Health-and-Illness

Health and Illness

  • Health: A state of complete physical, mental, and social well-being, not merely the absence of disease.

  • Illness: A unique response of a person to a disease.

  • Wellness: An active state oriented toward maximizing the potential of the individual; a state of well-being.

The Human Dimensions of Health

  • Physical dimension: Influenced by genetic inheritance, age, developmental level, race, and gender.

  • Emotional dimension: How the mind affects body function and responds to body conditions.

  • Intellectual dimension: Cognitive abilities, educational background, and past experiences.

  • Environmental dimension: Housing, sanitation, climate, pollution of air, food, and water.

  • Sociocultural dimension: Economic level, lifestyle, family, and culture.

  • Spiritual dimension: Spiritual beliefs and values.

The Human Dimensions Composing the Whole Person

Factors Affecting Health (PEECS)

  • Political: Leadership style, management, and participation in decision-making.

  • Environment: All conditions and elements influencing health and health practices of clients.

  • Economic: Production, distribution, consumption of goods and services, and their impact on health.

  • Cultural: Nonphysical traits like values, beliefs, attitudes, and customs shared and inherited by groups.

  • Social: The relationship between clients and care providers.

Health Care Delivery System

  • Health Care System: Totality of services offered by all health disciplines to provide care to the ill and injured.

Types of Health Care Delivery Services

  • Primary prevention: Health promotion and illness prevention.

    • Health Promotion: Behavior aimed at increasing well-being and actualizing health potential (Pender, Murdaugh, Parsons).

    • Disease Prevention: Behavior aimed at avoiding illness, early detection, or maintaining functionality despite illness (Pender, Murdaugh, Parsons).

  • Secondary prevention: Focuses on diagnosis and treatment of diseases.

  • Tertiary prevention: Includes rehabilitation, health restoration, and palliative care.

Types of Health Care Agencies and Services

  • Public Health

  • Physicians’ Offices

  • Ambulatory Care Centers (ACE, Healthway, Medical City)

  • Occupational Health Clinics (e.g., PLDT, San Miguel Corp.)

  • Hospitals

  • Sub-acute Care Facilities

  • Extended Care (Long-term) Facilities

  • Retirement and Assisted Living Centers

  • Rehabilitation Centers

  • Home Health Care Agencies

  • Day-Care Centers

  • Rural Care

  • Hospice Services

  • Crisis Centers (e.g., Bantay Bata, Haven)

  • Mutual and Self-Help Groups (e.g., cancer society, ADHD)

Providers of Health Care

  • Nurse

  • Alternative (complementary) care providers

  • Case manager

  • Dentist

  • Dietician or nutritionist

  • Emergency Medical personnel

  • Occupational therapist

  • Paramedical team

  • Pharmacist

  • Physical therapist

  • Physician

  • Physician assistant

  • Podiatrist

  • Respiratory therapist

  • Social worker

  • Spiritual support personnel

  • Unlicensed assistive personnel

Factors Affecting Health Care Delivery

  • Increasing elderly population

  • Advances in technology

  • Economic considerations

  • Uneven distribution of services

  • Women’s health issues

  • Access to health insurance

  • The Health Insurance & Accountability Act

  • Challenges faced by the homeless and the poor

  • Demographic changes.