Wellness

Dr Ahmad Tajudin Jaafar School of Medicine UCSI University

Wellness
Introduction 1. Evidence of wellness revolution in popular culture; 1.1 rapid growth of consumer interest in spas,yoga,meditation,organic foods and alternative therapies 1.2 wellness coaching as an emerging field

Wellness
1.3 womens magazines focus on the spa and wellness lifestyle 1.4 wellness is commonly used in the names of health products,ranging from vitamins to pet foods.

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2. All too often,wellness is defined within a disease framework reducing health risks and preventing disease. 3. In other word,the approach to wellness is from the disease-focused medical paradigm and this is reflected in the ways doctors are trained, the curriculum used and the model of delivery of services.

Wellness
What is Wellness?- Looking at the Whole Person 1. Wellness is a choice a decision you make to move toward optimal health. 2. Wellness is a way of life a lifestyle you design to achieve your highest potential for wellbeing. 3. Wellness is a process an awareness that health and happiness are possible to achieve.

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4. Wellness is a balanced channeling of energy energy received from the environment,transformed within you,and returned to affect the world around you. 5. Wellness is the integration of body,mind and spirit the appreciation that everything you do,and think and feel, ..cont.

Wellness
and believe has an impact on your state of health and the health of the world. 6. Wellness is the loving acceptance of yourself a positive self esteem and self worth.

Concept#1:Wellness is a process,never a static state

Wellness
Key Concept # 1: Wellness is a process,never a static state. 1. There are many degrees of wellness,just as there are many degrees of illness. 2. The Illness-Wellness Continuum illustrates the relationship of the treatment paradigm to the wellness paradigm. cont.

Wellness
Illness Wellness Paradigm 1. The Neutral Point is a state where there is no discernable illness or wellness seen. 2. Moving from the centre to the left shows a progressively worsening state of health. 3. Moving to the right of the centre indicates increasing levels of health and wellbeing.

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4. The Treatment Paradigm(drugs,surgery, psychotheraphy,herbs,and so on) can bring you up to the neutral point,where the symptoms of disease have been alleviated. 5. The Wellness Paradigm,can be utilised at any point on the continuum,and helps you move toward higher level of wellness.

Wellness
5. The Wellness paradigm directs you beyond neutral and encourages you to move as far toward wellness as possible. 6. On the left side of the continuum,it is not meant to replace the treatment paradigm,but to work in harmony with it.

Wellness
8. If you are ill,then treatment is important,but dont stop at the neutral point.Use the wellness paradigm to move toward high-level wellness. 9. Even though people often lack physical symptoms,they may still be bored, depressed,tense,anxious,unhappy with their lives.

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10. High-level wellness involves giving good care to your physical self,using your mind constructively,expressing your emotions effectively,being creatively involved with those around you,and being concerned about your physical,psychological,and spiritual environments.

Wellness
11. High-level wellness does not preclude periods of illness and weakness,nor does it attempt to deny that death is a natural part of life. 12. In fact,it is not so much where you are on the illness-wellness continuum,but which direction you are facing.

Concept#2:The iceberg model of health

Wellness
Key Concept # 2: The Iceberg Model of Health 1. Illness and health are only the tip of an iceberg.To understand their causes,one must look below the surface. 2. Your current state of health,is just like the tip of the iceberg.It is the one apparent to you and others.

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3. If you dont like it,you can attempt to change it,do something about it,take away the unwanted condition but whenever you knock some off,more of the same comes up to take its place. 4. To understand all that creates and supports your current state of health,you have to look underwater.

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The 1st Level : Lifestyle/Behavioural level - what you eat? - how you use and exercise your body? - how you relax and let go of stress - how do you safeguard yourself from the hazards around ?

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The 2nd Level : Psychological /Cultural / Motivational level - what moves us to lead the lifestyle we have chosen? - how powerful is the cultural norms that influence us? - what payoffs we get from being overweight smoking,driving recklessly or from eating well,regular exercise etc

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The 3rd Level: Spiritual/Being/Meaning Realm -it is more of a realm than a level,it has no boundries -it includes the mystical and mysterious,plus everything in the subconscious mind,as well as concerns such as your reason for being,the real meaning of your life etc -this realm ultimately determines whether your state of health.

Concept#3: Wellness energy system

Concept#3: Wellness energy system

Wellness
Key Concept # 3: Wellness Energy System - the human being is an open system - we take in energy from all the sources around us,organise it,transform it,return it(dessipate) it to the environment around us. - the efficient flow of energy is essential to wellness;disease is the result of any interference with this flow.

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- think of yourself as a channel of energy whereby energy flows in,courses around, and flows out. - thus,your condition(physical,emotional, mental,spiritual)is going to determine how much you take in,what it feels like inside, and how it moves out into the environment.

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- when the flow is balanced and smooth,you feel good. - when there is interference at any point-the input,the output,or in between- you feel empty,confused,pressured,or blocked. - the end result of this disturbance is illness.

