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Craig Bracher Sarah Salituri Jevaris Allen Health &Wellness Definitions World Health Organization (1948) World Health Organization (1948) "Health is.

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Presentation on theme: "Craig Bracher Sarah Salituri Jevaris Allen Health &Wellness Definitions World Health Organization (1948) World Health Organization (1948) "Health is."— Presentation transcript:

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2 Craig Bracher Sarah Salituri Jevaris Allen

3 Health &Wellness Definitions World Health Organization (1948) World Health Organization (1948) "Health is a state of complete physical, mental and social well-being and not merely the absence of disease;" "Health is a state of complete physical, mental and social well-being and not merely the absence of disease;" and, "Informed opinion and active cooperation on the part of the public are of the utmost importance in the improvement of the health of the people" (Basch, 1990, p. 342). and, "Informed opinion and active cooperation on the part of the public are of the utmost importance in the improvement of the health of the people" (Basch, 1990, p. 342). This official statement was responsible for launching the total person ideology from which most modern models of health are derived. This official statement was responsible for launching the total person ideology from which most modern models of health are derived.

4 Medical Definitions "A state characterized by anatomic, physiologic and psychological integrity; ability to perform personally valued family, work and community roles; ability to deal with physical, biologic, psychological and social stress..." (Stokes J. J Community Health 1982;8:33-41) "A state characterized by anatomic, physiologic and psychological integrity; ability to perform personally valued family, work and community roles; ability to deal with physical, biologic, psychological and social stress..." (Stokes J. J Community Health 1982;8:33-41)

5 Holistic Definitions “A state of complete physical, mental and social well-being and not merely the absence of disease or infirmity" (WHO, 1948) “A state of complete physical, mental and social well-being and not merely the absence of disease or infirmity" (WHO, 1948)

6 Measures of Individual Health Health Health – Sense of wellness, measures of self-esteem, coping, quality of life…. Health problems Health problems – Presence of abnormal signs and symptoms – Biochemical / hematological / x-ray abnormalities – Subjective sense of being unwell

7 Sources of Data - Individual Health/Illness History History Physical exam Physical exam Radiology Radiology Biochemistry and hematology Biochemistry and hematology Invasive investigations Invasive investigations Diagnoses Diagnoses other… other…

8 Healthy Lifestyle "A healthy lifestyle is a set of health- enhancing behaviors, shaped by internally consistent values, attitudes, beliefs and external social and cultural forces" "A healthy lifestyle is a set of health- enhancing behaviors, shaped by internally consistent values, attitudes, beliefs and external social and cultural forces" (Joint Committee on Health Education Terminology, 1991, p. 252). (Joint Committee on Health Education Terminology, 1991, p. 252).

9 Measures of Population Health Aggregate health status of individuals (e.g., mortality, morbidity, life expectancy, disease rates; health behaviours) Aggregate health status of individuals (e.g., mortality, morbidity, life expectancy, disease rates; health behaviours) Environmental indicators (e.g., pollution, social inequalities, political stability) Environmental indicators (e.g., pollution, social inequalities, political stability) Community infrastructure and functioning (e.g., availability & accessibility of health services) Community infrastructure and functioning (e.g., availability & accessibility of health services)

10 Sources of Data - Population Health/Illness Surveys Surveys Physician billing database Physician billing database Hospital discharge abstracts Hospital discharge abstracts Communicable disease reports Communicable disease reports Death certificates Death certificates Disease registries Disease registries Absences from school or work Absences from school or work Product consumption reports Product consumption reports

11 Major health problems Heart disease and stroke Heart disease and stroke Mental health and illnesses Mental health and illnesses Cancer Cancer Injury Injury Respiratory diseases - asthma, COPD Respiratory diseases - asthma, COPD Diabetes, liver disease Diabetes, liver disease Infectious diseases Infectious diseases Perinatal conditions Perinatal conditions

12 Wellness Definitions "A process and not a measurable concrete or static state of being: Wellness... is a continuous moving toward a greater awareness of yourself and the way in which your environment, interpersonal relationships, nutrition, fitness, stress, and other factors influence you" (Hafen et al., 1988, p. 2). "A process and not a measurable concrete or static state of being: Wellness... is a continuous moving toward a greater awareness of yourself and the way in which your environment, interpersonal relationships, nutrition, fitness, stress, and other factors influence you" (Hafen et al., 1988, p. 2).

