 What does it mean to you to be healthy?  Lifestyle factors –  - what you eat  - how you exercise  - how you relax - How you keep yourself safe from hazards around you e.g. pollutants

 [noncount] 1 a : the condition of being well or free from disease ▪ We nursed him back to health. ▪ My aunt is quite elderly, but she still has her health. [=she is still healthy] ▪ She is the picture of health. [=she is very healthy] ◊If you drink (to) someone's health, you take a drink as a wish for that person to be healthy. b : the overall condition of someone's body or mind ▪ He's in good/poor health these days. ▪ He has continued to enjoy good health in his old age. ▪ Her health is excellent. = She is in the best of health. ▪ Smoking is bad for your health. ▪ He is concerned about his sister's mental health.  2 : the condition or state of something ▪ We must protect the health of our oceans. ▪ The economy is in a period of robust financial health. ▪ Investors are worried about the company's health.  give (someone or something) a clean bill of health  (retrieved from on-line Webster dictionary, August 2011)

 The Maori philosophy towards health is based on a wellness or holistic health model. Maori see health as a four-sided concept representing four basic beliefs of life: Te Taha Hinengaro (psychological health), Te Taha Wairua (spiritual health), Te Taha Tinana (physical health) and Te Taha Whanau (family health). This is known as Te Whare Tapa Wha. The Whare Tapa Wha can be applied to any health issue affecting Maori from physical to psychological wellbeing.  health.htm retrieved Aug health.htm

 Icebergs reveal only one-tenth of the mass above water (Travis & Ryan, 1988)  www. health line.govt.nz

Many different factors have an important influence on health. The factors which have been found to have the most significant influence – for better or worse – are widely known as the determinants of health Things that make people healthy or not Retrieved from: In pairs discuss what you think these are. How do you keep healthy?

 Although health and social services make a contribution to health, most of the key determinants of health lie outside the direct influence of health and social care, for example, education, employment, housing, and environment.   Whether people are healthy or not is determined by their circumstances and their environment  Blaming or crediting people for poor/good health is therefore inappropriate  (WHO, 2008/2011) (

 Individuals are unlikely to be able to directly control many of the determinants of health. These include:  Income and social status  Education.  Physical environment  Social support networks  Genetics - inheritance plays a part in determining lifespan, healthiness and the likelihood of developing certain illnesses.  Health services - access and use of services  Gender - Men and women suffer from different type diseases at different ages.

 3 broad types  inequality in access to health care (for example, refugees in London often have difficulty in obtaining primary health care)  inequalities in health/health outcomes (for example, there are six years’ difference in average life expectancy at birth between the boroughs in London)  inequalities in the determinants of health (for example, in education, employment or housing)  Retrieved from: ; Reference: Dahlgren G and Whitehead M (1991) Policies and strategies to promote social equity in health. Stockholm, Institute for Futures Studieshttp://  What about New Zealand?

 The work of a HCW/HCA/CARER can be physically demanding How will you maintain your personal health? What impact might your health have on others e.g. residents/clients/patients?

 Keep a health diary for a week