A textbook for nurses at all stages of their careers. It acts as a resource on quality care, and provides the latest evidence-based procedures for patient-focused nursing practice. The fifth edition continues the high standards set by the first four editions and builds upon previous work. Clinical procedures are placed within a holistic framework that is crucial to high quality patient care. New chapters and procedures have been included and others have been expanded to encompass the continuing developments in nursing practice. New chapters include Spinal Cord Compression, Gene Therapy and Haematological Procedures. The diverse range of clinical procedures from previous editions have also been extensively revised to include the most up-to-date reference material. Within each procedure the guidelines detail the recommended course of action at each stage, including the rationale for undertaking specific activities. Nursing care plans also identify and demonstrate protential problems, causes and solutions.