Care of the Acutely Ill Adult: An Essential Guide for Nurses

Fiona Creed; Christine Spiers

Aimed at all nurses, this key textbook equips them with the knowledge and skills required to care for the deteriorating patient in the clinical environment. The assessment, recognition and rapid escalation of the deteriorating patient is emphasized throughout the book. Using a unique system-based approach, each chapter contains structured learning outcomes and concludes with a competence-based skills assessment, which can be used to assess practice skills. These skills are recommended as essential for every nurse in an acute area and key to successful practice. Using real life case studies to link knowledge to actual practice and written by senior nurses for nurses, this book is an essential purchase for all nurses who work in acute care settings.


1. Introduction to acute care
2. Respiratory assessment and care
3. Cardiovascular assessment and care
4. Neurological Care
5. Renal assessment and support
6. Gastro intestinal tract
7. Fluid assessment and associated treatment
8. Assessment and care of the septic patient
9. Psycho-social assessment, care and support
10. Blood investigations in acute care
11. Assessment tools and track and trigger systems
12. The role of outreach
13. Acute emergency situations
14. Transfer of acutely ill patients
15. Caring for the patient post intensive care
16. Documentation in acute care
17. Continuing education and acute care delivery


Fiona Creed, RN, BSc, MSc, trained at Guys Hospital London and has 15 years nursing experience in general and neurosurgical critical care settings. Fiona is currently Senior Lecturer at the University of Brighton where she runs the Care of the Acutely Ill Adult module and is Lead Lecturer for the Acute Care Pathway. Fiona is currently undertaking postgraduate research focusing on clinical decision-making in acutely ill patients. ; Chrissie Spiers, RN, RNT, BSc (Hons), PGDip (Health Promotion), MSc (Cardiology), trained at King's College Hospital in London and has 30 years experience in cardiology and cardiac surgery settings. Chrissie has been a lecturer for more than 15 years and remains passionate about teaching cardiology to a variety of health care professionals. She is Course Leader for the BSc (Hons) Acute Clinical Practice and Lead Lecturer for the Cardiology pathway within this degree. Chrissie maintains regular contact with cardiac wards at NHS Trusts in Surrey and Sussex. She publishes regularly and is a journal reviewer for a number of peer reviewed journals.