This Fourth Edition of the popular Canadian adaptation of Brunner and Suddarth's Textbook of Medical-Surgical Nursing reflects key practice differences in Canada, ranging from the healthcare system, to cultural considerations, to epidemiology, pharmacology, and more. This text helps students prepare for the NCLEX exam, focuses on physiological, pathophysiological, and psychosocial concepts as they relate to nursing care, and provides insightful coverage of the nursing care and health care needs of older adults and people with disabilities, important priorities in the education of tomorrow's Canadian health care professionals.