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Lightweight Transport Chair has a lightweight aluminum frame and padded upholstery. It is foldable and has a quick release fold-down back, as well as padded, fixed full-length arms for added comfort. Transport chair has locking rear wheels and much lighter and more compact than traditional wheelchairs,transport chair allows the user and care giver greater freedom with life's daily adventures. Transport Chairs Transport Chairs has more security and comfort enhancing features than ever before. Flip-back detachable arms make it easier to transfer in and out, or simply get closer to a table. And, added side panels help protect from bumps and bangs along the way.Anatomically correct armrest height along with heel loops on the easy-adjust swing-away footrests make it even more secure and comfortable to sit in. Features Aluminum frame is lightweight and strong Comes with seat belt for added safety Nylon upholstery is comfortable, lightweight and easy to clean Comes with swing-away footrests Padded armrests provide additional comfort Aluminum coasted back-release hinge allows back to fold down for easy storage and transport Lightweight Folding Wheelchair Lightweight Folding Wheelchair are suitable for indoor as well as outdoor purposes. Lightweight wheelchair are using high quality material to ensure high strength and durability. Lightweight wheelchair is a high quality wheelchair.It is divided into three major categories- Rigid Ultra-lightweight Wheelchairs Rigid frame eliminates the additional hardware and mechanisms of a folding frame, lightening up the weight and increasing the response and performance.These wheelchairs have a long list of options including the basics, like push handles and flip-up armrests, to Spinergy wheels and light-up front casters. Folding Ultra-lightweight Wheelchairs If you need to transport your wheelchair behind the seat of your car or can't live without swing-away leg-rests but don't want to sacrifice weig

The Department of Health and Social Care (DHSC) has issued Serious Shortage Protocols (SSPs) on three HRT medicines to limit dispensing supply to three months. To ensure women across the UK will be able to more reliably access HRT products SSPs has been issued on the supply of Oestrogel, Ovestin cream and Premique Low Dose. DHSC stated, "Women who have a prescription for more than three months but are only able to access three months' supply will not have to pay an additional prescription charge." "This means women will not incur any additional costs. Imposing a three month limit will mean more women are able to access the medication they want. Any woman who is worried about access to HRT or is unable to access HRT should speak to her GP." Recently, Vaccine Taskforce Director General Madelaine McTernan has been appointed to spearhead a new HRT Supply Taskforce, applying lessons learned from the successful procurement seen during the Covid vaccination programme to identify ways to support the HRT supply chain ensuring it can meet both short and long term demand. The move will save time for patients as well as pharmacists and prescribers who are working tirelessly to tackle the covid backlog.

The severity of the ADHD medication shortage in the UK has been exposed as former Hollywood extra Lee Cato revealed that he was forced to quit his job but hasn't been able to access his medicine. A resident of Berkhamsted, Hertfordshire, Lee had worked as a film extra in big movies like 'Thor' and 'Edge of Tomorrow'. The 48-year-old told Mirror that he has been taking Concerta for years to manage ADHD symptoms, but he hasn't been able to get the drug or any alternatives for over a month. He said that he first experienced shortages of the medicine in December 2023 but was initially able to take Delmosart, which he took to maintain focus despite experiencing its side effects such as headaches, nausea, tooth erosion, and a dry mouth. But now, he can't get access to any of these ADHD drugs as "they're completely out-of-stock and it's been over a month now." His chemist also tried to get hold of his medication but failed.

There are pros and cons to both sides of this argument. With the private arrangement, you will first of all need to find your surrogate mother. This is usually much easier done through an agency, as all surrogate mothers to be will have been screened and will have gone through a comprehensive health screening. Also, all of the surrogate mothers with an agency will have had psychological screenings to guarantee the fact that they will be able to deal with the very strong emotions that will be coursing around their bodies during the pregnancy. Unless, of course, your surrogate mother is a relative or close friend of the family in which case it would seem to be a lot easier. Ethics, moral code and emotions will still loom large in all of the concerned parties worlds. So it would still be wise to involve an attorney and legal contracts so that everyone knows exactly where they stand, and what is expected of them. In most countries and states legal and binding contracts written up by attorneys, are needed by the parents to be anyway. As they are going to have to be legally adopting the child everything, will need to be written clearly and legally about the birth and how it came about. Very often during the pregnancy the doctors and nurses will need to know why there are two women, one pregnant, the other not, and very often two fathers who are so interested in this one child. If you have gone through an agency, they will be able to advise you on what to do and say in this situation. If you are sorting out surrogacy arrangements privately then yes but if anything unexpected should happen and you are unable to deal with the problems there is a reasonable chance you will end up wishing you had gone to the agency. Agencies do have trained professionals that can help you with all of the different issues that are involved in surrogacy. From the emotional feeling of all parties, the majority of agencies will have counselors who can help you work your way through any difficul

