P – Physical Crohns disease stops nutrients from being absorbed properly. The person may feel drained of energy. If the crohns disease has flared up the person experience vomiting and stomach pains. They would need to see a doctor regularly to check symptoms and get some medication
I – Intellectual A person with crohns disease can be as intelligent as anyone else. Some people may need time off school to go to hospital appointments or if they are very unwell they may need time off school but with the right medication they can live a normal life.
E – Emotional The person may feel depressed if they are too ill to do anything, it affects people worst then others dome may have time off work and spend a long time in bed.
S – Social S person with crohns disease can have an active social life like anyone else. At times they may feel drained of energy so may come across as being very quiet, if they don’t feel they have enough energy to talk often.
Biological Relate to the state and functioning of the body and include genetics, hormones and body weight. Eg. Older adults are biolo9gically prone to being in poorer health than adolescents due to the physical and cognitive effects of aging. Sickle cell disease is a common example of a genetic determinant of health. Sickle cell is a condition that people inherit when both parents carry the gene for the sickle cell. The gene is most common in people with ancestors from West African countries, Mediterranean countries, south or Central American countries, Caribbean islands, India and Saudi Arabia. Other examples of biological and genetic social determinants; age, sex, HIV status, inherited conditions (sickle cell, haemophilia, anaemia), carrying the BRCA1 or 2 (which increases risk for breast/ovarian cancer) and family history of heart disease. Behavioural Include the behaviours that people engage in that have an impact on health and development, including smoking and exercise. Eg; an individual quits smoking their risk of developing heart disease is greatly reduced. Other examples of individual behaviour of health substances; diet, physical activity, alcohol, cigarettes, other drugs, hand washing. Social The social determinants are the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels.
P – Physical Measured by the blood pressure, cholesterol levels, body weight, fitness, functioning of body systems, energy levels and presence or absence of disease.
M – Mental Confidence, self-esteem, levels of stress and emotional and psychical wellbeing.
S – Social State of relationships with school/work mates, social needs met, state of relationships with family and network of friends.
Definitions Burden of disease – a measure of diseases & injuries, is measured in a unit called the DALY Disability Adjusted Life Year (DALY) – a measure of burden of disease one DALY equals one year of healthy life lost due to premature death and time lived with illness, disease or injury. Health – a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity. Health indicators – standard statistics that are used to measure and compare health status, eg, life expectancy, mobility rates, morbidity rates. Health status – an individuals or a population’s overall health Human lifespan – infancy: birth – 2 years-old Childhood (early): 2-years-old – 6-years-old (late): 6-years-old – 12-years-old Youth: 12-years-old – 18-years-old Adulthood (early): 19-years-old – 40-years-old (middle): 40-years-old – 65-years-old (late): 65-years-old - death Incidence – in relation to morbidity, refers to the no. (or rate) of new causes of a disease/condition