The four core concepts of nursing metaparadigm interact and influence each other. Persons have a duty to maintain their health as well as to ensure a healthy environment. However, when environmental systems are breach; indicators on the wellness and illness continuum signal the gate keeper of the health continuum, the paradigm of nursing. Nursing actively provides twenty four hour surveillance through primary prevention regarding the client roles and responsibility to preserve their health. Once, health indicator signals a breach to the person or environment paradigm; nursing paradigm activates secondary prevention mode and the art and science of nursing past and present engage in an epic battle to through nursing action to restore homeostasis
