitoring - p. 761 162. 27. Closed Chest Drainage Systems - p. 774 163. 28. Emergency Measures for Life Support - p. 796 164. Unit 10. Fluid Balance - p. 812 165. Introduction - p. 813 166. 29. Vascular Access and Infusion Therapy - p. 814 167. MEDIA RESOURCES - p. 814 168. PURPOSE - p. 814 169. STANDARDS OF CARE - p. 814 170. PRINCIPLES FOR PRACTICE - p. 814 171. PERSON-CENTRED CARE - p. 815 172. EVIDENCE-INFORMED PRACTICE - p. 815 173. SAFETY GUIDELINES - p. 817 174. SKILL 29.1. Inserting a Short Peripheral Intravenous Catheter - p. 818 175. SKILL 29.2. Initiating, Regulating, and Discontinuing Intravenous Infusions - p. 830 176. SKILL 29.3. Changing Intravenous Solution Containers - p. 837 177. SKILL 29.4. Changing Administration Sets (Infusion Tubing) - p. 840 178. SKILL 29.5. Changing a Short Peripheral Intravenous Catheter Dressing - p. 843 179. SKILL 29.6. Caring for Patients With Central Vascular Access Devices - p. 848 180. 30. Blood Therapy - p. 860 181. Unit 11. Nutrition - p. 878 182. Introduction - p. 879 183. 31. Oral Nutrition - p. 880 184. 32. Enteral Nutrition - p. 907 185. 33. Parenteral Nutrition - p. 938 186. Unit 12. Elimination - p. 954 187. Introduction - p. 955 188. 34. Urinary Elimination and Catheterization - p. 956 189. 35. Bowel Elimination and Gastric Intubation - p. 996 190. 36. Ostomy Care - p. 1024 191. Unit 13. Care of the Surgical Patient - p. 1038 192. Introduction - p. 1039 193. 37. Preoperative and Postoperative Care - p. 1040 194. 38. Intraoperative Care - p. 1074 195. Unit 14. Dressings and Wound Care - p. 1086 196. Introduction - p. 1087 197. 39. Prevention and Care of Skin Breakdown - p. 1088 198. MEDIA RESOURCES - p. 1088 199. PURPOSE - p. 1088 200. STANDARDS OF CARE - p. 1088 201. PRINCIPLES FOR PRACTICE - p. 1089 202. PERSON-CENTRED CARE - p. 1090 203. EVIDENCE-INFORMED PRACTICE - p. 1091 204. SAFETY GUIDELINES - p. 1092 205. SKILL 39.1. Risk Assessment, Skin Assessment, and Prevention Strategies: Pressure Injury - p. 1095 206. SKILL 39.2. Performing a Wound Irrigation - p. 1103 207. SKILL 39.3. Removing Sutures and Staples - p. 1110 208. SKILL 39.4. Managing Wound Drainage: Emptying, Shortening, and Removing Drains - p. 1115 209. SKILL 39.5. Negative-Pressure Wound Therapy - p. 1121 210. 40. Wound Care Management and Dressings - p. 1129 211. 41. Therapeutic Use of Heat and Cold - p. 1162 212. Unit 15. Nursing in the Community - p. 1181 213. Introduction - p. 1183 214. 42. Safety in the Community - p. 1184 215. Appendix A - p. 1209 216. Index - p. 1212 217. Index of Skills and Procedural Guidelines - p. 1240
Perry & Potter’s Canadian Clinical Nursing Skills and Techniques, 2nd Edition helps equip you with the skills you need to successfully care for patients within the Canadian social and institutional context. Offering comprehensive coverage of more than 200 basic, intermediate, and advanced skills, this textbook features nearly 1,000 full-colour photographs and illustrations, a nursing process framework, step-by-step instructions with rationales, and a focus on critical thinking and evidence-informed practice. New to this edition are unit openers, safety alerts, documentation examples, COVID-19 precautions and protocols, and case studies and questions for the Next-Generation NCLEX®.
