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BN501 Session 10: Models of health in the New Zealand context

BN501 Session 10: Models of health in the New Zealand context. Session outcomes. At the end of this session students will be able to: Describe models of health and wellness and how this differs from illness and disease models

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BN501 Session 10: Models of health in the New Zealand context

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  1. BN501 Session 10: Models of health in the New Zealand context

  2. Session outcomes At the end of this session students will be able to: • Describe models of health and wellness and how this differs from illness and disease models • Examine models of health that are significant to the NZ context e.g. Maori health and Holistic health models, Socio-ecological models • Explore the application of models to examine current health issues as they impact on New Zealanders.

  3. News desk

  4. Health is multi-dimensional... ...And personally defined

  5. Bio-Medical Model THE MEDICAL MODEL VIRUSES GERMS (Synergistic kinesiology, 2002-2010) DRAUGHTS BAD LUCK The body is passive. Outside influences make it unwell.

  6. Host-Agent-Environment Disease

  7. The Health/Illness Continuum Health Risk factors to functioning in all dimensions High-level wellness Severe illness Illness

  8. Health Belief Model Individual Perceptions Modifying Factors Likelihood of Action Demographic variables (e.g., age, sex, race, ethnicity) Sociopsychological variables (e.g., personality, social class, peer and reference group pressure) Perceived benefits of preventative action -minus- Perceived barriers to preventative action Perceived susceptibility to disease X Perceived seriousness (severity) of disease X Likelihood of taking recommended preventative health action Perceived threat of disease X Cues to action Mass media campaigns Advice from others Reminder postcard from doctor or dentist Illness of family member or friend Newspaper or magazine article

  9. Holistic Health Model • Health is understood as the holistic synergy of body, mind and spirit in the context of their environment Mind/Emotions Environment Body Spirit

  10. Break

  11. Te Whare Tapa Wha Tahawainua Spiritual well-being TahaHinengaro Mental and emotional well-being HAUORA Well-being Tana Tirana Physical well-being Family and social well-being Whenua (land, roots) (Community & Public Health, 2009)

  12. Tahatinana - Physical well-being • the physical body, its growth, development, and ability to move, and ways of caring for it

  13. Tahahinengaro - Mental and Emotional well-being • coherent thinking processes, acknowledging and expressing thoughts and feelings and responding constructively

  14. Tahawhanau - Social well-being • family relationships, friendships, and other interpersonal relationships; feelings of belonging, compassion, and caring; and social support

  15. Tahawairua - Spiritual well-being • the values and beliefs that determine the way people live, the search for meaning and purpose in life, personal identity and self-awareness (For some individuals and communities, spiritual well- being is linked to a particular religion; for others, it is not.)

  16. Te Wheke (Image from Ohaeawai School, n.d.)

  17. Break

  18. Applications of the models

  19. Contexts of health The socio-environmental model views health as the product of social, economic and environmental determinants that provide incentives and barriers to the health of individuals and communities.

  20. Summary and conclusion

  21. References Craven, R. E., & Hirnle, C. J. (2003). Fundamentals of nursing. Human health and functioning (4th ed.). Philadelphia: Lippincott, Williams & Wilkins. Crisp, J. & Taylor, C. (2009). Potter & Perry’s fundamental of nursing. Australia: Harcourts. Community & Public Health. (2009). Maori Health [Image]. Retrieved from http://images.google.com/imgres?imgurl=http://www.cph.co.nz/Images/TeWhareTapaWha.gif&imgrefurl=http://www.cph.co.nz/About-Us/Maori health/Default.asp&usg=__hAlYPUOUhK3OtoqReTJSzDYid-0=&h=166&w=200&sz=13&hl=en&start=2&um=1&tbnid=354Ogu3zzcjwJM:&tbnh=86&tbnw=104&prev=/images%3Fq%3Dte%2Bwhare%2Btapa%2Bwha%26hl%3Den%26client%3Dsafari%26rls%3Den%26sa%3DN%26um%3D1 Edlin, G., & Golantry, E. (2004). Health and wellness (8th ed.). Sudbury: Jones and Bartlett Publishers. Maori Health. (n.d.). Maori health models. Retrieved from http://www.maorihealth.govt.nz/moh.nsf/0/1c22c439ddc5f5cacc2571bd00682750?OpenDocument Onaeawai School. (n.d.) Octopus – Te Wheke[Image]. Retrieved from http://images.google.com/imgres?imgurl=http://www.ohaeawai.school.nz/graphics/Librarytewheke.jpg&imgrefurl=http://www.ohaeawai.school.nz/library/octopus-tewheke.htm&usg=__iMMSzPhHqsx1VdMwlvNOQEwiGg0=&h=354&w=500&sz=41&hl=en&start=3&um=1&tbnid=dpODeGDclYEBtM:&tbnh=92&tbnw=130&prev=/images%3Fq%3DTe%2Bwheke%26hl%3Den%26client%3Dsafari%26rls%3Den%26sa%3DX%26um%3D1 Synergistic Kinesiology. (2002- 2010). Western medicine vswholistic health [Image]. Retrieved from http://www.synergistickinesiology.com/wholistic_western_medicine.html

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