fti 11 wellness

7/23/2019 Fti 11 Wellness

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WELLNESS

THE BASICS OF WELLNESS



∗ Memahami istilah kesehatan, promosi

kesehatan, pencegahan, an !ellness"∗ #esehatan aalah keaaan se$ahtera %sik,

mental an kese$ahteraan sosial an &'kanhan(a ketiaaan pen(akit ata' kelemahan"

)WHO *+-,.//+0"

The Basics o1 Wellness



WHO T2IA3 OF HEALTH



∗ 4romosi kesehatan aalah ilm' an seni

mem&ant' orang meng'&ah ga(a hi'pmereka 'nt'k &ergerak ke arah keaaankesehatan (ang optimal"

∗ #esehatan (ang optimal ie%nisikan

se&agai keseim&angan, kesehatanemosional, sosial, spirit'al, an intelekt'al%sik"

Health promotion



∗ 4er'&ahan ga(a hi'p apat i1asilitasi melal'ikom&inasi 'pa(a 'nt'k meningkatkankesaaran, meng'&ah perilak' anmenciptakan lingk'ngan (ang men'k'ng

praktik kesehatan (ang &aik"∗ 3ari tiga terse&'t, lingk'ngan (ang men'k'ng

m'ngkin akan memiliki ampak ter&esar alammenghasilkan per'&ahan a&ai 5



∗ Se&'ah metoe (ang terintegrasi ari 1'ngsi(ang &erorientasi memaksimalkan potensimana ini6i' mamp', alam lingk'ngan imana ia &er1'ngsi" )Hal&ert 3'nn *7+89

*+-:0"

WELLNESS



∗ Wellness 5mem&erikan pera!atan %sik iri

seniri, mengg'nakan pikiran konstr'kti1,men(al'rkan energi positi1,mengekspresikan emosi secara e1ekti1,men$ai kreati1 terli&at engan orang lain,

an tetap &erh'&'ngan engan lingk'ngan"5Arell *+78"



∗ Wellness aalah tentang perspekti1, tentangkeseim&angan an tentang gam&aran &esar" Iniaalah ga(a hi'p an penekatan pri&ai 'nt'kmen$alani hi'p Ana seemikian r'pa &ah!a Anamenikmati ke&e&asan maksimal, termas'k ke&e&asan

ari pen(akit ; kecacatan an kematian ini se$a'hm'ngkin, an ke&e&asan 'nt'k mengalami hi'p,ke&e&asan an menge$ar ke&ahagiaan " Ini aalaheklarasi kemerekaan 'nt'k men$ai orang $enister&aik, &ah!a it' potensi Ana, keaaan an nasi&akan mem'ngkinkan )Arell, *+++0



∗ Wellness se&agai 5konsep (ang mengan't perilak' kesehatan (angpositi1 (ang mempromosikan keaaan keseim&angan anke&'garan %sik an mental )A4TA0"

∗ <anet Be=ner, (ang saat ini men$a&at se&agai Senior >ice 4resientA4TA tentang 4eniikan, meng's'lkan &ah!a, ?!ellness aalahini6i'alistis konsep terse&'t (ang m'ltiimensi an le&ih arike&iasaan kesehatan %sik sa$a" " " " Wellness aalah tentang

tinakan kesehatan (ang positi1" " " " #ata ter&aik, !ellness aalahproses ga(a hi'p (ang tiak pernah &erakhir" " " 5)#om'nikasipersonal .. Septem&er .//0"



∗ 5 @a(a hi'p (ang mempromosikan %sik, mental, ankesehatan sosial paa kogniti1, psikomotor, an a1ekti1,&aik internal ma'p'n eksternal )Ail, .///&0"

∗ 3e%nisi ini iasarkan paa terminologi an konsep&erik't

@a(a hi'p #esehatan aalah proses )Arell, *+783'nn, *+8* <onas, .///0

%sik, mental, an sosial kesehatan 5keaaan lengkap%sik, mental an kese$ahteraan sosial5 )WHO, *+- .//+0

Seorang ahli i &iang kesehatan (ang &erkaitanengan terapi %sik, &erik't ini aalah e%nisi

sa(a



∗ #ogniti1 4engetah'an mental ata' keterampilan)Bloom, *+:8, *+70 )(ait', pengetah'an tentang!ellness seperti (ang it'n$'kkan oleh kata9kataan ata' tinakan0

∗ 4sikomotor tinakan ata' keterampilan %sik)Simpson, *+-.0 )(ait', perilak' an praktekterkait !elness0

∗ A1ekti1 4erasaan ;sikap)#rath!ohl, Bloom, D

Bertram, *+-0 )(ait', komitmen 'nt'k ga(ahi'p (ang mempromosikan !ellness0



∗ Internal Ini6i' ata' !ellness iri seniri )A4TA, .//*&,Arell, *+78&, C3C, .//-&, 3'nn, *+8* <onas, .///0

∗ Eksternal Aspek9aspek !ellness (ang 5l'ar5 ariini6i', seperti kesehatan kel'arga )Arell, *+78&,3'nn, *+8*0

∗

#esehatan mas(arakat )A4TA, .//*&, 3'nn, *+8* <onas,.///0

∗ #esehatan lingk'ngan )Arell, *+78&, 3'nn, *+8* <onas,.///0



∗ Sementara komponen kesehatan i'k'r paas'at' titik !akt' tertent' )misaln(a,pem&acaan tekanan arah ata' skor Beck3epression In6entor(0, !ellness aalah proses

akti1 (ang teriri ari ke&iasaan an praktek)National Wellness Instit'te, n0"

∗ 3engan emikian, &er&ea engan kesehatan,(ang statis, !ellness aalah inamis

Health >ers's Wellness



∗ Organisasi #esehatan 3'nia mene%nisikan kesehatan

se&agai 5B'kan han(a tiak aan(a pen(akit" " " Se&'ahkeaaan %sik, mental an kese$ahteraan sosial 5)*+-,hal .+"" .//+, alinea .0"

∗ 54romosi kesehatan aalah ilm' an seni mem&ant'orang meng'&ah ga(a hi'p mereka 'nt'k &ergerak kearah keaaan kesehatan (ang optimal" " " 5)O3onnell,*+78, hal" *0"

∗ The A4TA ).//*&0 mem&agi pencegahan men$ai tigakategori primer, sek'ner, an tersier" Ban(ak e%nisikesehatan (ang aa"

S'mmar( Health an

Wellness



∗ My defnition is “A liestyle that promotes—both internally and

externally—the physical, mental, and social health in the cognitive, psychomotor, and aective domains” (Fair, !!!b, p" #"

∗ $ealth is static and is meas%red at a specifc point in time" &ncontrast, 'ellness is dynamic and consists o an individ%als health)related habits and practices over time"

∗ 3e%nisi sa(a aalah 5 @a(a hi'p (ang menorong9&aik internal

ma'p'n eksternal9kesehatan %sik, mental, an sosial alam kogniti1,

psikomotor, an a1ekti15 )Ail, .///&, hal" .0"∗ #esehatan aalah statis an i'k'r paa titik !akt' tertent'"