Ergonomics: Benefits of Active Sitting for the Able-bodied The field of ergonomics, in particular that of office furniture, now offers various active sitting products that enable different kinds of movement: forward and backward, lateral (side to side), 360 degree wobble, etc. It is important to note that the ergonomic research also indicates that - although movement is necessary - it is not enough. All movements are not the same; there are movements to be avoided. For example, movement that alternates between different awkward sitting postures that repeatedly load the same joints will provide little benefit.Buy online Ergonomic Wheelchair for handicapped and disabled at lowest price and cheap cost in india from wheelchair india online shopping store of Ergonomic Wheelchair manufacturer, distributor, dealer and supplier of variety of karma Ergonomic Wheelchair at low price in india The benefits of active sitting are understood to occur with movements through a graded range of centered and symmetrical postures. The active and controlled postural positions in sitting are believed to activate and strengthen muscles in the back and core area,to relieve the static loads acting on joints, ligaments, and tendons, and to promote circulation for elimination of waste products. Thus, a dynamic, ergonomic sitting position is believed to lead to improved posture, core stability, and circulation. Wheelchair at low price in india for handicapped and disability product like Karma S Ergo 305 Wheelchair, Karma S Ergo 125 Wheelchair, Karma S-Ergo 115 Wheelchair, Karma Ergo Lite 2501 Wheelchair, Karma S Ergo 106 Wheelchair, Karma S Ergo 105 Wheelchair, along with that we offer huge discount and promo code when you purchase ERGONOMIC WHEELCHAIR from our online shopping store of Ergonomic Wheelchair. Although extensive research in the field of ergonomics and active sitting is yet to become widely available, the logical benefits are easily extrapolated. The pelvis is tilte

Basic Wheelchair Information- -Foldable, even when the user is seated on it, allowing them to pass through narrow paths. - Made of aluminum and high resistance polymers. - It absorbs floor irregularities. - Highly resistant and comfortable. - Height adjustable and removable footrests with no need of tools. - Removable armrests (no tools needed). - Customizable lateral fairings. - Optional Quickrelease. Foldable Wheelchair- Folding wheelchairs are perfect for travel; they are lightweight in design which makes them easy to fit in the car, bus or train. Some of our models even come with a bag such as this one, which means they can be easily transported and quickly stored when not in use. A folding wheelchair is more compact than a conventional wheelchair which makes them ideal for storing, especially in homes with limited storage space. Seat width and depth- If the chair is too big or too small it will be difficult to use and uncomfortable. Pelvic (hip) position and support- If your hips are not positioned well, it might be hard to use your arms and it could make you tired. Basically, your hips are the base of your support when you are sitting, it is important to know if they are straight or if one side is higher than the other. Cushion- A VERY important part of the wheelchair! You need to feel stable and have a cushion that will decrease the possibility of a pressure sore. Ideally, the clinic will pressure map you sitting on the cushion. Leg support- Footrest angle, leg rest length, foot support (strap?) - it is important your feet are aligned well so you have as much support to sit up as well as possible. You can what feels most supportive. Appropriate trunk support- The back support of the wheelchair will help you stay upright and increase your endurance. Just like a good seat in a car, if it is comfortable and you are able to move as freely as possible and have the support you need, you can drive longer and be m

