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Sarah Salituri
Jevaris Allen
Craig Bracher
Health &Wellness Definitions
• World Health Organization (1948)
• "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).
• This official statement was responsible for launching the total
person ideology from which most modern models of health are
derived.
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)
Holistic Definitions
• “A state of complete physical, mental and
social well-being and not merely the
absence of disease or infirmity"
(WHO, 1948)
Measures of Individual Health
• Health
– Sense of wellness, measures of self-esteem,
coping, quality of life….
• Health problems
– Presence of abnormal signs and symptoms
– Biochemical / hematological / x-ray
abnormalities
– Subjective sense of being unwell
Sources of Data - Individual
Health/Illness
•
•
•
•
•
•
•
History
Physical exam
Radiology
Biochemistry and hematology
Invasive investigations
Diagnoses
other…
Healthy Lifestyle
• "A healthy lifestyle is a set of healthenhancing behaviors, shaped by internally
consistent values, attitudes, beliefs and
external social and cultural forces"
• (Joint Committee on Health Education Terminology, 1991, p.
252).
Measures of Population
Health
• Aggregate health status of individuals
(e.g., mortality, morbidity, life expectancy,
disease rates; health behaviours)
• Environmental indicators (e.g., pollution,
social inequalities, political stability)
• Community infrastructure and functioning
(e.g., availability & accessibility of health
services)
Sources of Data - Population
Health/Illness
•
•
•
•
•
•
•
•
Surveys
Physician billing database
Hospital discharge abstracts
Communicable disease reports
Death certificates
Disease registries
Absences from school or work
Product consumption reports
Major health problems
• Heart disease and stroke
• Mental health and illnesses
• Cancer
• Injury
• Respiratory diseases - asthma, COPD
• Diabetes, liver disease
• Infectious diseases
• Perinatal conditions
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).
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.)
Six Aspects of Wellness
• Imagine Wellness as a Six Spoke Wheel:
If any one spoke is out of balance, the wheel will not turn
smoothly.
• EMOTIONAL HEALTH
• emphasis on awareness/acceptance of feelings
• positive thinking about one's self and others
• realistic assessment of abilities and limitations
• maintenance of satisfying relationships with others
Emotional well-being: Sufficient emotional
support* among adults 18 years and older, 2001
People with disabilities†
People without disabilities
2010 target
Age-adjusted percent
100
80
60
40
20
0
Total
American Indian
or Alaska Native
Asian or
Pacific Islander
Black, Not
Hispanic
White, Not
Hispanic
Hispanic
INTELLECTUAL HEALTH
• encouragement of creative mental activity
• expansion of knowledge of self and world
• avoidance of idle thoughts and boredom
SOCIAL HEALTH
• encourages contribution to the welfare of
the community
• meaningful relationships with others
• family life rich and fulfilling
positive personal relationships
PHYSICAL HEALTH
• complete fitness program including CV fitness,
•
•
•
strength, flexibility, & stamina
positive nutritional habits
positive health habits with drugs and alcohol
Safety and risk reduction behavior
moking Cessation. asx
OCCUPATIONAL HEALTH
• work which is satisfying and meaningful
• work which leads toward self actualization
• (This dimension is also called vocational health)
SPIRITUAL HEALTH
• a sense of purpose and meaning to life
• 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
Wellness has to do with the
quality of life not quantity.
• wellness allows for individual limitations
• you are allowed to die
 can you say today "I've had a good life"?
You can change!
• you are not a miniature of your parents
• "old dogs" can learn new tricks!
• meaningful change is always difficult,
controversial, and takes persistence
Conclusion
• wellness stresses self-responsibility
• education is empowerment
• you can do more for your health than your
doctor
• you can start a revolution