Nursing Management of Diabetes Mellitus. Diana W Guthrie, Richard A Guthrie, eds. C V Mosby Co, 11830 Westline Industrial Dr, St Louis, Mo 631 41, 1977, 272 pp, $8.35.

Over 8 million persons in the United States are estimated to have diabetes. Because they are of all ages and are found in all parts of the country, nurses can expect to have contact with diabetics in all kinds of health care set- tings, schools, and in their communities.

This is a good source book for up-to-date information on diabetes and the needs of a person who is diabetic. First, diabetes is de- fined, its diagnosis is described, and the read- er learns how the physiology of the diabetic person is altered. A second section of the book is about the management of the adult and child diabetic. The psychosocial implications of diabetes are well covered in this section.

The complications of diabetes, insulin, oral hypoglycemia agents, urine testing, hygiene, and meal plans are covered under acute and chronic care. Special problems of the pregnant diabetic woman, the infant of the diabetic mother, and surgery and diabetes are dis- cussed. The final section on education and research has valuable information for those involved with formal teaching programs. A chapter on assessment gives several samples of tools that may be helpful to others planning diabetes programs.

The reader will find a comprehensive index, many illustrations and pictures, a glossary of terms, a list of resources and services, sug- gested course outlines, calorieiexercise ex-

penditures, a 1976 revised food exchange list, references. and bibliography after each chapter.

Sister Kane, RHSJ, RN, MEd Corn wall, Ontario

Nurse Client Interaction: Implementing the Nursing Process. Sundeen, Sandra, Stuart, Gail, Rankin. Elizabeth, Cohen, Sylvia. C V Mosby Co, 11830 Westline Industrial Dr, St Louis, Mo 63141, 1976, 200 pp, $7.50 pa- perback.

Primary nursing is a recent approach in holistic nursing literature. In their book. Sundeen, et al, present not only its theory, but provide the nurse with working models of primary nursing.

This clearly written paperback is divided into eight units: the nursing process, the self, the dynamics of self-growth, communication, the nurse-client relationship, the helping relation- ship, stress and adaptation, and nursing inter- vention. Of special interest to operating room nurses is the chapter on stress and adaptation. The authors suggest that "stress is necessary for existence." It may result from external or internal stressors of a biological, psychologi- cal. or sociological nature. Persons respond to stress by coping, adaptation. adjustment, or defense. Knowledge of stress and adaptation are important to nursing because "understand- ing the entire stress experience provides direc- tion and guidance to the nurse relative to her role, goals, mode of action, and clinical prac- tice."

Most nursing texts do not completely cover

AORN Journal, Aprcl 1978, Vol27, No 5 95 1