Dimension of CHN

Dimension of CHN

Dimension of CHN

Seven Dimensions of Wellness

Wellnessis much more than merely physical health, exercise or nutrition. It is the full integration of states of physical, mental, and spiritual well-being. The model used includes social, emotional, spiritual, environmental, occupational, intellectual and physical wellness. Each of these seven dimensions act and interact in a way that contributes to our own quality of life.

  1. Social wellness: is the ability to relate to and connect with other people in our world. Our ability to establish and maintain positive relationships with family, friends and co-workers contributes to our Social Wellness.
  2. Emotional wellness: is the ability to understand ourselves and cope with the challenges life can bring. The ability to acknowledge and share feelings of anger, fear, sadness or stress; hope, love, joy and happiness in a productive manner contributes to our Emotional Wellness.

3. Spiritual wellness: is the ability to establish peace and harmony in our lives. The ability to develop congruency between values and actions and to realize a common purpose that binds creation together contributes to our Spiritual Wellness.

4. Environmental wellness: is the ability to get personal fulfillment from our jobs or our chosen career fields while still maintaining balance in our lives. Our desire to contribute in our careers to make a positive impact on the organizations we work in and to society as a whole leads to Occupational Wellness.

5. Intellectual wellness: is the ability to open our minds to new ideas and experiences that can be applied to personal decisions, group interaction and community betterment. The desire to learn new concepts, improve skills and seek challenges in pursuit of lifelong learning contributes to our Intellectual Wellness.

6. Physical wellness: is the ability to maintain a healthy quality of life that allows us to get through our daily activities without undue fatigue or physical stress. The ability to recognize that our behaviors have a significant impact on our wellness and adopting healthful habits. (routine check ups, a balanced diet, exercise, etc.), While avoiding destructive habits (tobacco, drugs, alcohol, etc.) will lead to optimal Physical Wellness.

Health care (or healthcare) is the diagnosis, treatment, and prevention of disease, illness, injury, and other physical and mental impairments in humans. Health care is delivered by practitioners in medicine, optometry, dentistry, nursing, pharmacy, allied health, and other care providers. It refers to the work done in providing primary care, secondary care, and tertiary care, as well as in public health.

Access to health care varies across countries, groups and individuals, largely influenced by social and economic conditions as well as the health policies in place. Countries and jurisdictions have different policies and plans in relation to the personal and population-based health care goals within their societies. Health care systems are organizations established to meet the health needs of target populations.

Their exact configuration varies from country to country.

In some countries and jurisdictions, health care planning is distributed among market participants, whereas in others planning is made more centrally among governments or other coordinating bodies. In all cases, according to the World Health Organization (WHO), a well-functioning health care system requires a robust financing mechanism; a well-trained and adequately-paid workforce.

Reliable information on which to base decisions and policies; and well maintained facilities and logistics to deliver quality medicines and technologies.

Health care can form a significant part of a country's economy. In 2008, the health care industry consumed an average of 9.0 percent of the gross domestic product (GDP) across the most developed OECD countries.

The United States (16.0%), France (11.2%), and Switzerland (10.7%) were the top three spenders, but life expectancy was highest in Japan (82.6), Australia (81.4), and Canada (81.4).

Health care is conventionally regarded as an important determinant in promoting the general health and well-being of people around the world. An example of this is the worldwide eradication of smallpox in 1980—declared by the WHO as the first disease in human history to be completely eliminated by deliberate health care interventions.

Thenursing processis a modifiedscientific methodNursing practise was first described as a four stage nursing process by Ida Jean Orlando in 1958. It should not be confused withnursing theoriesorHealth informatics. The diagnosis phase was added later.

The nursing process uses clinical judgment to strike a balance ofepistemologybetween personal interpretation and research evidence in whichcritical thinkingmay play a part to categorize the clients issue and course of action. Nursing offers diverse patterns of knowing.Nursing knowledge has embraced pluralism since the 1970s.

Some authors refer to amind maporabductive reasoningas a potential alternative strategy for organizing care. Intuitionplays a part for experienced nurses.

Nursing care plan

Anursing care planoutlines thenursing careto be provided to an individual/family/community. It is a set of actions thenursewill implement to resolve/supportnursing diagnosesidentified bynursing assessment

The creation of the plan is an intermediate stage of thenursing process. It guides in the ongoing provision of nursing care and assists in the evaluation of that care.


Its focus is holistic, and is based on the clinical judgment of the nurse, using assessment data collected from a nursing framework.

It is based upon identifiable nursing diagnoses (actual, risk or health promotion) - clinical judgments about individual, family, or community experiences/responses to actual or potential health problems/life processes.

It focuses on client-specific nursing outcomes that are realistic for the care recipient

It includes nursing interventions which are focused on the etiologic or risk factors of the identified nursing diagnoses.

It relates to the future

It is a product of a deliberate systematic process.