Study Guide for BSNC 1020 Final exam

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.