1. Chapter 1 Understanding Wellness
A Wellness Way of Life
Ninth Edition
Robbins/Powers/Burgess
© McGraw-Hill Higher Education. All rights reserved.

2. What are the top three causes of death in the United States?
Study Question 1
What are the top three causes of death in the United States?
© McGraw-Hill Higher Education. All rights reserved.

3. Leading Causes of Death in US
All ages
Heart disease
Cancer
Stroke
Chronic respiratory diseases
Accidents
Alzheimer’s disease
Diabetes mellitus
Pneumonia and influenza
Kidney disease
Systemic blood infections
Ages 15-24
Accidents (motor vehicle 26%)
Assault (Homicide)
Suicide
Cancer
Heart Disease
Congenital anomalies
Stroke
Pneumonia and influenza
Systemic blood infections
Chronic respiratory diseases
© McGraw-Hill Higher Education. All rights reserved.

4. © 2011 McGraw-Hill Higher Education. All rights reserved.
Study Question 2
Can you define healthy life expectancy and explain why it is low in the United States compared with other industrialized countries?
© McGraw-Hill Higher Education. All rights reserved.

5. Healthy Life Expectancy and the Costs
Healthy life expectancy is the number of years a person is expected to live in good health.
Life expectancy in the US is 77.9 years (75.3 for men and 80.4 for women).
With the resources available, life expectancy should be higher. Why does the US rank low in comparison to other industrialized nations?
Some specific groups in US have challenges
HIV epidemic in US
High tobacco use and cancer incidence
High rate of coronary heart disease
High rate of violence (homicide)
US spends more than twice as much for health care than does any other nation. (Very little goes toward prevention!)
© McGraw-Hill Higher Education. All rights reserved.

6. Can you name the largest contribution factor affecting longevity?
Study Question 3
Can you name the largest contribution factor affecting longevity?
© McGraw-Hill Higher Education. All rights reserved.

7. Determinants of Health and Longevity
There is a direct relationship between health behavior, quality of life, and length of life.
Your lifestyle behaviors represent the most controllable influence over your health.
The largest contributing factors are: lifestyle behavior, heredity, social circumstance, medical care, and environmental conditions.
This course is not designed to judge you or your behavior but to provide education, critical thinking, and skill development.
© Brand X Pictures/Punchstock
© McGraw-Hill Higher Education. All rights reserved.

8. © 2011 McGraw-Hill Higher Education. All rights reserved.
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Factors Affecting Longevity
Figure1-1
© McGraw-Hill Higher Education. All rights reserved.

9. © 2011 McGraw-Hill Higher Education. All rights reserved.
Study Question 4
What are the four overarching goals of the publication Healthy People 2020?
© McGraw-Hill Higher Education. All rights reserved.

10. © 2011 McGraw-Hill Higher Education. All rights reserved.
Healthy People 2020
Publication by the U.S. Dept. of Health and Human Services
Provides specific health goals and objectives for the nation to improve health status and longevity (
4 main goals:
1) Attain high quality, longer lives free of preventable disease, disability, injury, and premature death.
2) Achieve health equity, eliminate disparities, and improve the health of all groups.
3) Create social and physical environments that promote good health for all.
4) Promote quality of life, health development and healthy behaviors across all life stages.
© McGraw-Hill Higher Education. All rights reserved.

11. © 2011 McGraw-Hill Higher Education. All rights reserved.
Study Question 5
What are five lifestyle practices that can reduce the risk of chronic disease and enhance wellness?
© McGraw-Hill Higher Education. All rights reserved.

12. Lifestyle Practices that Enhance Wellness
Exercise aerobically at least four to five times per week.
Eliminate all tobacco products.
Limit animal fats, cholesterol, trans fats, and saturated fats in the diet.
Eat 5-9 daily servings of fruits and vegetables.
Assess personal stressors and practice stress management techniques.
Limit the consumption of alcohol to no more than 1 (under 150 lbs) to 2 drinks per day (over 150 lbs).
Pursue and maintain a healthy weight.
Fasten seat belts – ALWAYS.
Practice safe sex habits or abstain from sexual behavior.
Balance work, social, and personal time, including getting 7 to 9 hours of sleep each night.
© McGraw-Hill Higher Education. All rights reserved.

13. What is the definition of wellness?
Study Question 6
What is the definition of wellness?
© McGraw-Hill Higher Education. All rights reserved.

14. © 2011 McGraw-Hill Higher Education. All rights reserved.
High-level Wellness
Health – a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity. (WHO)
Wellness – an integrated and dynamic level of functioning oriented toward maximizing potential, dependent on self-responsibility.
Health Promotion – helping people change their lifestyle, environment, and social norms to move toward a state of optimal health.
© McGraw-Hill Higher Education. All rights reserved.

15. © 2011 McGraw-Hill Higher Education. All rights reserved.
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Wellness/Illness Continuum
Figure1-2
© McGraw-Hill Higher Education. All rights reserved.

