Complexity and Adaptation in Clinical Practice

Theory of Conservation

• The goal of conservation is health and strength, and to confront disability.
• The primary focus is on keeping the wholeness of the individual together.
• Through conservation, individuals are able to confront obstacles, adapt accordingly, and maintain their uniqueness.
• The theory changed the profession's understanding of what it means to be an expert, placing the designation on the nurse who provided the most exquisite nursing care.

Organismic Response

• Change in the behavior of an individual during an attempt to adapt to the environment.
• Helps individuals to protect and maintain their integrity.
• External environment is divided into three: Perceptual Level, Operational Level, and Conceptual Level.
• Events manifested in the life process indicate the extent to which a human being achieves maximum health according to some value system.

Pandimensionality

• Nonlinear domain without spatial or temporal attributes.
• Provides an infinite domain without limit, essentially a spaceless and timeless reality.
• Best expresses the idea of a unitary whole.
• Environmental fields are infinite, and change is continuously innovative, unpredictable, and characterized by increasing diversity.

Nursing Process

• Assessment involves a total pattern of events at any given point in space-time.
• Simultaneous state of the patient and his/her environment, including rhythms of the life processes.
• Supplementary data, categorical disease entities, and subsystem pathology are also considered.
• The assessment should be a comprehensive assessment of the human and environmental fields.

Assumptions

• The principles of hemodynamics postulate a way of perceiving unitary human beings.
• The individual is capable of providing self-care to meet some health needs.
• Humans require continuous, deliberate self-care for health development and well-being.
• Nurses maintain the capacity of individuals for self-care and assist when they are unable to do so.

Adaptation Model: Callista Roy

• Focal Stimuli: most immediate response that confronts the individual and demands the most attention and adaptive energy.
• Contextual Stimuli: all other stimuli present in the situation that contribute to the strength of the focal stimulus.
• Residual Stimuli: environmental factors of which the effects are unclear in a given situation.

Theory of Culture Care Diversity and Universality: Madeleine Leininger

• Developed to establish a substantive knowledge base to guide nurses in discovery and use of transcultural nursing practices.
• During the post-World War II period, Dr. Leininger realized nurses would need transcultural knowledge and practices to function with people of diverse cultures worldwide.
• Persons become patients who require nursing care when they have needs for help that cannot be met independently.
• Patients experience distress or feelings of helplessness as the result of unmet needs for help.

This quiz assesses understanding of complex systems and their ability to adapt in the face of challenges. It covers concepts such as conservation, embodied knowledge, and seeing the big picture in clinical practice.