Model of water pipe flow of energy

Factors affecting health & wellbeingprotective factors

HEALTHY CONDITIONS AND ENVIRONMENTS 1. Safe physical environments 2. Supportive economic and social conditions 3. Regular supply of nutritious food and water 4. Restricted access to tobacco and drugs 5. Healthy public policy and organisational practice PSYCHOSOCIAL FACTORS EFFECTIVE HEALTH SERVICES HEALTHY LIFESTYLES 1. Participation in 1. Provision of 1. Decreased use of civic activities and preventive tobacco and drugs social engagement services 2. Regular physical 2. Strong social 2. Access to exercise network culturally 3. Balanced 3. Feeling of trust appropriate health nutritional intake 4. Feeling of power services 4. Positive mental and control over 3. Community health life decisions participation in 5. Safe sexual activity 5. Supportive family the planning and structure delivery of health 6. Positive selfservices esteem

The factors affecting health & wellbeing-risk factors

RISK CONDITIONS 1. 2. 3. 4. Poverty Low social status Dangerous work Polluted environment 5. Natural resource depletion 6. Discrimination(age, sex,race,disability) 7. Steep power hierarchy(wealth, status,authority) within a community and workplace PSYCHOSOCIAL RISK FACTORS 1. Isolation 2. Lack of social support 3. Poor social networks 4. Low self esteem 5. Low perceived power 6. High self blame 7. Loss of meaning or purpose 8. Abuse BEHAVIOURAL RISK FACTORS 1. Smoking 2. Poor nutritional intake 3. Physical inactivity 4. Substance abuse 5. Poor hygiene 6. Being overweight 7. Unsafe sexual activity PHYSIOLOGICAL RISK FACTORS 1. High blood pressure 2. High cholesterol 3. Release of stress hormone 4. Altered levels of biochemical markers 5. Genetic factors

Concept#1:Wellness is a process,never a static state

Concept#2:The iceberg model of health

Concept#3: Wellness energy system

Concept#3: Wellness energy system

Model of water pipe flow of energy

Health and wellness

Definition of wellness: 1. Hatfield defined wellness as the conscious and deliberate process by which people are actively involved in enhancing their wellbeing:intellectual,physical,social,emotional, occupational and spiritual. 2. wellness is considered to be the positive component of good health which reflects how one feels as well as ones ability to function effectively.

Health and wellness

3. wellness is therefore a state to be attained before disease starts or even risk factors set in. 4. wellness can be promoted and inspired for at any stage of illness so that further progress of disease and deterioration of the quality of life is prevented.

Six dimensions of wellness

1. Physical fitness and nutrition 2. Emotional well-being 3. Intellectual well-being

4. Social,family,community, and environment 5. Occupational aspects,and

6. Spiritual,values and ethic

[ Hettler]

Importance of wellness in the Malaysian health care system

Introduction: Wellness is the key for the future of the Malaysian health care system and it is one of the eight (8) health service goals that the Ministry of Health has laid down for designing and planning the health care of the country.

Importance of wellness in the Malaysian health care system

The eight (8) health goals of Ministry of Health
1. Wellness focus 2. Person focus 3. Informed person 4. Self help,self care and self improvement 5. Care provided at home or close to home 6. Seamless ,continuous care 7. Services tailored at individuals or groups 8. Effective ,efficient and affordable services

Malaysian Health Care System

Vision for Health A nation working together for better health Mission 1. To facilitate and support the people to: . Attain fully their potential in health . Appreciate health as a valuable asset . Take individual responsibility and positive action for their health

Malaysian Health Care System

2. To ensure a high quality health system that is: . Equitable . Affordable . Efficient . Technologically appropriate . Environmentally adaptable . Customer centered . Innovative

Malaysian Health Care System

3. With emphasis on: . Professionalism, caring and teamwork . Respect for human dignity . Community participation

The role of MoH in promoting health

1. Various health programmes and activities are being carried out by the ministry of health and are implemented throughout the country via all health facilities. 2. the following are programmes and services that incorporate the wellness concept into existing services.

The role of MoH in promoting health

The Family Health Development programme 1. this programme focuses on activities such as antenatal and postnatal care,child health care,immunisation,family planning, reproductive cancer screening,nutritional promotion. 2. since 1995,new services were added to these traditional services involving services to adolescent,elderly and persons with special needs.

The Family Health Development programme

2.1 Adolescent health Areas of concern are smoking,obesity, utilisation of health services by adolescents,peer education and mental health. 2.2 Elderly health In line with the National Policy for the Elderly services such as health screening,dietary counselling,social and mental health are introduced to this category of patients/customers.

The Family Health Development programme

2.3 Mental health Follow-up of stable psychiatrict patients and early detection and treatment of new cases. 2.4 Rehabilitative care Physiotherapy facilities and training for the patients and carers for certain conditions are provided along trained health carers.

Non-communicable diseases
1. Cardiovascular screening programme People who are 35 years and above or those with high risk factors e.g. obesity, high blood pressure or high glucose level would be screened. 2. Diabetes programme 2.1 Diabetes clinic early detection and optimal management of diabetic patients to prevent or delay complications.