and Illness
Health
Definition:
Sehat merupakan suatu keadaan yang sempurna baik fisik,
mental dan sosial, sehingga tidak hanya bebas dari penyakit
atau kelemahan
Sehat bukan merupakan suatu kondisi, tetapi merupakan
penyesuaian. Bukan merupakan suatu keadaan, tapi
merupakan proses. Proses di sini adalah adaptasi individu yang
tidak hanya terhadap fisik mereka, akan tetapi terhadap
lingkungan sosialnya
define health as the following:
being free of symptoms of disease and pain as much as possible
being able to be active and able to do what they want or must do
being in good spirits most of the time
Sehat merupakan fungsi efektif dari sumbersumber perawatan diri (self care Resouces)
yang menjamin tindakan untuk perawatan diri
( self care Aktions) secara adekual.
Self care Resoureces ----mencakup
pengetahuan, keterampilan dan sikap.
Self care Aktions ------ perilaku yang sesuai
dengan tujuan diperlukan untuk memperoleh,
mempertahankan dan menigkatkan fungsi
psicososial da piritual
Wellness
an active process by which an individual
Components of Wellness
1.physical, e.g.:
ability to carry out daily tasks
achieve fitness
maintain nutrition and proper body fat
avoid abusing drugs, alcohol, or using tobacco products
generally to practice positive life-style habits
2.social, e.g.:
ability to interact successfully with people and within the
3. emotional, e.g.:
ability to manage stress and express emotions appropriately
ability to recognize, accept, and express feelings
ability to accept ones limitations
4.intellectual, e.g.:
ability to learn and use information effectively for personal, family,
5.spiritual, e.g.:
belief in some force (nature, science, religion, or a "higher power")
that serves to unite human beings and provide meaning and purpose
to life
includes a persons morals, values, and ethics
6. occupational
ability to achieve a balance between work and leisure time
beliefs about education, employment and home influence
7. environmental
ability to promote health measures that promote the
influences include:
Food
Water
air
Models of health
and illness
Smiths models
of health and illness
clinical model
narrowest interpretation; medically-oriented model
health is seen as freedom from disease
illness is seen as the presence of disease
adaptive model
ability to adapt to the environment and interact with
it to maximum advantage essential to the model
health is seen as adaptation
illness is seen as a failure of adaptation, or maladaptation
eudaemonistic model
most comprehensive, holistic, view of health; ability
to become self-actualized essential to the model
health is actualization or realization of ones potential
illness is seen as the failure to actualize or realize ones
potential
agent
Host
everything external to the host that makes illness more or less likely, e.g.:
presence of stagnant water in the air conditioning system at the Bellevue-Stratford Hotel
in Philadelphi
Health-illness continum
Very Favorable
Environment
Environment Axis
Death
Peak Welness
Health Axis
Poor Health
Very
Unfavorable
Emergent High level wellness
Environment
e.g., a person who implements healthy life- style behaviors and has the
biopsychosocialspiritual resources to support
this life-style
of perceived susceptibility
of perceived seriousness
perceived threat
modifying
.demographic variables
e.g., age, gender, race, ethnicity, etc.
sociopsychologic variables
e.g., personality, social class, peer and reference group pressure, etc.
structural variables
e.g., knowledge about the disease, prior contact with the disease, etc.
cues to action
e.g., mass media campaigns, advice from others, reminder postcard from a
physician or dentist, illness of family member or friend, newspaper or magazine
article
genetic makeup
Age
developmental level
race
gender
Psychologic or Emotional
Mind-body interaction
Cognitive or Intellectual
Cognitive abilities
Educational background
Past experiences
Spiritual
Environmental
Housing
Sanitation
Climate
Pollution of air, food, water
Sociocultural
Economic levels
Lifestyle
Family
Culture
mind
Illness
the response a person has to a disease; it is an abnormal
Etiology
Causation of the disease
Types of illness
acute illness
has a rapid onset of symptoms that lasts for a limited and
relatively short period of time
chronic illness
has a gradual onset of symptoms that lasts for an
extended and relatively long period of time
Illness Behaviors
behavior of individuals when they are ill
ways individuals describe, monitor, and
conditions
2. Clients are excused from certain social roles
and tasks
3. Clients are obliged to try to get well as
quickly as possible
4. Clients or their families are obliged to seek
competent help
Effects of Illness
Impact on Client
Behavioral Change
Emotional Change
Physical Changes
Lifestyle Changes
help individuals of all ages increase life expectancy and improve the
quality of life
particularly
African-Americans
currently life expectancy is 74.9 years for European-Americans and 68
years for African- Americans
African-Americans
currently, years of healthy life is 63 years for European-Americans and
62 years for Hispanics, and 56 years for African-Americans
problems
Tertiary Prevention
Restoration and rehabilitation
Community Based
Hospital Based
Health-organization programs
School Health-promotion programs
Worksite programs for health promotion
Health History
Physical Examination
Physical Fitness Examination
Lifestyles assessment
Spiritual Health assessment
Social support System review
Health risk assessment
Health Beliefs review
Life stress review
Validating assessment data
Diagnosis
Wellness diagnosis
Readiness for enhanced
Planning
Identify health goals related behavior change options
Identify behavior or health outcomes
Develop Behavior change plan
Address environmental and interpersonal facilitators
Implementation
Supporting
Counseling
Individual
Telephone
Facilitating
Teaching
Consulting
Enhancing behavior change
Modeling
Evaluation