CP Child Wheelchair Cerebral palsy (CP) is a disorder of the brain. Normally, the brain tells the rest of the body exactly what to do and when to do it.CP affects the brain, a person might not be able to walk, talk, eat, or move the way most people do. CP affects a person's muscle tone and ability to coordinate body movements. People with CP have trouble controlling their muscles. CP affects the part of the brain that controls speech, a person with CP might have trouble talking clearly or not be able to speak at all. Because cerebral palsy affects muscle control, some people have learning disabilities or behavior problems - though many people with CP don't have these issues. Other people with CP also have medical problems like seizures or epilepsy, or hearing impairment. CP may work with these experts: a pediatric orthopedist a developmental pediatrician who looks at how the person is growing or developing compared with other teens a pediatric physiatrist (or rehabilitation physician), who helps kids with disabilities of many kinds therapists, like physical therapists to help with movement, occupational therapists to help with skills like handwriting, and speech therapists Features Ultra light weight aluminum alloy frame Epoxy powder coated frame Detachable arm rest provided Height adjustable and detachable head rest Hydraulic reclining high back for a comfortable posture Detachable back and seat pad Extra cushion upholstery provided to under arm, head. Hand brakes provided Safety belt provided Cerebral Palsy Wheelchair Price Cerebral Palsy is a long-term chronic medical condition that requires long-term supportive care services.Cerebral Palsy often have other associative and co-mitigating medical conditions, including cognitive challenges, vision loss, hearing impairment, and seizures. These conditions require diagnosis, treatment and maintenance all at significant cost.The family of an individual with cerebral palsy is like

Folding Lightweight Wheelchairs For indoor wheelchair safety the folding power wheelchair models that are lightweight have front casters which turn easily, making them ideal for use in small apartments. Having the casters in front makes this a dangerous chair to use outdoors as the front wheels can turn sharply if encountering a crack in the sidewalk, incline, or rocks.Wheelchair india is manufacturer, supplier, distributor and dealer of Karma KP 10-2 Power Wheelchair for disabled and handicapped in india. They usually have one or two removable batteries and have a similar appearance as the manual wheelchair. They can be controlled with a joystick or a sip and puff method. Lightweight Power Assisted Wheelchairs These chairs can be propelled in a similar manner as the manual wheelchair or use a battery. You may want this type if you want to keep fit and get some exercise but need some power when going up an incline or when traveling a distance. They are smaller and lighter weight than the folding wheelchair and have smaller batteries and motors. Dual Purpose Power Wheelchairs These chairs generally are good for either indoor or outdoor use. You need to have larger wheels in front for outdoors as this is a safety feature. It is better to have six wheels for stability when traveling outdoors. These indoor/outdoor power chairs compromise wheelchair safety and perform poorly when you do not have enough room to turn indoors and you need to travel over rough ground and uneven surfaces. Their optimum performance indoors is when you have wider doors and hallways in assisted living facilities, nursing homes, or homes/apartments. Ideal outdoor surfaces in urban and suburban areas would include sidewalks and paved areas. Outdoor Power Wheelchairs These chairs weigh as much as 400-500 pounds, add the weight of the user up to 250 pounds and the total weight is approximately 650 pounds. They are very efficient outdoors with their rear wheels they can sa

Instruction for Wheelchair User Seat width and depth If the chair is too big or too small it will be difficult to use and uncomfortable. Pelvic (hip) position and support If your hips are not positioned well, it might be hard to use your arms and it could make you tired. Basically, your hips are the base of your support when you are sitting, it is important to know if they are straight or if one side is higher than the other. Cushion A VERY important part of the wheelchair! You need to feel stable and have a cushion that will decrease the possibility of a pressure sore. Ideally, the clinic will pressure map you sitting on the cushion. Leg support Footrest angle, leg rest length, foot support - it is important your feet are aligned well so you have as much support to sit up as well as possible. You can what feels most supportive.Buy online Basic Wheelchair for handicapped and disabled at lowest price and cheap cost in india from wheelchair india online shopping store of Basic Wheelchair manufacturer, distributor, dealer and supplier of variety of Karma Basic Wheelchair at low price in india Appropriate trunk support The back support of the wheelchair will help you stay upright and increase your endurance. Just like a good seat in a car, if it is comfortable and you are able to move as freely as possible and have the support you need, you can drive longer and be more alert. Back support You might want a low back or a high back. A low back will give you more room to move your arms, but has less back support. A high back will provide more support, but might limit your arm movement.Wheelchair india is manufacturer, supplier, distributor and dealer of Karma Basic Wheelchair. Chest support Lateral supports (supports the side of your chest) or chest strap (a strap on your chest if you are worried you will fall forward). These features help you keep your balance when leaning forward, or to the side. Headrest You might want a head support if yo

