Bibliographic record and links to related information available from the Library of Congress catalog.
Note: Contents data are machine generated based on pre-publication information provided by the publisher. Contents may have variations from the printed book or be incomplete or contain other coding.
Contents Quick Reference to the Guidelines ix Contributors to Fifth Edition xi Contributors to Previous Editions xiii Foreword to Fifth Edition xv Forewords to Previous Editions xvi Acknowledgements xvii The Royal Marsden Hospital Strategy for Nursing: Principles of Person-Focused Care xviii Introduction xix 1 Care in Context: Assessment, Communication and Consent 1 Introduction 1 Assessment 1 Communication 5 Consent to examination and treatment 22 Conclusion 28 2 Abdominal Paracentesis 33 Reference material 33 Guidelines - Abdominal paracentesis 35 Guidelines - Removal of an intraperitoneal drain (short term) 36 Nursing care plan 37 3 Aseptic Technique 39 Reference material 39 Guidelines - Aseptic technique 44 4 Barrier Nursing: Nursing the Infectious or Immunosuppressed Patient 47 Barrier nursing 47 Reference material 47 Source isolation 49 Reference material 49 Guidelines - Source isolation 52 Protective isolation 56 Reference material 57 Guidelines - Nursing the neutropenic patient 61 Acquired immune deficiency syndrome (AIDS) 63 Reference material 63 Human immunodeficiency virus 2 (HIV 2) 70 Reference material 70 Guidelines - Acquired immune deficiency syndrome in a general ward 72 Antibiotic-resistant organisms 77 Reference material 77 Aspergillosis 84 Reference material 84 Clostridium difficile 85 Reference material 85 Cryptosporidiosis 87 Reference material 87 Hepatitis 89 Hepatitis A 89 Reference material 89 Guidelines - Hepatitis A 91 Hepatitis B 92 Reference material 92 Guidelines - Hepatitis B 96 Non-A non-B hepatitis 99 Reference material 99 Guidelines - Non-A non-B hepatitis 100 Hepatitis C virus (HCV) 100 Reference material 100 Hepatitis D 102 Reference material 102 Hepatitis E 102 Reference material 102 Hepatitis B genotype F 103 Reference material 103 Hepatitis G 104 Reference material 104 The herpes viruses 105 Cytomegalovirus (CMV) 105 Reference material 105 Epstein - Barr virus 107 Reference material 107 Herpes simplex virus (HSV) 108 Reference material 108 Varicella zoster virus (VZV) 109 Reference material 109 Legionnaires' disease 112 Reference material 112 Listeriosis 114 Reference material 114 Pneumocystosis 115 Reference material 115 Tuberculosis 117 Reference material 117 5 Bladder Lavage and Irrigation 123 Reference material 123 Guidelines - Bladder lavage 126 Guidelines - Continuous bladder irrigation 128 Bladder irrigation recording chart 129 Nursing care plan 130 6 Bowel Care 131 General introduction 131 Reference material 131 Enemas 136 Reference material 136 Suppositories 137 Reference material 137 Manual evacuation 137 Rectal lavage 137 Reference material 138 Guidelines - Administration of enemas 139 Nursing care plan 141 Guidelines - Administration of suppositories 141 Guidelines - Administration of rectal lavage 142 Nursing care plan 144 7 Breast Aspiration 146 Reference material 146 Guidelines - Breast aspiration 149 8 Cardiopulmonary Resuscitation 151 Reference material 151 Guidelines - Cardiopulmonary resuscitation 158 9 Continent Urinary Diversions 162 Reference material 162 Teaching intermittent self-catheterization of a continent urinary diversion stoma 168 Reference material 168 Guidelines - Self-catheterization 169 Nursing care plan 170 10 Cytotoxic Drugs: Handling and Administration 172 Reference material 172 Guidelines - Protection of the environment 174 Guidelines - Protection of nursing staff when handling cytotoxic drugs 177 Routes of administration 179 Intravenous administration 179 Reference material 179 Guidelines - Intravenous administration of cytotoxic drugs 180 Extravasation of vesicant drugs 182 Reference material 182 Guidelines - Management of extravasation when using a peripheral cannula 185 Oral administration 187 Reference material 187 Intramuscular and subcutaneous