CU-BSC.TTM-SEM-III-(Elective Group-B) Adventure & Wellness- Second Draft

One popular use of them in some regions is as a dive platform. Often considered a bridge between shore diving and boat diving, the kayak can open up many dive opportunities that bypass many divers. Figure: 6.4 Canoeing While both shore diving and diving from a dive boat are great, there are times when something is missing. There is a number of potentially great dive sites that are somewhat close to shore but are difficult, even impossible, to do as a shore dive. Inaccessible shore access or strong surf may be a reason. The intended dive site might be a bit far for a surface swim. Other locations may prove to be dangerous to a boat because of shallow water. Depending on the skill level of the kayaker, they may also reach many dive sites used by dive boats. Purchasing a kayak is less expensive than buying a dive boat. The maintenance costs are virtually zero and the cost of operating them is limited to a few extra energy bars. Most cars can transport a couple of kayaks with the addition of a roof carrier if the vehicle is not already equipped. This also makes storage of your dive platform less expensive. No need to pay for a boat slip or rent storage space. It is also easier to find places to launch your kayak than to launch a dive boat. If you can pull your kayak to the water, you will likely be able to launch. 6.6 ANGLING Angling, or sport fishing, is catching fish by using an ‘angle’, or a fish hook. The hook is fixed to a fishing line, which is attached to a fishing rod (this, typically, is fitted with a fishing reel). To lure fish, the hook is dressed with a bait (often, a ‘bite indicator’ like a float is used). Baits can be natural (fishes’ prey like worms, insects, earthworms and maggots – 101 CU IDOL SELF LEARNING MATERIAL (SLM)

dead or alive) or artificial (a ‘lure’ can – but doesn’t have to – represent real prey). There are three types of angling – spinning, fly fishing and bait fishing. Angling can be done with a rod – where the rod is attached to a reel – or by just a line. The classic ‘hook, line and sinker’ technique – the hook, attached to a line, weighed down by a sinker – is every angler’s go-to (and failsafe) fishing practice. Angling is pursued usually for pleasure (recreation) or for food. Anglers also take part in fishing tournaments, winning prizes for the weight or length of the fish caught (the species is determined beforehand) within a specified period of time. Figure: 6.5 Angling History of Angling The history of angling (or fishing) is as old as the world. From the time there were fish in the seas and the rivers, people have been catching them for food. The earliest known references to fishing date back to the ancient world. Among the Greeks, philosophers Aristotle and Plato referred to the sport of angling, while historian Plutarch offered advice on fishing lines. From Greece and Rome to the ancient civilizations of India and Egypt, fishing played an important role in the local (and regional) cultures; there is much evidence of this, both pictorially as well as textually (and also through the discovery of fishing equipment). Sport fishing can trace its origins to the late 15th century, but it was only after ‘The Compleat Angler’ came out (1653) did angling really take off. This guide, probably the most significant book on sport fishing, was authored by English angler Izaak Walton, whose reflections on (and love for) recreational angling sit snugly side by side with advice on how to make tackle and suggestions on the best techniques for catching fish. Besides being a classic of English Literature, ‘The Compleat Angler’ is also the seminal book on angling. Since the days of Walton, advances in fishing gear and an increase in knowledge of angling tactics (and also a growing awareness of the habitat of fishes) has seen the sport of grow in popularity, across the world. For many, it is the perfect way to relax, an antidote to the frenzies of modern existence. 102 CU IDOL SELF LEARNING MATERIAL (SLM)

