When Health Care MeetsHealth J. Grace Eves D.N.P.
Key Points Define health and wellness. Recognize that you can not rely on our health care system to keep you healthy. Understand that self-care is a sustainable strategy for maintaining your health and well-being
Since the days of Florence Nightingale, one of the goals of nursing practice has been optimal health and wellness. The concept of wellness is used throughout the Nursing Diagnosis yet the concept has not been well defined. There needs to be a clear agreed upon definition of wellness to move forward with the development of wellness in the nursing profession and for you personally.
Health and Wellness Defined World Health Organization stated health is “…a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity” (World Health Organization). The American Heritage Stedman’s Medical Dictionary defines wellness as “The condition of good physical and mental health especially when maintained by proper diet, exercise, and habits”(Dictionary, 2011, p. 1).
Nursing Definition of Wellness Accordingto Dr. J. Grace Eves… Wellness starts with being aware of your health status and then working towards maintaining or improving your health and well-being.
Your Health Status Your body health is dependent on how you live your life. Each area of your life is dependent on each other. The areas include: spiritual health, relationships health, environmental health, mental health, financial health, and body health. All these areas are held together with love and gratitude.
Gratitude Love GRADITUDEStatusYour Health Body LOVE Finances Mental Health Environment Relationships Spiritual Dr. J. Grace Eves-Wellness Model
Section 3 Body health sits as the top stone. If other areas such as your spiritual health, relationships health, environmental health, mental health, and financial health are not in balance your body health seems to be the first area that will identify those imbalances. Listen to your body-it will tell you when things are not in balance. Because of the brevity of this course Section 3 of this program will exam physical activity and nutrition (body health) which sits at the top of the wellness model.
Summary The balance of your mind, heart, and soul-your health status-is the ability to refine yourself in terms of autonomy and resilience. The successful wellness process establishes a thriving lifestyle and is the consequence of getting to the root cause.
Recognize… You can not rely on our health care system to keep you healthy.
Fact: Our Health Care is Expensive Health care expenditures in the U.S. have now surpassed $2.3 trillion in 2008, more than three times the $714 billion spent in 1990 and over eight times the $253 billion spent in 1980. This ,means that in 2008 the U.S. health care spending was about $7,681 for every American man, women, and child-or more than 30,000 for a family of four. The cost of health care has increased to 274 times what it was in 1950 even though the average cost of all other goods and services increased only eight times.Andrew Weils, Why Our Health Matters
If Food Were Health Care…American Institute of Medicine
The Cost of Care in the U.S. The average prescription costs, on an average $70 A hospital room is about $1,700 per day A routine adult admission to an ER is $1,100 A hospital birth is $8,000 A cardiac stress test is $1,900 A heart attack will cost $45,000 Cancer treatment will cost $375,000Andrew Weils, Why Our Health Matters
The cost of American health care is rising so rapidly that it is predicted to reach $4.2 trillion, or 20% of our GDP, by 2016. If predictions hold, a family of four in the next seven to nine years will spend around $64,000 annually on health careAndrew Weils, Why Our Health Matters
Fact: Health Care System Today is Findingit Challenging to Provide Care… 91% of hospitals report overcrowding….40% of them daily Over the past 5 years, 70% of hospitals have found themselves in a situation where ambulance drivers had to be diverted to other hospitals because of this overcrowding.John Hammergren, Skin in the Game
Consider this: The average primary care physician has 2,500 to 4,000 patients Works 5-7 days a week Takes ER calls 24/7 Often sees patients in hospitals from 9 am-5 pm on weekendsTaking even a few minutes extrawith each patient in the cliniccan put a doctorout of business
Shortage of Health Care ProfessionalsBy 2020, it is estimated that we will have shortage of: 85,000 to 96,000 primary care physicians One Million Nurses 36,000 geriatricians Shortage 157,000 pharmacistsAndrew Weils, Why Our Health Matters
Fact: Health Care SystemTrustworthiness… 140,000,000 illegible prescriptions are written every year!!John Hammergren, Skin in the Game
25 to 30% of our $2.6 trillion dollar healthcare bill goes to: Wasted care in the form of preventive errors Incorrect diagnosis Redundant treatment Unnecessary infections Extra time spent in the hospital Another 20% goes to paperworkOur health care is on the brink ofcollapse
Understand… There are strategies that will manage these costs
Do Nothing Sinks the Ship Individuals can’t afford to take the “wait and see approach” Health care professionalsneed to motivate individuals and themselvesto engage inhealth and wellness
Fact:No matter which strategy you choose WELLNESS has to be one of them
Fact: A significant portion of health carecosts are avoidable or potentiallymodifiable
Fact: Health Risks Drive Costs Analysis show us that somewhere between 21% and 58% of medical claims are associated with about dozen risk factors-things like poor nutrition, lack of exercise, and high stressDavid Anderson, Staywell WELCOA Interview
As Health Risks Increase,Costs IncreaseThe Quandary of chronic care… “If you have a chronic condition, you struggle with lack of connection on a daily basis. Beyond your primary care physician, you probably have up to 15 different professionals to deal with regularly, including specialists, technicians, NP, pharmacists, and possibly social worker.”John Hammergren, Skin in the Game
Self-Care: Orem states self care is the -practice of activities that individual initiates and perform ontheir own behalf in maintaining life, health, and well being. As you work through the next model and apply the information you learn, you will be able to implement in your life as well as encourage others to use self-care as a stainable strategy
Summary Wellness starts with being aware of your health status and then working towards maintaining or improving your health and well-being. You can not rely on our health care system to keep you healthy-it is too costly and is challenged to provide quality of care. Self-care as a stainable strategy.
References Anderson, A. www.welcoa.org American Institute of Medicine. www.aiom.org Dictionary. Dictionaryreference.com Hammergren, J. (2008). Skin in the Game. Hoboken, NJ: Wiley. Weils, A. (2009). Why Our Health Matters. New York, NY: Hudson Street Press. World Health Organization. www.who.int