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Health Definition & Dimensions

Health Definition & Dimensions. Dr. HARIVANSH CHOPRA PROFESSOR COMMUNITY MEDICINE LLRM MEDICAL COLLEGE MEERUT harichop@gmail.com. OBJECTIVE. TO LEARN DEFINITIONS OF HEALTH TO LEARN DIMENSIONS OF HEALTH. Health: Definition. Webster:

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Health Definition & Dimensions

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  1. HealthDefinition & Dimensions Dr. HARIVANSH CHOPRA PROFESSOR COMMUNITY MEDICINE LLRM MEDICAL COLLEGE MEERUT harichop@gmail.com

  2. OBJECTIVE TO LEARN DEFINITIONS OF HEALTH TO LEARN DIMENSIONS OF HEALTH DR.HARIVANSH CHOPRA

  3. Health: Definition Webster: The condition of being sound in body, mind or spirit, especially freedom from physical disease or pain. • Body: Physical health • Mind: Mental health • Spirit: Spiritual health DR.HARIVANSH CHOPRA

  4. Health: Definition Oxford English Dictionary: Soundness of body or mind, that condition in which its functions are duly and efficiently discharged. • Body: Physical health • Mind: Mental health • Efficient functioning DR.HARIVANSH CHOPRA

  5. Health: Definition Perkins: Relative equilibrium of body form and function which results from its successful dynamic adjustment to forces tending to disturb it. • Body form : Anatomy • Body function : Physiology • Health : Interaction of body to environment DR.HARIVANSH CHOPRA

  6. Health: Definition Dubos A modus vivendi enabling imperfect men to achieve a rewarding and not too painful existence while they cope with an imperfect world Coping with imperfect world = Interaction with environment DR.HARIVANSH CHOPRA

  7. Health: Definition World Health Organization It is a state of complete physical, mental and social wellbeing and not merely absence of disease or infirmity. • Mere absence of disease is NOT Health • Three dimensions of health • Complete wellbeing on three dimensions • Fourth dimension ‘spiritual’ now added DR.HARIVANSH CHOPRA

  8. Health: Definition • Only four dimensions considered (emotional & vocational omitted) • Too idealistic, not reachable in practice • Health considered as “a state” i.e. a static entity. (In practice it is a dynamic concept) • “Ability to lead socially & economically productive life” is also now added to this definition. DR.HARIVANSH CHOPRA

  9. Dimensions of Health Physical Mental Vocational Social Emotional Spiritual DR.HARIVANSH CHOPRA

  10. Physical Dimension Individual level Group (Community) Level Easily understood & measurable DR.HARIVANSH CHOPRA

  11. Physical Dimension:Individual level • Every organ of ‘normal’ shape and size • Every organ & system functions at optimum level • Individually & in coordination • E/o growth in children DR.HARIVANSH CHOPRA

  12. Physical DimensionCommunity Level Indicated by the indicators of: • Morbidity • Mortality • Fertility • Disability DR.HARIVANSH CHOPRA

  13. Mental Dimension Individual level Group (Community) Level DR.HARIVANSH CHOPRA

  14. "a state of balance between the individual and the surrounding world, a state of harmony between oneself and others, a coexistence between the realities of the self and that of other people and that of the environment" DR.HARIVANSH CHOPRA

  15. a. a mentally healthy person is free from internal conflicts; he is not at "war" with himself. DR.HARIVANSH CHOPRA

  16. b. he is well-adjusted, i.e., he is able to get along well with others. He accepts criticism and is not easily upset. DR.HARIVANSH CHOPRA

  17. c. he searches for identity. • d. he has a strong sense of self-esteem. DR.HARIVANSH CHOPRA

  18. e. he knows himself: his needs, problems and goals (this is known as self-actualization). DR.HARIVANSH CHOPRA

  19. f. he has good self-control-balances rationality and emotionality. • g. he faces problems and tries to solve them intelligently, i.e., coping with stress and anxiety. DR.HARIVANSH CHOPRA

  20. Perception Confidence Self control Decision making Meaningfulness Coordination Mental DimensionIndividual Level DR.HARIVANSH CHOPRA

  21. Perception Correct perception of own • Abilities: Neither underestimates nor overestimates • Emotions & feelings • Strengths & weaknesses DR.HARIVANSH CHOPRA

  22. Decision making Right decision at right moment Realistic goals & ambitions Meaningfulness Leading life with ‘purpose’ Dependable DR.HARIVANSH CHOPRA

  23. Confidence in : Own abilities Own strengths Neither overconfident Nor under confident Self control Does not loose control easily Controls emotions Faces frustration & conflict gracefully Coordination Leading life harmoniously with others Adjusting with others Rare conflicts DR.HARIVANSH CHOPRA

  24. Mental HealthCommunity Level Indicators: • Suicides • Homicides • Drug dependence • Offences related to women & children • Morbidity due to mental illnesses • Morbidity due to psychosomatic illnesses DR.HARIVANSH CHOPRA

  25. Social Dimension Individual level Group (Community) Level DR.HARIVANSH CHOPRA

  26. Social dimension • It has been defined as the "quantity and quality of an individual's interpersonal ties and the extent of involvement with the community" DR.HARIVANSH CHOPRA

  27. Social HealthIndividual Level • Development of Social skills & functions (Socialization) • Performance of ‘roles’ • Education, Occupation • Economic status DR.HARIVANSH CHOPRA

  28. Social HealthCommunity Level Equity in distribution of resources Indicators: • Per capita GDP • Literacy rates • Status of women • Employment / unemployment DR.HARIVANSH CHOPRA

  29. Spiritual Dimension Most difficult dimension to explain & quantify Includes such aspects like: • Ethics • Principles • Integrity Relates to certain informal social controls like Hippocrates’s Oath for doctors. DR.HARIVANSH CHOPRA

  30. Spiritual Dimension • 1 who am I ? • 2 what do I want ? • 3 what is the purpose of life ? • 4 how this purpose can be fulfilled ? DR.HARIVANSH CHOPRA

  31. Emotional Dimension Emotion: Sudden forces of feelings emerging in mind Types: Positive: Love, Joy Negative: Hatred, Sadness, Dejection Expression of correct emotion, at correct place, in controlled form = Emotional health DR.HARIVANSH CHOPRA

  32. Emotional Dimension Common forms of emotional disturbances: Anxiety: Inability to concentrate, insomnia Depression: Sadness, dejection , suicidal tendency Mood swings: Sadness / joy on trivial incidences, sometimes hostile DR.HARIVANSH CHOPRA

  33. Vocational Dimension • Concerned with job • Job & person ‘made for each other’. • Expression of frustration, unhappiness over job • Frequent changes in job • Maladjustment with job • Occupational disorders DR.HARIVANSH CHOPRA

  34. CONCLUSION HEALTH IS TO BE UNDERSTOOD IN PHYSICAL ,MENTAL, SOCIAL,AND SPRITUAL CONTEXT. IT IS NOT STATIC . IMPORTANCE OF HEALTH IS NOT REALISED TILL IT IS LOST . DR.HARIVANSH CHOPRA

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