A three-wheeled wheelchair was built in 1655 or 1680 by a disabled German man, Stephan Farffler, who wanted to be able to maintain his mobility. Since he was a watch-maker, he was able to create a vehicle that was powered by hand cranks. In 1789, two French inventors developed a three wheeled vehicle, powered by pedals; They called it the tricycle. 19th century tricycle used in Iran In 1818, British inventor Denis Johnson patented his approach to designing tricycles.[clarification needed] In 1876, James Starley developed the Coventry Lever Tricycle, which used two small wheels on the right side and a large drive wheel on the left side; power was supplied by hand levers. In 1877, Starley developed a new vehicle he called the Coventry Rotary, which was "one of the first rotary chain drive tricycles." Starley's inventions started a tricycling craze in Britain; by 1879, there were " twenty types of tricycles and multi-wheel cycles ... produced in Coventry, England, and by 1884, there were over 120 different models produced by 20 manufacturers." The first front steering tricycle was manufactured by The Leicester Safety Tricycle Company of Leicester, England in 1881 which was brought to the market in 1882 costing £18. They also developed a folding tricycle at the same time.Buy online Tricycle for handicapped and disabled at lowest price and cheap cost in india from wheelchair india online shopping store of Tricycle manufacturer, distributor, dealer and supplier of variety of Tricycles at low price in india for handicapped and disability product like Disabled Tricycle Deluxe Double Hand Drive, Tricycle Deluxe Single Hand Drive, Tricycle Standard Double Hand Drive, Tricycle Regular Single Hand Drive, Standard Single Hand Drive Tricycle, along with that we offer huge discount. Tricycles were used by riders who did not feel comfortable on the high wheelers, such as women who wore long, flowing dresses. In the UK, upright tricycles are sometimes referred to as "ba

Easily fold-able frame provides convenience to carry. Ideal for storage in small living areas. Brand Imported. Fold-able Stool like Frame, ideal for storage in toilets with seat width of 15-inch without bucket. A commode is a great alternative to using the toilet. People who have difficulty getting to the toilet or spend long periods of time in bed can benefit from using a commode.Commodes are portable toilets that can be used beside the bed.These are designed and manufactured in accordance with international quality norms & standards, using high-grade raw material. All our products are widely used in homes, hospitals, nursing homes and clinics. In addition to this, we provide customization as per the specifications laid down by the customers.It has a comfortable padded seat that can be wiped clean and used for support whilst getting dressed. Features: High durability Easily portable Light weight Commode Chair- These chairs are highly demanded in hospitals and homes for patients or old age people who cannot walk by themselves. Our Portable Commode Chair is made from premium quality materials with the help of advance technology. Moreover, we offer these chairs at economical prices for our clients. Our Range starts from simple commode stool to economy chairs and extends upto more sturdier and durable chrome plated and light weight aluminum models with options of folding and height adjustment and with or without castors / seat cover. Commode chairs can be helpful for: People with dementia and incontinence. Anyone at risk of falling overnight whilst getting to the toilet. People who are short of breath or unsteady on their feet.

A three-wheeled wheelchair was built in 1655 or 1680 by a disabled German man, Stephan Farffler, who wanted to be able to maintain his mobility. Since he was a watch-maker, he was able to create a vehicle that was powered by hand cranks. In 1789, two French inventors developed a three wheeled vehicle, powered by pedals; They called it the tricycle. 19th century tricycle used in Iran In 1818, British inventor Denis Johnson patented his approach to designing tricycles.[clarification needed] In 1876, James Starley developed the Coventry Lever Tricycle, which used two small wheels on the right side and a large drive wheel on the left side; power was supplied by hand levers. In 1877, Starley developed a new vehicle he called the Coventry Rotary, which was "one of the first rotary chain drive tricycles." Starley's inventions started a tricycling craze in Britain; by 1879, there were " twenty types of tricycles and multi-wheel cycles ... produced in Coventry, England, and by 1884, there were over 120 different models produced by 20 manufacturers." The first front steering tricycle was manufactured by The Leicester Safety Tricycle Company of Leicester, England in 1881 which was brought to the market in 1882 costing £18. They also developed a folding tricycle at the same time. Tricycles were used by riders who did not feel comfortable on the high wheelers, such as women who wore long, flowing dresses. In the UK, upright tricycles are sometimes referred to as "barrows". Many trike enthusiasts ("trikies") in the UK belong to the Tricycle Association, formed in 1929. They participate in day rides, tours and time trials. Massed start racing of upright tricycles is limited to one or two criteriums such as in Bungay, Suffolk each year.