1. Introduction - p. 1 2. 1. Evidence-Informed Nursing Practice - p. 2 3. 2. Transitions in Care - p. 13 4. 3. Communication and Collaboration - p. 34 5. 4. Documentation and Informatics - p. 54 6. Unit 2. Infection Control - p. 71 7. Introduction - p. 73 8. 5. Medical Asepsis - p. 74 9. 6. Sterile Technique - p. 95 10. Unit 3. Vital Signs and Physical Assessment - p. 107 11. Introduction - p. 109 12. 7. Vital Signs - p. 110 13. MEDIA RESOURCES - p. 110 14. PURPOSE - p. 110 15. STANDARDS OF CARE - p. 110 16. PRINCIPLES FOR PRACTICE - p. 111 17. PERSON-CENTRED CARE - p. 111 18. EVIDENCE-INFORMED PRACTICE - p. 111 19. SAFETY GUIDELINES - p. 111 20. SKILL 7.1. Measuring Body Temperature - p. 112 21. SKILL 7.2. Teaching Patients to Measure Body Temperature - p. 123 22. SKILL 7.3. Assessing Radial Pulse - p. 126 23. SKILL 7.4. Assessing Apical Pulse - p. 131 24. SKILL 7.5. Assessing Respirations - p. 135 25. SKILL 7.6. Assessing Arterial Blood Pressure - p. 140 26. SKILL 7.7. Teaching Blood Pressure and Pulse Measurement - p. 149 27. 8. Health Assessment - p. 160 28. MEDIA RESOURCES - p. 160 29. PURPOSE - p. 160 30. STANDARDS OF CARE - p. 160 31. PRINCIPLES FOR PRACTICE - p. 160 32. PERSON-CENTRED CARE - p. 161 33. EVIDENCE-INFORMED PRACTICE - p. 161 34. SAFETY GUIDELINES - p. 162 35. ASSESSMENT TECHNIQUES - p. 162 36. PREPARATION FOR ASSESSMENT - p. 164 37. PHYSICAL ASSESSMENT OF VARIOUS AGE GROUPS - p. 166 38. SKILL 8.1. General Survey - p. 166 39. SKILL 8.2. Head and Neck Assessment - p. 174 40. SKILL 8.3. Thorax and Lung Assessment - p. 179 41. SKILL 8.4. Cardiovascular Assessment - p. 187 42. SKILL 8.5. Abdominal Assessment - p. 199 43. SKILL 8.6. Genitalia and Rectum Assessment - p. 205 44. SKILL 8.7. Musculoskeletal and Neurological Assessment - p. 209 45. Unit 4. Special Procedures - p. 221 46. Introduction - p. 223 47. 9. Specimen Collection - p. 224 48. MEDIA RESOURCES - p. 224 49. PURPOSE - p. 224 50. STANDARDS OF CARE - p. 224 51. PRINCIPLES FOR PRACTICE - p. 225 52. PERSON-CENTRED CARE - p. 225 53. EVIDENCE-INFORMED PRACTICE - p. 225 54. SAFETY GUIDELINES - p. 225 55. SKILL 9.1. Urine Specimen Collection: Midstream (Clean-Voided) and Sterile Urinary Catheter - p. 226 56. SKILL 9.2. Measuring Occult Blood in Stool - p. 234 57. SKILL 9.3. Measuring Occult Blood in Gastric Secretions (Gastroccult) - p. 238 58. SKILL 9.4. Collecting Nose and Throat Specimens for Culture - p. 240 59. SKILL 9.5. Obtaining Vaginal or Urethral Discharge Specimens - p. 244 60. SKILL 9.6. Collecting a Sputum Specimen by Suction - p. 247 61. SKILL 9.7. Obtaining Wound Specimens for Culture - p. 251 62. SKILL 9.8. Collecting Blood Specimens and Culture by Venipuncture (Syringe and Vacutainer Method) - p. 254 63. SKILL 9.9. Blood Glucose Monitoring - p. 263 64. SKILL 9.10. Obtaining an Arterial Specimen for Blood Gas Measurement - p. 269 65. 10. Diagnostic Procedures - p. 275.e1 66. Unit 5. Activity and Mobility - p. 275.e31 67. Introduction - p. 277 68. 11. Safe Patient Handling, Transfer, and Positioning - p. 278 69. 12. Exercise, Mobility, and Immobilization Devices - p. 302 70. 13. Support Surfaces and Specialty Beds - p. 337 71. Unit 6. Safety and Comfort - p. 355 72. Introduction - p. 357 73. 14. Patient Safety - p. 358 74. 