The equipment’s used are hook, line, sinker; rod, reel, spear, net, trap, gaff, wader, spinner, float, spoon, tackle box, bait/lure (natural or artificial), bite indicator (Also) Rucksack, sunscreen, head torch (with batteries). 6.7 SAILING Learning to sail may seem complicated or beyond reach for many but there’s really nothing to learning the basics and there are many local organizations (yacht clubs, community parks and private schools) that offer affordable courses to those who want to experience life under sail. Sailing has the power to change your outlook by spinning you in a new direction with different people and ambitions. It also provides a fresh perspective on how and where you spend your leisure time. Here are some of the most compelling reasons to learn to sail and set a course for new adventures. Figure: 6.6 Sailing Freedom & Sustainability Boating is fun but sailing is grand. Harnessing the power of the wind and feeling the spray fly is amazingly freeing. It’s a great way to forget about the office and recharge your personal batteries. When done right, sailing is also a green and sustainable activity so you can start a new hobby without increasing your carbon footprint. Whether you just want to reset on an afternoon solo sail or get the blood flowing with a raucous upwind beat, there’s really no feeling like commanding a ship under sail. 103 CU IDOL SELF LEARNING MATERIAL (SLM)

6.8 MOTOR BIKING Motor biking in the mountains is an adventure sport. It tried by the audacious people who ride the motorbikes in the rocky stacks. Motor biking is the best option for those who are the typical escapade enthusiasts. The beautiful and diverse geography of India makes a wide scope for biking. It’s always filled with great contentment. The Indian Himalayas offer an incredible drive to the motorcycle riders. Garhwal Himalayan Motorbike Tours: Garhwal is a prime destination for motor biking. Rough land of Garhwal Himalayas makes the motor biking exhilarating and quite exigent. The journey that begins from Rishikesh and ends in Dehradun, passes from perfidious mountain roads and thick woods. At 'Trekking in India', we offer exhilarating motorbike tour packages to Garhwal Himalayas. March to mid- May, and September to November are the best time to get the feel of great adrenaline rush through the motorbike tour. Figure: 6.7 Dirt Biking Ladakh Motor biking Ladakh gives an unforgettable and breath-taking experience to the motorbike enthusiasts. The Ladakh motorbike tour does not only consist of the attractive landscapes, astounding views of the Himalayas, centre of unique cultures and traditions like Buddhist Gompas; but also provides the view of the rich flora and fauna. At Trekking in India, we offer you energizing Ladakh Motorbike Tours. Mid-June to Mid of October is the best time to enjoy the motorcycle riding here. Himachal Motor biking Biking in the 'Adobe of Gods: Himachal', allows you to travel around the breath-taking landscapes, rich culture and traditions of the state. The remarkable Himachal motorbike tour 104 CU IDOL SELF LEARNING MATERIAL (SLM)

starts from Shimla and ends at Manali via Spiti Valley. At 'Trekking in India', we offer attractive motor biking tours to Himachal. Mid-June to Mid-October is the best time to get the thrill of motor biking in Himachal. Kumaon Motorbiking: Biking in Kumaon allows you to explore the natural beauty that consists of the thick forests, muttering waterfalls, snow covered mountains and much more. On this biking tour, you enjoy the view of Jim Corbett National Park, Binsar Bird Sanctuary, Munsiyari, Mukteshwar and Ramgarh. 'Trekking in India' offers exciting motorbike tours to the adventure freaks and makes their holidays more daring and interesting. 6.9 SUMMARY  The most Adventurous and interesting is water-based sport.  Angling, or sport fishing, is catching fish by using an ‘angle’, or a fish hook  Rishikesh is the hub of river rafting.  Motor biking in the mountains is an adventure sport.  It tried by the audacious people who ride the motorbikes in the rocky stacks. 6.10 KEYWORDS  Angling- Catching a fish by a hook or angle.  Canoeing—water sport.  Scuba Diving – underwater diving with breathing apparatus called scuba  Snorkeling - swimming in shallow waters with the help of mask and breathing tube.  Skiing – a sport activity involving jumping and skating on snow  Canoeing / Kayaking – a recreational activity which involves paddling a narrow shaped boat using a single- bladed paddle.  Fishing – is a part of outdoor recreational activity of catching fish using net, spear and trap.  White water rafting- is a recreational activity which involves riding on a rubber raft filled with air, over rough a river.  Surfing - individual water sport activity riding on waves using surfing boards. 105 CU IDOL SELF LEARNING MATERIAL (SLM)

