Paradigm case study -introduction and discussion

Essay by sinnedUniversity, Bachelor'sA-, April 2006

download word file, 12 pages 3.0


The purpose of this assignment is to introduce and describe a paradigm case while out on community placement at Medical Detox. Paradigm is described as a combination of beliefs, values, principles, laws, theoretical methodologies, application and instrumentation (Meleis, 1997). A paradigm is a particular view of the world containing the values and beliefs that influence the viewers' reality.

Description of the paradigm case will be explored utilising Betty Neuman's - health care systems model. Neuman's model provides an organising framework for nurses and interdisciplinary team members to understand clients needs from a holistic viewpoint. The client is presented as a whole person, in a state of constant change and in reciprocal interaction with the environment (Pearson et al. 1996).

Informed consent was given verbally and issues concerning confidentiality were discussed, this is maintained by giving respect to privileged information and respect to ones right to privacy. Accordingly, all names in this assignment have been changed to maintain confidentiality (Papalia et al.


Paradigm Case Study

The Medical Detoxification unit is an inpatient facility administered by the Regional Health Service. It is an eleven bed tertiary unit for people with alcohol and drug dependencies. To assist this process medical detoxification provides tools utilising harm minimisation philosophy. This philosophy encompasses harm reduction to the individual, family/whanau and the community, by helping the addicted person safely through withdrawal. It is developed from a holistic biopsychosocial framework, utilising a multidisciplinary approach to facilitate the clients' goal of achieving wellness as the individual sees it (RADS, policy document, 2000), (appendix I).

Peter (pseudonym) is a 45-year-old caucasian male, builder by trade, who has been referred to medical detoxification for a controlled medical detoxification off methadone (Medical diagnosis of opiate dependence II). The referral was initiated via the Community alcohol detox services team (CADS).