Se&alikn(a, !ellness &ersi1at inamis an teriri ari ke&iasaan (ang

&erh'&'ngan engan kesehatan ini6i' an praktek ari !akt' ke!akt'"



∗ La(anan pencegahan (ang pro1esional

meis, termas'k tetapi tiak ter&atas paa%sioterapis, okter, an pera!at, &erikanapat ikategorikan men$ai tiga $enis

*" 4encegahan primer,

." 4encegahan sek'ner," 4encegahan Tersier

42E>ENTION



∗ A4TA ).//*0 54encegahan pen(akit paa pop'lasi rentanata' mas(arakat (ang &erpotensi rentan melal'ilangkah9langkah tertent' seperti 'pa(a promosikesehatan 'm'm5

∗ 3alam kom'nitas meis, salah sat' e%nisi pencegahan

primer 5Menghentikan pen(akit se&el'm im'lai5∗ AOT A ).///0 54eniikan ata' strategi promosi

kesehatan (ang irancang 'nt'k mem&ant' orangmenghinari tim&'ln(a konisi tiak sehat, pen(akit,ata' ceera"5

4rimar( pre6ention



∗ )A4TA0 5Gpa(a 'nt'k meng'rangi 'rasi

sakit, keparahan pen(akit, an ge$ala sisamelal'i iagnosis ini an inter6ensi cepat5

∗ AOTA ).///,0 5melip'ti eteksi ini anpengo&atan (ang irancang 'nt'k

mencegah ata' menggangg' prosesmel'mp'hkan"5

Seconar( 4re6ention



∗ Fisioterapis mengintegrasikan pencegahan

sek'ner alam praktek mereka ketikamereka melak'kan re6ie! sistem )ses'aiA4TA, .//*0 an mengac' paa ahli lainseperti (ang it'n$'kkan"

∗ <ika masalah &ar' iiagnosis &eraa alamaerah praktik mereka, mereka &isa )inegara9negara akses langs'ng0 langs'ngmengelola masalah"



∗ 5Gpa(a 'nt'k meng'rangi tingkat kecacatan an

mempromosikan reha&ilitasi an pem'lihan 1'ngsi paapasien engan kronis an pen(akit ire6ersi&el 5)A4TA,.//*0"

∗ 5Mana$emen Optim'm pen(akit klinis $elas sehinggaapat mencegah ata' paling tiak meminimalkanperkem&angan komplikasi masa epan5 )<onas, .///0"

∗ 54engo&atan an la(anan (ang irancang 'nt'kmenangkap perkem&angan konisi, mencegahkecacatan le&ih lan$'t, an mempromosikan kom'nitassosial5 )AOTA .///0"

Tertiar( 4re6ention



∗ Saat ini, %sioterapis mem&erikan pela(anan

pencegahan primer, sek'ner, an tersier"∗ 3i masa epan, pen(eiaan la(anan pencegahan

akan le&ih memperl'as se&agaimana sis!a terapi

%sik an praktisi iiik alam strategipencegahan"

∗ Ini pen(eiaan pela(anan pencegahan oleh%sioterapis har's mencak'p integrasi langkah9langkah pencegahan alam pera!atan restorati1an la(anan pencegahan langs'ng"

4re6ention 4resent an F't're



∗ Meskip'n aa moel !ellness kem'ngkinan le&ih &an(ak

(ang aa, han(a enam i&ahas alam &agian ini *0 Tra6is illness;!ellness contin''m

.0 Arells moel

0 Hettlers si9imensional moel

0 Witmer an S!eene(s holistic moel 1or !ellness an

pre6ention o6er the li1espan:0 Aams, Be=ner, an Steinharts percei6e !ellnessmoel, an

80 M( h'manistic moel o1 !ellness )HMW0"

WELLNESS MO3ELS AN3SG2>EJS



∗ <ohn Tra6is, M3, mengem&angkan ?ilness9!ellnesskontin'm5 paa tah'n *+-. )Arell, .//+&0"

∗ Tiak seperti moel masa epan, sim&ol 'nt'k moel iniaalah panah 'a arah" Ekstrim kanan aalah tingkattinggi kesehatan an ekstrem kiri aalah kematian ini"

∗

@erakan men'$' tingkat tinggi kesehatan termas'kkesaaran, peniikan, an pert'm&'han, seangkangerakan men'$' kematian ini termas'k tana9tana,ge$ala, an cacat )Wellness Associates, .//+0"

*" IllnessKWellness Contin''m



∗ 3on Arell, 4h3, telah mengem&angkan serangkaianmoel !ellness" Jang pertama kali m'nc'l alam &'k'High Le6el Wellness )*+--0 an igam&arkan se&agaise&'ah lingkaran seerhana engan lima imensi

*0 tangg'ng $a!a& pri&ai,

.0 ke&'garan %sik,0 mana$emen stres,

0 kepekaan lingk'ngan, an

:0 kesaaran gi=i"

."Arells Moels o1Wellness



∗ Moeln(a &erik'tn(a m'nc'l alam &'k' (ang&er$''l * Hari 'nt'k High Le6el Wellness )*+7.0"Il'strasi ini aalah lingkaran engan lima imensi(ang &er&ea

*0 tangg'ng $a!a& pri&ai,

.0 inamika h'&'ngan,0 arti an t'$'an,

0 gi=i kesaaran an ke&'garan %sik, an

:0 kecerasan emosional"



∗

Moeln(a ter&ar' teriri ari tiga omain an * &iangketerampilan, se&agai &erik't

*0 omain %sik (ang teriri ari eercise an ke&'garan, gi=i,penampilan, aaptasi ; tantangan, an ke&iasaan ga(a hi'p

.0 omain mental (ang teriri ari kecerasan emosional,kep't'san (ang e1ekti1, menekankan pengelolaan

pemerintah, pengetah'an 1akt'al, an kesehatan mental, an0 omain makna an t'$'an, (ang teriri ari makna ant'$'an, h'&'ngan, h'mor, an &ermain )Arell , .//+0"



∗ 53alam moeln(a, Hettler )*+-+0

men(atakan &ah!a imensi !ellness aalaha" emosional,

&" intelekt'al,

c" ker$a,

" %sik,

e" sosial, an

1" spirit'al"

"The Si93imensional Moel o1Wellness



∗ Moel Hettler enam imensi !ellness iperl'as

men$ai g &e&erapa pertim&angan 5moelelapan imensi !ellness5 oleh Wiener,Mastroianni, an rekan mereka i Gni6ersitasNegeri Ne! Jork i Ston( Brook )<onas, .///0"

∗ 3elapan imensi moel !ellness melip'ti,

intelekt'al, peker$aan, imensi emosional %siksosial, an spirit'al seperti (ang iienti%kasi olehHettler, serta imensi lingk'ngan an &'a(a



∗ Gns'r lingk'ngan menekankan menge$ar

keselarasan engan lingk'ngan an 'nia,termas'k kontak terat'r engan alam,keseim&angan, an pemeliharaan iri )<onas,.///0"

∗ #omponen &'a(a menekankan 5kesaaran,

penerimaan, an penghargaan 'nt'k &eragam&'a(a an latar &elakang serta memahami anmenghargai &'a(a seniri seseorang5 )<onas,.///, hal" .0



∗ Witmer an S!eene( mempresentasikan 5moelholistik 'nt'k !ellness an pencegahan atasrentang hi'p 5paa tah'n *++."

