Health Management

Health Management

By Dr.(MAJ.) A.DEBNATH B.Sc, MBBS, DPHA

National Academy of Agricultural Research Management Rajendranagar, Hyderabad - 500 030

AIM ➢ To understand the modern concept of health ➢ Factors influencing health ➢ Responsibility for health

Modern concepts of Health 

Biomedical concepts

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Ecological concepts

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Psychosocial concepts

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Holistic concepts

Who definition of Health “Health is a state of complete physical, mental and social well being and not merely an absence of disease or infirmity”. ✒ Physical Health ✒ Mental Health ✒ Social Health

Factors Influencing Health  Heredity  Environment  Life-style  Socio Economic condition  Health and family welfare services  Other health related factors

Health Responsibility ➲ Individual Responsibility ➲ Family and Community Responsibility ➲ State Responsibility ➲ International Responsibility

Risk factors 

Heart disease

➨

Smoking, high B.P. elevated cholesterol, D.M., obesity, lack of exercise, Type A personality



Cancer

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Smoking, alcohol, Radiation, work-site hazards medication

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Stroke

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Smoking, High B.P., Elevated cholesterol



D.M.

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Obesity, Diet , Physical inactivity

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Alcohol



Cirrhosis of Liver

Health Promotion 

Knowledge of risk factors and other determinants of diseases

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Disciplined approach to eliminate the risk factors

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Immunization

Contd…

Health Promotion  Diet  Obesity, BMI  Exercises (Yoga, Meditation, Games & Sports)  Sleep

Health check up 

Frequency – once every year



Physical examination including Ear, Nose, Throat, Chest, Heart & abdomen

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Keep a record of your weight & BP every time

Investigations  < 35 years

➨ CBP, FBS, CUE, ECG, CXR

 35- 40 years ➨ FBS, Lipid profile, S.creatinine, ECG, CUE

 45 years

➨ FBS, Lipid Profile, S.creatinine, ECG, 2D Echo

If all these tests are normal, then repeat every 5 years up to the age of 60 years, thereafter every 2 years

Sum-up  Knowledge  Discipline  Diet  Exercises  Adequate sleep  Regular health check up including investigations

Coronary Artery Diseases Risk Factors ➤ Male Sex ➤ Age ➤ Family History ➤ Smoking ➤ High B.P. ➤ High Cholesterol ➤ Diabetes ➤ Obesity ➤ Physical Inactivity

CAD results due to interactions of 3 factor groups  Personal group : Age, Gender, heredity, Type A personality  Metabolic : High BP, high sugar, high cholesterol, obesity  Lifestyle group : Diet, Activity, habits and thoughts

Life style Food

Habits

Activity Aahar

Vihar

Aachar

Vichar Thoughts

Prevention of Heart Diseases

Conducting System of Heart Muscle

RA

RV

LA

LV

Coronary Angioplasty LAD Block

Baloon Catheter introduced

Block Corrected