Fti 11 Wellness
Transcript of Fti 11 Wellness
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WELLNESS
THE BASICS OF WELLNESS
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∗ 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
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WHO T2IA3 OF HEALTH
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∗ 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
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∗ 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
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∗ 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
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∗ Wellness 5mem&erikan pera!atan %sik iri
seniri, mengg'nakan pikiran konstr'kti1,men(al'rkan energi positi1,mengekspresikan emosi secara e1ekti1,men$ai kreati1 terli&at engan orang lain,
an tetap &erh'&'ngan engan lingk'ngan"5Arell *+78"
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∗ Wellness aalah tentang perspekti1, tentangkeseim&angan an tentang gam&aran &esar" Iniaalah ga(a hi'p an penekatan pri&ai 'nt'kmen$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 $enister&aik, &ah!a it' potensi Ana, keaaan an nasi&akan mem'ngkinkan )Arell, *+++0
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∗ Wellness se&agai 5konsep (ang mengan't perilak' kesehatan (angpositi1 (ang mempromosikan keaaan keseim&angan anke&'garan %sik an mental )A4TA0"
∗ <anet Be=ner, (ang saat ini men$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$a" " " " Wellness aalah tentang
tinakan kesehatan (ang positi1" " " " #ata ter&aik, !ellness aalahproses ga(a hi'p (ang tiak pernah &erakhir" " " 5)#om'nikasipersonal .. Septem&er .//0"
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∗ 5 @a(a hi'p (ang mempromosikan %sik, mental, ankesehatan sosial paa kogniti1, psikomotor, an a1ekti1,&aik internal ma'p'n eksternal )Ail, .///&0"
∗ 3e%nisi ini iasarkan paa terminologi an konsep&erik't
@a(a hi'p #esehatan aalah proses )Arell, *+783'nn, *+8* <onas, .///0
%sik, mental, an sosial kesehatan 5keaaan lengkap%sik, mental an kese$ahteraan sosial5 )WHO, *+- .//+0
Seorang ahli i &iang kesehatan (ang &erkaitanengan terapi %sik, &erik't ini aalah e%nisi
sa(a
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∗ #ogniti1 4engetah'an mental ata' keterampilan)Bloom, *+:8, *+70 )(ait', pengetah'an tentang!ellness seperti (ang it'n$'kkan oleh kata9kataan ata' tinakan0
∗ 4sikomotor tinakan ata' keterampilan %sik)Simpson, *+-.0 )(ait', perilak' an praktekterkait !elness0
∗ A1ekti1 4erasaan ;sikap)#rath!ohl, Bloom, D
Bertram, *+-0 )(ait', komitmen 'nt'k ga(ahi'p (ang mempromosikan !ellness0
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∗ Internal Ini6i' ata' !ellness iri seniri )A4TA, .//*&,Arell, *+78&, C3C, .//-&, 3'nn, *+8* <onas, .///0
∗ Eksternal Aspek9aspek !ellness (ang 5l'ar5 ariini6i', seperti kesehatan kel'arga )Arell, *+78&,3'nn, *+8*0
∗
#esehatan mas(arakat )A4TA, .//*&, 3'nn, *+8* <onas,.///0
∗ #esehatan lingk'ngan )Arell, *+78&, 3'nn, *+8* <onas,.///0
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∗ Sementara komponen kesehatan i'k'r paas'at' titik !akt' tertent' )misaln(a,pem&acaan tekanan arah ata' skor Beck3epression In6entor(0, !ellness aalah proses
akti1 (ang teriri ari ke&iasaan an praktek)National Wellness Instit'te, n0"
∗ 3engan emikian, &er&ea engan kesehatan,(ang statis, !ellness aalah inamis
Health >ers's Wellness
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∗ Organisasi #esehatan 3'nia mene%nisikan kesehatan
se&agai 5B'kan han(a tiak aan(a pen(akit" " " Se&'ahkeaaan %sik, mental an kese$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
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∗ 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" #"
∗ $ealth is static and is meas%red at a specifc point in time" &ncontrast, 'ellness is dynamic and consists o an individ%als health)related habits and practices over time"
∗ 3e%nisi sa(a aalah 5 @a(a hi'p (ang menorong9&aik internal
ma'p'n eksternal9kesehatan %sik, mental, an sosial alam kogniti1,
psikomotor, an a1ekti15 )Ail, .///&, hal" .0"∗ #esehatan aalah statis an i'k'r paa titik !akt' tertent'"
Se&alikn(a, !ellness &ersi1at inamis an teriri ari ke&iasaan (ang
&erh'&'ngan engan kesehatan ini6i' an praktek ari !akt' ke!akt'"
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∗ La(anan pencegahan (ang pro1esional
meis, termas'k tetapi tiak ter&atas paa%sioterapis, okter, an pera!at, &erikanapat ikategorikan men$ai tiga $enis
*" 4encegahan primer,
." 4encegahan sek'ner," 4encegahan Tersier
42E>ENTION
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∗ A4TA ).//*0 54encegahan pen(akit paa pop'lasi rentanata' mas(arakat (ang &erpotensi rentan melal'ilangkah9langkah tertent' seperti 'pa(a promosikesehatan 'm'm5
∗ 3alam kom'nitas meis, salah sat' e%nisi pencegahan
primer 5Menghentikan pen(akit se&el'm im'lai5∗ AOT A ).///0 54eniikan ata' strategi promosi
kesehatan (ang irancang 'nt'k mem&ant' orangmenghinari tim&'ln(a konisi tiak sehat, pen(akit,ata' ceera"5
4rimar( pre6ention
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∗ )A4TA0 5Gpa(a 'nt'k meng'rangi 'rasi
sakit, keparahan pen(akit, an ge$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
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∗ Fisioterapis mengintegrasikan pencegahan
sek'ner alam praktek mereka ketikamereka melak'kan re6ie! sistem )ses'aiA4TA, .//*0 an mengac' paa ahli lainseperti (ang it'n$'kkan"