6.11 LEARNING ACTIVITY 1. Collect information regarding water sports Tourism destinations in south India ___________________________________________________________________________ ___________________________________________________________________________ 6.12 UNIT END QUESTIONS A. Descriptive Questions Short Questions 1. Define scuba diving. 2. What is White water rafting? 3. Give details about Body Surfing. 4. List few Snorkelling destinations in India. 5. What is angling? Long Questions: 1. Explain in detail various types of water-based sports? 2. Explain River Rafting destinations in India? 3. “Rishikesh is the hub of river rafting”. Discuss. 4. What is Angling. List the Anglining activity destinations in South India. 5. Discuss the best destinations for snorkelling and Scuba diving. B. Multiple choice Questions 1. -----------in Kumaon allows you to explore the natural beauty a. Diving b. Riding c. Biking d. None of these 2. ---------- is a prime destination for motor biking 106 a. Garhwal b. Leh CU IDOL SELF LEARNING MATERIAL (SLM)

c. Ladakh d. None of these 3. …………………………is Fishing using angle and hook. a. Angling b. motor biking c. Scuba diving d. None of these 4. Kayak is a ________recreational activity. a. Land Based b. Water Based c. Mountain Based d. Air Based 5. Canoeing is an _______ adventure tourism. a. Land Based b. Water Based c. Mountain Based d. Air Based Answers 1- c, 2- c, 3-a,4- b, 5-b 6.13. REFERENCES Reference books/material:  Atkinson, E.T. Himalayan Gazetter, Cosmo Publication, New Delhi, 1993.  Gupta. S.K. (2102) Tourism and Heritage Resources of Garhwal, Kaveri Books, New Delhi.  Bisht, D.S. Garhwal and Kamaon Hills, Trishul Publication, Dehradun,1982.  Bose,S.C.GeographyoftheHimalaya,NationalBookTrust,1976.Kaur, J, Himalayan Pilgrimages and the New Tourism, Himalayan Books,NewDelhi,1985 107 CU IDOL SELF LEARNING MATERIAL (SLM)

 M. Smith and L. Puczko, Health and wellness tourism, B. Heinemann (2109)  Sonali Kulkarni, Spa and Health Tourism, Book Enclave, Jaipur (2108) 108 CU IDOL SELF LEARNING MATERIAL (SLM)

UNIT 7: AERIAL BASED ADVENTURE STRUCTURE 7.0 Learning objectives 7.1 Introduction 7.2 Parachute Jumping 7.3 Gliding 7.4 Paragliding 7.5 Jumping parasailing 7.6 Summary 7.7 Key words 7.8 Learning activity 7.9 Unit end questions 7.10 References 7.0 LEARNING OBJECTIVES After studying this lesson, the student will be able to  Identify the concept of aerial based sport  Explain the aerial adventure sport in India.  Analyse the various sports like parachute jumping, gliding etc  Recognises the benefits of various aerial sport  Apply in his future wherever it is needed 7.1 INTRODUCTION The Little Mermaid: Ariel's Undersea Adventure. The Little Mermaid ~ Ariel's Undersea Adventure is a dark ride attraction based on the 1989 Disney animated film The Little Mermaid, located in Paradise Gardens Park at Disney California Adventure and in Fantasyland at Walt Disney World's Magic Kingdom, 109 CU IDOL SELF LEARNING MATERIAL (SLM)