∗ M(ers, S!eene(, an Witmer isa$ikan 6ersi re6isipaa tah'n .///" Ber&ea engan penah'l'n(a,

moel ini &erakar paa apa (ang penciptamen(imp'lkan aalah lima t%gas hid%p*spirit%alitas, pengat%ran diri, pe+eraan,

persahabatan, dan cinta"

"Holistic Moel 1or Wellness an4re6ention O6er the Li1e Span



∗ 3alam kesat'an rohani, an .0 nilai9nilai, optimisme, anmaks'"

Witmer an S!eene( s )*++.0 t'gas hi'p s!a9reg'lasiteriri ari t'$'h komponen

*0 rasa nilai pri&ai

.0 rasa kontrol pri&ai

0 ke(akinan (ang realistis

0 respon emosional an spontanitas

:0 stim'lasi intelekt'al, kreati6itas, an pemecahan masalah

80 rasa h'mor, an

-0 ke&iasaan kesehatan an ke&'garan %sik"



∗ Aams, Be=ner, an Steinhart )*++-0 e6elope

the ?percei6e !ellness moel, !hich containssi imensions o1 !ellness

*0 ph(sical,

.0 social,

0 ps(chological,0 emotional,

:0 spirit'al, an

80 intellect'al"

:"4ercei6e Wellness Moel



∗ HMW ini mengangkat an memperl'as

defnisi saya !ellness )(ait', ga(a hi'p (ang&aik secara internal ma'p'n eksternalmempromosikan kesehatan %sik, mental, ansosial alam kogniti1, psikomotor, an a1ekti10"

∗

Secara kh's's, ia mengak'i pentingn(apengetah'an kogniti1, komitmen a1ekti1, anperilak' psikomotor terkait engan imensi%sik, mental, an sosial !ellness"

8"H'manistic Moel o1Wellness



∗ Sikap Organisasi #esehatan 3'nia aalah &ah!aaa tiga komponen kese$ahteraan %sik, mental,an sosial"

∗ Sa(a meng's'lkan &ah!a moel (ang le&ih &aikari !ellness teriri ari tiga imensi 'tama ariWHO an aspek sek'ner !ellness )!ellnessemosional, !ellness spirit'al, an !elnesske&'garan0 iklasi%kasikan se&agai s'&9imensi"

S'mmar( Wellness Moels



∗ Model -ravis, (ang ikem&angkan paa tah'n

*+-., se&'ah kontin'm antara tingkat tinggikesehatan an kematian ini"

∗ Ardell (./00, ./12, .//!# mengem&angkan

serangkaian moel imensi, (ang paling ter&ar'(ang memiliki tiga omain )%sik, mental, an

makna an t'$'an0 an * &iang keterampilan"∗ $ettler (./0/# moel kesehatan teriri ari enam

imensi emosional, intelekt'al, peker$aan, %sik,sosial, an spirit'al"



∗ Witmer an S!eene( )*++.0 Moel holistik

!ellness an pencegahan atas 'm'r melip'tilima t'gas hi'p spirit'alitas, pengat'raniri, peker$aan, persaha&atan, an cinta"

∗ Ardell (.//0# moel irasakan !ellness teriri

enam imensi kesehatan %sik, sosial,psikologis, emosional, spirit'al, an

intelekt'al"



∗ Moel h'manistik !ellness )HMW0 teriri ari

tiga imensi kese$ahteraan se&agaimanai$a&arkan oleh WHO )*+- .//+0 )%sik,mental, an sosial0 an mengak'i tigaomain pem&ela$aran )kogniti1, psikomotor,

an a1ekti10 , seperti (ang i'k'ng alam A4TAs A Normati1 Moel Terapis Fisik

4eniikan 4ro1esional >ersi .//"



∗ T'$'h tahap kesehatan aalah

*0 primorial,.0 pra9kontemplasi,

0 kontemplasi,

0 persiapan,

:0 tinakan,

80 pemeliharaan, an

-0 pera!atan permanen"

STA@ES OF WELLNESS EAMINATION,E>ALGATION, 4LAN OF CA2E, AN3

INTE2>ENTIONS



∗ Seorang pasien ; klien alam tahap primorial tiak

saar &ah!a ia memiliki pro&lem (ang &erh'&'nganengan kesehatan an ; ata' &ah!a ia tiak saarterli&at alam perilak' (ang tiak sehat"

∗ 3engan kata lain, orang &ahkan tiak men(aari&ah!a masalah (ang &erh'&'ngan engan kesehatanaa )<onas, .///0"

∗ Misaln(a, alam hal eksi&ilitas, ini akan men$ai pria(ang mengalami pen'r'nan pan$ang otot i paha&elakang, tapi tiak men(aari pen'h"

*"4rimorial Stage



∗ 3alam stai'm pre contemplation ia

menerima ata' mengetah'i &ah!a aapro&lem (ang &erkaitan engankesehatanan(a tetapi &el'm memperhatikanan &el'm aa kema'an 'nt'k mer'&ah

men$ai keshatan (ang &aik" )<onas, .///0"

."4re9Contemplation Stage



∗ Contoh seorang pasien alam hal eksi&ilitas

ia tah' &ah!a aa pro&lem pemenekanotot hamstring (ang kaang9kaang merasategang i &agian &elakang paha" Tetapi&el'm ma' memikirkan 'nt'k &er&'at

ses'at' 'nt'k mengatasi pro&lempemenekan otot"



∗ Contoh lain ari pasien ; klien alam tahap

pra9kontemplasi aalah !anita (angmerokok an 'm'mn(a tah' &ah!a merokokmeningkatkan risiko masalah kesehatantertent' )misaln(a, kanker0 tetapi &el'm

iterapkan &ah!a pengetah'an tentangkesehatan ini risiko paa irin(a seniri an&el'm seri's meren'ngkan &erhenti""



∗ Seorang pasien ; klien alam tahap

kontemplasi mengak'i &ah!a ia terli&atalam perilak' (ang terkait engan masalahkesehatan an m'ngkin m'lai men(eliikiperilak' it', termas'k pro an kontra, tetapi

tetap am&i6alen tentang apa (ang har'silak'kan tentang sit'asi, $ika aa )<onas,.///0"

"Contemplation Stage



∗ Se&'ah contoh ari gerakan menaak ari tahap

pra9kontemplasi ke tahap kontemplasi akan men$ai!anita gem'k (ang menghargai &ah!a ia m'ngkinseikit kele&ihan &erat &aan, tapi setelah melihat1oto ter&ar' irin(a mengak'i 'nt'k pertama kalin(a&ah!a ia memang gem'k " Contoh lain aalahorang &ermain &asket engan anak rema$an(a (angti&a9ti&a men$ai &egit' lelah &ah!a ia har's ''k" <ant'ngn(a &ere&ar an ia &erpikir,

