August

2019

THE CONCEPT OF HEALTHY-ILLNESS IN

NURSING PERSPECTIVE
 HEALTHY ?

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 HEALTH
The World Health Organization (WHO)

• health as a “state of complete physical,

mental, and social well-being, not
merely the absence of disease or
infirmity”
Pender and colleagues (2015). health as the actualization of
inherent and acquired human potential through goal-directed
behavior, competent self-care, and satisfying relationships
with others while adjustments are made as needed to maintain
structural integrity and harmony
with the environment.

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 Health integrates all the human dimensions—
the physical, intellectual, emotional,
sociocultural, spiritual, and environmental
aspects of the whole person. The nurse giving
holistic nursing care must equally consider all
these interrelated dimensions of the whole
person

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WELL-BEING • This continuum illustrates the ever-
changing state of health as a person
adapts to changes in internal and
external environments to maintain a
state of well-being

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 ILLNESS AND DISEASE
ILLNESS
• illness is the response of the person
to a disease; it is an abnormal
process in which the person’s level of
functioning is changed when
compared with a previous level.
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DISEASE
• Disease is a medical term, referring
to pathologic changes in the
structure or function of the body or
mind
 ILLNESS

ACUTE
• An acute illness usually has a rapid
onset of symptoms and lasts only a
relatively short time.
CHRONIC
• Chronic illness is a broad term that
encompasses many different
physical and mental alterations in
health, with one or more of the
characteristics

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 IMPACT OF THE ILLNESS
People with a illness often grieve :
• over losses or changes in physical structure and
function;
• worry about their finances,
• status,
• roles,
• dignity; and
• face the possibility of an earlier death.

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 IMPACT OF ILLNESS ON THE FAMILY

For example, a chronic illness creates stress for the patient

and family because of possible lifelong alterations in roles
or lifestyle, frequent hospitalizations, economic problems,
and decreased social interactions among family members.

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 FACTORS AFFECTING HEALTH AND ILLNESS

BASIC HUMAN NEED

A basic human need is something essential that must be met

for emotional and physiologic health and survival. A person
whose needs are met may be considered to be healthy, and a
person who has one or more unmet needs is at an increased
risk for illness.

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 NEXT…
The Human Dimension
Health beliefs health practices

Physical Dimension Intellectual Dimension

Emotional Dimension Environmental Dimension

Sociocultural Dimension Spiritual Dimension

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 NURSING CARE TO PROMOTE
HEALTH AND PREVENT ILLNESS
The current focus on health promotion and illness prevention at local, state, national,
and global levels is important to nursing.

 Individual
 Family
 Community
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THANK YOU!
Duwi Pudji Astuti

Phone
085-727-794-518
Email
duwipudji@gmail.com