injection 187 Reference material 188 Topical application 188 Reference material 188 Intrathecal administration 188 Reference material 188 Intrapleural instillation 189 Reference material 189 Guidelines - Administration of intrapleural drugs 190 Nursing care plan 191 Intravesical instillation 191 Reference material 191 Guidelines - Intravesical instillation of cytotoxic drugs 192 Nursing care plan 193 Intraperitoneal administration 194 Reference material 194 Guidelines - Intraperitoneal instillation of cytotoxic drugs 195 Nursing care plan 196 Intra-arterial administration 196 Reference material 196 Nursing care plan 198 11 Discharge Planning 200 Reference material 200 Guidelines - Discharge planning 207 12 Drug Administration 211 Reference material 211 Guidelines - Storage of drugs 214 Injections and infusions 221 Guidelines - Self-administration of drugs 230 Guidelines - Oral drug administration 231 Guidelines - Administration of injections 233 Guidelines - Administration of rectal and vaginal preparations 238 Guidelines - Topical applications of drugs 239 Guidelines - Administration of drugs in other forms 240 Guidelines - Administration of intravenous drugs by continuous infusion 241 Guidelines - Administration by intermittent infusion 244 Guidelines - Administration by direct injection, bolus or push 246 Nursing care plan 249 13 Ear Syringing 255 Reference material 255 Guidelines - Irrigation the external auditory canal 259 14 Entonox Administration 261 Reference material 261 Guidelines - Entonox administration 263 Nursing care plan 264 15 Epidural Analgesia 266 Reference material 266 Epidural analgesia for patients with cancer and chronic pain 268 Guidelines - Insertion of an epidural catheter 269 Nursing care plan - Emergencies 270 Guidelines - Topping up epidural analgesia 272 Guidelines - Removal of an epidural catheter 273 Guidelines - Pre-insertion management of an epidural for chronic pain 274 Guidelines - Changing the dressing over the epidural insertion site 274 Guidelines - Postinsertion monitoring of respiratory and cardiac function in chronic pain management 275 Guidelines - Setting up the epidural infusion (utilizing a syringe pump or driver) 276 Guidelines - Setting up of epidural infusion (utilizing an ambulatory pump) 276 Guidelines - Discharge planning 277 Nursing care plan - Trouble shooting 279 16 External Compression and Support in the Management of Lymphoedema 280 Reference material 280 Assessment of the patient with lymphoedema 281 Measuring of limb volume 281 Reference material 281 Phases of treatment: introduction 282 Maintenance phase of treatment 282 Reduction phase of treatment 283 Guidelines - Calculation of limb volume 284 Guidelines - The application of elastic hosiery 286 Guidelines - Standard multi-layer compression bandaging 287 17 Eye Care 292 Reference material 292 Guidelines - Eye swabbing 300 Guidelines - instillation of eye drops 301 Guidelines - instillation of eye ointment 302 Guidelines - eye irrigation 303 18 Gene Therapy for the Management of Cancer 305 Reference material 305 Guidelines - Care of patients receiving gene therapy 309 19 Haematological Procedures: Specialist, Diagnostic and Therapeutic 313 Reference material 313 Guidelines - Bone marrow aspiration and trephine biopsy 316 Nursing care plan 317 Guidelines - Bone marrow harvest 317 20 Infusion Devices 319 Reference material 319 Infusion devices 323 Gravity infusion devices 323 Infusion pumps 324 Summary 328 Guidelines - Subcutaneous administration of drugs using a syringe driver (e.g. Graseby Medical MS16A) 329 Guidelines - Preparation of the syringe for 12-hour drug administration using the Graseby Medical MS16A syringe driver 330 Guidelines - Priming the infusion set 330 Guidelines - Inserting the winged infusion set 331 Problem solving 332 21 Intrapleural Drainage 334 Reference material 334 Guidelines - Chest drain insertion 338 Guidelines - Removal of a chest drain 341 Nursing care plan 343 22 Last Offices 345 Reference material 345 Guidelines - Last offices 347 Nursing care plan 349 Guidelines - Requirements