Community Health
(BCP2446)
The Wellness Approach
Inspire • Empower • Elevate Dr Melissa Kioh
Learning outcomes
Define the concept of wellness
Describe and explain the main
components of wellness
Provide examples to improve each aspect
of wellness
Describe chiropractors’ wellness approach
to the healthy living community
What does wellness mean to you?
What is Wellness ?
Wellness is an active process of becoming
aware of and making choices towards a
healthy and fulfilling life. It is more than
being free from illness, it is a dynamic
process of change and growth. A good or
satisfactory condition of existence; a state
characterized by health, happiness, and
prosperity; welfare.
“Wellness is a state of complete physical, mental,
and social well-being, and not merely the absence
of disease or infirmity.” – WHO
Definition of Wellness
• Active pursuit
• Intentions, choices and actions
towards optimum health
• Holistic health
• Multidimensional (at least 6
dimension, sometimes up to 9-
12)
• Physical, mental, emotional,
spiritual, social, environmental
and …
Emotional Wellness
Environmental Wellness
Financial Wellness
Intellectual Wellness
Occupational Wellness
Physical Wellness
Social Wellness
Spiritual Wellness
Emotional wellness
• Self-care
• Emotional regulation
• Stress-reduction
• To be able to understand one’s
own feeling, accept and decide
how to act in response to those
feelings
• Eg. How does emotional
wellness look like?
• Strategies to improve emotional
wellness?
Physical wellness
• Ability to maintain a healthy quality
of life
• Healthy diet
• Sleep, stress reduction
• Healthy habits – alcohol, tobacco etc
• Exercise, stay active
• Illness prevention – Health check-up
• Eg. How does physical wellness look
like?
• Strategies to improve physical
wellness?
The Wellness
Continuum
Adapted from Dr. Jack Travis
Illness-Wellness Continuum
Source: Global Wellness Institute
Why does wellness
matter? Increasing in rates of depression around
the world
Emotional well-being affects physical
well-being and vice versa
Healthcare is leaning towards a more
holistic approach on patient care
Wellness improves quality of life, boosts
creativity, collaboration and contributes
to a community that help people thrive
Epidemiological
Transition Changes seen in Malaysia:
1) Decline in mortality due to
reduction of infectious diseases,
advances in health care etc
(increase in life expectancy)
2) Shift of burden of death and
diseases from the younger to the
older groups
3) Change in the health profile
from one dominated by mortality
to one dominated by morbidity
Reasons for the
epidemiological transition 1. Socio economic development
2. Decreased virulence of diseases
3. Medical advances
- vaccination, flu vaccine
- drugs
4. Reduction in exposure to infections
- public health interventions
- improved water supply, housing,
sanitation
5. Nutritional status of population
PARADIGM SHIFT
• From curative to preventive
➢After Independence (1960s and
1970s)
➢Emphasis on health education,
environmental sanitation, and
nutrition
• From curative to promotive and
preventive
➢1980s - consumer awareness
➢1990s - promotion of healthy lifestyle
PARADIGM SHIFT
• From illness to wellness
1990s - wellness concept
wellness ‘from womb to tomb’
• From physical illness to mental
illness
1996 onwards promotive,
preventive and rehabilitative
aspects of mental health
Wellness care in
• Prevention and Health promotion activities are essential
Chiropractic health services by primary health care providers
• These activities fall into two categories provided by
chiropractors
➢ Considered orthodox by medical community
➢ E.g. Exercise, weight loss, smoking cessation,
➢ Not considered as orthodox
➢ E.g. Soft-tissue and osseous manual procedures,
dietary advices
• Maintenance care
➢ “A regimen designed to provide for the patient's
continued well-being or for maintaining the optimum
state of health while minimizing recurrences of the
clinical status.”
Very informative video about Chiropractor’s
role in public health:
Research articles
1. Primary prevention in chiropractic
practice: a systematic review
[Link]
es/PMC5358050/
2. A Survey of Practice Patterns and
the Health Promotion
and Prevention Attitudes of US
Chiropractors
Maintenance Care: Part I
[Link]
urvey_of_Practice_Patterns_PART_I.s
html
Any questions ?
Email : shenghuikioh@[Link]
Inspire • Empower • Elevate