Since its establishment in the year 2011, Krshna Physio Plus is aimed to provide patients with comprehensive, high quality and professional physiotherapy treatments and rehabilitation to people in need. The efficient team of three, Dr. Ravi Sahauta - A very well-known complex trauma surgeon and Orthopaedician, Dr. Dharm Pal Sharma - an ex-Air force Physio trainer and Dr. Parmila Sharma - an experienced and talented physio expert, Krshna Physio Plus is counted among the well-known Physiotherapy clinic in Gurgaon and Delhi/NCR regions.  This clinic is one of the oldest organizations which was started with a vision to help people suffering from diverse dysfunctionalities with proper guidance and treatment which encompasses mainly physical, psychological, emotional, and social well being. With 8 centers in Delhi/NCR and Bihar, we are aimed at setting over 300 centers across Asia by 2020 and become the Physiotherapy clinic in Gurgaon.  Moreover, KRSNA Physio Plus is well equipped with various advanced facilities and equipment used to treat people to assure patient satisfaction and fast recovery. We have with us Top Physiotherapist in Gurgaon and Delhi/NCR regions with us who are specialized in offering treatment in physiotherapy dealing with Orthopedic, Neurological, Pediatric, Cardio-pulmonary, and Sports Injury, etc. All the experts here put their best for providing the best results.  Our experienced team of doctors and physiotherapists in Gurgaon who would be better able to diagnose what might be making it impossible for you to crane your neck, or pick articles off the floor, or simply kneel before your deity. Sports-Related Injuries Could Happen to Anyone It could be just that badminton match on a winter evening, or an office football match. Before you realize what is happening you've pulled a back muscle or your hamstring. Playing tug-of-war in colleges and office parties is fraught with the risk of a rotator cuff injury. Cricketers diving to save th

Pharmacies and other spaces should be able to facilitate the provision of health care to bring services closer to patients and reduce demands on general practice, suggested a report by Tony Blair Institute. In a paper 'Modern and Sustainable NHS Providing Accessible and Personalised Care for All', it has propose six areas for reform where radical-but-practical policy action will begin to transform the future of the NHS and deliver better patient care. It has proposed to create new access routes for services and providers. It added: "The range and availability of health-care services must increase to reflect citizens' demands and their increasingly complex needs. "Pharmacies, gyms, supermarkets, workplaces and other spaces should all be able to provide or facilitate the provision of health care, bringing services closer to patients and reducing demands on general practice. It suggested: "We must move towards greater community-based care and the creation of a neighbourhood health service, with more routes for direct patient access, to ensure services are available when and where people need them. These should all be accessible through a single, simple digital front door to the NHS."

Being able to access high-quality healthcare at the times you need it most is vital. Regardless of whether this is a simple check-up, a medical review or complex surgery, having a suitable healthcare package designed according to your medical needs will be beneficial in the long run. The NHS has recently come under significant strain. Factors such as an increase in the number of patients, reduced funding and increased life expectancy have led to long waiting times and limited treatments. As a result, more individuals are now seeking private healthcare which, while it may be more expensive, offers faster and more effective treatment. Here we'll discuss some of the main benefits of private healthcare and why it is becoming the ideal choice for healthcare in 2023. Reduced waiting times One of the main issues faced by the NHS is waiting times, with some patients being made to wait up to a year for routine hospital care. Currently, ambulance services and A&E units are under unprecedented pressure and it is estimated that hundreds of deaths each week are associated with admission delays. Understaffing has been a chronic issue in recent years in the NHS and is a major threat to the welfare of patients. This has been one of the major concerns that has led to nurses and ambulance staff taking strike action. As nurses and hospital workers are put under higher strain, they are more likely to make mistakes, which could well lead to patients coming into harm and making a claim. Opting for private healthcare guarantees that you are able to access your appointments, surgeries and treatments much quicker, with some flexibility offered to align with your lifestyle. The capacity to bypass the painfully long waiting times ensures you receive the necessary medical attention much sooner and could prevent the emergence of other health complications.

