Presentation on theme: "Health Definition & Dimensions Dr. HARIVANSH CHOPRA PROFESSOR COMMUNITY MEDICINE LLRM MEDICAL COLLEGE"— Presentation transcript:
Health Definition & Dimensions Dr. HARIVANSH CHOPRA PROFESSOR COMMUNITY MEDICINE LLRM MEDICAL COLLEGE
27-Dec-13DR.HARIVANSH CHOPRA2 OBJECTIVE TO LEARN DEFINITIONS OF HEALTH TO LEARN DIMENSIONS OF HEALTH
27-Dec-133 Health: Definition Webster: The condition of being sound in body, mind or spirit, especially freedom from physical disease or pain. 1. Body: Physical health 2. Mind: Mental health 3. Spirit: Spiritual health DR.HARIVANSH CHOPRA
27-Dec-134 Health: Definition Oxford English Dictionary: Soundness of body or mind, that condition in which its functions are duly and efficiently discharged. 1. Body: Physical health 2. Mind: Mental health 3. Efficient functioning DR.HARIVANSH CHOPRA
27-Dec-135 Health: Definition Perkins: Relative equilibrium of body form and function which results from its successful dynamic adjustment to forces tending to disturb it. 1. Body form : Anatomy 2. Body function : Physiology 3. Health : Interaction of body to environment DR.HARIVANSH CHOPRA
27-Dec-136 Health: Definition Dubos A modus vivendi enabling imperfect men to achieve a rewarding and not too painful existence while they cope with an imperfect world Coping with imperfect world = Interaction with environment DR.HARIVANSH CHOPRA
27-Dec-137 Health: Definition World Health Organization It is a state of complete physical, mental and social wellbeing and not merely absence of disease or infirmity. 1. Mere absence of disease is NOT Health 2. Three dimensions of health 3. Complete wellbeing on three dimensions 4. Fourth dimension spiritual now added DR.HARIVANSH CHOPRA
27-Dec-138 Health: Definition 1.Only four dimensions considered (emotional & vocational omitted) 2.Too idealistic, not reachable in practice 3.Health considered as a state i.e. a static entity. (In practice it is a dynamic concept) 4.Ability to lead socially & economically productive life is also now added to this definition. DR.HARIVANSH CHOPRA
27-Dec-139 Dimensions of Health Physical Mental Social Spiritual Emotional Vocational DR.HARIVANSH CHOPRA
27-Dec-1311 Physical Dimension: Individual level 1.Every organ of normal shape and size 2.Every organ & system functions at optimum level 3.Individually & in coordination 4.E/o growth in children DR.HARIVANSH CHOPRA
27-Dec-1312 Physical Dimension Community Level Indicated by the indicators of: 1. Morbidity 2. Mortality 3. Fertility 4. Disability DR.HARIVANSH CHOPRA
27-Dec-13DR.HARIVANSH CHOPRA14 "a state of balance between the individual and the surrounding world, a state of harmony between oneself and others, a coexistence between the realities of the self and that of other people and that of the environment"
27-Dec-13DR.HARIVANSH CHOPRA15 a. a mentally healthy person is free from internal conflicts; he is not at "war" with himself.
27-Dec-13DR.HARIVANSH CHOPRA16 b. he is well- adjusted, i.e., he is able to get along well with others. He accepts criticism and is not easily upset.
27-Dec-13DR.HARIVANSH CHOPRA17 c. he searches for identity. d. he has a strong sense of self- esteem.
27-Dec-13DR.HARIVANSH CHOPRA18 e. he knows himself: his needs, problems and goals (this is known as self- actualization).
27-Dec-13DR.HARIVANSH CHOPRA19 f. he has good self- control-balances rationality and emotionality. g. he faces problems and tries to solve them intelligently, i.e., coping with stress and anxiety.
27-Dec-1320 Mental Dimension Individual Level Perception Confidence Self control Decision making Meaningfulness Coordination DR.HARIVANSH CHOPRA
27-Dec-1321 Perception Correct perception of own 1. Abilities: Neither underestimates nor overestimates 2. Emotions & feelings 3. Strengths & weaknesses DR.HARIVANSH CHOPRA
27-Dec-1322 Decision making 1. Right decision at right moment 2. Realistic goals & ambitions Meaningfulness Leading life with purpose Dependable DR.HARIVANSH CHOPRA
27-Dec-1323 Confidence in : 1. Own abilities 2. Own strengths 3. Neither overconfident 4. Nor under confident Self control Does not loose control easily Controls emotions Faces frustration & conflict gracefully Coordination 1. Leading life harmoniously with others 2. Adjusting with others 3. Rare conflicts DR.HARIVANSH CHOPRA
27-Dec-1324 Mental Health Community Level Indicators: 1. Suicides 2. Homicides 3. Drug dependence 4. Offences related to women & children 5. Morbidity due to mental illnesses 6. Morbidity due to psychosomatic illnesses DR.HARIVANSH CHOPRA
27-Dec-1325 Social Dimension Individual level Group (Community) Level DR.HARIVANSH CHOPRA
Social dimension It has been defined as the "quantity and quality of an individual's interpersonal ties and the extent of involvement with the community" 27-Dec-13DR.HARIVANSH CHOPRA26
27-Dec-1327 Social Health Individual Level 1.Development of Social skills & functions (Socialization) 1.Performance of roles 2.Education, Occupation 3.Economic status DR.HARIVANSH CHOPRA
27-Dec-1328 Social Health Community Level Equity in distribution of resources Indicators: 1. Per capita GDP 2. Literacy rates 3. Status of women 4. Employment / unemployment DR.HARIVANSH CHOPRA
27-Dec-1329 Spiritual Dimension Most difficult dimension to explain & quantify Includes such aspects like: 1. Ethics 2. Principles 3. Integrity Relates to certain informal social controls like Hippocratess Oath for doctors. DR.HARIVANSH CHOPRA
Spiritual Dimension 1 who am I ? 2 what do I want ? 3 what is the purpose of life ? 4 how this purpose can be fulfilled ? 27-Dec-13DR.HARIVANSH CHOPRA30
27-Dec-1331 Emotional Dimension Emotion: Sudden forces of feelings emerging in mind Types: Positive: Love, Joy Negative: Hatred, Sadness, Dejection Expression of correct emotion, at correct place, in controlled form = Emotional health DR.HARIVANSH CHOPRA
27-Dec-1332 Emotional Dimension Common forms of emotional disturbances: Anxiety: Inability to concentrate, insomnia Depression: Sadness, dejection, suicidal tendency Mood swings: Sadness / joy on trivial incidences, sometimes hostile DR.HARIVANSH CHOPRA
27-Dec-1333 Vocational Dimension 1. Concerned with job 2. Job & person made for each other. 3. Expression of frustration, unhappiness over job 4. Frequent changes in job 5. Maladjustment with job 6. Occupational disorders DR.HARIVANSH CHOPRA
27-Dec-13DR.HARIVANSH CHOPRA34 CONCLUSION HEALTH IS TO BE UNDERSTOOD IN PHYSICAL,MENTAL, SOCIAL,AND SPRITUAL CONTEXT. IT IS NOT STATIC. IMPORTANCE OF HEALTH IS NOT REALISED TILL IT IS LOST.