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Fundamentals of Nursing & Midwifery
A Person-Centred Approach to Care
Australia New Zealand Edition
Unit 1 – Introduction to Nursing, Midwifery and Health
1 Introduction to Nursing, Midwifery and person-Centred Care
Definitions of Nursing and Midwifery
Aims of Nursing and Midwifery
Healthcare Environments
Professional Practice
Person-Centred Care
Thoughtful Practice and Processes of Care
Professional Growth Through Learning
2 Concepts of Health and Illness
Defining Health and Illness
Models of Health and Illness
Factors Affecting Health and illness
Care to Promote Health and Prevent Illness
3 Health of the Individual, Family and Community
The Individual’s Basic Human Needs
The Family
The Community
4 Healthcare Delivery Systems
Healthcare Systems
Healthcare Settings and Services
Collaborative Care: The Healthcare Team
Frameworks for Healthcare Delivery
Financial Aspects of Health Care
Trends and Issues in Healthcare Delivery
The Role of Nurses and Midwives in Healthcare Reform
5 Community Practice and Continuity of Care
Community Nursing
Community Midwifery
Primary Health Care
Home Nursing and Midwifery
The Home Visit
Roles of the Community Nurse/Midwife
Responsibilities of the Community Nurse/Midwife
Family and Caregiver Needs
Controlling Infection
Continuity of Care
6 Cultural Diversity
Diverse Populations
Concepts of Cultural Diversity
Cultural Influences on Health Care
Cultural Influences in Illness Care
Culturally Competent Nursing Care
7 Communication
The Process of Communication
Levels of Communication
Forms of Communication
Factors Influencing Communication
The Therapeutic Relationship and Communication
Therapeutic Communication and Processes of Care
Developing Therapeutic Communication Skills
Blocks to Person-Centred Communication
Impaired Verbal Communication
8 Education and Counselling
Aims of Educating and Counselling
The Nurse and Midwife as Educator
Person-Centred Approach to Patient Education
The Nurse and Midwife as Counsellor
Unit II Foundations of Nursing and Midwifery Practice
9 History, Knowledge and Theory
Historical Perspectives on Nursing
Nursing Knowledge
Theory
10 Inquiry, Research and Evidence-Based Practice
Nursing Knowledge
Nursing Research
Evidence-Based Practice
11 Values, Ethics and Advocacy
Values
Ethics
Ethical Conduct
Ethical Decision Making
Advocacy in Clinical Practice
12 Nursing and Midwifery in Law
Legal Concepts
Legal Systems
Professional and Legal Regulation of Nursing and Midwifery Practice
Professional Boundaries
Wrongdoing and the Law
Other Laws Affecting Nursing and Midwifery
Legal Safeguards for the Nurse and Midwife
Other Laws Affecting Nursing and Midwifery Practice
Unit III Thoughtful Practice and the Process of Care
13 Thoughtful Practice: Self-Awareness and Reflection
Thoughtful Practice
Reflective Practice
14 Thoughtful Practice: Clinical Reasoning, Clinical Judgement, Actions and the Processes of Care
The Context of Thoughtful Practice
Clinical Reasoning
Actions of Clinicians
Process of Care
Evaluations and Reflection
Applying Clinical Reasoning Skills
15 Assessing
Types of Health Assessments
Preparing for Data Collection
Data Collection
Data Validation
Data Communication
16 Identifying Health Problems
The Process of Identifying Health Problems
Interpretation and Analysis of Assessment Data
Documenting a Health Problem
17 Planning Person-Centred Care
Planning Person-Centred Care
Setting Goals and Planning Care
Comprehensive Planning
Establishing Priorities
Identifying and Writing Goals
Developing Evaluative Strategies
Person-Centred Care Interventions
Communicating and Recording the Plan of Care
Issues Related to Problem Identification and Care Planning
18 Implementing Person-Centred Care
Implementing Person-Centred Care
Types of Nursing and Midwifery Interventions
Implementing the Plan of Care
Continuing Data Collection and Risk Management
Documenting Nursing and Midwifery Care
Failure to Cooperate With the Plan of Care
Delegating Care
Guide for Students Organising Care
19 Evaluating Person-Centred Care
Evaluating Person-Centred Care
Measuring Goals of Personal Achievement
Evaluating Quality Care
20 Documenting, Reporting and Conferring
Documenting Care
Reporting Care
Conferring About Care
Unit IV Promoting Health Across the Life Span
21 Developmental Concepts
Principle of Growth and Development
Factors Influencing Growth and Development
Overview of Developmental Theories
Applying Theories of Growth and Development to Care
22 Conception Through to Young Adult
Conception and Antenatal Development
Neonate: Birth to 28 Days
