Metaparadigm - Answers Nursing
Client
Health
Environment
Leadership
Professionalism
Nursing process
Safety
Reflection
Communication
Critical thinking
Competency
Nursing Care Has Evolved. LPNS Review Competency, Communication, Critical thinking
Client - Answers The person at the center of nursing care, or the nrsing process. Can include the
family, groups, and community
Environment - Answers The qualities of the setting that relate to learning healthy behaviours.
Internal- Anatomy, physiology, changes the body makes to maintain homeostasis... (feeling)
External- Physical, social environment, culture... (surroundings)
McGill - Answers Saw the family as part of the client system that actively participates in
decisions made about health
Dorothy Johnson - Answers Identified the individual as a behavioural system with seven
subsystems, each of which has a goal, set of behaviors, and a choice
Jean Watson - Answers Looks at the individual as " an embodied spirit; unity of mind and body
spirit; a transpersonal transcendent evolving consciousness
,Health - Answers An objective process characterized by functional stability, balance and
integrity and being connected in mind, body and spirit. Defined as much more than simply the
absence of disease or injury but rather as an ideal state of optimal health or total well being.
Wellness - Answers A subjective experiance. Health, freedom from disease.
Nursing - Answers Caring for a client with an understanding of the persons environment, life,
and health goals. Built on a distinct subset of knowledge.
Requires specialized knowledge that must be aquired and carries a high degree of responsibility
Motivated by altruism and ethical standards
Health Canada Act - Answers 1984
Influences the delivery of health care services across Canada
Sets the rules that the provinces must follow
1. Public Administration
2. Comprehensiveness
3. Universality
4. Portability
5. Accessibility
Universality - Answers Every perminent residents are entitled to receive the insured HC services
provided by the plan on uniform terms and conditions
Canada Health Act 1984
Comprehensiveness - Answers HC must cover all medically necessary hospital and physician
services
Canada Health Act 1984
, Public Administration - Answers HC must be administered and operated on a non profit basis
Canada Health Act 1984
Portability - Answers Coverage for insurance services must be maintained when an insured
person moves or travels within Canada or travels outside Canada
Canada Health Act 1984
Accessibility - Answers Insured residents must have reasonable access to medically necessary
hospital and physician services, reguardless of their income, age, health status, gender, or
geographical location
Canada Health Act 1984
Historical Approaches - Answers Medical Approach- Treatment of disease
Behavioral Approach- Environment, health risk habbits etc.
Socioenvironmental Approach- Social circumstances
Mark Lalonde - Answers 1974
A New Perspective on the Health of Canadians
Emphasis shifted from a medical to a behavioral approach
Defined determinants as:
*Lifestyle (revieved the most attention)
*Environment
*Human Biology
*Organization of health care
The Ottawa Charter - Answers 1986