As part of a new blueprint for primary care, the government today (May 9) announced an investment of £645 million over two years to expand community pharmacy services in England. In a statement, NHS England said: "For the first time ever, patients who need prescription medication will be able to get it directly from a pharmacy, without a GP appointment, for seven common conditions including earache, sore throat, or urinary tract infections." Prime minister Rishi Sunak hopes that the measures will help end the "all-too stressful wait on the end of the phone for patients" by freeing up 15 million slots at doctors' surgeries over the next two years. "We will end the 8am rush and expand the services offered by pharmacies, meaning patients can get their medication quickly and easily," he said Almost half a million women will no longer need to speak to a practice nurse or GP to access oral contraception and will instead be able to pop into their local pharmacy for it, according to the government announcement. Blood checks for people suffering from moderate risk of heart attack or stroke conducted in community pharmacies will more than double from 900,000 last year to 2.5 million next year. NHS chief executive Amanda Pritchard said the "ambitious package" would help transform how care is provided within the health service "with pharmacies playing a central role in managing the nation's health including providing lifesaving checks and medication for common conditions for the first time.

Medical malpractice is a serious issue, and if you are ever a victim of it, you need to know what to do. More often than not, people do not even know that they are victims of medical malpractice until it is too late. This blog post will discuss six important things that you need to know about medical malpractice. Read on to learn more. IT CAN HAPPEN TO ANYONE First and foremost, medical malpractice can happen to anyone. It does not discriminate based on age, gender, or race. If you have been a victim of medical negligence, then you need to take action. However, many people do not even know that they are victims of medical malpractice until it is too late. This is because the symptoms of medical malpractice can often mimic other conditions or diseases. As such, it is important to be aware of the signs and symptoms of medical malpractice so that you can take action as soon as possible. Some of the most common signs and symptoms of medical malpractice include sudden and unexpected death, severe or permanent injuries, disfigurement, as well as loss of limb. If you or a loved one have experienced any of these symptoms, then it is important to seek legal help as soon as possible. An experienced medical malpractice lawyer will be able to help you investigate your case and determine if you have a valid claim. In this case, take the time to explore online sources where you may come across the websites of some of the most reputable lawyers. This is where you will have the chance to learn about medical malpractice and what you can do to take action. Rest assured that with the help of a competent lawyer, you will be able to get the justice and compensation that you deserve.

Pharmacy contractors will no longer need to print and submit a paper copy of their completed FP34C declaration made through the Manage Your Service (MYS) portal when submitting their paper prescription bundle to the NHS Business Services Authority (NHSBSA), said the Pharmaceutical Services Negotiating Committee (PSNC). Instead, from August 2022 (for July 2022 prescriptions), NHSBSA will post out a paper Account Identifier Document along with the red separators and pharmacy address labels each month. "The Account Identifier Document should be placed alongside the paper prescription bundle before it is dispatched for payment to the relevant pricing division of NHSBSA," said PSNC. With the help of Account Identifier Document, NHSBSA will be able to easily identify the pharmacy that has submitted the prescription bundle, which will help to speed up prescription processing. "If the Account Identifier Document is lost or misplaced, contractors will still be able to download and print another copy from MYS. The July 2022 Drug Tariff will be updated to reflect this change."

A new legislation has been introduced to allow authorised pharmacists along with other healthcare professionals in Northern Ireland to certify 'fit notes', health minister Robin Swann has announced. Pharmacists and some other healthcare professionals in England, Scotland and Wales are already allowed to sign 'fit notes'. Swann announced that 'fit notes' were also set to go fully digital in the future, meaning they would no longer need to be signed in ink. He said: "I am delighted to introduce this legislation in Northern Ireland. This change will make it easier for people and employers to get the advice they need so people can stay in work and will help free up doctors' time. "Too often we see people being faced with unnecessary challenges to get a fit note. More professionals being able to offer this vital service will speed up the process and support people to return to or remain in work."

Being aware of and understanding our mental health is extremely important. Mental health is not simply a medical condition, it essentially encompasses our psychological and emotional well-being. Mental health awareness has increased in recent years, however, since the COVID-19 pandemic, awareness of our mental stability and how we process our feelings has become all too apparent. It is important that we all learn to be open with our feelings and also be able to support others who may be struggling with their own mental health. The World Health Organisation (WHO) conceptualises mental health as a "state of well-being in which the individual realises his or her own abilities, can cope with the normal stresses of work productively and fruitfully, and is able to make a contribution to his or her community."