Infant: 1 Month to 1 Year
Toddler: 1 to 3 Years
Preschooler: 3 to 6 Years
School-Aged Child: 6 to 12 Years
The Young Person
23 The Ageing Adult
The Ageing Population
The Ageing Adult
Theories of Ageing
Losses and Changes of Ageing
Health of the Ageing Adult
Ageing Adults and the Healthcare System
Unit V Promoting Health Psychosocial Responses
24 Self-Concept
Overview of Self-Concept
Person-Centred Care for Self-Concept
Identifying Health Problems
25 Stress and Adaptation
Basic Concepts of Stress and Adaptation
Maintaining Physiological and Psychological Homeostasis
Effects of Stress
Factors Affecting Stress and Adaptation
Stress and Adaptation in Professional Practice
Person-Centred Care for Stress and Anxiety
26 Death, Dying and Loss
Death and Dying in Australian and New Zealand
The Illness Experience
Palliative Care
Loss and Grieving
Factors that Affect Grief and Dying
The Nurse/Midwife as Role Model
Person-Centred Care for Grief, Dying and Death
27 Sensory Stimulation
Sensory Experience
Disturbed Sensory Perception
Factors Affecting Sensory Stimulation
Person-Centred Care for Sensory Stimulation
28 Sexuality
Sexual Health
Female Physiology
Male Physiology
Sexual Response Cycle
Sexual Expression
Factors Affecting Sexuality
The Nurse and Midwife as Role Model
Person-Centred Care for Sexual Health
Sexual Harassment
29 Spirituality
Historical Background
Concepts Related to Spirituality and Spiritual Health
Factors Affecting Spirituality
Religion and Law, Ethics and Medicine
Person-Centred Spiritual Care
Unit VI Actions Basic to Nursing Care
30 Comprehensive Health Assessment
Conducting a Health Assessment
Components of the Health Assessment
General Survey
Assessing the Integument
Assessing the Head and Neck
Assessing the Thorax and Lungs
Assessing the Cardiovascular and Peripheral Vascular Systems
Assessing the Breasts and Axillae
Assessing the Abdomen
Assessing Female and Male Genitalia
Assessing the Musculoskeletal System
Assessing the Neurological System
Documenting the Data
The Nurse’s and Midwife’s Role in Diagnostic Procedures
31 Vital Signs
Temperature
Pulse
Respirations
Blood Pressure
Teaching Vital Signs for Home Care
32 Safety
Factors Affecting Safety
Person-Centred Care for Maintaining Safety
Maintaining Emergency Preparedness
Clinical Risk Management Strategies
33 Asepsis and Infection Control
Process of Infection
Infection Control and Prevention
34 Complementary Therapies
Introduction to Complementary Therapies
Types of CAM
Nursing, Midwifery and CAM
35 Medications
Drug Legislation, Regulations and Policy
Introduction to Pharmacology
Principles of Medication Administration
Administering Medications
36 Perioperative Care
The Surgical Experience
Preoperative Care
Person-Centred Preoperative Care
Intraoperative Care
Person-Centred Intraoperative Care
Postoperative Care
Person-Centred Postoperative Care
Ongoing Postoperative Care
Person-Centred Ongoing Postoperative Care
Unit VII Promoting Healthy Physiological Responses
37 Hygiene
Introduction to Hygiene
Factors Affecting Personal Hygiene
Person-Centred Care for Skin and Personal Hygiene
38 Skin Integrity and Wound Care
Integumentary System
Factors Affecting Skin Integrity
Wounds
Person-Centred Care for Wounds
Pressure Ulcers
Person-Centred Care for Pressure Ulcers
39 Activity
Physiology of Movement
Body Mechanics
Factors affecting Body Alignment and Mobility
Exercise
Person-Centred Care for Safe Handling and Repositioning
40 Rest and Sleep
Physiology of Sleep
Factors Affecting Sleep
Common Sleep Disorders
Person-Centred Care for Rest and Sleep
41 Pain Management
The Pain Experience
Factors Affecting the Pain Experience
Person-Centred Pain Management
42 Nutrition
Principles of Nutrition
Adeq2uate Diet Selection
Factors Affecting Nutrition
Person-Centred Care for Nutritional Needs
43 Urinary Elimination
Anatomy and Physiology
Factors Affecting Micturition
Person-Centred Care for Urinary Elimination
44 Bowel Elimination
Anatomy and Physiology
Factors Affecting Bowel Elimination
Person-Centred Care for Bowel Elimination Disturbances
45 Oxygenation
Anatomy and Physiology of Respiriv>
Healthcare Systems
Person-Centred Care for Oxygenation
46 Fluid, Electrolyte and Acid-Base Balance
Anatomy and Physiology
Disturbances in Fluid, Electrolyte and Acid-Base Balance
Person-Centred Care for Electrolyte and Acid-Base Balance
Appendix A Suggested Answers to Scenario Questions (Chapter 15 to 19)
Appendix B Medical Terminology: Prefixes, Roots and Suffixes
Appendix C Commonly Used Abgreviations and Symbols
Appendix D Normal Adult Laboratory Values
Glossary
Index
