Health Dynamics Model

Adapted from "The force-field and well-being paradigms of health" Blum, H.L. (1980). Planning for health. (2nd ed.). New York: Human Sciences Press.

 

Potential Psychological Effects

Go back

Human Biology

Mental Health, Neurological System, Central Nervous System, Cardiovascular System, Endocrine System, Integumentary System.

arrow down.gif (906 bytes)

Environment

Changes within home i.e. bedroom moved downstairs, ramps put up to doors.  Difficulty accessing some facilities in the community i.e. cramped shops without wheelchair access.  Difficulty with transport i.e. needs to rely on others to drive him, or take taxi.  Medication.  Appointments.  Decrease in working hours.  Increase in time spent alone.  Increase in contact with health care professionals.  Decrease in usual social contacts.

arrow right.gif (2175 bytes)

Health

Self Concept Disturbance

changes to self esteem, body image, and altered role performance.

arrow left.gif (2172 bytes)

Health Care

Formal:- Hospital, Surgeon, Physio, Counsellor, Occupational Therapist, Welfare System.

Informal:- Partner, Family, Friends, Work Collegues, Neighbours, Social Contacts.

arrow up.gif (2424 bytes)

Ways of Life

Potential future job and liesure limitations due to the long-term effects of this and past injuries.  Changes in independence - dependence patterns.   Loss of control over income.  Changes to role within family i.e. partner is now potentially the main earner, cannot complete all usual tasks within the household e.g. mowing lawns.  Changes within interpersonal relationships i.e. physical contact may have to be less spontaneous to avoid pain, more contact with the children e.g. at home when they come home from school.  Isolation, tiredness, possible changes in mood, changes to appetite and diet.  

 

Potential Pain Effects

Go back

Human Biology

Mental Health, Neurological System, Central Nervous System, Musculoskeletal System, Cardiovascular System, Endocrine System, Integumentary System.

arrow down.gif (906 bytes)

Environment

Household now has to accomodate, wheelchair, gutter frame, elbow crutches, medications, hot/cold packs etc, safely.  Changes in sleeping arrangements i.e. can only lie in limited positions, extra pillows in bed for support.  Increase in contact with health care professionals.  Appointments.  Arranging transport i.e. taxis.  Medication i.e. painkillers/natural remedies.

arrow right.gif (2175 bytes)

Health

Ongoing Pain

arrow left.gif (2172 bytes)

Health Care

Formal:- Hospital System, Surgeon, Physio, Occupational Therapist, Pain Clinic, Pharmacy/Chemist.

Informal:-  Partner, Family, Friends, Work Collegues, Complimentary Health Care Specialists.

arrow up.gif (2424 bytes)

Ways of Life

Mood variability i.e. frustration, anxiety, anger, short tempered, depression.  Changes to relationships with partner and children i.e. not as tolerant and easy going.  Sleep disturbance, for Bob and partner. Decrease in appetite.   Medication routines.  Decrease in ability to function in usual productivity at work.  Decrease in ability to function within usual limits at home.  Decrease in mobility.  Reluctance to perform exercises.  Changes in daily routines.   The use of new techniques i.e. relaxation therapy, meditation.

Go back