Health Definition & Dimensions Dr. HARIVANSH CHOPRA PROFESSOR COMMUNITY MEDICINE LLRM MEDICAL COLLEGE [email protected].

HealthHealthDefinition & DimensionsDefinition & Dimensions

Dr. HARIVANSH CHOPRADr. HARIVANSH CHOPRAPROFESSORPROFESSOR

COMMUNITY MEDICINECOMMUNITY MEDICINELLRM MEDICAL COLLEGELLRM MEDICAL COLLEGE

[email protected]@gmail.com

Apr 10, 2023Apr 10, 2023 DR.HARIVANSH CHOPRADR.HARIVANSH CHOPRA 22

OBJECTIVETO LEARN DEFINITIONS OF HEALTH

TO LEARN DIMENSIONS OF HEALTH

Apr 10, 2023Apr 10, 2023 33

Health: DefinitionHealth: Definition

Webster:

The condition of being sound in body, mind or spirit, especially freedom from physical disease or pain.

1. Body: Physical health

2. Mind: Mental health

3. Spirit: Spiritual health

DR.HARIVANSH CHOPRADR.HARIVANSH CHOPRA

Apr 10, 2023Apr 10, 2023 44


Oxford English Dictionary:

Soundness of body or mind, that condition in which its functions are duly and efficiently discharged.

1. Body: Physical health

2. Mind: Mental health

3. Efficient functioning


Apr 10, 2023Apr 10, 2023 55


Perkins:Relative equilibrium of body form and

function which results from its successful dynamic adjustment to forces tending to disturb it.

1. Body form : Anatomy2. Body function : Physiology3. Health : Interaction of body to

environment


Apr 10, 2023Apr 10, 2023 66


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


Apr 10, 2023Apr 10, 2023 77


World Health Organization

It is a state of complete physical, mental

and social wellbeing and not merely

absence of disease or infirmity.

1. Mere absence of disease is NOT Health

2. Three dimensions of health

3. Complete wellbeing on three dimensions

4. Fourth dimension ‘spiritual’ now added


Apr 10, 2023Apr 10, 2023 88


1. Only four dimensions considered (emotional & vocational omitted)

2. Too idealistic, not reachable in practice3. Health considered as “a state” i.e. a

static entity. (In practice it is a dynamic concept)

4. “Ability to lead socially & economically productive life” is also now added to this definition.


Apr 10, 2023Apr 10, 2023 99

Dimensions of HealthDimensions of HealthPhysical

Men

tal

Social

Spiritual

Emot

iona

l

Vocational


Apr 10, 2023Apr 10, 2023 1010

Physical DimensionPhysical Dimension

Individual level Group (Community) Level

Easily understood & measurable


Apr 10, 2023Apr 10, 2023 1111

Physical Dimension:Physical Dimension:Individual levelIndividual level

1. Every organ of ‘normal’ shape and size

2. Every organ & system functions at optimum level

3. Individually & in coordination

4. E/o growth in children


Apr 10, 2023Apr 10, 2023 1212

Physical DimensionPhysical DimensionCommunity LevelCommunity Level

Indicated by the indicators of:

1. Morbidity

2. Mortality

3. Fertility

4. Disability


Apr 10, 2023Apr 10, 2023 1313

Mental DimensionMental Dimension




"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"


•a. a mentally healthy person is free from internal conflicts; he is not at "war" with himself.


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


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


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


•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.

Apr 10, 2023Apr 10, 2023 2020

Mental DimensionMental DimensionIndividual LevelIndividual Level

Perception

Confidence

Self control

Decision making

Meaningfulness

Coordination


Apr 10, 2023Apr 10, 2023 2121

PerceptionPerception

Correct perception of own

1. Abilities: Neither underestimates nor overestimates

2. Emotions & feelings

3. Strengths & weaknesses


Apr 10, 2023Apr 10, 2023 2222

Decision making

1. Right decision at right moment

2. Realistic goals & ambitions

Meaningfulness

1. Leading life with ‘purpose’

2. Dependable


Apr 10, 2023Apr 10, 2023 2323

Confidence in :1. Own abilities2. Own strengths3. Neither

overconfident4. Nor under

confident

Self control1. Does not loose

control easily2. Controls emotions3. Faces frustration &

conflict gracefully

Coordination1. Leading life harmoniously with others2. Adjusting with others3. Rare conflicts


Apr 10, 2023Apr 10, 2023 2424

Mental HealthMental HealthCommunity LevelCommunity Level

Indicators:1. Suicides2. Homicides3. Drug dependence4. Offences related to women & children5. Morbidity due to mental illnesses6. Morbidity due to psychosomatic

illnesses


Apr 10, 2023Apr 10, 2023 2525

Social DimensionSocial Dimension



Social dimension 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"


Apr 10, 2023Apr 10, 2023 2727

Social HealthSocial HealthIndividual LevelIndividual Level

1. Development of Social skills & functions

(Socialization)

1. Performance of ‘roles’

2. Education, Occupation

3. Economic status


Apr 10, 2023Apr 10, 2023 2828

Social HealthSocial HealthCommunity LevelCommunity Level

Equity in distribution of resources

Indicators:

1. Per capita GDP

2. Literacy rates

3. Status of women

4. Employment / unemployment


Apr 10, 2023Apr 10, 2023 2929

Spiritual DimensionSpiritual Dimension

Most difficult dimension to explain & quantify

Includes such aspects like:

1. Ethics

2. Principles

3. Integrity

Relates to certain informal social controls like Hippocrates’s Oath for doctors.


Spiritual DimensionSpiritual Dimension

• 1 who am I ?

• 2 what do I want ?

• 3 what is the purpose of life ?

• 4 how this purpose can be fulfilled ?


Apr 10, 2023Apr 10, 2023 3131

Emotional DimensionEmotional 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


Apr 10, 2023Apr 10, 2023 3232

Emotional DimensionEmotional 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


Apr 10, 2023Apr 10, 2023 3333

Vocational DimensionVocational Dimension

1. Concerned with job

2. Job & person ‘made for each other’.

3. Expression of frustration, unhappiness over job

4. Frequent changes in job

5. Maladjustment with job

6. Occupational disorders



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 .

Health Definition & Dimensions Dr. HARIVANSH CHOPRA PROFESSOR COMMUNITY MEDICINE LLRM MEDICAL COLLEGE [email protected].

Documents

harivansh chopra slide

dimensions of health

spiritual health dr

physical health

environment slide

environment dr

harivansh chopra19

harivansh chopra16