his seventh edition ot Shafi r s Medical-Surgi-

Jl. cal Nursing has been revised taking inlo ac-

~t the changes h t medical and nursing practice since the

~t edition. At the same time, an attempt was made to pre-

~e the paRent-centered approach of previous editions,

~eh has been valued by students, thculty, and practicing

irses who have used this text in the past.

~e tbrmat of the book has been reorganized into five

aliens: Health and Illness, Systematic Approaches to Med-

l-Surgical Nursing, Common Problems Encountered in

~Cal-Surgical Patients. Nursing Care of Persons with

~ific Medical-Surgical Problems, and Numing Acutely

~d Injured Persons. There are six new chapters in this

ilion: Health and Disease, Wellness and Illness and Sex-

ltty in Health and Illness in Section One; Nursing Pro-

B: An Overview and Quality Assurance Programs to

~uate Nursing Care in Section Two; Death and Dying in

~lion Three. and Critical Care Nursing in Section Five.

~addition, new reformation on mlmunology has been in-

~lded in Chapter 3.

{ ~hapters that appeared in previmls editions have been

ated and revised to include additional information on pa-

~lt assessment and on nursing measures used in the man-

agement of persons with specific problems. To fimflitate

ease in reading, Sections Four and I,ive are written ill a

nursing process fbnnat.

To assure that this edition reflects current practice and

flllure trends m nursing, many experts have contributed to

this tvvision. We are gratefld to these experts and others

who reviewed parts of the text and made helpflfl comments.

We also wish to thank the illustrators whose drawings

appear in this book: james T. Suchy and Ellen Sands of

Cleveland arm Jeanne Robertson and Pat Fallen of St. Louis.

Our special thanks go to May Spence and Susan Cal-

houn of Seattle and Kathy Long, Holly Cook, and June

Nailer of Durham, who typed parts of the manuscript, and

to Janet Mitchell and Sondra Patrizi of Cleveland for their

considerable help and support with the major preparation of

the lnanusetqpt.

We trust that the information presented in this edition

will assist nurses to provide the best possible care to patients

and clients.

Wilma J. Phipps

Barbara C. Long

Nancy Fugate Woods