Wednesday 28 September 2016

Blog Assignment: Self-Care

Greetings HEALers!

Hope all is well! I've posted the recent assignment by Randy Persad. Please have this completed by our next gathering on October 28th. If you complete the assignment prior to this date, send us all an email to visit your blog!

Self care: agency for “health and active living’’


The 1986 the World Health Organization convened the first Global Conference on Health Promotion [1] in Ottawa, Canada. This conference was perhaps the political spring-broad that propelled the notion of self-care into the public arena and into the meeting rooms of government policy makers and health care administrators.

The outcome of this conference was the Ottawa Charter for Health Promotion, a document described as "a CHARTER for action to achieve Health for All by the year 2000 and beyond" (World Health Organization, 1986). The CHARTER describes health promotion as "the process of enabling people to increase control over, and to improve their health."

The document continues to describe health as "a resource for everyday, living not the objective of living." And, later on in the document it describes how health is created, "health is created by caring for oneself and others, by being able to take decisions and have control over one’s life circumstances, and by ensuring that the society one lives in creates conditions that allow the attainment of health by all its members" (World Health Organization, 1986).

This last statement certainly implies agency for self-care as an individual and within the larger context of society. The task now is to understand how self-care is described or defined by the stakeholders of healthcare.

The Canadian government in the 1980s considered self-care as ‘a determinant of health’:


Self-care, broadly defined as the decisions and actions individuals take in the interest of their own health, has long been recognized as a major facet of health care. In the eighties, it was identified as a key mechanism for health promotion and prevention. Self-care can also be considered as an important determinant of health, concerned with the development and use of personal health practices and coping skills (Health Canada, 2004).

In 1986, Health Canada also proposed self-care as one of three key mechanisms in a health promotion framework aimed at achieving health for all Canadians:

'A Framework for Health Promotion'


We believe that the three mechanisms intrinsic to health promotion are: self-care, or the decisions and actions individuals take in the interest of their own health; mutual aid, or the actions people take to help each other cope; and healthy environments, or the creation of conditions and surroundings conducive to health.

When we speak of self-care, we refer to the decisions taken and the practices adopted by an individual specifically for the preservation of his or her health. An older person using a cane when the sidewalks are icy a diabetic self-injecting insulin, a person choosing a balanced diet, someone doing regular exercises: these are all examples of self-care.

Factors such as beliefs, access to appropriate information, and being in surroundings that are manageable play an important role in such situations. Simply put, encouraging self-care means encouraging healthy choices (Health Canada, 1986).

In 2005, the UK Department of Health proposed the following definition of self-care:

Self-care is a part of daily living. It is the care taken by individuals towards their own health and well-being, and in their role as carers includes the care extended to their children, family, friends and others, whether in their homes, neighbourhoods, local communities, or elsewhere. Self-care includes the actions individuals and carers take for themselves, their children, their families and others to stay fit and maintain good physical and mental health; meet social and psychological needs; prevent illness or accidents; care for minor ailments and long-term conditions; and maintain health and wellbeing after an acute illness or discharge from hospital (Department of Health, 2005).

Self-care involves a range of care activities deliberately engaged throughout life to promote physical, mental and emotional health, maintain life and prevent disease. Self-care is performed by the individual on their own behalf, for their families, or communities, and includes care by others. In the event of injury, disability or disease, the individual continues to engage in self-care, either on their own or in collaboration with healthcare professionals. Self-care includes social support and the meeting of social and psychological needs. Self-care provides the continuity of care between interactions with the healthcare system, enabling individuals to manage their disease or disability and maintain well-being (Godfrey et al, 2011).

Caring for Self: is to pursue a purposeful and fulfilling life by engaging in activities that foster moments of interconnectedness, love for self and spiritual realization. Activities are external or internal practices performed with full awareness, moment to moment, to optimally restore physiologic homeostasis. Activities are performed either independently, or with the help of others (Persad, 2015).

[1] Since 1986, the WHO has sponsored eight Global Health Conferences on Health Promotion in the following cities: Adelaide (1988), Sundsvall (1991), Jakarta (1997), Mexico (2000), Bangkok (2005), Nairobi (2009) and Helsinki (2013). The ninth conference is schedule for Shanghai International Convention Center on November 21-25, 2016.

Blog Assignment
Building on the previous class question, ‘What does health mean to you?’… to achieve this (health) one becomes engaged in practices…self care practices. What is your personal description/definition of self care?

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