Podcast
Questions and Answers
Which of the following is a benefit of meditation?
Which of the following is a benefit of meditation?
What is the primary purpose of imagery in clinical applications?
What is the primary purpose of imagery in clinical applications?
Which approach requires education in the context of integrative medicine?
Which approach requires education in the context of integrative medicine?
In the context of nursing, what does the integrative medicine approach emphasize?
In the context of nursing, what does the integrative medicine approach emphasize?
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What effect does meditation have on patients with asthma?
What effect does meditation have on patients with asthma?
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What is one of the main pillars of the Canadian health care system?
What is one of the main pillars of the Canadian health care system?
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Which of the following is considered a barrier to the provision of primary health care in Canada?
Which of the following is considered a barrier to the provision of primary health care in Canada?
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What is a significant trend in the evolution of the Canadian healthcare system?
What is a significant trend in the evolution of the Canadian healthcare system?
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Which level of health care is primarily concerned with immediate health needs?
Which level of health care is primarily concerned with immediate health needs?
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What does integrative medicine primarily aim to address?
What does integrative medicine primarily aim to address?
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Which of the following is NOT considered a category of integrative health care?
Which of the following is NOT considered a category of integrative health care?
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What is the focus of holistic nursing practice?
What is the focus of holistic nursing practice?
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Which example is considered a whole system of care in integrative health?
Which example is considered a whole system of care in integrative health?
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What effect can relaxation techniques have on the body?
What effect can relaxation techniques have on the body?
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Which of the following is a nursing-accessible approach?
Which of the following is a nursing-accessible approach?
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What is considered a primary aim of integrative health care?
What is considered a primary aim of integrative health care?
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What standard did the Canadian Holistic Nurses Association develop?
What standard did the Canadian Holistic Nurses Association develop?
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Which therapy is NOT considered an integrative health care approach?
Which therapy is NOT considered an integrative health care approach?
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What is Medicare primarily known for in Canada?
What is Medicare primarily known for in Canada?
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Which principle of the Canada Health Act ensures coverage without discrimination?
Which principle of the Canada Health Act ensures coverage without discrimination?
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Who assists in the financing of healthcare services in Canada?
Who assists in the financing of healthcare services in Canada?
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Which level of government develops and administers its own health care insurance plans?
Which level of government develops and administers its own health care insurance plans?
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What does the principle of Accessibility in the Canada Health Act emphasize?
What does the principle of Accessibility in the Canada Health Act emphasize?
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Which group receives health services directly from the federal government?
Which group receives health services directly from the federal government?
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What is the primary purpose of the Canada Health Act?
What is the primary purpose of the Canada Health Act?
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How are most health professions regulated in Canada?
How are most health professions regulated in Canada?
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What is a key responsibility for the evolving role of nursing?
What is a key responsibility for the evolving role of nursing?
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Which of the following best defines integrative health care?
Which of the following best defines integrative health care?
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What is one focus of integrative health care?
What is one focus of integrative health care?
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What distinguishes complementary approaches from alternative approaches in healthcare?
What distinguishes complementary approaches from alternative approaches in healthcare?
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What is one way that nursing roles are expected to diversify?
What is one way that nursing roles are expected to diversify?
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Which statement is true regarding the Aging Canadian Population?
Which statement is true regarding the Aging Canadian Population?
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What is a characteristic of allopathic medicine?
What is a characteristic of allopathic medicine?
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What is one of the aims of the Truth & Reconciliation Commission Calls to Action concerning health care?
What is one of the aims of the Truth & Reconciliation Commission Calls to Action concerning health care?
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What is the foundation of Canada’s health care system?
What is the foundation of Canada’s health care system?
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Which level of care focuses on health promotion?
Which level of care focuses on health promotion?
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What is included in primary health care?
What is included in primary health care?
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Which commission is associated with reforms in Canada's health care system?
Which commission is associated with reforms in Canada's health care system?
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What type of care does supportive care primarily provide?
What type of care does supportive care primarily provide?
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What is a primary focus of Level 2 care?
What is a primary focus of Level 2 care?
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What is one barrier to interprofessional primary care teams?
What is one barrier to interprofessional primary care teams?
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Which level of care includes rehabilitation services?
Which level of care includes rehabilitation services?
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Which of the following is NOT a setting for health care delivery?
Which of the following is NOT a setting for health care delivery?
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What is the focus of primary care?
What is the focus of primary care?
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What role does advocacy play in health promotion?
What role does advocacy play in health promotion?
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What is not a challenge to the health care system?
What is not a challenge to the health care system?
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What term is used for short-term relief for family caregivers?
What term is used for short-term relief for family caregivers?
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Study Notes
Canadian Health Care System Overview
- The Canadian healthcare system, a key component of the social safety net, provides hospital and medical insurance.
- Funding comes from general taxation.
- Medicare is central to the system.
Learning Outcomes
- Understanding the evolution, organization, and governance of Canada's healthcare system, including its principles and differences between its five levels.
- Identifying pressures on the Canadian healthcare system, along with the healthcare needs of Canadians.
- Exploring the conceptualization and evolution of integrative healthcare.
- Recognizing the pillars and barriers of primary health care provision in Canada, as well as current trends and reforms.
- Describing integrative treatments and the role of nurses in interprofessional collaboration within the integrative healthcare field.
The Canada Health Act (1984)
- Key principles include: public administration, comprehensiveness, universality, portability, and accessibility.
- The Act's mandate is to operate on a non-profit basis, cover medically necessary services, avoid discrimination, and provide universal coverage across the country for insured residents.
- Access must be reasonable, regardless of a resident's ability to pay.