∗ <ika masalah &ar' iiagnosis &eraa alamaerah praktik mereka, mereka &isa )inegara9negara akses langs'ng0 langs'ngmengelola masalah"
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∗ 5Gpa(a 'nt'k meng'rangi tingkat kecacatan an
mempromosikan reha&ilitasi an pem'lihan 1'ngsi paapasien engan kronis an pen(akit ire6ersi&el 5)A4TA,.//*0"
∗ 5Mana$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
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∗ 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
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∗ 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
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∗ <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
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∗ 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
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∗ 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"
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∗
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"
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∗ 53alam moeln(a, Hettler )*+-+0
men(atakan &ah!a imensi !ellness aalaha" emosional,
&" intelekt'al,
c" ker$a,
" %sik,
e" sosial, an
1" spirit'al"
"The Si93imensional Moel o1Wellness
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∗ Moel Hettler enam imensi !ellness iperl'as
men$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$aan, imensi emosional %siksosial, an spirit'al seperti (ang iienti%kasi olehHettler, serta imensi lingk'ngan an &'a(a
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∗ Gns'r lingk'ngan menekankan menge$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
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∗ Witmer an S!eene( mempresentasikan 5moelholistik 'nt'k !ellness an pencegahan atasrentang hi'p 5paa tah'n *++."
∗ M(ers, S!eene(, an Witmer isa$ikan 6ersi re6isipaa tah'n .///" Ber&ea engan penah'l'n(a,
moel ini &erakar paa apa (ang penciptamen(imp'lkan aalah lima t%gas hid%p*spirit%alitas, pengat%ran diri, pe+eraan,
persahabatan, dan cinta"
"Holistic Moel 1or Wellness an4re6ention O6er the Li1e Span
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∗ 3alam kesat'an rohani, an .0 nilai9nilai, optimisme, anmaks'"
Witmer an S!eene( s )*++.0 t'gas hi'p s!a9reg'lasiteriri ari t'$'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"
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∗ 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
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∗ 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
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∗ Sikap Organisasi #esehatan 3'nia aalah &ah!aaa tiga komponen kese$ahteraan %sik, mental,an sosial"
∗ Sa(a meng's'lkan &ah!a moel (ang le&ih &aikari !ellness teriri ari tiga imensi 'tama ariWHO an aspek sek'ner !ellness )!ellnessemosional, !ellness spirit'al, an !elnesske&'garan0 iklasi%kasikan se&agai s'&9imensi"
S'mmar( Wellness Moels
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∗ Model -ravis, (ang ikem&angkan paa tah'n
*+-., se&'ah kontin'm antara tingkat tinggikesehatan an kematian ini"
∗ Ardell (./00, ./12, .//!# mengem&angkan
serangkaian moel imensi, (ang paling ter&ar'(ang memiliki tiga omain )%sik, mental, an
makna an t'$'an0 an * &iang keterampilan"∗ $ettler (./0/# moel kesehatan teriri ari enam
imensi emosional, intelekt'al, peker$aan, %sik,sosial, an spirit'al"
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∗ Witmer an S!eene( )*++.0 Moel holistik
!ellness an pencegahan atas 'm'r melip'tilima t'gas hi'p spirit'alitas, pengat'raniri, peker$aan, persaha&atan, an cinta"
∗ Ardell (.//0# moel irasakan !ellness teriri
enam imensi kesehatan %sik, sosial,psikologis, emosional, spirit'al, an
intelekt'al"
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∗ Moel h'manistik !ellness )HMW0 teriri ari
tiga imensi kese$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 .//"
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∗ T'$'h tahap kesehatan aalah
*0 primorial,.0 pra9kontemplasi,
0 kontemplasi,
0 persiapan,
:0 tinakan,
80 pemeliharaan, an
-0 pera!atan permanen"
STA@ES OF WELLNESS EAMINATION,E>ALGATION, 4LAN OF CA2E, AN3
INTE2>ENTIONS
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∗ Seorang pasien ; klien alam tahap primorial tiak
saar &ah!a ia memiliki pro&lem (ang &erh'&'nganengan kesehatan an ; ata' &ah!a ia tiak saarterli&at alam perilak' (ang tiak sehat"
∗ 3engan kata lain, orang &ahkan tiak men(aari&ah!a masalah (ang &erh'&'ngan engan kesehatanaa )<onas, .///0"
∗ Misaln(a, alam hal eksi&ilitas, ini akan men$ai pria(ang mengalami pen'r'nan pan$ang otot i paha&elakang, tapi tiak men(aari pen'h"
*"4rimorial Stage
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∗ 3alam stai'm pre contemplation ia
menerima ata' mengetah'i &ah!a aapro&lem (ang &erkaitan engankesehatanan(a tetapi &el'm memperhatikanan &el'm aa kema'an 'nt'k mer'&ah
men$ai keshatan (ang &aik" )<onas, .///0"
."4re9Contemplation Stage
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∗ 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"
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∗ 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""
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∗ 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, $ika aa )<onas,.///0"
"Contemplation Stage
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∗ Se&'ah contoh ari gerakan menaak ari tahap
