Client Environment and Health Dimensions

Physiological Dimension

Appearance, health mobility, and health practices.

Psychological Dimension

Overall outlook on life, response to stress, and thinking skills.

Spiritual Dimension

Belief system including ideas about a higher power and death.

Sociocultural Dimension

Social and cultural differences in health beliefs, childrearing, and habits.

Developmental Dimension

Age and its impact on the person, including life developmental processes.

Intrapersonal Forces

Internal environmental interaction forces occurring within the client's boundary.

Interpersonal Forces

External environmental interaction forces outside the client's boundary at proximal range.

Extrapersonal

External environmental interaction forces occurring outside the boundary of the client at a distal range

Normal Line of Defense

The client's normal state of wellness and standard level of health acting as a baseline for assessing health deviations.

Flexible Line of Defense/Buffer

A dynamic, accordion-like barrier at the outer boundary that expands or contracts to protect the normal line of defense from stressors.

Lines of Resistance

Internal mechanisms that activate when a stressor penetrates the normal line of defense to stabilize the client and restore a steady state.

Central Core / Basic Structure

The core of the client system containing basic survival factors.

Primary Prevention

Occurs before the system reacts to a stressor by promoting wellness and strengthening the flexible line of defense.

Secondary Prevention

Occurs after the system has reacted to a stressor to treat symptoms and regain optimal stability quickly.

Tertiary Prevention

Supports rehabilitative processes using education or adaptive measures while reconstitution is in progress.

Health

Best stable baseline