7.2 PARACHUTE JUMPING Skydiving also called parachuting is jumping from an aircraft and safely returning to the ground with the help of a parachute. Skydiving is an extremely popular adventure activity. In most countries a skydiver will need to complete 5 jumps with at least one certified instructor before they can parachute alone. 1. Mysore – Karnataka Figure: 7.1 Parachuting Nestled at the base of the Chamundi Hills is one of the best places to have the ultimate skydiving experiences in India. Is that a bird, a plane, no it’s you! Make sure you familiarise yourself with all the details regarding skydiving in Mysore before you undertake this feat. 2. Deesa – Gujarat Figure: 7.2 Paragliding Indulge into the thrill of soaring in the sky at this beautiful lakeside city. It is among the best destinations for skydiving in India that offers all three kinds of jumps. The Sports Authority 110 CU IDOL SELF LEARNING MATERIAL (SLM)

of Gujarat and Indian Parachuting Federation hosts several skydiving camps here. You’ll surely be treated to some surreal views from up there owing to the gorgeous landscapes in this city. The sky diving cost in India varies depending upon the destination and Gujarat definitely has some of the most affordable options. 3. Pondicherry – Tamil Nadu Figure: 7.3 Paragliding: at Pondicherry One of the most beautiful towns in the country, enjoy the spectacular landscape here as you free fall from the sky. The camps here offer static line and tandem jumps. 4. Aamby Valley – Maharashtra Figure: 7.4 Paragliding at Amby Valley One of the best skydiving places in India, Aamby Valley has to be on every Mumbaikar or Pune folk’s list if they want to engage in this exciting sport. Gaze the stunning landscapes beneath as you freefall in the beautiful valley to enjoy the most thrilling experience of your lifetime. You’ll be treated to gorgeous views as you soar towards the city. 111 CU IDOL SELF LEARNING MATERIAL (SLM)

5. Dhana – Madhya Pradesh Figure: 7.5 Skydiving at Dhana Home to an air strip, Dhana hosts many skydiving camps for adventure enthusiasts. Enjoy a freefall from 4000 feet above, gazing at the breath-taking landscape beneath that will be unlike you have ever seen. Don’t forget to capture your skydiving feat on camera. 6. Hyderabad – Telangana Figure: 7.6 Sky Diving in Hyderabad Get ready to jump off the plane and fly like a bird at the Nagarjuna Sagar Airport. While exploring Hyderabad, you must take out time and visit the site for skydiving in India to satiate the adventure junkie on you. All the trainers at the airport are licensed by the United States Parachute Association and they will surely take all the measures required for your safety. It’s one of the best places for tandem jumping, and offers an experience similar to that of skydiving in Bangalore. 112 CU IDOL SELF LEARNING MATERIAL (SLM)

7. Aligarh – Uttar Pradesh Figure: 7.7 Sky diving at Aligarh If you want to try tandem skydiving near Delhi then you should straight away head to Aligarh. From qualified instructors to a thrilling experience, the Aligarh skydiving will surely impress you and is perfect for all adrenaline junkies! Considered as one of the best spots for skydiving in India, Aligarh is located only 3 hours 20 minutes away and you can easily reach by car. Skydiving here is amongst the best activities that bring adrenaline junkies from far and wide. This is also the perfect place to decide between skydiving and paragliding, and find out which one do you like most. 8. Narnaul – Haryana Figure: 7.8 Sky diving at Haryana Haryana also offers an enthralling skydiving experience at the Bachhod Airstip located in Narnaul. This sport has been initiated by the Haryana Government to promote adventure tourism in the state. So, whenever you are in or around the national capital Delhi, just head to Narnaul in Haryana for this daring expedition! 113 CU IDOL SELF LEARNING MATERIAL (SLM)

9. Bir Billing – Himachal Pradesh Figure: 7.9 Sky diving at Bir Billing With the rugged terrains and the jaw-dropping landscapes, Himachal Pradesh is one of the best spots to try skydiving in India. Bir Billing is considered as a great place to give adventure sports a try, including skydiving. The views of lush greens and the rugged mountains from up high in the sky is something that one tends to never forget. Another outstanding spot to try skydiving amidst the mighty hills of Himachal Pradesh is McLeod Ganj. The pleasant climate is what adds to this experience. 7.3 GLIDING Gliding is a recreational activity and competitive air sport in which pilots fly unpowered aircraft known as gliders or sailplanes using naturally occurring currents of rising air in the atmosphere to remain airborne. The word soaring is also used for the sport. Gliding as a sport began in the 1920s. Figure: 7.10 Gliding 114 CU IDOL SELF LEARNING MATERIAL (SLM)

