12. Definitions of Health
• WHO: Complete state of physical, mental, and
social well being; not merely the absence of
disease or infirmity
• (1999) “extent to which an individual or group
is able, on the one hand, to realized aspirations
and satisfy needs; and, on the other hand , to
change or cope with the environment.”
13. More Contemporary Perspective
Health is a dynamic human condition with multiple and intertwined
dimensions such as:
Physical
Emotional
Social
Intellectual
Spiritual
Environmental
Viewed as a continuum with positive and negative poles
+ capacity to enjoy life and withstand challenges
– illness and disease or premature death
13
18. Table 1-2: Ten Leading Causes of Death
Heart disease
Cancer
Chronic lower respiratory disease
Accidents
Stroke
Alzheimer’s disease
Diabetes
Influenza and pneumonia
Nephritis
Suicide
2014
Epidemiological Shift
*70% of Deaths
*75% of Healthcare Cost
“Infectious” “Chronic”
http://clemson.libguides.com/friendly.php?s=refworks
https://www.youtube.com/user/ProQuestRefWorks
Google Scholar Example: National Center of Family Growth (Chandra, Anjani)
Health Problems – Traditional Medical Approach (Biological Networks)
Hyman’s missed point: chronic diseases are social diseases (genetic-social treads)
Important learning: work with individual or build COMMUNITY & CONNECTIONS
Self-care
Peer support
Social support
HLTH champions
Collective Action
Social Ecological Approaches (ind, inter, org, comm, policy, phys envir, culture)
Multilevel planning programs Eat Learn Work Play Pray
Not comprehensive – doesn’t explain chronic disease or injuries
Important to wash your hands to reduce germs
More comprehensive than germ theory
Includes environment as a factor
Applies the triad, before, during, and after the disease onset
Adds in lifestyle factors and community factors to account for chronic disease
Comprehensive enough?
State: meh, it’s not really a state as much as a dynamic that’s changing
Physical, emotional, social, intellectual, spiritual, environment
Physical: body functions well, have a sufficient amount of energy throughout the day, able to handle emergencies that surmount, able to complete ADL (activities of daily life)
Emotional: able to manage emotions throughout daily life
Social: able to have healthy relationships
Intellectual: critical and creative thinking
Spiritual: contentment with life and meaning of life
Environmental: air quality, radiation levels, shielded from weather
Public health models focus on the right side (more proactive in trying to reach optimal health)
#1 MTM freedom from sickness & disease
#2 OHM proactive, challenge of maximizing potential and improving QofL
http://clemson.libguides.com/friendly.php?s=refworks
https://www.youtube.com/user/ProQuestRefWorks
Google Scholar Example: National Center of Family Growth (Chandra, Anjani)