1. DIMENSIONS OF HEALTHDIMENSIONS OF HEALTH
BYBY
DR.GAURAV N PARMARDR.GAURAV N PARMAR
CERTIFYING SERGEONCERTIFYING SERGEON
M.B.B.S , A.F.I.H , L.L.BM.B.B.S , A.F.I.H , L.L.B
KAPS HOSPITAL.KAPS HOSPITAL.

2. • DefinitionDefinition:” Health is a state of complete:” Health is a state of complete
physical, mental, social & spiritualphysical, mental, social & spiritual
wellbeing and not merely an absence ofwellbeing and not merely an absence of
disease or infirmity.”disease or infirmity.”
• Dimensions of Health:Dimensions of Health:
• Health is multidimensional. (Holistic)Health is multidimensional. (Holistic)
Health- a sound mind, in a, sound body, inHealth- a sound mind, in a, sound body, in
sound family, in sound environment.sound family, in sound environment.
Holistic. (whole) Approach.Holistic. (whole) Approach.
• 4 Dimensions:4 Dimensions:
• (1) Physical Dimension: The state of(1) Physical Dimension: The state of
physical health means -physical health means -
• ””perfect functioning” of the body.perfect functioning” of the body.

3. • Physically healthy person has normalPhysically healthy person has normal
anatomical & physiological state of variousanatomical & physiological state of various
systems such as CVS, RS, Digestivesystems such as CVS, RS, Digestive
system & Endocrine system etc.system & Endocrine system etc.
• The P.R , B.P, R.R & Body weight etc.The P.R , B.P, R.R & Body weight etc.
within normal limit as per one’s age, sex &within normal limit as per one’s age, sex &
height.height.
• The signs of physical health are: “a goodThe signs of physical health are: “a good
complexion, clean skin, bright eyes,complexion, clean skin, bright eyes,
lustrous hair with a body well clothed, notlustrous hair with a body well clothed, not
too fat, a sweet breath, a good appetite,too fat, a sweet breath, a good appetite,
sound sleep, regular activity of bowels &sound sleep, regular activity of bowels &
bladder & smooth , easy, coordinatedbladder & smooth , easy, coordinated
bodily movements.bodily movements.

4. • Evaluation of physical Health:Evaluation of physical Health: AssessmentAssessment
of normal physical Health.of normal physical Health.
• Inquiry in toInquiry in to - Height & weight.- Height & weight.
• symptoms of ill health - CVS,RS,AS,CNSsymptoms of ill health - CVS,RS,AS,CNS
etc., medication, physical exercise, use ofetc., medication, physical exercise, use of
medical services.medical services.
-Nutrition assessment .-Nutrition assessment .
-clinical examination-clinical examination
-Biochemical & laboratory investigation.-Biochemical & laboratory investigation.

5. • Mental Dimension :Mental Dimension : It is an importantIt is an important
dimension of health, because healthydimension of health, because healthy
mind has the healthy body.mind has the healthy body.
• Mental health is not only absence ofMental health is not only absence of
mental disease (psychological) but themental disease (psychological) but the
balanced development of individual’sbalanced development of individual’s
personality & emotional attitudes .personality & emotional attitudes .
• A mentally healthy person is able toA mentally healthy person is able to
maintain stability of mind in the midst ofmaintain stability of mind in the midst of
adverse circumstances.adverse circumstances.

6. • More than 80% diseases are due toMore than 80% diseases are due to
mental tension -mental tension -
• mental stress related disordersmental stress related disorders
• what is stress ?what is stress ?
• psychologists have mentioned thepsychologists have mentioned the
following characteristics of a mentallyfollowing characteristics of a mentally
healthy person.healthy person.
• (1) A mentally healthy person is free from(1) A mentally healthy person is free from
internal conflicts.internal conflicts.

7. • (2). He is well-adjusted. He accepts(2). He is well-adjusted. He accepts
criticism & is not easily upset.criticism & is not easily upset.
• (3) He searches for identity.(3) He searches for identity.
• (4) He has a strong sense of self-esteem.(4) He has a strong sense of self-esteem.
• (5) He knows himself - his needs -(5) He knows himself - his needs -
problems & goals.problems & goals.
• (6) He has good self control -balances of(6) He has good self control -balances of
rationality & emotionality .rationality & emotionality .
• (7)He faces problems & tries to solve(7)He faces problems & tries to solve
them intelligently i.e. Coping withthem intelligently i.e. Coping with stress &stress &
anxiety.anxiety.

8. • (3) social dimension(3) social dimension
• Social well – being means harmonySocial well – being means harmony
between individual & society.between individual & society.
• Man is a social animal.Man is a social animal.
• He needs constant love & support of hisHe needs constant love & support of his
fellowmen.fellowmen.
• At the same time a person has to learn toAt the same time a person has to learn to
love people because harmony in family &love people because harmony in family &
society is essential for health.society is essential for health.
• In order to create an atmosphere ofIn order to create an atmosphere of
peace, love & harmony, one’s social lifepeace, love & harmony, one’s social life
must also becomes healthy.must also becomes healthy.

9. • social medicinesocial medicine - study of man as a social- study of man as a social
human being in his total environment.human being in his total environment.
• There are social factor for etiology ofThere are social factor for etiology of
diseases.diseases.
• T.B. is a social disease.T.B. is a social disease.
• Alcoholism is a social disease.Alcoholism is a social disease.
• social therapy for social disease.social therapy for social disease.

10. •(4) spiritual dimension(4) spiritual dimension: It is the basis of all: It is the basis of all
health. Because healthy soul has thehealth. Because healthy soul has the
healthy mind & healthy mind has the body &healthy mind & healthy mind has the body &
happy social life.happy social life.
•spiritual health brings mental peace,spiritual health brings mental peace,
harmony, happiness & positive health.harmony, happiness & positive health.
•The fundamental understanding about soulThe fundamental understanding about soul
& supreme soul, which is essential for the& supreme soul, which is essential for the
healthy spiritual dimension.healthy spiritual dimension.

11. Spiritual health consists of two aspectsSpiritual health consists of two aspects..
1.1.To know yourself- the need to explore theTo know yourself- the need to explore the
inner depths of one’s own selfinner depths of one’s own self
2.2. Our contribution to the society.Our contribution to the society.
Because only when we are well aware ofBecause only when we are well aware of
our own self–value- i.e our principles ,our own self–value- i.e our principles ,
ethics, mission , purpose in life etc.ethics, mission , purpose in life etc.
•we are able to contribute something to thewe are able to contribute something to the
welfare of mankind, we feel real innerwelfare of mankind, we feel real inner
peace.peace.