15. Emergency Preparedness and Disaster Management - p. 389 75. 16. Pain Assessment and Management - p. 411 76. 17. Palliative and End-of-Life Care - p. 445 77. Unit 7. Hygiene - p. 469 78. Introduction - p. 471 79. 18. Personal Hygiene and Bed Making - p. 472 80. MEDIA RESOURCES - p. 472 81. PURPOSE - p. 472 82. STANDARDS OF CARE - p. 472 83. PRINCIPLES FOR PRACTICE - p. 472 84. PERSON-CENTRED CARE - p. 473 85. EVIDENCE-INFORMED PRACTICE - p. 473 86. SAFETY GUIDELINES - p. 473 87. THE SKIN - p. 473 88. THE MOUTH - p. 474 89. EYES, EARS, AND HAIR - p. 475 90. THE NAILS - p. 476 91. SKILL 18.1. Complete or Partial Bed Bath - p. 476 92. SKILL 18.2. Oral Hygiene - p. 485 93. SKILL 18.3. Performing Mouth Care for an Unconscious or Debilitated Patient - p. 495 94. SKILL 18.4. Performing Nail and Foot Care - p. 503 95. 19. Care of the Eye and Ear - p. 516 96. Unit 8. Medications - p. 533 97. Introduction - p. 535 98. 20. Safe Medication Preparation - p. 536 99. 21. Nonparenteral Medications - p. 560 100. MEDIA RESOURCES - p. 560 101. PURPOSE - p. 560 102. STANDARDS OF CARE - p. 560 103. PRINCIPLES FOR PRACTICE - p. 561 104. PERSON-CENTRED CARE - p. 561 105. EVIDENCE-INFORMED PRACTICE - p. 561 106. SAFETY GUIDELINES - p. 562 107. SKILL 21.1. Administering Oral Medications - p. 562 108. SKILL 21.2. Administering Medications Through a Feeding Tube - p. 570 109. SKILL 21.3. Applying Topical Medications to the Skin - p. 575 110. SKILL 21.4. Administering Ophthalmic Medications - p. 581 111. SKILL 21.5. Administering Ear Medications - p. 587 112. SKILL 21.6. Administering Nasal Instillations - p. 591 113. SKILL 21.7. Using Metered-Dose Inhalers - p. 595 114. SKILL 21.8. Using Small-Volume Nebulizers - p. 602 115. SKILL 21.9. Administering Vaginal Instillations - p. 606 116. SKILL 21.10. Administering Rectal Suppositories - p. 610 117. 22. Parenteral Medications - p. 617 118. MEDIA RESOURCES - p. 617 119. PURPOSE - p. 617 120. STANDARDS OF CARE - p. 617 121. PRINCIPLES FOR PRACTICE - p. 618 122. PERSON-CENTRED CARE - p. 618 123. EVIDENCE-INFORMED PRACTICE - p. 618 124. SAFETY GUIDELINES - p. 619 125. SKILL 22.1. Preparing Injections From Ampoules and Vials - p. 622 126. SKILL 22.2. Administering Intradermal Injections - p. 633 127. SKILL 22.3. Administering Subcutaneous Injections - p. 637 128. SKILL 22.4. Administering Continuous Subcutaneous Infusions - p. 644 129. SKILL 22.5. Administering Intramuscular Injections - p. 648 130. SKILL 22.6. Administering Intravenous Medications by Direct Route - p. 654 131. SKILL 22.7. Administering Intravenous Medications by Intermittent Infusion - p. 660 132. Unit 9. Oxygenation - p. 667 133. Introduction - p. 669 134. 23. Airway Management - p. 670 135. MEDIA RESOURCES - p. 670 136. PURPOSE - p. 670 137. STANDARDS OF CARE - p. 670 138. PRINCIPLES FOR PRACTICE - p. 671 139. PERSON-CENTRED CARE - p. 671 140. EVIDENCE-INFORMED PRACTICE - p. 671 141. SAFETY GUIDELINES - p. 671 142. SKILL 23.1. Performing Oropharyngeal Suctioning - p. 672 143. SKILL 23.2. Performing Airway Suctioning - p. 676 144. SKILL 23.3. Performing Endotracheal Tube Care - p. 688 145. SKILL 23.4. Performing Tracheostomy Care - p. 695 146. SKILL 23.5. Teaching Home Tracheostomy Care and Suctioning - p. 703 147. 