1. When Health Care Meets
Health
J. Grace Eves D.N.P.

2. Key Points
 Define health and wellness.
 Recognize that you can not rely on our health
care system to keep you healthy.
 Understand that self-care is a
sustainable strategy for maintaining
your health and well-being

3. Focusing on
Health

4.  Since the days of Florence Nightingale, one of
the goals of nursing practice has been optimal
health and wellness.
 The concept of wellness is used throughout the
Nursing Diagnosis yet the concept has not been
well defined.
 There needs to be a clear agreed upon definition
of wellness to move forward with the
development of wellness in the nursing
profession and for you personally.

5. Health and Wellness Defined
 World Health Organization stated health is “…a
state of complete physical, mental and social
well-being and not merely the absence of
disease or infirmity” (World Health Organization).
 The American Heritage Stedman’s Medical
Dictionary defines wellness as “The condition of
good physical and mental health especially
when maintained by proper diet, exercise, and
habits”(Dictionary, 2011, p. 1).

6. Nursing Definition of Wellness According
to Dr. J. Grace Eves…
 Wellness starts with being aware of your health
status and then working towards maintaining or
improving your health and well-being.

7. Your Health Status
 Your body health is dependent on how you live
your life.
 Each area of your life is dependent on each
other.
 The areas include: spiritual health,
relationships health,
environmental health, mental health,
financial health, and body health.
 All these areas are held together with
love and gratitude.

8. Gratitude
Love GRADITUDE
Status
Your Health Body
LOVE
Finances
Mental Health
Environment
Relationships
Spiritual
Dr. J. Grace Eves-Wellness Model

9. Section 3
 Body health sits as the top stone. If other areas
such as your spiritual health, relationships
health, environmental health, mental health, and
financial health are not in balance your body
health seems to be the first area that will identify
those imbalances.
 Listen to your body-it will tell you when things
are not in balance.
 Because of the brevity of this course Section 3
of this program will exam physical activity and
nutrition (body health) which sits at the top of the
wellness model.

10. Summary
 The balance of your mind, heart, and soul-your
health status-is the ability to refine yourself in
terms of autonomy and resilience.
 The successful wellness process establishes a
thriving lifestyle and is the consequence of
getting to the root cause.

11. Health Care
Meets
Your Health
and
Well-Being

12. Recognize…
You can not rely on our health care
system to keep you healthy.

13. Fact: Our Health Care is Expensive
 Health care expenditures in the U.S. have now
surpassed $2.3 trillion in 2008, more than three times the
$714 billion spent in 1990 and over eight times the $253
billion spent in 1980.
 This ,means that in 2008 the U.S. health care spending
was about $7,681 for every American man, women, and
child-or more than 30,000 for a family of four.
 The cost of health care has increased to 274 times what
it was in 1950 even though the average cost of all other
goods and services increased only eight times.
Andrew Weils, Why Our Health Matters

14. If Food Were Health Care…
American Institute of Medicine

15. The Cost of Care in the U.S.
 The average prescription costs, on an average $70
 A hospital room is about $1,700 per day
 A routine adult admission to an ER is $1,100
 A hospital birth is $8,000
 A cardiac stress test is $1,900
 A heart attack will cost $45,000
 Cancer treatment will cost $375,000
Andrew Weils, Why Our Health Matters

16.  The cost of American health care is rising so
rapidly that it is predicted to reach $4.2 trillion, or
20% of our GDP, by 2016.
 If predictions hold, a family of four in the next
seven to nine years will spend around $64,000
annually on health care
Andrew Weils, Why Our Health Matters

17. Fact: Health Care System Today is Finding
it Challenging to Provide Care…
 91% of hospitals report overcrowding….40% of them
daily
 Over the past 5 years, 70% of hospitals have found
themselves in a situation where ambulance drivers had
to be diverted to other hospitals because of this
overcrowding.
John Hammergren, Skin in the Game

18. Consider this:
 The average primary care physician has 2,500
to 4,000 patients
 Works 5-7 days a week
 Takes ER calls 24/7
 Often sees patients in hospitals from 9 am-5 pm
on weekends
Taking even a few minutes extra
with each patient in the clinic
can put a doctor
out of business

19. Shortage of Health Care Professionals
By 2020, it is estimated that we will have shortage
of:
 85,000 to 96,000 primary care physicians
 One Million Nurses
 36,000 geriatricians Shortage
 157,000 pharmacists
Andrew Weils, Why Our Health Matters

20. Fact: Health Care System
Trustworthiness…
 140,000,000 illegible prescriptions are written every
year!!
John Hammergren, Skin in the Game

21. 25 to 30% of our $2.6 trillion dollar health
care bill goes to:
 Wasted care in the form of preventive errors
 Incorrect diagnosis
 Redundant treatment
 Unnecessary infections
 Extra time spent in the hospital
 Another 20% goes to paperwork
Our health care is on the brink of
collapse

22. Understand…
There are strategies that will manage
these costs

23. Do Nothing Sinks the Ship
 Individuals can’t afford to take the “wait and see
approach”
 Health care professionals
need to motivate individuals and themselves
to engage in
health and wellness

24. Fact:
No matter which strategy you choose WELLNESS
has to be one of them

25. Fact: A significant portion of health care
costs are avoidable or potentially
modifiable

26. Fact: Health Risks Drive Costs
 Analysis show us that somewhere between 21%
and 58% of medical claims are associated with
about dozen risk factors-things like poor
nutrition, lack of exercise, and high stress
David Anderson, Staywell WELCOA Interview

27. As Health Risks Increase,
Costs Increase
The Quandary of chronic care…
 “If you have a chronic condition, you struggle
with lack of connection on a daily basis. Beyond
your primary care physician, you probably have
up to 15 different professionals to deal with
regularly, including specialists, technicians, NP,
pharmacists, and possibly social worker.”
John Hammergren, Skin in the Game

28. Realize…
Self-care is a stainable strategy

29. Self-Care: Orem states self care is the -
practice of activities that individual initiates and perform on
their own behalf in maintaining life, health, and well being.
As you work through the next model and apply the
information you learn, you will be able to implement
in your life as well as encourage others to use
self-care as a stainable strategy

30. Summary
 Wellness starts with being aware of your health
status and then working towards maintaining or
improving your health and well-being.
 You can not rely on our health care system to
keep you healthy-it is too costly and is
challenged to provide quality of care.
 Self-care as a stainable strategy.

31. References
 Anderson, A. www.welcoa.org
 American Institute of Medicine. www.aiom.org
 Dictionary. Dictionaryreference.com
 Hammergren, J. (2008). Skin in the Game.
Hoboken, NJ: Wiley.
 Weils, A. (2009). Why Our Health Matters.
New York, NY: Hudson Street Press.
 World Health Organization. www.who.int