Puspanjali Mohapatro Assistant Professor SUM NURSING COLLEGE SOA,DTU

1. P
Puspanjali Mohapatro
Assistant Professor
Dept. of Community Health Nursing
SUM NURSING COLLEGE
DTU, SOA UNIVERSITY
CONCEPT AND DIMENSION OF
HEALTH

2. HEALTH- Health is a state of physical, mental social and
spiritual well being ,and not merely an absence of disease or
infirmity.
community A group of people, often living in
a defined geographical area, who may share a common
culture, values and norms, and are arranged in a social structure
according to relationships which the community has developed
over a period of time.
COMMUNITY HEALTH:- Refers to the healthy status of the
member of the community to solve the problem affecting
totality of a health care provided for the community.
- According to WHO-
DEFINITION

3. Community health is the organized form of treatment,
protection or preventive and health related services.
DEFINATION

4. 1. Health promotion
2. Disease prevention
3. Management of factors affecting health
AIM OF THE COMMUNITY
HEALTH

5. Community health Nursing is the synthesis
of nursing and public health practice applied
to promote and protect the health of population.
It combines all the basic elements of
professional, clinical nursing with
public health and community practice.
COMMUNITY HEALTH NURSING

6. Health is evolved over the centuries as a concept from
individual concern to world wide social goal and
encompasses the whole quality of life. Changing
concept of health till now are:
Biomedical concept
Ecological concept
Psychosocial concept
Holistic concept
CONCEPT OF HEALTH

7. Traditionally, health has been viewed as an “absence
of disease”, and if one was free from disease, then the
person was considered healthy.
This concept has the basis in the “germtheory of
disease”.
The medical profession viewed the humanbody as a
machine, disease as a consequence of the breakdown of
the machine and one of the doctor’s task as repair of
the machine.
BIOMEDICALCONCEPT

8. Form ecological point of view; health is viewed as a
dynamic equilibrium between human being and
environment, and disease a maladjustment of the
human organism to environment.
According to Dubos “Health implies the relative
absence of pain and discomfort and a continuous
adaptation and adjustment to the environment to ensure
optimal function.”
The ecological concept raises two issues,
imperfect man and imperfect environment.
ECOLOGICAL CONCEPT

9. According to psychosocial concept “health is not
only biomedical phenomenon, but is influenced
by social, psychological, cultural, economic and
political factors of the people concerned.”
PSYCHOSOCIAL
CONCEPT

10. This concept is the synthesis of all the above
concepts.
It recognizes the strength of social,
economic, political and environmental
influences on health.
It described health as a unified or multi
dimensional process involving the wellbeing of
whole person in context of his environment .
HOLISTIC CONCEPT

11. Health is multidimensional.
World Health Organization explained health in three
dimensional perspectives:
physical, mental, social and spiritual.
Besides these many more may be cited, e.g.
emotional, vocational, political, philosophical, cultural,
socioeconomic, environmental, educational, nutritional,
curative and preventive..
DIMENSIONS OF HEALTH

12. Physical dimension views heathform
physiological perspective.
It conceptualizes health that as biologically a state in
which each and every organ even a cell is functioning
at their optimum capacity and in perfect harmony with
the rest of body.
Physical health can be assessed atcommunity level
by the measurement of morbidity and mortality rates.
PHYSICAL DIMENSION

13. Ability to think clearly and coherently. This deals
with sound socialization in communities.
Mental health is a state of balance between the
individual and the surrounding world, a state of
harmony between oneself and others, coexistence
between the relatives of the self and that of other
people and that of the environment.
Mental health is not merely an absence of mental
illness.
MENTAL DIMENSION

14. It refers the ability to make and maintain
relationships with other people or communities.
It states that harmony and integrationwithin and
between each individuals and other members of the
society.
Social dimension of health includes the level of
social skills one possesses, social functioning and the
ability to see oneself as a member of a larger society.
SOCIAL DIMENSION

15. Spiritual health is connected with religious beliefs and
practices. It also deals with personal creeds, principles
of behavior and ways of achieving peace of mind and
being at peace with oneself.
It is intangible “something” that transcends
physiology and psychology.
It includes integrity, principle and ethics, the
purpose of life, commitment to some higher being,
belief in the concepts that are not subject to “state of
art” explanation.
SPIRITUAL DIMENSION

16. THANK YOU