7.4. PARAGLIDING Paragliding is the recreational and competitive adventure sport of flying paragliders: lightweight, free-flying, foot-launched glider aircraft with no rigid primary structure. Paragliding is a foot-launched fabric wing usually launched from an elevated area Paragliding sport of flying parachutes with design modifications that enhance their gliding capabilities. Unlike hang gliders, their close relations, paragliders have no rigid framework; the parachute canopy acts as a wing and is constructed of fabric cells with openings at the front that allow them to be inflated by movement through the air—the “ram- air” effect. Figure: 7.11 Paragliding 7.5 JUMPING PARASAILING 1. Himachal Pradesh – The Land Of Hills 115 CU IDOL SELF LEARNING MATERIAL (SLM)

Figure: 7.12 Parasailing Full of launch sites for professional parasailers, as well as for amateur parasailers, Himachal Pradesh is the top spot for parasailing in India. There are many destinations in Himachal with fantastic locations where international parasailing and paragliding events take place. The panoramic views of Dhauladhar Range and Kangra Valley create stunning surroundings, while you soar high in the sky! Best months to try parasailing in Himachal: March to October Best places to try parasailing in Himachal: Kullu, Manali, Solang Valley, Bir Billing, Dharamshala, and Lahaul Spiti are the sites in Himachal Pradesh where you can enjoy the bird’s eye view of Himalayas while parasailing in India. 2. UTTARAKHAND – The place with paradisiacal beauty Figure: 7.13 Parasailing 116 CU IDOL SELF LEARNING MATERIAL (SLM)

Uttarakhand is a scenic state positioned vitally amidst the snow clad mountains, peppered with occasional greenery. One of the top parasailing sites in India, Uttarakhand has some of the best spots and platforms for professional, as well as amateur, parasailers. All- encompassing views, lofty peaks, sublime water bodies, oak forests and evergreen coniferous make for a stunning view from the air. Best months to try parasailing in Uttarakhand: May to November Best places to try parasailing in Uttarakhand: Naukuchiatal, Bedni Bugyal, Doon Valley, and Auli are some of the most sought-after parasailing places in India. Fly with: Great Himalayan Adventure 3. RAJASTHAN – The State Of Heritage and Culture Figure: 7.14 Parasailing in Rajasthan Out of all the parasailing places in India, Rajasthan is the most colourful and unconventional one. Parasailing is taken to be a leisure activity here. The sandy expanse, colourful surroundings and open environment enrich the experience ten-folds. Adventure seekers and adrenaline junkies flock to the sandy world for its annual parasailing events. A definite no- miss place while you are on a mission of parasailing India. Best months to try parasailing in Rajasthan: September to February Best places to try parasailing in Rajasthan: Udaipur, Jaisalmer, Jaipur, Jodhpur, and Bikaner are the places where you can enjoy the best parasailing in India with a dash of culture and heritage. Fly with: Adventure Cell of Rajasthan Tourism Development Corporation Parasailing, is a recreational kiting activity where a person is towed behind a vehicle (usually a boat) while attached to a specially designed canopy wing that resembles 117 CU IDOL SELF LEARNING MATERIAL (SLM)

