What is the Kirby report? - ANS - Kirby focused more on the private health sector as
they proposed considering a different health care structure because of the problems
public health care is creating. In this document, the Committee stressed the need for
cooperation among all stakeholders to reduce problems of maldistribution, undersupply,
and jurisdictional competition. He recommended that the federal government work with
other concerned parties to create a permanent national coordinating body for HHR, to
be composed of representatives from key stakeholder groups and the different levels of
government.
what is the Romanow report? - ANS - Romanow focused more on public health care
and how more funding is needed. It makes recommendations supporting the need for a
coordinated approach to HHR planning, the importance of interprofessional education
for patient-centered care, and the need to develop new models of care to reflect the
different ways of delivering health care services
What are the professional standards of BCCNM? - ANS - Standard 1: Professional
Responsibility and Accountability
Standard 2: Knowledge-Based Practice
Standard 3: Client-Focused Provision of Service
Standard 4: Ethical Practice
What are the practice standards? - ANS - Requirements related to specific aspects of
nurses' practice. These standards complement the professional standards and provide
additional information on specific topics.
Scope of Practice standards: standards, limits, and conditions related to the scope of
practice for registered nurses and nurse practitioners
What is primary care? - ANS - Primary care: is a medical concept referring to a situation
wherein the physician provides diagnosis, treatment, and follow-up for a specific
disease or problem"
- Focuses on treatment of an individual; person-focused
- "Family doctor-type" services delivered to a person- It is the basic day-to-day
healthcare given by a health care provider
→ Primary health care is an approach to healthcare provision and primary care is a
means to achieve primary health care
what is the Canada Health act? - ANS - The Canada Health Act (CHA or the Act) is
Canada's federal legislation for publicly funded health care insurance. The CHA
establishes criteria and conditions related to insured health services and extended
health care services that the provinces and territories must fulfill to receive funding from
the federal governmentThe aim of the CHA is to ensure that all eligible residents of
, Canada have reasonable access to insured health services on a prepaid basis, without
direct charges at the point of service for such services.
What are the levels of care? - ANS - 1. Primary promotion: The first level of health care,
health promotion focuses on "enabling people to increase control over and to improve
their health" (WHO, 1986) across a range of settings
2. Disease and injury prevention: The second level includes illness prevention services
to help patients, families, and communities reduce risk factors for disease and injury.
3. Diagnosis and treatment: Diagnosis and treatment focus on recognizing and
managing individual patients' existing health problems at three sublevels: primary,
secondary, and tertiary.
4. Rehabilitation: Rehabilitation occurs after a physical or mental health illness, injury, or
chemical addiction or is related to chronic illness, disability, frailty, and aging. Ideally,
rehabilitation begins the moment a patient enters a health care setting for treatment as
part of an interdisciplinary effort (i.e., therapists [physical, occupational, respiratory],
nurses). As a condition stabilizes, rehabilitation assists patients in returning to their
previous level of function or reaching an optimal level of function, thereby enhancing
quality of life while promoting independence and self-care.
5. Supportive care: Patients of all ages with illnesses or disabilities that are chronic (i.e.,
are long term) or progressive (i.e., worsen over time) may require supportive care.
Supportive care consists of health, personal, and social services provided over a
prolonged period to people who are disabled, who do not function independently, or
who have a terminal disease. With increasing lifespans, escalating chronic conditions,
and diverse care settings (i.e., institutional, community, and home), and demand for
supportive care will continue to grow.
Who are the sisters of Montreal aka the grey nuns? - ANS - considered the first visiting
nurses in Canada - home visiting
Also, the first noncloistered order, beginning as a small group of women with charitable
intentions who "agreed to combine their possessions in a house of refuge chiefly for the
poor"
called "les soeurs grises," a derogatory term with a double meaning, that is, the Grey
Nuns and the "tipsy nuns," -- Their intentions were questioned by the community
During the british regime they designated a ward of the general hospital of montreal for
the care of english solidiers which increased the status of nurses and quality of care
provided differed markedly between Canada and Great Britain.
in the west, the grey nuns traveled from montreal to manitoba. when measles,
dysentery, and smallpox epidemics began, they treated them with medicines and local
herbs.