pra9kontemplasi ke tahap kontemplasi akan men$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
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∗ 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
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∗
∗ 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"
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∗ 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 $alan cepat * sampai . a(s permingg' selama ./ sampai / menit per sesi"
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∗
#etika seorang pasien ; klien memas'ki stai'm aksi, iaata' ia mem'lai per'&ahan alam irin(a ata' perilak'n(a )<onas, .///0"
∗ Se&agai contoh, seorang !anita (ang telah mem't'skan&ah!a ia akan &erhenti merokok mem&'ang sem'a rokokan kem'ian mem&eli an menerapkan o&at anti nikotin "
∗ Sangat penting &ah!a seseorang tiak ma$' secaralangs'ng ari tahap kontemplasi ke tahap tinakan;aksi"
∗ Langkah sementara 'nt'k mem&ant' mempersiapkan'nt'k per'&ahan memaai imaks'"
:"Action Stage
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∗ 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
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∗
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"
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∗ #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
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∗
<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,
$ika Ana tiak apat sikat gigi karena keaaan i l'arkenali Ana )misaln(a, Ana aalah seorangkontestan paa hit realit( sho! S'r6i6or0, Ana har'stiak menganggap it' kam&'h"
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∗ #etika menilai aspek kesehatan ; klien, Ana
har's menent'kann(a ari kesehatan (ang&erkaitan engan aspek it'" Selama e6al'asi%sik men$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
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∗ T'$'h tahapan kesehatan (ait' 4rimorial, pra9
kontemplasi, kontemplasi, persiapan, tinakan,pemeliharaan, an pera!atan permanen"
∗ <ika seorang pasien ; klien sama sekali tiakmen(aari masalah kesehatan pri&ai, makaia alam tahap primorial"
∗ #etika apatient ; klien memiliki secercahpengak'an masalah kesehatan pri&ai, iaalam tahap precontemplation"
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∗ Seorang pasien ; klien (ang tah' &ah!a ia
memiliki masalah kesehatan pri&ai, alamtahap kontemplasi"
∗ #etika seorang pasien ; klien mem&'atpilihan 'nt'k meng'&ah n(a perilak' tiak
sehat, masalah kesehatan &aik inilai seniriata' inilai oleh seorang pro1esional, anrencana pera!atan ikem&angkan, maka iaalam tahap persiapan"
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∗ Seorang pasien ; klien (ang &enar9&enar
mem'lai per'&ahan perilak' kesehatan n(aaalah alam tahap aksi"
∗ Orang (ang r'tin mempraktekkan perilak'kesehatan (ang &ar', alam tahap
pemeliharaan"∗ #etika perilak' sehat telah men$ai ke&iasaan
asli, klien pasien ; telah &erkem&ang ke tahappermanen"
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∗ 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"
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∗ <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"
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TE2IMA #ASIH
STA@ES OF WELLNESS EAMINATION
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∗
#etika memeriksa aspek pasien ; klien tentang!ellness )misaln(a, !ellness gi=i, !ellness kapasitasaero&ik0, Ana $'ga har's mengienti%kasi irin(aata' tahapan !ellness (ang &erkaitan enganaspek %sik, mental, an sosial !ellness"
∗ Selama tahap e6al'asi alam s'at' sesi, Anahar's menge6al'asi tem'an pemeriksaan Ana"E6al'asi Ana kem'ian ig'nakan 'nt'k
merancang rencana pera!atan !ellness Ana"
STA@ES OF WELLNESS EAMINATION,E>ALGATION, 4LAN OF CA2E, AN3
INTE2>ENTIONS
C iti l 1 4h i l
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∗ 4erhatian terhaap tahapan !ellness sangat
penting &agi terapis %sik 'nt'kmeningkatkan ke&erhasilan !ellness irin(aata' pasienn(a ; klien" Bagian &erik't kitalihat le&ih ekat paa setiap tahap
∗
T'$'h tahap kesehatan (ang primorial, pra9kontemplasi, kontemplasi, persiapan,tinakan, pemeliharaan, an pera!atanpermanen"
Critical 1or 4h(sical Therapists
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∗ 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
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∗ 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
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∗ Gnt'k langs'ng memeriksa aspek !ellness,
pemeriksa langs'ng mengamati ke&iasaan ;klien pasien an praktik (ang terkait enganaspek !ellness"
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∗ 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 $am
pengamatan langs'ng, &iasan(a tepat 'nt'kmengg'nakan s'r6ei 'nt'k menem'kanin1ormasi tentang setiap aspek !ellness"
4ENTIN@ MASG##AN 3IMENSI ;
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∗ Tiga istilah i&eakan ke&'garan )(ait',stat's komposisi t'&'h, kapasitas aero&ik,ke&'garan otot, an eksi&ilitas0,
∗ Wellness )ke&iasaan an praktek9praktek (ang
mempromosikan %sik, mental, ankese$ahteraan sosial0, an
∗ Fitness !ellness )ke&iasaan an praktek9praktek (ang mempromosikan ke&'garan0"
4ENTIN@ MASG##AN 3IMENSI ;SCO4 4ELAJANAN FISIOTE2A4I
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∗ #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""
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∗ ." *" 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
