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who is able to meet the demands placed on his/her body and to adapt to these demands or changes of the external environment so as to maintain reasonable constancy of the internal environment
sense. It is measured by the "5 ds" - death, disease, discomfort, disability, and dissatisfaction. If there is absence of 5 ds we can say that person is healthy
In health there is freedom. Health is the first of all liberties! Holistic view to a health recognizes the inter relatedness of the physical, psychological, emotional, social, spiritual, and environmental factors that contribute to the overall quality of a persons life
Positive cosequence of WHO definition of health: change of health care phylosophy Classik phylosophy:
Diseased person doctor diagnosis therapy Modern phylosophy healthy person
health promotion health protection prevention of disease onset and development
Scientistic = atomistic-biological dimension of health - quantitative dimension of life Non-scientistic = holistic-humanistic view on health
- rather qualitative dimension of life - seeing health as the totality of a persons existence Summary: health is defined by set of objective, measurable parameters of structure and functions of the body health is defined also by set of subjective parameters expressed by healthy person
Concept of normalcy
Norm (normal, within the norm) = parameters or values
ranging from - to of bodily or mental functions or quantitative measurements of biological indexes derived statistically from "healthy persons" of the specific group (hight, body mass, heartrate, respiration rate, blood pressure, body temperature, etc.) Norm Health; Health =Norm Health it is more qualitative term Norm it is more quantitative term Normal parameter parameter presents most frequently in healthy population
Interindividual variability:
each person has its own profile of structures and functions, and almost each person is extreme in some of sign, and in different one in population is created by influence of many factors: a) internal mainly genetic b) external physical, chemical, biological, social... can be one explanation for different level of health in different people, and different proneness to disease
Definitions of disease
Disease can be defined as a biosocial phenomenon
characterized by interactions of pathological processes, defensive and adaptation processes resulting in damage of the organism as a whole, in limitation of the organism ability to adapt to living condition.
that cause their health parameters to fall outside the range of normal
The term disease means a deviation from or an absence of the normal state
2. disease is the result of one or more causes (noxas) and suitable conditions 3. disease is the unity of damaging, adaptive, defensive and compensation mechanisms
A picture of diseaase is created by: pathologic reactions pathologic processes pathologic states Pathologic reaction - It is the most simple, mainly short-lasting, quantitativly and/or qualitativly non-adequate response of organisms to some noxa Examples: syncopa, short-lasting increase of BP, tachycardia, bradycardia, vomiting, diarhoe, hyperventilation ...
Pathologic process
It is the complex of pathologic and defensive- adaptive reactions induced by influence of noxa on organism Examples: inflammation, fever, hypoxia, growth of tumor, edema, acidosis, alkalosis... Pathologic state Pathological change which is stabile or it changes very slowly and in very small range during time period Examples: congenital valvular heart disease, deafness, blindness, colour blindness...
Dynamics of disease
Disease is a definite morbid process haveing a characteristic train of symptoms and signs Dynamics of disease is characterized by stages of disease: 1st stage: latent incubation (in infections diseases)
Its duration is measured by time passed between beginning of noxa influence of body and beginning of first non-specific symptoms and signs of disease
Forms of healing:
Time course of disease a) Peracute onset during few seconds or minutes b) Acute onset during hours and days, duration up to 3 weeks a) Subacute duration up to 6 weeks b) Chronic duration more than 6 weeks Exacerbation of disease usually sudden increse intensity of symptoms and signs of chronic disease Recidivation of disese returning of previosly healed disease Remision of disease: decrese intensity of simptoms and signs of disease
A person may "feel ill" without a disease being evident or diagnosed; likewise, a person may have a disease without experiencing any illness or suffering
Illness tends to be used to refer to what is wrong with the patient, disease to what is wrong with his body
Illness is what the patient suffers from, what troubles him, what be complains of, and what prompts him to seek medical attention
When we say "a person is ill " we mean he feels uncomfortable, he is suffering from certain symptoms such as nausea, headache, abdominal cramps, or just fatigue that can't be explained on the basis of exertion Disease refers to various structural disorders of the individuals tissues and organs that give rise to the signs of ill - health
The principal factors accounting for nearly all diseases are: 1. heredity - inherited (genetic) diseases, 2. infectious organisms - infectious diseases, nosocomial disease 3. lifestyle and personal habits - lifestyle diseases 4. accidents 5. physical, chemical noxas (poisons and toxins)
Most standard medical textbooks attribute anywhere from 50 to 80% of all disease to psychosomatic or stress-related origins
Partially or wholly psychosomatic disorders: hay fever, acne, diarrhea, impotency, warts, eczema, tinnitus, bruxism (grinding of teeth), nail biting, tension headaches, back pain, insomnia.....
in the healer as in the belief of the patient. The cures that results from placebo effects sometimes seem miraculous but actually are caused by physiological changes brought about by peoples beliefs and mental states. The mind is healer!!!
All manifestations of human disease are the consequence of the interplay between body, mind, and environment