5Wo!, ak' tiak tah' ak' &egit' kel'ar ari &ent'k5



∗ Selama tahap persiapan, seorang pasien ;klien telah mem&'at pilihan 'nt'kmeng'&ah (ang tiak sehat" 4erilak' tiak

sehatn(a aalah ihit'ng seniri ata' inilaioleh seorang pro1esional"

"4reparation Stage



∗

∗ 3an rencana pera!atan ikem&angkan )moi%kasi <onas,.///0" Se&agai contoh, seorang !anita &ergerak ari tahapkontemplasi ke tahap persiapan ketika ia tiak han(amengak'i &ah!a ia gem'k, tetapi mem&'at kep't'san saar&ah!a ia akan 5men'r'nkan &erat &aan5 'nt'kmemper&aiki komposisi t'&'hn(a"

∗

Gnt'k men(elesaikan tahap persiapan, !anita menilai seniri&erat &aann(a an mengem&angkan rencana" Le&ih &aik lagi,ia men(e!a seorang pro1esional 'nt'k menilai komposisit'&'hn(a , makanan an n'trisi, ke&iasaan olahraga, an&ersama9sama mereka mengem&angkan rencana pera!atan"



∗ Se&'ah contoh ari penilaian kesehatan ke&'garan aalahS'r6ei #esehatan #e&'garan )lihat @am&ar 89 i Ba& 80"

∗ Contoh ari t'$'an memper&aiki komposisi t'&'h aalah 'nt'kmeng'rangi persen lemak t'&'h ari .P men$ai antara .:Pan .7P alam !akt' 8 &'lan melal'i iet sehat *":// kaloriper hari )misaln(a, tinggi kar&ohirat kompleks, serat tinggi,

c'k'p protein, lemak sehat (ang memaai, lemak $en'hrenah, nol lemak0 an latihan (ang tepat"

∗ Ini m'ngkin termas'k pelatihan aero&ik kek'atan hari permingg' / menit per sesi, an $alan cepat * sampai . a(s permingg' selama ./ sampai / menit per sesi"



∗

#etika seorang pasien ; klien memas'ki stai'm aksi, iaata' ia mem'lai per'&ahan alam irin(a ata' perilak'n(a )<onas, .///0"

∗ Se&agai contoh, seorang !anita (ang telah mem't'skan&ah!a ia akan &erhenti merokok mem&'ang sem'a rokokan kem'ian mem&eli an menerapkan o&at anti nikotin "

∗ Sangat penting &ah!a seseorang tiak ma$' secaralangs'ng ari tahap kontemplasi ke tahap tinakan;aksi"

∗ Langkah sementara 'nt'k mem&ant' mempersiapkan'nt'k per'&ahan memaai imaks'"

:"Action Stage



∗ Selama tahap pemeliharaan, pasien ; klien secara

terat'r &erlatih perilak' &ar' )moi%kasi <onas, .///0"∗ <ika masalahn(a aalah merokok, pasien ; klien

merokok tiak lagi, $ika orang terse&'t aalaho&esitas, ia telah mem'lai program iet anolahraga, $ika masalahn(a aalah stres, pasien ; kliensaat &erlatih teknik peng'rangan stres paa secaraterat'r" Selama tahap pemeliharaan, selang ata'kam&'h apat ter$ai" Se&'ah per&aningan selangan kam&'h &erik't"

8"Maintenance



∗

Selang aalah penghentian perilak' sehat, nam'npenghentian it' &ersi1at sementara an tiak menghasilkane1ek samping (ang signi%kan )moi%kasi <onas, .///0"

∗ Selang m'ngkin ter$ai selama pemeliharaan ata' tahappera!atan permanen" Selang apat ie%nisikan as ma$orata' kecil"

∗ Selang 'tama aalah sat' i mana penghentian terse&'tata' tiak lengkap ata' hampir lengkap" Selang kecil aalahsat' i mana penghentian seang ata' singkat" Skenariokas's il'strasi per&eaan antara selang &esar an kecil"



∗ #etika seorang ini6i' telah mencapai

tahap pemeliharaan perilak' permanen,perilak' it' seniri memperk'at an orangterse&'t secara intrinsik termoti6asi 'nt'kmelan$'tkan perilak' sehat"

∗

Se&agian &esar ari kita telah mencapaitahap permanen 'nt'k &e&erapa perilak'kesehatan" Misaln(a perilak' penting aalahmen(ikat gigi kita"

-"4ermanent Maintenance Stage



∗

<ika kita tiak men(ikat gigi setiakn(a sekali, $ikatiak le&ih sering per hari, maka kita merasakanorongan (ang sangat k'at 'nt'k melak'kann(a"#ami 5han(a tiak merasa &enar5 an akan mem&'at'pa(a &ersama 'nt'k melak'kan akti6itas" Tent' sa$a,

$ika Ana tiak apat sikat gigi karena keaaan i l'arkenali Ana )misaln(a, Ana aalah seorangkontestan paa hit realit( sho! S'r6i6or0, Ana har'stiak menganggap it' kam&'h"



∗ #etika menilai aspek kesehatan ; klien, Ana

har's menent'kann(a ari kesehatan (ang&erkaitan engan aspek it'" Selama e6al'asi%sik men$ai &agian sesi terapi, ana har'smelihat tem'an an menge6al'asi mereka"

E6al'asi ini apat ig'nakan 'nt'kmerancang rencana pera!atan !ellness"

S'mmar( Stages o1 Wellness



∗ T'$'h tahapan kesehatan (ait' 4rimorial, pra9

kontemplasi, kontemplasi, persiapan, tinakan,pemeliharaan, an pera!atan permanen"

∗ <ika seorang pasien ; klien sama sekali tiakmen(aari masalah kesehatan pri&ai, makaia alam tahap primorial"

∗ #etika apatient ; klien memiliki secercahpengak'an masalah kesehatan pri&ai, iaalam tahap precontemplation"



∗ Seorang pasien ; klien (ang tah' &ah!a ia

memiliki masalah kesehatan pri&ai, alamtahap kontemplasi"

∗ #etika seorang pasien ; klien mem&'atpilihan 'nt'k meng'&ah n(a perilak' tiak

sehat, masalah kesehatan &aik inilai seniriata' inilai oleh seorang pro1esional, anrencana pera!atan ikem&angkan, maka iaalam tahap persiapan"



∗ Seorang pasien ; klien (ang &enar9&enar

mem'lai per'&ahan perilak' kesehatan n(aaalah alam tahap aksi"

∗ Orang (ang r'tin mempraktekkan perilak'kesehatan (ang &ar', alam tahap

pemeliharaan"∗ #etika perilak' sehat telah men$ai ke&iasaan

asli, klien pasien ; telah &erkem&ang ke tahappermanen"



∗ Selang )(ait', penghentian sementara

perilak' sehat tanpa e1ek samping (angsigni%kan0 apat ter$ai selamapemeliharaan ata' tahap permanen"

∗ #am&'h )penghentian lagi ari perilak'

hi'p sehat (ang menghasilkanker'gian;pengar'h signi%kan0 apat ter$aiselama tahap pemeliharaan tetapi tiakselama tahap permanen"



