Principles & Strategies

H EA LTH
ED U C ATIO N

W ELLN ESS
State of well-being, with balance

of the 7 inter-related dimensions of

health.
It is 1. a choice; 2. way of life; 3.
process; 4.efficient channeling; 5.
integration of body mind and
W spirit.
ELL-BEIN G
A subjective perception of vitality

and feeling well.

ILLN ESS
The response of the person to a

disease, an abnormal process in

which the persons level of
functioning is changed when
compared to the previous level.

D ISEASES
A medical term which means a

pathologic change in the structure or

function of the body or mind

CAU SES O F D ISEASE

Inherited genetic defects
Developmental defects resulting

from exposure to factors such as

virus, chemicals during pregnancy
Biologic agents or toxins
Physical agents such as
temperature, chemicals, radiation

CAU SES O F D ISEASE

Generalized tissue responses

to injury or irritation
Physiologic and emotional
reactions to stress
Excessive or insufficient
productions of body secretions
like hormones, enzymes, etc.

M O D ELS O F H EALTH AN D
ILLN ESS
Clinical Model
Role Adaptation Model
Adaptation Model
Eudamonistic Model
Ecologic/Agent-host-environment

model
Health-illness continuum model and
High level wellness model

TREN D S/ISSU ES
AFFECTIN G H EALTH CARE
Patients are being

discharged quicker and

earlier due to new health
care economics and
advances in medical
technology

 Paradigm shift in the concept of Health

according to the WHO from being

disease-centered to people
centered focusing on positive health
as part of human development a
change from physician-dependent
cure or treatment modality to
preventive care and sustained
health through people-empowered
healthy options.

 Rising cost of health care

Poverty
Communities not

reached by health care

facilities

LEG AL BASIS O F H EALTH

ED U CATIO N IN TH E
PH15
ILIOF
PPI
N ES
ART 11, SEC
THE
PHILIPPINE

CONSTITUTION:
The state shall protect and promote
the right to health of the people and
instill health consciousness among
them

ART XIII,Sec 11 ofthe

Constitution
The state shall adopt an integrated

and comprehensive approach to

health development which shall
endeavor to make essential goods,
health and other social services
available to all people at affordable
cost. There shall be priority for the
needs of the underprivileged sick,
elderly, disabled, women and
children.

O TH ER BASES O F H EALTH
ED U CATIO N IN N U RSIN G AN D
M ID W IFERY
Philippine Nursing Act of 2002
Nature of work

M O D ELS O F H EALTH AN D
ILLN
ESS MODELS OF HEALTH
SMITHS
Clinical Model
Role Performance Model
Adaptive Model
Eudamonistic Model

Leavell & Clarks Agent-Host

Environment Model (Ecologic

Model)
Health-Illness Continua
Dunns High level of Wellness Grid
Traviss Illness-Wellness Continuum

CLIN ICAL M O D EL
People viewed as physiologic

systems with related functions

Health: absence of S/Sx of disease or
injury
Disease: opposite of health
Focus: Health as absence of
manifestations and people are
physiologic systems with related
functions
Limitation: other factors were not

RO LE PERFO RM AN CE M O D EL
Health: Individual ability to fulfill

societal role
Disease: inability to perform roles
Focus: The persons role. An
individual who can fulfill his roles is
healthy even if he appears clinically
ill.

AD APTIVE M O D EL
Health: a creative process; ability to

adopt to the environment

Disease: failure in
adaptation/maladaptation
Focus: the goal is to restore the
ability to adopt or cope

Eudam onistic M odel

Health: condition of

actualization/realization of ones
potential
Highest aspiration of people:
fulfilment & complete development
Illness: condition that prevents
actualization

AG EN T-H O ST-EN VIRO N M EN T

M O D EL
Used primarily in predicting illness

rather than promoting wellness

Health: balanced interaction of the
agent, host and environment
Disease: Imbalance of the three
Focus: Views health via the three
interactive elements

3 D ynam ic Interactive
Elem ents
AGENT: any factor or stressor that by

its presence or absence can lead to

illness
HOST: the person who may or may of
be at risk of acquiring the disease
Environment: All factors external to
the host that may or may not
predispose the person to the
development of the disease

H ealth Illness Continua

Used to measure persons perceived

level of wellness
Visual comparison of high-level
wellness and traditional medicines
view of wellness

D unns H igh-LevelW ellness

G rid
Demonstrates the interaction of the

environment with the wellness-illness

continuum
Health axis and environment axis
intersect forming 4 quadrants

PROTECTED POOR HEALTH

FAVORABLE ENVRONMENT

HIGH-LEVEL WELLNESS
FAVORABLE ENVIRONMENT

POOR HEALTH
UNFAVORABLE
ENVIRONMENT

EMERGENT HIGH-LEVEL
WELLNESS
UNFAVORABLE
ENVIRONMENT