Medical-surgical nursing is concerned with caring for adult patients in various healthcare settings. It is the largest nursing specialty and has evolved into its own area due to advances in medicine and nursing. Medical-surgical nurses now work in many different positions and settings beyond just hospital wards, including clinics, emergency departments, administration, outpatient surgical centers, home health care, and skilled nursing facilities, with some also serving in military medical roles on battlefields.
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History medical surgical nursing
1. Medical-surgical nursing is a nursing specialty area concerned with the
care of adult patients in a broad range of settings.
Medical-surgical nursing is the largest group of professionals in the field
of nursing. Advances in medicine and nursing have resulted in medical-
surgical nursing evolving into its own specialty.
Many years ago a majority of hospital nurses worked on wards, and
everyone was a medical-surgical nurse. Today licensed medical-surgical
nurses work in a variety of positions, inpatient clinics, emergency
departments, administration, out patient surgical centers, home health
care, ambulatory surgical care, and skilled nursing homes. Some
military medical-surgical nurses serve on battlefields.
14. CONCEPT OF COMPREHENSIVE NURSING CARE
1. MANAGING PHYSIOLOGIC RESPONSES TO ILLNESS
• Pain
• Dyspnea
• Nutrition and hydration
• Elimination
PSYCHOLOGICAL ISSUES
SOCIAL ISSUES
COMMUNICATION
SPIRITUAL CARE
15.  Autonomy
 Beneficence
 Nonmaleficence
 Confidentiality
 Double Effect
 Fidelity
 Justice
 Paternalism
 Respect for Persons
 Sanctity of Life
 Veracity