Health and wellness

Question 1

Health

Answer 1

• absence of disease
• WHO: a state of complete physical, mental and social well being and not merely the absence of disease and infirmity
• impacted by genetic predisposition, behavrios and acitons, social and environmental factors
• APTA: core value, social responsibility, position statements

Question 2

wellness

Answer 2

• an integrated method of functioning which is oriented to maximizing the potential of which an individual is capable within the environment where he is functioning
• the optimal state of health individuals and groups
• realization of the fullest potential of an individual phsyically, psychologically, socially, spirituall and econmically
• salutogenic-helath causing focus
• consistent with a systems or ecological perspective

Question 3

Approaches to screening clients for health and wellness interventions

Answer 3

history

• general health status
• social/health habits

physical examination

• baselines measurements
• vitals
• BMI
• CV/endurance
• movement
• strength
• other

Question 4

tools for screening health and wellness

Answer 4

perceived wellness survey

• 6 dimensions: physical, social, psychological, emotional, spiritual, intellectual
• higher scores- strengths: use in goal planning and interventions

Medical outcomes study: short form 36

• 8 scale: physical and mental health and well being, two summary measures phsyical health and mental health

Question 5

considerations for designing interventions

Answer 5

• assessment of physical readiness
• assessment of psychological readiness
• transtheoretical model stages of change
• patient should be ready to learn

Question 6

transtheoretical model stages of change

Answer 6

• precontemplation: do not plan to start in next 6 months
• contemplation: thinking about starting in next 6 months
• preparatin: sometimes, but not always
• action: regularly within last 6 months
• maintenance: regularly for longer than 6 months

Question 7

cognitive strategies for designing interventions

Answer 7

• increase knowledge, awareness or risk, caring about consequences to others
• comprehending benefits
• increasing awareness of opportunities
• work better in precontemplation/contemplation

Question 8

behavioral strategies for designing interventions

Answer 8

• Substituting alternatives
• enlisting social suport
• commiting yourself
• reminding yourself
• work better in preparation and later stages
• goal setting

Question 9

self-efficacy

strategies for designing interventions

Answer 9

• confidence an individual feels about performing a partical activites
• similar role models
• discuss any possible side effects to assure clients
• goal setting: short term achievable

Question 10

motivational interviewing

strategies for designing interventions

Answer 10

• resist the righting reflex
• understand your clients motivations
• listen with empathy
• empower the client
• identify the target behavior
• explore the clients values and priorities
• identify importance and confidence about behavior
• assess decisional balance: how important is it to change, today how confident are you that you will change