∗ <ika kam&'h ter$ai selama tahap pera!atan

permanen, maka pasien ; klien han(a&erpikir ia &eraa i tahap permanen tapi&enar9&enar alam tahap pemeliharaan"

∗ Selang an relaps apat ie%nisikan

se&agai &esar ata' kecil"



TE2IMA #ASIH

STA@ES OF WELLNESS EAMINATION



∗

#etika memeriksa aspek pasien ; klien tentang!ellness )misaln(a, !ellness gi=i, !ellness kapasitasaero&ik0, Ana $'ga har's mengienti%kasi irin(aata' tahapan !ellness (ang &erkaitan enganaspek %sik, mental, an sosial !ellness"

∗ Selama tahap e6al'asi alam s'at' sesi, Anahar's menge6al'asi tem'an pemeriksaan Ana"E6al'asi Ana kem'ian ig'nakan 'nt'k

merancang rencana pera!atan !ellness Ana"

STA@ES OF WELLNESS EAMINATION,E>ALGATION, 4LAN OF CA2E, AN3

INTE2>ENTIONS

C iti l 1 4h i l



∗ 4erhatian terhaap tahapan !ellness sangat

penting &agi terapis %sik 'nt'kmeningkatkan ke&erhasilan !ellness irin(aata' pasienn(a ; klien" Bagian &erik't kitalihat le&ih ekat paa setiap tahap

∗

T'$'h tahap kesehatan (ang primorial, pra9kontemplasi, kontemplasi, persiapan,tinakan, pemeliharaan, an pera!atanpermanen"

Critical 1or 4h(sical Therapists



∗ Sat' mingg' (ang lal', 2achel menetapkan

t'$'an 'nt'k mengkons'msi sekitar *:// kaloriper hari an se$ak saat it', ia telah &ertem't'$'an sehari9hari" Hari ini, &agaimanap'n, iamengkons'msi sekitar ."7// kalori" 2achel ietsaat ini mer'pakan kelemahan &esar" )Catatan"

<ika pemeliharaan as'pan kalori 2achel aalah./// kalori per hari an ia telah mengkons'msi.// kalori hari ini, ia akan melak'kan kecil,&'kan &esar, selang0

Case *

SG2>EJS TO ASSESS



∗ Aspek kesehatan apat iperiksa &aik secara

langs'ng, misaln(a, engan mengg'nakanskin1ol caliper 'nt'k meng'k'r komposisit'&'h, ata' tiak langs'ng melal'i s'r6ei,seperti Beck 3epression In6entor( 'nt'kmeng'k'r emosi pasien ; klien0"

SG2>EJS TO ASSESSWELLNESS



∗ Gnt'k langs'ng memeriksa aspek !ellness,

pemeriksa langs'ng mengamati ke&iasaan ;klien pasien an praktik (ang terkait enganaspek !ellness"



∗ 4engamatan ini memakan !akt' an ketat

akan iperl'kan karena !ellness aalah,men'r't e%nisi, teriri ari ke&iasaan anpraktik ini6i'"

∗ Gnt'k menghinari &an(akn(a $am

pengamatan langs'ng, &iasan(a tepat 'nt'kmengg'nakan s'r6ei 'nt'k menem'kanin1ormasi tentang setiap aspek !ellness"

4ENTIN@ MASG##AN 3IMENSI ;



∗ Tiga istilah i&eakan ke&'garan )(ait',stat's komposisi t'&'h, kapasitas aero&ik,ke&'garan otot, an eksi&ilitas0,

∗ Wellness )ke&iasaan an praktek9praktek (ang

mempromosikan %sik, mental, ankese$ahteraan sosial0, an

∗ Fitness !ellness )ke&iasaan an praktek9praktek (ang mempromosikan ke&'garan0"

4ENTIN@ MASG##AN 3IMENSI ;SCO4 4ELAJANAN FISIOTE2A4I



∗ #omisi Akreitasi 4eniikan 4h(sical

Therapist )Capte, *++80 (ang iter&itkanNormati1 Moel Terapis Fisik 4ro1esionalE'cation, men(atakan &ah!a t'$'an!ellness !a$i& imas'kkan i k'rik'l'mentr(le6el terapi %sik" Se&'ah Normati1Moel Terapis Fisik 4eniikan 4ro1esiitetapkan 'a t'$'an !elness terkait, (ait'

4enting""



∗ ." *" Terapis %sik har's mamp' mer'm'skan anmelaksanakan se&'ah perencanaan !ellness pri&ai

&erasarkan sel19assessment an 'mpan &alik ari oranglain"

∗ *"." Terapis %sik har's mamp' 5mengienti%kasi an menilaike&'t'han kesehatan ini6i', kelompok, an mas(arakat,

termas'k" " " program !ellness (ang ses'ai engan terapi%sik QanR mempromosikan kesehatan (ang optimal enganmem&erikan in1ormasi tentang !ellness" " " terkait engan'sia, $enis kelamin, &'a(a, an ga(a hi'p" 3

Th A4TA *++ iti l



∗ The American 4h(sical Therap( Association

mengak'i &ah!a %si/terapis secara 'nikmemen'hi s(arat 'nt'k mengam&il posisikepemimpinan alam 'pa(a 'nt'k mencegahceera an cacat, an sepen'hn(amen'k'ng peran positi1 (ang terapis %sikan asisten terapi %sik memainkan alammempromosikan ga(a hi'p sehat, !ellnessan pencegahan ceera"

The A4TAs *++ position eclare

Th A li ti 1 W ll



4onsep 'ellness total menga+%i bah'a setiap pi+iran, +ata, dan perila+% mempengar%hi

+esehatan +ita lebih besar dan

+eseahteraan"

The Application o1 Wellnessto 4h(sical Therap(



3isiplin It' #ontri&'si &erampak paa

!ellness, (ang termas'k tetapi tiakter&atas paa

*" 3isiplin meis

." ilm'!an

" Lainn(a

WELLNESS 42ACTITIONE2S



∗ -he hierarchy o credentials rom most to least prestigio%s is licens%re,registration, and certifcation"

∗

5redentials and accreditation o medical and healthcare practitioners varies romdiscipline to discipline and rom state to state" For example, every 6"7" statere8%ires medical doctors and physical therapists to be licensed, b%t not all othem re8%ire occ%pational therapists and athletic trainers to be licensed"

∗ Hirarki manat ari paling &ergengsi aalah lisensi, pena1taran,an serti%kasi"

∗ #reensial an akreitasi praktisi meis an kesehatan &er6ariasiari isiplin ke isiplin an ari negara ke negara" Se&agai contoh,setiap negara &agian AS memerl'kan okter an terapis %sik 'nt'kilisensikan, nam'n tiak sem'a ari mereka memerl'kan terapisok'pasi an pelatih atletik 'nt'k ilisensikan"

Creentials



∗ A physical therapy clinic employs physical therapists ands%pport personnel (e"g", physical therapist assistants, aides,

o9ce employees# to provide restorative (i"e", medicallyindicated# physical therapy to patients" :nly those providers'ith the appropriate expertise sho%ld provide s+illedservices"

