Brunner & Suddarth's Textbook of Medical-Surgical Nursing, by Suzanne C. Smeltzer RNC EdD FAAN, Brenda Bare, Janice L.

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By Suzanne C. Smeltzer RNC EdD FAAN, Brenda Bare, Janice L. Hinkle PhD RN CNRN, Kerry H. Cheever PhD RN

Now in its twelfth version, Brunner and Suddarth's Textbook of Medical-Surgical Nursing is designed to aid nurses in getting ready for his or her roles and tasks within the medical-surgical atmosphere. This top textbook specializes in physiological, pathophysiological, and psychosocial suggestions as they relate to nursing care. Brunner is understood for its robust Nursing procedure concentration and its clarity. This variation keeps those strengths and comprises better appearance and higher portability for students.

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Much of the population resides in highly congested urban areas, with a steady migration of members of ethnic minorities to the inner cities and a migration of members of the middle class to suburban areas. The number of homeless people, including entire families, has increased significantly. The population has become more culturally diverse as increasing numbers of people from different national backgrounds enter the country. Because of population changes, the health care needs of people of specific ages, of women, and of diverse groups of people in specific geographic locations is altering the effectiveness of traditional means of providing health care.

4 Describe nursing care delivery models. 5 Discuss expanded nursing roles. qxd 8/26/09 8:54 AM Page 5 Aptara Chapter 1 Health care in the United States has undergone changes over the years as society has continued to change. Nursing, as a health care profession and a major component of the health care system, has been significantly affected by these changes. Nursing has played an important role in the health care system and will continue to do so. The Health Care Industry and the Nursing Profession Nursing Defined Since the time of Florence Nightingale, who wrote in 1858 that the goal of nursing was “to put the patient in the best condition for nature to act upon him,” nursing leaders have described nursing as both an art and a science.

2006). Advanced practice nursing: Unification through a common identity. Journal of Professional Nursing, 22(9), 172–179. Health Care Delivery and Nursing Practice 13 Reid Ponte, P. (2004). The American health care system at a crossroads: An overview of the American Organization of Nurse Executives Monograph. Online Journal of Issues in Nursing, 9(2), Manuscript 2. S. Bureau of the Census. (Internet release date: January 13, 2000). Profile of older Americans: 2000. Population projections of the United States by age, sex, race, and Hispanic origin: 1995-2005.

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