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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