∗ Se&'ah klinik terapi %sik mempeker$akan terapis %sik an

personil pen'k'ng )misaln(a, asisten terapis %sik,pem&ant', kar(a!an kantor0 'nt'k mem&erikan restorati1)(ait', inikasi meis0 terapi %sik 'nt'k pasien" Han(amereka pen(eia;pen(elenggara, engan para ahli (angses'ai har's men(eiakan la(anan keahlian"

42O>I3E2



∗ In contrast to a ph(sical therap( clinic, a !ellness clinicoes not pro6ie meicall( inicate ph(sical therap(ser6ices" Instea, a !ellness clinic pro6ies !ellnesstherap(" In some cases, a !ellness 1acilit( also ma(pro6ie pre6ention an;or maintenance ser6ices"

∗ T(picall(, !ellness clinics o not emplo( ph(sicaltherapists &'t instea emplo( healthcare pro6iers

!hose salar( re'irements are less than that o1 aph(sical therapist"

∗ These pro6iers incl'e an athletic trainer, eerciseph(siologist, or a so9calle ?%tness trainer"



∗ 4h(sical therap( is $'st one among a !ie 6ariet( o1meical pro1essional an nonmeical practitionerisciplines that contri&'te to an impact the !ellnesso1 others" Gnlike ph(sical therapists, !ellnesspractitioners are 'nreg'late an 's'all( not certi%e"

∗ 4h(sical therap( clinics emplo( ph(sical therapistsan similar meical pro1essionals as !ell as s'pportpersonnel to pro6ie restorati6e therap( to patients!ellness clinics ten to pro9 6ie nonmeicall(inicate therap("

4HJSICAL THE2A4J SE2>ICES



∗ While in man( )i1 not most0 cases ph(sical

therapists pro6ie restorati6e ph(sicaltherap(, the( also pro6ie maintenanceph(sical therap("

∗ There is increasing e6ience that the( are

pro6iing pre6entati6e an !ellness ph(sicaltherap("

4HJSICAL THE2A4J SE2>ICES2ESTO2ATI>E, MAINTENANCE,42E>ENTION,

AN3 WELLNESS



∗ Accoringl(, ph(sical therapists m'st

'nerstan the ierence &et!eenrestorati6e, maintenance, pre6ention, an!ellness ph(sical therap("

∗ Inepenent o1 the t(pe o1 ph(sical therap(

a ph(sical therapist pro6ies, she or he m'stmaintain high stanars o1 care an notcommit malpractice"



∗ Altho'gh the A4TA ).//*&0 states that ini6i'alsrecei6ing ph(sical therap( ma( &e re1erre to as a?patient or as a ?client, I &elie6e that it is moreappropriate to e%ne an ini6i'al as a patient i1 sheor he is recei6ing restorati6e ph(sical therap( an asa client i1 she or he is recei6ing !ellness ser6ices"

∗ I o not conone the la&el o1 ?c'stomer 'ner an(

circ'mstances, e6en i1 the ini6i'al is p'rchasing aph(sical therap( or !ellness pro'ct 1rom a ph(sicaltherapist or a ph(sical therap( clinic"

2estorati6e 4h(sical Therap(



∗ 2estorati6e ph(sical therap( is also re1erre to asmeicall( inicate, skille , or traitional therap("

∗ To &e meicall( inicate, ph(sical therap( m'st &e

∗ *0 necessar( that is, there m'st ha6e &een a change inconition that !arrants a ne! episoe o1 care

∗ .0 reasona&le in terms o1 1re'enc(, 'ration, an t(pe

∗ 0 anticipate to pro6ie signi%cant &ene%t, especiall( in

terms o1 1'nctional gains an∗ 0 pro6ie &( an ini6i'al !ith the appropriate

creentials, s'ch as a ph(sical therapist or in some cases aph(sical therapist assistant )Miller, .//.0"

2estorati6e 4h(sical Therap(

4re6ention 4h(sical Therap(



∗ 4re6ention ph(sical therap( is pro6ie to clients toa6oi or ela( onset o1 a isease )primar( pre6ention0,pro6ie an earl( iagnosis an prompt inter6ention toat9risk clients )seconar( pre6ention0, an pro6ieinter6entions to pre6ent a regression o1 a chronic or

irre6ersi&le conition )A4TA, .//*&0"

∗ Like maintenance therap(, it is not anticipate that

clients !ill o&tain signi%cant 1'nctional &ene%t 1rompre6ention therap(" Ho!e6er, it can enhance a clients1'nction an 'alit( o1 li1e"

4re6ention 4h(sical Therap(

Maintenance 4h(sical Therap(



∗ The primar( goal o1 maintenance ph(sical therap(is to maintain the c'rrent le6el o1

1'nction an;or other meical stat's )e"g", sa1e&loo press're le6els0"

∗ In contrast to restorati6e therap(, it is notmeicall( inicate" Speci%call(, there is no

change in conition that !arrants restorati6eph(sical therap( an;or it is not anticipate thatthe patient;client !ill o&tain a signi%cant &ene%t1rom this therap("

Maintenance 4h(sical Therap(



∗ The primar( goal o1 !ellness ph(sical therap( is to maintain orenhance the !ellness practices o1 an ini6i'al or gro'p"

∗ Wellness practices can &e relate to the ph(sical, mental, an;orsocial omains"

∗ In contrast to restorati6e therap(, it is not meicall( inicate"Speci%call(, there has &een no change in conition that !arrantsrestorati6e ph(sical therap("

∗ Wellness therap( !ill enhance one or more aspects o1 a clients

o6erall !ellness )e"g", aero&ic capacit( !ellness or mental!ellness0" While the client ma( eri6e m'ch &ene%t 1rom the!ellness therap( )e"g", a !oman re'cing her &o( 1at 1rom :P to.7P0, the &ene%t is not consiere signi%cant in the meicalcomm'nit("

Wellness 4h(sical Therap(

Stanars o1 Care an Malpractice



∗ Stanars o1 care can &e e%ne as the

?!a(s an means &( !hich ser6ices sho'l&e

eli6ere to gi6e reasona&le ass'rance thatesire o'tcomes !ill &e achie6e in a sa1e

manner )ACSM, .///, p" .80" Organi=ationsthat in'ence the stanars o1 care o1meical an healthcare practitioners incl'e1eeral an state stat'tes

Stanars o1 Care an Malpractice



∗ )e"g", Meicare stat'tes an state practice

legislations0, pro1essional organi=ations )e"g",the A4TA an the ACSM0, thir9part( pa(ers)e"g", Meicare as !ell as the policies o1other ins'rance companies, s'ch as Bl'eCross an Bl'e Shiel0, an meicalcorporations an agencies )e"g", thereha&ilitation compan( 1or !hich (o' might&e emplo(e0"



∗ I1 an ini6i'al is negligent , e%ne as one !ho1ails to compl( !ith a stanar o1 care, thatini6i'al has engage in a t(pe o1 ci6il !rong

calle a tort "