a parachute, known as a parasail wing. The manned kite's moving anchor may be a car, truck, or boat. 7.6 SUMMARY  The most adventurous and exploring Sport which is very fascinate to all tourists.  Paragliding is the recreational and competitive adventure sport of flying paragliders  Gliding is a recreational activity and competitive air sport in which pilots fly unpowered aircraft  Aerial sport not only gives pleasure but generates income and employment opportunities to many people.  Skydiving also called parachuting is jumping from an aircraft and safely returning to the ground with the help of a parachute 7.7 KEY WORDS  Paragliding: is a recreational adventure activity which involves jumping out of an aircraft with a special parachute.  Hot Air Ballooning: A recreational activity involving voyage with in an inland waterway with multiple stopover in all ports on the way.  Micro Light flying: a sports activity which involves flying in a two seater flight/glider meant for trainee pilots.  Sky Diving: A recreational activity which involves diving from a running aircraft and reaching safely to the ground with the help of a parachute.  Gliding: Gliding is a recreational activity and competitive air sport in which pilots fly unpowered aircraft known as gliders or sailplanes using naturally occurring currents of rising air in the atmosphere to remain airborne. 7.8 LEARNING ACTIVITY 1. Imagine you are a tour operator what aerial sport you suggest for various age group ranging from 10 -30.explain. 7.9 UNIT END QUESTIONS 118 A. Descriptive questions Short Questions CU IDOL SELF LEARNING MATERIAL (SLM)

1. Comment on Bungee jumping 119 2. What is parachute jumping? 3. Gliding -how adventurous this sport is? 4. Define Parasailing 5. What is Sky diving? Long Questions 1. What are the various types of Aerial sport? 2. In what way aerial sports are adventurous. Explain? 3. Discuss the various destinations of parasailing in India. 4. List out few hot Air Ballooning sport destinations in North India and explain. 5. What is Micro light flying. Explain any 3 destinations in South India. B. Multiple choice Questions. 1. Macau Tower in ------- is the highest bungee jumping site in the world a. China b. Europe c. India d. None of these 2. Gliding as a sport began in the year a. 1930 b. 1950 c. 1920 d. 1925 3. Skydiving also called------------- a. Parachuting b. Scuba Diving c. Parasailing d. None of these CU IDOL SELF LEARNING MATERIAL (SLM)

4. Parasailing is a popular form of enjoyment in Adventure Tourism. What is it? a. Flying in the Air b. Flying above the Sea c. Flying in the Air above the Sea with the help of a motor boat d. Gliding in the air above the sea 5. Parasailing destinations in Himachal Pradesh are: a. Udaipur b. Jodhpur c. Jaipur d. All of these Answer 1-d, 2-c, 3-a-, 4-c, 5-d 7.10 REFERENCES Reference books/material:  Atkinson, E.T. Himalayan Gazetter, Cosmo Publication, New Delhi, 1993.  Gupta. S.K. (2102) Tourism and Heritage Resources of Garhwal, Kaveri Books, New Delhi.  Bisht, D.S. Garhwal and Kamaon Hills, Trishul Publication, Dehradun,1982.  Bose,S.C.GeographyoftheHimalaya,NationalBookTrust,1976.Kaur, J, Himalayan Pilgrimages and the New Tourism, Himalayan Books,NewDelhi,1985  M. Smith and L. Puczko, Health and wellness tourism, B. Heinemann (2109)  Sonali Kulkarni, Spa and Health Tourism, Book Enclave, Jaipur (2108) 120 CU IDOL SELF LEARNING MATERIAL (SLM)

UNIT 8: HEALTH AND WELLNESS TOURISM STRUCTURE 8.0 Learning objectives 8.1 Introduction 8.2 Wellness Tourism 8.3 Seven dimensions of well-being 8.3.1 Physical well-being 8.3.2 Intellectual well-being 8.3.3 Environmental well-being 8.3.4 Vocational well-being 8.3.5 Social well-being 8.3.6 Emotional well-being 8.3.7 Spiritual well-being 8.4 Quality of life 8.5 Advantages of health Tourism 8.6 Summary 8.7 Keywords 8.8 Learning activity 8.9 Unit end Questions 8.10 References 8.0 LEARNING OBJECTIVES After studying this lesson, the student will be able to  Identify the concept of Wellness Tourism  Explain the seven Dimensions of Wellness  Analyse the different types of Therapies  Recognises the benefits of various Massages in India  Apply in his future wherever it is needed 8.1 INTRODUCTION Traveling for health and wellness care has a long history. People have been traveling for centuries in the name of health, from ancient Greeks and Egyptians who flocked into hot 121 CU IDOL SELF LEARNING MATERIAL (SLM)