for people of different religious faiths 350 23 Lumbar Puncture 355 Reference material 355 Guidelines - Lumbar puncture 357 Nursing care plan 359 24 Mouth Care 360 Reference material 360 Guidelines - Mouth care 365 Nursing care plan 366 25 Moving and Handling (Manual Handling) Patients 368 Reference material 368 Summary 374 Guidelines - Moving and handling of patients 375 26 Neurological Observations 376 Reference material 376 Guidelines - Neurological observations and assessment 382 Nursing care plan 384 27 Nutritional Support 385 Reference material 385 Guidelines - Nasogastric intubation with tubes using an introducer 394 Guidelines - Nasogastric intubation with tubes without using an introducer, e.g. a Ryle's tube 396 Guidelines - Care of a percutaneous endoscopically placed gastrostomy (PEG) tube 397 Nursing care plan 398 28 Observations 402 Pulse 402 Reference material 402 Guidelines - Pulse 405 12 Lead electrocardiogram (ECG) 406 Guidelines - 12 Lead ECG 406 Blood pressure 408 Reference material 408 Guidelines - Blood pressure 413 Respirations 414 Reference material 414 Temperature 419 Reference material 419 Guidelines - Temperature 423 Urinalysis 424 Reference material 424 Guidelines - Reagent sticks 427 Guidelines - Mid-stream specimen of urine 428 Blood glucose 428 Reference material 428 Guidelines - Blood glucose monitoring 431 29 Pain Assessment and Management 433 Reference material 433 Guidelines - Patient assessment and preparation before surgery: optimizing pain control 444 Guidelines - Using a Chronic Pain Chart 445 30 Peri-Operative Care 446 Pre-operative care 446 Reference material 446 Guidelines - Pre-operative care 448 Intra-operative care 450 Reference material 450 Guidelines - Intra-operative care 452 Postanaesthetic recovery 457 Reference material 457 Guidelines - Postanaesthetic recovery 459 Nursing care plan 461 Guidelines - Postoperative recovery 464 31 Peritoneal Dialysis and Continuous Venovenous Haemodiafiltration 466 Reference material 466 Peritoneal dialysis (PD) 466 Reference material 466 Continuous filtration methods 468 Reference material 468 Guidelines - Peritoneal dialysis 470 Nursing care plan 472 Guidelines - Preparation of equipment for continuous venovenous haemodiafiltration (CVVHD) utilizing a CVVHD machine 474 Guidelines - Commencement of CVVHD 475 32 Personal Hygiene 477 Reference material 477 Guidelines - Bed bathing a patient 481 33 Radioactive Source Therapy: Sealed Sources 483 Sealed radioactive source therapy 483 Reference material 483 Remote afterloading 488 Reference material 488 Guidelines - Care of patients with insertions of sealed radioactive sources 492 Guidelines - Care of patients with intra-oral sources 494 Guidelines - Care of patients with gynaecological sources 495 Guidelines - Removal of gynaecological caesium 496 Nursing care plan 497 Guidelines - Care of patients undergoing Selectron treatment 497 Guidelines - Removal of Selectron applicators 498 Nursing care plan 499 Guidelines - Caring for patients with radioactive seeds (e.g. iodine-125) 500 Guidelines - Care of patients with breast sources 500 34 Radioactive Source Therapy and Diagnostic Procedures: Unsealed Sources 502 Reference material 502 Guidelines - Care of patients before administration of iodine-131 510 Guidelines - Care of the patient receiving iodine-131 thyroid treatment 511 Guidelines - Care of the patient receiving iodine-131 mIBG treatment 511 Guidelines - Care of the patient after administration of unsealed source therapy 511 Guidelines - Care of the patient receiving unsealed source therapy for diagnostic investigations 513 Guidelines - Emergency procedures 515 35 Respiratory Therapy 517 Reference material 517 Continuous positive airway pressure (CPAP) 521 Reference material 521 Guidelines - Pre-CPAP 523 Guidelines - Setting up CPAP 524 Nursing care plan 525 36 Scalp Cooling 527 Reference material 527 Guidelines - Scalp cooling 530 Nursing care plan 531 37 Specimen Collection for Microbiological Analysis 533 Reference material 533 Guidelines - Specimen collection 538 Guidelines - Analysis