13 Wellness Definitions "The extent to which an individual or group is able to realize aspirations and satisfy needs, and to change or cope with the environment. Health is a resource for everyday life, not the objective of living; it is a positive concept, emphasizing social and personal resources, as well as physical capacities." ( Health promotion: a discussion document. Copenhagen, WHO, 1984.) "The extent to which an individual or group is able to realize aspirations and satisfy needs, and to change or cope with the environment. Health is a resource for everyday life, not the objective of living; it is a positive concept, emphasizing social and personal resources, as well as physical capacities." ( Health promotion: a discussion document. Copenhagen, WHO, 1984.)

14 Six Aspects of Wellness Imagine Wellness as a Six Spoke Wheel: Imagine Wellness as a Six Spoke Wheel: If any one spoke is out of balance, the wheel will not turn smoothly. EMOTIONAL HEALTH EMOTIONAL HEALTH emphasis on awareness/acceptance of feelings emphasis on awareness/acceptance of feelings positive thinking about one's self and others positive thinking about one's self and others realistic assessment of abilities and limitations realistic assessment of abilities and limitations maintenance of satisfying relationships with others maintenance of satisfying relationships with others

15 Black, Not Hispanic Asian or Pacific Islander Total White, Not Hispanic People with disabilities † People without disabilities American Indian or Alaska Native Hispanic Age-adjusted percent 2010 target Emotional well-being: Sufficient emotional support* among adults 18 years and older, 2001

16 INTELLECTUAL HEALTH encouragement of creative mental activity encouragement of creative mental activity expansion of knowledge of self and world expansion of knowledge of self and world avoidance of idle thoughts and boredom avoidance of idle thoughts and boredom

17 SOCIAL HEALTH encourages contribution to the welfare of the community encourages contribution to the welfare of the community meaningful relationships with others meaningful relationships with others family life rich and fulfilling positive personal relationships family life rich and fulfilling positive personal relationships

18 PHYSICAL HEALTH complete fitness program including CV fitness, strength, flexibility, & stamina complete fitness program including CV fitness, strength, flexibility, & stamina positive nutritional habits positive nutritional habits positive health habits with drugs and alcohol positive health habits with drugs and alcohol Safety and risk reduction behavior Safety and risk reduction behavior

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20 OCCUPATIONAL HEALTH work which is satisfying and meaningful work which is satisfying and meaningful work which leads toward self actualization work which leads toward self actualization (This dimension is also called vocational health) (This dimension is also called vocational health)

21 SPIRITUAL HEALTH a sense of purpose and meaning to life a sense of purpose and meaning to life learning how to experience love, joy, and fulfillment learning how to experience love, joy, and fulfillment one’s ethics, values, and code of living * These things may or may not be part of formal religion one’s ethics, values, and code of living * These things may or may not be part of formal religion

22 Wellness has to do with the quality of life not quantity. Wellness has to do with the quality of life not quantity. wellness allows for individual limitations wellness allows for individual limitations you are allowed to die you are allowed to die  can you say today "I've had a good life"?

23 You can change! you are not a miniature of your parents you are not a miniature of your parents "old dogs" can learn new tricks! "old dogs" can learn new tricks! meaningful change is always difficult, controversial, and takes persistence meaningful change is always difficult, controversial, and takes persistence

24 Conclusion wellness stresses self-responsibility wellness stresses self-responsibility education is empowerment education is empowerment you can do more for your health than your doctor you can do more for your health than your doctor you can start a revolution you can start a revolution


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