The health illness continuum is a graphic illustration of a well being ,concept first proposed by John.W.Travis in 1972. It describes how wellbeing is more than simply an absence of illness , but also incorporates the individuals mental and emotional health. Travis believed that the standard approach to medicines , which assumes a person is well when there are no signs or symptoms of disease ,was insufficient.
Composed of two arrows pointing in opposite direction and joined at a neutral point.
Movement to the right to the arrows (toward the high level of wellness) equals an increase in level of health and wellbeing Achieved in three steps , Awareness Education Growth
Movement to the left to the arrows (towards premature death) equates a progressively decreasing state of health. Achieved in three steps, Signs Symptoms Disability
Most important is the direction is the individual facing on the pathway If towards high level of health , a person has genuinely optimistic or positive out look despite his/ her health status. If towards premature death , a person has a genuinely pessimistic or negative out look about his or her health status.
Compares treatment model with a wellness model , If treatment model is used ,an individual can move right only to the neutral point. Eg : A hypertensive client who only takes his medications without making any other life style changes. If wellness model is used , an individual can move right past the neutral point. Eg :As hypertensive client not only takes medications but stops smoking , looses weight , starts an exercise programme etc.