16. © 2011 McGraw-Hill Higher Education. All rights reserved.
Study Question 7
Can you identify the seven dimensions of wellness and give three examples within each dimension?
© McGraw-Hill Higher Education. All rights reserved.

17. Dimensions of Wellness
Physical dimension
Intellectual dimension
Emotional dimension
Social dimension
Spiritual dimension
Environmental dimension
Occupational dimension
© McGraw-Hill Higher Education. All rights reserved.

18. © 2011 McGraw-Hill Higher Education. All rights reserved.
Physical dimension
The absence of disease and disability; functional operation of the body.
The 5 health related components are:
Cardiorespiratory endurance
Muscular strength
Muscular endurance
Flexibility
Body composition
© McGraw-Hill Higher Education. All rights reserved.

19. Intellectual Dimension
Maintaining an active mind contributes to total well-being.
Continually acquiring knowledge throughout life.
Engaging the mind in creative and stimulating mental activities.
Curiosity and learning never stop.
© McGraw-Hill Higher Education. All rights reserved.

20. © 2011 McGraw-Hill Higher Education. All rights reserved.
Emotional Dimension
Subjective sense of well-being: ability to recognize and appropriately express a wide range of emotions.
Awareness: recognizing your feelings, as well as the feelings of others.
Acceptance: Understanding the normality of human emotion and realistically assessing personal abilities and limitations.
Management: The ability to control or cope with personal feelings and knowing how to seek interpersonal support when necessary.
© McGraw-Hill Higher Education. All rights reserved.

21. © 2011 McGraw-Hill Higher Education. All rights reserved.
Social Dimension
The ability to interact effectively with other people, appreciate the uniqueness of others, and feel connected to others.
A genuine feeling of belonging to a social unit.
Exhibiting concern for the wellness of the community and justice toward others.
Supportive relationships have the power to reduce risk, frequency, and severity of illness and even promote healing.
© McGraw-Hill Higher Education. All rights reserved.

22. © 2011 McGraw-Hill Higher Education. All rights reserved.
Spiritual Dimension
Associated with the concept of self-actualization, value systems, belief in a higher power, religious expression, charity, and passion for life.
Personal search for meaning and direction in life.
Two questions to ask yourself:
Why am I here?
What is my life about?
© Royalty-Free/Corbis
© McGraw-Hill Higher Education. All rights reserved.

23. Environmental Dimension
The preservation of natural resources as well as the protection of plant and animal wildlife.
Commitment to the protection of plant and wildlife species, and to improving the quality of the environment for future generations.
We must all take part in these efforts.
© McGraw-Hill Higher Education. All rights reserved.

24. Occupational Dimension
Deriving personal satisfaction from your vocation.
Maintaining a balance between work and leisure.
Working in an environment that minimizes stress and exposure to physical health hazards.
© McGraw-Hill Higher Education. All rights reserved.

25. © 2011 McGraw-Hill Higher Education. All rights reserved.
Study Question 8
Can you list and describe the six factors that influence growth in wellness?
© McGraw-Hill Higher Education. All rights reserved.

26. © 2011 McGraw-Hill Higher Education. All rights reserved.
Growth in Wellness
Awareness
Assessment
Knowledge
Self-Management Skills
Motivation
Support and Opportunity
Self-Responsibility
© McGraw-Hill Higher Education. All rights reserved.

27. © 2011 McGraw-Hill Higher Education. All rights reserved.
Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display.
Factors Affecting Growth in Wellness
Figure1-3
© McGraw-Hill Higher Education. All rights reserved.

28. What are Societal Norms?
Behaviors or practices that are expected, accepted, or supported by society.
You can contribute by promoting “health and wellness” as part of your societal norm behavior via personal example.
© McGraw-Hill Higher Education. All rights reserved.

29. © 2011 McGraw-Hill Higher Education. All rights reserved.
Study Question 9
What are four examples of ways society supports wellness and four examples of ways society detracts from wellness?
© McGraw-Hill Higher Education. All rights reserved.

30. © 2011 McGraw-Hill Higher Education. All rights reserved.
Rx for Action
Schedule into your planner an exercise “appointment” with yourself.
Read the entire front page of a major newspaper.
Write down three positive wellness behaviors you can do today. Then do them!
Do two anonymous good deeds for someone.
Get 7 to 9 hours of sleep tonight.
© McGraw-Hill Higher Education. All rights reserved.

31. © 2011 McGraw-Hill Higher Education. All rights reserved.
What Do You Think?
What lifestyle habits are prime contributors to death and disability?
What area of wellness is your biggest challenge?
What can YOU do to reduce your risk?
Is it difficult for you to make good lifestyle choices? If so, how can you tackle the challenge?
“People are like stained-glass windows. They sparkle and shine when the sun is out, but when the darkness sets in, their true beauty is revealed only if there is a light from within.” (Kubler-Ross)
© McGraw-Hill Higher Education. All rights reserved.