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∗ 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
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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(
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3isiplin It' #ontri&'si &erampak paa
!ellness, (ang termas'k tetapi tiakter&atas paa
*" 3isiplin meis
." ilm'!an
" Lainn(a
WELLNESS 42ACTITIONE2S
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∗ -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
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∗ 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
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∗ 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"
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∗ 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
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∗ 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
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∗ 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"
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∗ 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(
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∗ 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(
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∗ 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(
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∗ 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(
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∗ 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
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∗ 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
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∗ )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"
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∗ 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"
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∗ 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
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∗ 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
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∗ 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
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∗ 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
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∗ 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
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∗ 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
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∗ 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
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∗ 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
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∗ 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
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∗ 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"
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∗ 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
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∗ 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
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∗ 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"
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∗ 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
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∗ 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
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∗ 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
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∗ 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
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∗ 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
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∗ 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
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∗ 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"
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∗ 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
$'mping an sprinting"
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∗ M'sc'lar strength is etermine &( the
a&ilit( to mo6e a hea6( !eight a limiten'm&er o1 times )e"g", &ench pressing 7/po'ns eight times0"
∗ M'sc'lar en'rance is etermine &( thea&ilit( to repeatel( mo6e a lighter !eight)e"g", per1orming *// a&ominal c'rls0"
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∗ M'sc'lar po!er is etermine &( the a&ilit(
to mo6e the hea6iest !eight possi&le )e"g",&ench pressing *./ po'ns one time0"
∗ Elastic strength is etermine &( the a&ilit(o1 the m'scles to o6ercome a resistance !itha 1ast contraction an there&( ena&le thepatient;client to compete in a sport )e"g", a&asket&all game0 !itho't in$'ring the $ointsor m'scles"
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∗ 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
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∗ 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"
( (
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∗ 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(
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∗ 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
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∗ 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"