Roles of the Federal and Provincial/Territorial Governments
- Federal government: Sets and administers national healthcare principles, assists with healthcare financing via transfer payments to provinces and territories, and provides specific services for groups like Indigenous peoples, veterans, and others.
- Provincial/territorial governments: Develop and manage their own healthcare insurance plans, manage and finance healthcare services (in alignment with the CHA), determine the location and organization of hospitals/facilities, and reimburse related costs often based on co-payments.
Professional Jurisdiction
- Most health professions in Canada are self-regulated, managing standards, competencies, codes of ethics, and disciplinary actions for their members.
- Some professions are regulated by governmental or other regulatory mechanisms.
Trends and Reforms
- Relevant reports like the Kirby Report (2002) and the Romanow Commission (2002).
- Trends in regionalization and recentralization of health authorities.
- Emerging medical technologies and a 10-Year Plan to strengthen healthcare.
Primary Health Care
- The foundation of Canada's healthcare system, providing continuity of care.
- A model for improving health, supporting essential health services, and emphasizing health promotion and disease prevention.
- Includes services like primary care, health education, maternal and child care, family planning, immunizations, and disease control.
- Composed of four pillars: teamwork, access, information, and healthy living.
- Interprofessional primary care (IPC) faces barriers at individual, practice, and system levels.
Settings for Health Care Delivery
- Institutional sector: Includes hospitals, long-term care facilities, psychiatric facilities, and rehabilitation centers.
- Community sector: Includes public health, physician offices, community health centers/clinics, assisted living, home care, adult day support programs, community organizations, occupational health, hospice and palliative care services, and parish nursing.
Levels of Care
- Five levels of care: Health promotion, disease and injury prevention, diagnosis and treatment, rehabilitation, and supportive care.
Level 1: Health Promotion
- Enables individuals to gain greater control over their health and improve it.
- Wellness programs are offered, and health education, along with self-esteem promotion in children/teens, are prioritized.
- Includes health policy advocacy and the Ottawa Charter.
Level 2: Disease and Injury Prevention
- Reduces risk factors and focuses on disease and injury prevention.
- This stage includes clinical treatments, immunizations, behavioural support groups, and environmental actions.
Level 3: Diagnosis and Treatment
- The existing health issues of individuals are acknowledged and managed.
- Primary care is the point of initial contact within the healthcare system.
- Secondary care (specialist services) and Tertiary care (advanced technical support) are also part of this level.
Level 4: Rehabilitation
- Addresses quality of life concerns for those facing life-altering conditions resulting from multiple factors, including physical/mental illness or injuries and addictions.
- Rehabilitation methods like physiotherapy, occupational therapy, respiratory therapy and social services are incorporated.
Level 5: Supportive Care
- Providing ongoing support to patients with persistent conditions or those facing long-term disabilities.
- This includes long-term care facilities, support programs, and home care, as well as palliative care for those facing life-threatening illnesses and respite care for caregivers.
Challenges to the Healthcare System
- Current major concerns include sustainability, political economics of health, climate change, differences between primary care, and primary care spending, human resource limitations, resource planning, aging population concerns, and calls to action by groups like the Truth and Reconciliation Commission.
Nursing's Future in the Emerging Healthcare System
- Nurses will play an expanding and developing role, needing to adapt to the evolving healthcare system by offering leadership roles to encourage change, recognizing unique patient needs and using their knowledge to develop innovative and effective solutions for the identified healthcare system challenges.
Integrative Care
- A combination of complementary and conventional treatments that address the root cause of a condition.
- Covers a variety of approaches and methods.
Categories and Examples of Integrative Health Care
- Natural products: Include herbal medicines, homeopathy and other natural remedies.
- Mind-body-spirit interventions: Meditation, creative visualization, yoga, and other similar practices.
- Manipulative and body-based methods: Massage therapy, chiropractic care.
- Energy therapies: Acupuncture, Reiki, and other similar practices that use energy to enhance healing.
- Other integrative health care approaches: Traditional Chinese Medicine, Ayurveda, naturopathic medicine, and whole systems of care.
Integrative Health Care and Holistic Nursing
Value "whole-people and whole-system interconnectedness" in the practice of Holistic Nursing and acknowledge mind, body, spirit, and relational factors as essential for optimal healing environments.
Nursing Role in Interprofessional Collaboration
- The integrative approach works with the holistic nursing perspective.
- Consistent with provincial and territorial legislation for complementary approaches, nurses provide patient advice and education.
- Assessing viewpoints and the use of therapies are critical nursing duties.
Nursing-Accessible Approaches
- Includes diverse techniques such as presence, imagery, meditation, therapeutic touch, and more.
- These techniques are easily learned, provided for patients, and designed to address physical responses to stress and associated symptoms.
Relaxation Therapy
- Relaxation therapy techniques focus on lowering heart rate, blood pressure, and muscle tension, improving well-being, and reducing symptom distress. Methods like meditation, breathing exercises, and imagery are part of this approach.
Meditation and Breathing, and Imagery
- Activities focusing on one simple stimulus to help reduce environmental and internally generated distractions, improving calmness and stress reduction.
- Imaginative and creative exercises focused on visualising positive health, managing pain, coping with stress and achieving relaxation.
Integrative Medicine Approaches
- Biofeedback, therapeutic touch, healing touch, chiropractic, traditional Chinese medicine, naturopathy, acupuncture, cupping, and massage therapy are approaches that require education.
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Description
Test your knowledge on integrative medicine and holistic nursing with this quiz. Explore the benefits of meditation, imagery in clinical applications, and the Canadian healthcare system. Understand the barriers and trends in primary health care and the role of holistic practices.