springs and baths, to 18th and 19th century Europeans and Americans who were coming to spas hoping to cure diseases, like tuberculosis. The history of medical tourism in Europe has tended to be based around spas and seawater treatments, mainly because of the large numbers of thermal and mineral springs and sea coasts, but modern medical tourism or as it also being called health tourism nowadays usually refers to people, who travel abroad to get specialized healthcare. Medical tourism started its history, as early as in the 1930s. It became popular among the USA and European countries well-off residents, who wanted to get good quality health services abroad. Since 1983, staying fit and healthy has been consumers’ top priority and, according to the Future Foundation´s Changing Lives Survey, will continue to be in the future. Fortunately, in the past years more and more people around the world learn about medical tourism as it is one of the quickly developing parts of tourism industry nowadays, which, according to Flanigan (2009), has been projected to expand globally by 2017. 8.2 WELLNESS TOURISM  The potential of wellness systems developed through centuries of wisdom of this ancient civilization would be fully tapped. This is being done by positioning India as a centre of Ayurveda, Yoga, Siddha, Naturopathy, etc. together with the spiritual philosophy that has been integral to the Indian way of life.  Ministry of Tourism has drafted guideline for wellness tourism. These guidelines address issues regarding making available quality publicity material, training and capacity building for the service providers, participation in international & domestic Wellness related events, etc.  Mushrooming of wellness centres in the country have given rise to the concern for quality service. The Guideline for Accreditation of wellness centres have been developed by National Board for Accreditation of Hospitals & Healthcare Services (NABH) in consultation with AYUSH and released during the workshop on wellness tourism organized by Ministry of Tourism on 15 Feb 2011.  The Ministry of Tourism has also extended its Market Development Assistance (MDA) scheme to wellness tourism service providers including accredited wellness centres. Presently the wellness centres accredited by State Tourism Departments are also eligible for the MDA. After the accreditation guidelines of NABH is in place, all wellness centres seeking MDA would be asked to be as close to the accreditation guidelines of NABH. The initiative of accreditation of wellness centre by NABH and AYUSH has been 122 CU IDOL SELF LEARNING MATERIAL (SLM)

greatly driven be the Ministry of Tourism as also consultation with the Wellness Tourism Service Providers, State Governments and other stakeholders.  Wellness Tourism is not limited to these therapies only, it’s a sense of belongingness to an environment that is austere, free from stress, encourages positivity in attitude, focuses on balanced nutrition, restores balance and homeostasis of the body, and holistically heals the body. Wellness tourism is largely sought after by tourists coming from metropolitan cities for one or more of the following purposes: - a. Escapism from the maddening crowd and fast pace of life in the metropolitan cities. b. Relaxation of the body after a dedicated and rest free session at workplace. c. Psychological stability and self-development by following a holistic approach. d. Spiritual discovery including pilgrimages and yoga retreats. Ayurveda Ayurveda or ayurvedic medicine is a system of traditional medicine native to the Indian subcontinent and a form of alternative medicine. Ayurveda stands for \"Science of life or age\" and is the oldest form of complete medical system in the world and dates back to 5000 B.C. Its roots lie in the ancient Indian Civilization and the Hindu Philosophy, and has been an important influence on the development of almost all other Easton Medical systems. Ayurveda stresses a balance of three elemental substances dose, analogous to classical humourism: Vat (air & space - wind) - The force of wind, and is responsible for controlling the nervous system of the body. - Pitta (fire & water - bile) - The force of heat and energy that is linked with the Sun, and is responsible for digestive and other biochemical processes inside the body. Kaph (water & earth - phlegm) - The force of water and tides that is linked with the moon, and responsible for fluid metabolism in the body. All these doses when normal assures a healthy mind and body. Unani Unani-tab or Unani Medicine also spelled Yunani Medicine is a form of traditional medicine widely practiced by Muslims. Unani medicine is based on the concept of the four humours: Phlegm (Balham), Blood (Dam), Yellow bile (afar) and Black bile (Saudi). \"Tibbs\" is a Persian word that stands for \"medicine\" and Unani has been derived from \"Ionian\" which stands for Greek, because of the Greek influence in this system of medicine. The form of 123 CU IDOL SELF LEARNING MATERIAL (SLM)