∗ Negligence acts &( a meical pro6ier isspeci%call( re1erre to as malpractice" Beca'se

ph(sical therapists are license meicalpro1essionals, an( act o1 negligence is malpractice"Beca'se !ellness practitioners are 'nreg'late,acts o1 negligence are not consiere malpractice"



∗ Ho!e6er, i1 a ph(sical therapist or another

meical practitioner pro6ies !ellnessser6ices, she or he can &e lia&le 1ormalpractice seconar ( to his or hercreentials as a ph(sical therapist" Inaition, the ph(sical therapists licens'rema( &e $eopari=e"

WHJ SHOGL3 4HJSICAL THE2A4ISTS 4OSSESS



∗ Wellness is important in the pro6ision o1

ph(sical therap("∗ Wellness irectl( aects the patients;clients

health, !hich in t'rn can ecrease her or hisa&ilit( to engage in an &ene%t 1rom ph(sical

therap("∗ Impaire !ellness also can negati6el(

impact those !ith chronic con9ition"

WHJ SHOGL3 4HJSICAL THE2A4ISTS 4OSSESSAN O4E2ATIONAL #NOWLE3@E OF WELLNESSU

4atient V'estions 2elate to



∗ 4atients an clients ask ph(sical therapists all

kins o1 'estions relate to their !ellness"∗ We sho'l pro6ie a6ice that is e6ience

&ase rather than onl( anecotal ata" 4eopleten to

respect in1ormation pro6ie &( ph(sicaltherapist &eca'se !e are creentiale meicalpro1essionals" Man( are perhaps more likel( to'er( those o1 's !ho possess a octorate"

4atient V'estions 2elate toWellness



∗ The e6elopment o1 ph(sical therap(,

incl'ing the concept'ali=ation anintegration o1 !ellness, is roote anintert!ine !ith the a6ancements o1meicine thro'gh the ages"

From the a!n o1 h'mans



∗ The A4TAs *++ position eclare

∗

-he American ;hysical -herapy Associationrecogni<es that physical therapists are %ni8%ely8%alifed to ass%me leadership positions in eorts

to prevent in%ry and disability, and %lly s%pportsthe positive roles that physical therapists and

physical therapist assistants play in the promotion o healthy liestyles, 'ellness and

in%r y prevention" (para" .#

3IFINISI FT

MASA 3E4AN HGBGN@AN FT



∗ S'mmar( F't're 2elationship Bet!een 4h(sical Therap( an)Fitness0 Wellness

∗ I s'ggest that the A4TA esta&lish a e%nition 1or an a moel o1!ellness the net ei9

∗ tion o1 the @'ie to 4h(sical Therapist 4racticeincorporatea6ancements in their is9

∗ c'ssions o1 !ellness the A4TA o1 1er !ellness seminars c'lminating ina certi%cation

∗

a1ter s'ccess1'll( completing an eamination an a Wellness Section&e esta&lishe

∗ !ithin o'r association, one o1 !hose initiates !ill &e to sponsor aFitness Wellness Certi9

∗ %cation Specialist )FWCS0"

MASA 3E4AN HGBGN@AN FT3AN WELLNESS

4HJSICAL WELLNESS



∗ 4h(sical !ellness consists o1 n'mero's

components incl'ing, &'t not necessaril(limite to, meical !ellness, pharmace'ticalan r'g !ellness, n'tritional !ellness,aero&ic capacit( !ellness, m'sc'lar %tness!ellness, ei&ilit( !ellness, an &o(composition !ellness"

4HJSICAL WELLNESS



∗ I1 a patient;client is kno!legea&le a&o't

acti6ities that promote a component o1ph(sical !ellness, is committe to a li1est(lethat promotes it, an

participates in s'cient acti6ities thatpromote it, she or he possesses asatis1actor( le6el o1 that component o1ph(sical !ellness"

4h(sical Wellness

NGT2ITION WELLNESS



∗ 4ossessing at least a &asic competence in n'tritional !ellness isinicate 1or man( reasons"

∗ First, ph(sical therap( patients;clients !ho are classi%e in anAmerican 4h(sical Therap( 4ractice 4attern )A4TA, .//8&0,incl'ing the pre6entati6e patterns, also ma( present !ithimpaire n'tritional !ellness" For eample, a restorati6e patient!ith the

iagnosis o1 &ilateral knee osteoarthritis )IC39+9CM -*:0 an

classi%e in the A4TAs 4re1er re 4ractice 4attern 3 Impaire $oint mo&ilit(, motor 1'nction, m'scle per1orm9

∗ ance, an range o1 motion associate !ith connecti6e tiss'e(s1'nction ma( present also !ith the conitions o6er1at anecessi6e caloric intake"

NGT2ITION WELLNESS



∗ Secon, goo n'tritional !ellness can pre6ent or ela(chronic iseases, incl'ing , ia&etes mellit's, o&esit(,

osteoporosis, stroke, an 6ario's t(pes o1 cancer)Schlienger D 4rainac, .//+0" For eample, a iet lo!er incalories an sat'rate 1at an higher in 6egeta&les, !holegrains, an 1r'its ma( re'ce h(perins'linic responses anthere&( re'ce the risk o1 e6eloping ia&etes )SchliengerD 4rainac, .//+0" <oship'ra et al" ).//70 1o'n that

higher intakes o1 %&er , 6egeta&les, an certain 1r'itsecreases the risk" o1 e6eloping cario6asc'lar isease,incl'ing non1atal an 1atal m(ocarial in1arction anischemic stroke"



∗ Thir , n'tritional !ellness can enhance, impee,or e6en contrainicate ph(sical therap(" Foreample, i1 a patients;clients caloric intake is6er( lo!, it ma( &e signi%cantl( ic'lt 1or heror him to engage in a 6igoro's eercise session"One st'( 1o'n that lo! car&oh(rate ieting

ca'ses memor( impairments 'ring the times!hen a6ail9a&le gl(cogen stores are at theirlo!est )3Anci, Watts, #anarek, D Ta(lor, .//+0"

3iseases an Meical



∗ 3iseases an conitions that are primaril(ph(sical in nat're, s'ch as ia&etes mellit's,

o&esit(, 4arkinsons isease, cancer, stroke,h(pertension, 6ir'ses, &acterial in1ections, an1ract'res, are not static" For eample, the signsan s(mptoms o1 t(pe II ia&etes mellit's can 6ar

( signi%cantl( 1rom a( to a(" Beca'se iseasesan conitions are (namic, the( sho'l &econsiere in terms o1 !ellness rather than solel(on health"

3iseases an MeicalWellness



∗ The meical !ellness o1 a patient or client isetermine &( her or his kno!lege a&o't it, heror his commitment to it, an her or his relate&eha6iors"

∗ #no!lege a&o't meical !ellness incl'es &'t isnot necessaril( limite to kno!ing risk 1actors 1or

iseases, illnesses, an conitions an strategies)e"g", proper n'trition an eercise0 to pre6ent orlessen the se6erit( an;or 'ration o1 iseases,illnesses, an conitions"