24. Performing Chest Physiotherapy - p. 710 148. 25. Oxygen Therapy - p. 723 149. MEDIA RESOURCES - p. 723 150. PURPOSE - p. 723 151. STANDARDS OF CARE - p. 723 152. PRINCIPLES FOR PRACTICE - p. 723 153. PERSON-CENTRED CARE - p. 724 154. EVIDENCE-INFORMED PRACTICE - p. 724 155. SAFETY GUIDELINES - p. 724 156. SKILL 25.1. Applying an Oxygen Delivery Device - p. 725 157. SKILL 25.2. Teaching Patients to Use Home Oxygen Equipment - p. 733 158. SKILL 25.3. Using Incentive Spirometry - p. 739 159. SKILL 25.4. Care of a Patient Receiving Noninvasive Positive-Pressure Ventilation - p. 743 160. SKILL 25.5. Care of a Patient on a Mechanical Ventilator - p. 749 161. 26. Cardiac Monitoring - p. 761 162. 27. Closed Chest Drainage Systems - p. 774 163. 28. Emergency Measures for Life Support - p. 796 164. Unit 10. Fluid Balance - p. 812 165. Introduction - p. 813 166. 29. Vascular Access and Infusion Therapy - p. 814 167. MEDIA RESOURCES - p. 814 168. PURPOSE - p. 814 169. STANDARDS OF CARE - p. 814 170. PRINCIPLES FOR PRACTICE - p. 814 171. PERSON-CENTRED CARE - p. 815 172. EVIDENCE-INFORMED PRACTICE - p. 815 173. SAFETY GUIDELINES - p. 817 174. SKILL 29.1. Inserting a Short Peripheral Intravenous Catheter - p. 818 175. SKILL 29.2. Initiating, Regulating, and Discontinuing Intravenous Infusions - p. 830 176. SKILL 29.3. Changing Intravenous Solution Containers - p. 837 177. SKILL 29.4. Changing Administration Sets (Infusion Tubing) - p. 840 178. SKILL 29.5. Changing a Short Peripheral Intravenous Catheter Dressing - p. 843 179. SKILL 29.6. Caring for Patients With Central Vascular Access Devices - p. 848 180. 30. Blood Therapy - p. 860 181. Unit 11. Nutrition - p. 878 182. Introduction - p. 879 183. 31. Oral Nutrition - p. 880 184. 32. Enteral Nutrition - p. 907 185. 33. Parenteral Nutrition - p. 938 186. Unit 12. Elimination - p. 954 187. Introduction - p. 955 188. 34. Urinary Elimination and Catheterization - p. 956 189. 35. Bowel Elimination and Gastric Intubation - p. 996 190. 36. Ostomy Care - p. 1024 191. Unit 13. Care of the Surgical Patient - p. 1038 192. Introduction - p. 1039 193. 37. Preoperative and Postoperative Care - p. 1040 194. 38. Intraoperative Care - p. 1074 195. Unit 14. Dressings and Wound Care - p. 1086 196. Introduction - p. 1087 197. 39. Prevention and Care of Skin Breakdown - p. 1088 198. MEDIA RESOURCES - p. 1088 199. PURPOSE - p. 1088 200. STANDARDS OF CARE - p. 1088 201. PRINCIPLES FOR PRACTICE - p. 1089 202. PERSON-CENTRED CARE - p. 1090 203. EVIDENCE-INFORMED PRACTICE - p. 1091 204. SAFETY GUIDELINES - p. 1092 205. SKILL 39.1. Risk Assessment, Skin Assessment, and Prevention Strategies: Pressure Injury - p. 1095 206. SKILL 39.2. Performing a Wound Irrigation - p. 1103 207. SKILL 39.3. Removing Sutures and Staples - p. 1110 208. SKILL 39.4. Managing Wound Drainage: Emptying, Shortening, and Removing Drains - p. 1115 209. SKILL 39.5. Negative-Pressure Wound Therapy - p. 1121 210. 40. Wound Care Management and Dressings - p. 1129 211. 41. Therapeutic Use of Heat and Cold - p. 1162 212. Unit 15. Nursing in the Community - p. 1181 213. Introduction - p. 1183 214. 42. Safety in the Community - p. 1184 215. Appendix A - p. 1209 216. Index - p. 1212 217. Index of Skills and Procedural Guidelines - p. 1240