of drug levels in blood 543 38 Spinal Cord Compression Management 544 Reference material 544 Guidelines - Care of patients with spinal cord compression 546 Nursing care plan 552 39 Stoma Care 554 Reference material 554 Useful addresses 560 Guidelines - Stoma care 562 Guidelines - Collection of a specimen of urine for an ileal conduit or urostomy 563 Nursing care plan 564 40 Tracheostomy Care and Laryngectomy Voice Rehabilitation 566 Tracheostomy care 566 Reference material 566 Laryngectomy voice rehabilitation 571 Reference material 571 Guidelines - Changing a tracheostomy dressing 574 Guidelines - Suction and tracheostomy patients 575 Humidification 576 Guidelines - Humidification 576 Guidelines - Changing a tracheostomy tube 577 Nursing care plan 578 Guidelines - changing a Blom - Singer type non-indwelling voice prosthesis 579 41 Transfusion of Blood, Blood Products and Blood Substitutes 581 Reference material 581 Nursing care plan 591 42 The Unconscious Patient 594 Reference material 594 Guidelines - Care of the unconscious patient 596 Nursing care plan 598 43 Urinary Catheterization 600 Reference material 600 Guidelines - Urinary catheterization 605 Guidelines for patients - Intermittent self-catheterization 609 Guidelines - Collection of a catheter specimen of urine 610 Guidelines - Emptying a catheter bag 611 Guidelines - Removing a catheter 612 Nursing care plan 612 44 Vascular Access Devices: Insertion and Management 615 Reference material 615 Peripheral cannula 618 Reference material 618 Midline catheter 621 Reference material 621 Central venous access devices 622 Peripherally inserted central catheter 622 Reference material 623 Short-term percutaneous central venous catheters (non-tunnelled) 624 Reference material 624 Skin-tunnelled catheters 625 Reference material 625 Implantable ports 627 Reference material 627 Discharging patients home with a VAD in situ 628 Quality of life issues: living with a VAD 630 Reading central venous pressure 630 Guidelines - Reading central venous pressure 633 Guidelines - Inserting a peripheral cannula 635 Guidelines - Inserting a midline catheter 637 Guidelines - Inserting a peripherally inserted central catheter (PICC) 638 Guidelines - Changing the dressing on a central venous catheter insertion site 641 Guidelines - Maintaining patency of a central venous access device 643 Guidelines - Taking blood samples from a central venous catheter 643 Guidelines - Unblocking an occluded catheter 645 Guidelines - Insertion and removal of non-coring needles in implantable ports 647 Guidelines - Removal of a non-skin tunnelled central venous catheter 649 Guidelines - Surgical removal of a skin-tunnelled central venous catheter 650 Nursing care plan 652 Arterial cannulae 655 Reference material 655 Guidelines - Setting up the monitoring set and preparation for insertion of an arterial cannula 656 Guidelines - Taking a blood sample from an arterial cannula 658 Guidelines - Removal of an arterial cannula 659 Nursing care plan 660 45 Venepuncture 662 Reference material 662 Guidelines - Venepuncture 667 Nursing care plan 670 46 Violence: Prevention and Management 673 Reference material 673 Summary 676 Guidelines - Prevention and management of violence 678 47 Wound Management 681 Reference material 681 Particular wounds: leg ulceration 687 Reference material 687 Pressure ulcers or decubitus ulcers 690 Reference material 690 Fungating wounds 693 Reference material 693 Radiotherapy skin damage 697 Reference material 697 Plastic surgery wounds 698 Reference material 698 Scarring 699 Reference material 699 Guidelines - Changing wound dressings 705 Guidelines - Removal of sutures, clips or staples 706 Guidelines - Drain dressing (Redivac - closed drainage systems) 707 Guidelines - Change of vacuum drainage system 708 Guidelines - Removal of drain (Yeates vacuum drainage system) 708 Guidelines - Shortening of drain (Penrose, etc. open drainage systems) 709 Guidelines - Prevention of pressure ulcers 710 Index 711
Library of Congress Subject Headings for this publication: Nursing Handbooks, manuals, etc