∗ Beha6iors relate to meical !ellness

incl'e pre6entati6e care, incl'ing perioicmeical an ental eaminations anperioic g(necological eaminations 1or!omen an perioic prostrate eams 1ormen, an meical sel19careXthat is,

o&taining appropriate restorati6e anpalliati6e care 1or iseases, illnesses, anconitions"

4harmace'ticals an 3r'gs an



∗ 4harmace'ticals are &oth prescription meications, s'ch asclona=epam, tema=epam, an o(coone, an o6er9the9co'nter )OTC0

meications, s'ch as sleeping ais an i&'pro1en"∗ 3r'gs can &e either illicit or street r'gs )e"g", mari$'ana an cocaine0

or legali=e r'gs"

∗ The primar( legali=e r'gs are alcohol, to&acco, an caeinate&e6erages"

∗ Alcohol incl'es &eer, !ine, an li'or" To&acco incl'es smokingto&acco, s'ch as cigarettes, cigars, an pipes, an nonsmoking

to&acco, s'ch as che!ing to&acco an sn'"

∗ Caeinate &e6erages incl'e caeinate coee, tea, soa, an so on"

∗ Coee is among the most commonl( 'se legali=e r'gs in the !orl)Tr'nk, .//80"

4harmace'ticals an 3r'gs an3r'g Wellness

N'trition an N'tritional Wellness



∗ N'trition consists o1 the cons'mption stat's o1 calories,6itamins, an minerals s'ch as soi'm an iron, an

s'&strates, incl'ing 1ats )e"g", health( an 'nhealth(0,car&oh(rates )e"g", %&er an simple s'gars0, an

protein"

∗ N'trition also incl'es the cons'mption o1 alcohol ancaeine"

∗ N'tritional !ellness is etermine &( a patients;clientskno!lege a&o't n'tritional !ellness, commitment ton'tritional !ellness, an n'trition9relate &eha6iors"

N'trition an N'tritional Wellness

Aero&ic Capacit( an Aero&ic Capacit( Wellness



∗ Aero&ic capacit(, also kno!n as cario6asc'lar

en'rance, escri&es the 1'nctional stat's o1the cariop'lmonar( s(stem"

∗ An ini6i'als aero&ic capacit( is etermine&( her or his maimal o(gen cons'mption

)>O.ma0 or the ?maim'm 6ol'me o1 o(genthat the &o( can cons'me 'ring intense,!hole&o( eercise, !hile &reathing air at seale6el

Aero&ic Capacit( an Aero&ic Capacit( Wellness



∗ Aero&ic capacit( !ellness is etermine &( a

patients;clients kno!lege a&o't it,commitment to it, an relate &eha6iors"

∗ Aero&ic capacit( !ellness is not necessaril(relate to aero&ic capacit( or >O. ma" Foreample, a man ma( &e geneticall(

preispositione to possess a higher

>O.ma, &'t he ma( not care a&o't eercisean rarel( eercise"

M'sc'lar Fitness an M'sc'lar



∗ M'sc'lar %tness is ones le6el o1 strength,

either generall( to a m'scle region orspeci%call( to an ini6i'al m'scle" Thereare se6eral t(pes o1 m'sc'lar %tnessm'sc'lar

strength, m'sc'lar en'rance, m'sc'larpo!er, an elastic strength"

Fitness Wellness



∗ m'sc'lar strength is ?the m'scle 1orce eerte &(a m'scle or a gro'p o1 m'scles to o6ercome aresistance 'ner a speci%c set o1 circ'mstances

)p" 8770

∗ m'sc'lar en'rance is ?the a&ilit( to s'stain 1orcesrepeatel( or to generate 1orces o6er a perio o1

time )p" 8770∗ an m'sc'lar po!er is ?the !ork pro'ce per 'nit

o1 time or the pro'ct o1 strength an spee )p"8770"



∗ Elastic strength is etermine &( the

m'scles a&ilit( to eert 1orces 'ickl( an too6ercome resistance !ith a high spee o1m'scle action"

∗ A high le6el o1 elastic strength re'ires goocoorination an a com&ination o1 spee anstrength o1 m'scle action" Elastic strength isimportant in eplosi6e acti6ities s'ch as

$'mping an sprinting"



∗ M'sc'lar strength is etermine &( the

a&ilit( to mo6e a hea6( !eight a limiten'm&er o1 times )e"g", &ench pressing 7/po'ns eight times0"

∗ M'sc'lar en'rance is etermine &( thea&ilit( to repeatel( mo6e a lighter !eight)e"g", per1orming *// a&ominal c'rls0"



∗ M'sc'lar po!er is etermine &( the a&ilit(

to mo6e the hea6iest !eight possi&le )e"g",&ench pressing *./ po'ns one time0"

∗ Elastic strength is etermine &( the a&ilit(o1 the m'scles to o6ercome a resistance !itha 1ast contraction an there&( ena&le thepatient;client to compete in a sport )e"g", a&asket&all game0 !itho't in$'ring the $ointsor m'scles"



∗ M'sc'lar %tness !ellness is etermine &( the

patients;clients kno!lege a&o't it,commitment to it, an relate &eha6iors"

∗ M'sc'lar %tness is not necessaril( relate to

m'sc'lar %tness !ellness" For eample, a!oman ma( &e geneticall( preispositione to&e strong, &'t she ma( kno! little a&o'tm'sc'lar %tness an rarel( i1 e6er strengthtrain"

Flei&ilit( an Flei&ilit( Wellness



∗ Flei&ilit( is e%ne as the a&ilit( to mo6e a

$oint or series o1 $oints thro'gh their 1'llrange o1 motion, pain 1ree an 'nrestricte"Flei&ilit( is aecte &( the $oint s'r1aces,

caps'le, ligaments, m'scle length, an so1t

tiss'e )4rentice, .//80"

( (



∗ Flei&ilit( !ellness is etermine &( thepatients;clients kno!lege a&o't it,

commitment to it, an relate &eha6iors"

∗ Flei&ilit( !ellness is not necessaril( relate to

ei&ilit("

∗ For eample, a man ma( contin'all( learn a&o't

ei&ilit( an ei&ilit( !ellness, &e committe tostretching, an reg'larl( engage in stretching, &'t hema( present !ith slightl( impaire range o1 motion"

Bo( Composition an Bo(



∗ Bo( composition can &e e%ne as the

percentage o1 &o( 1at 6ers's thepercentage o1 lean &o( mass )McArle,#atch, D #atch, .//80"

∗ Lean &o( mass is all tiss'e that is not

1atXthat is, skeletal m'scle, smooth m'scle,an the skeletal s(stem"

( p (Composition Wellness



∗ Bo( composition !ellness is etermine &( thepatients;clients kno!lege a&o't it, commitment to

it, an relate &eha6iors"∗ Bo( composition !ellness is not necessaril(

relate to &o( composition or percentage o1 &o( 1at"

∗ For eample, a !oman ma( kno! a lot a&o't &o(composition an &o( composition !ellness, &e

committe to li6ing a li1est(le that promotes a health(&o( composition, eat health1'll(, an eercisereg'larl( &'t still &e o6er1at 'e to h(poth(roiism"

fti 11 wellness

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