medicine dates back to the 7th century, and the Muslims who came to India around the 11th century brought the system of medicine along with them. Yoga Yoga is a commonly known generic term for the physical, mental, and spiritual practices or disciplines which originated in ancient India with a view to attain a state of permanent peace. Specifically, yoga one of the six as tika schools of Hindu philosophy. Yoga focusses on holding physical postures that stretches the muscles and limbs. It focuses on breathing exercises to treat some of the common disorders of the nasal tract and to treat hypertension and diabetes. Yoga can be practised purely for relaxation of the body and mind and can develop flexibility and strength at the same time. A lot of international tourists come for experiencing yoga retreats in India every year. Here we would name some of the most popular places in India for Wellness tourism.  Ananda, Nondrainage, Uttarakhand  Banyan Tree Spa, Davila’s, Udaipur  Golden Palms, Bangalore  Vedic Village, Kolkata Amara Spa, New Delhi Tredegar, Bangalore Tredegar, Bangalore  Krishnamacharya Yoga Tredegar, Tamandu  Sivananda Ashram, Madurai, Tamandu  Iyengar Institute, Pune Atman Darshan Yogacara, Bangalore Kaivalya Hama, Lonavala  Patanjali Yogesh, Haridwar Atavisms Centre, Mysore Yoga-Ganga Centre, Dehradun  International Yoga Festival, Rishi 124 CU IDOL SELF LEARNING MATERIAL (SLM)

The term wellness has been applied in many ways. It is much more than just physical health, exercise, and nutrition. Wellness is multidimensional including: Spiritual, Physical, Emotional, Career, Intellectual, Environmental, Social (SPECIES). Wellness is a full integration and the pursuit of continued growth and balance in these seven dimensions of wellness. Each dimension contributes to our own sense of wellness or quality of life, and each affect and overlaps the others. At times, one may be more prominent than others, but neglect of any one dimension for any length of time has adverse effects on overall health. 8.3 SEVEN DIMENSIONS OF WELLBEING Figure: 8.1 Seven Dimensions of Wellbeing. Research shows that a balance among the Seven Dimensions of Wellbeing leads to a fuller, more satisfying life. The Seven Dimensions include Physical, Intellectual, Environmental, Vocational, Social, Emotional and Spiritual health. Additionally, as a visitor to the Centre, you’ll find many opportunities to enrich your daily life. The Healthy Living Experience offers appointments with a Wellbeing Guide. This guide is specially trained in all aspects of the Seven Dimensions of Wellbeing to help you achieve success in your journey to whole-person health. 125 CU IDOL SELF LEARNING MATERIAL (SLM)

8.3.1 Physical Wellbeing Move More. Eat Better. Figure: 8.2 Physical Wellness This dimension of wellbeing focuses on practicing healthy daily habits. It is important to building strength, flexibility, and endurance. Equally, to help prevent disease and add quality years to your life, experts advise a complete wellness approach. For example, integrating exercise, nutritious foods, personal safety and moderation of alcohol consumption. When it comes to exercise, everyone is different, and the Peggy & Philip B. Crosby Wellness Center supports all fitness goals and levels. You can opt to take it on or take your time. Additionally, the Crosby Center enables you to experience fitness at your pace. You’ll also find many other members with goals and exercise interests that match yours, a workout group or a place to enjoy the solitude of a quiet run, yoga class or stretch. It’s your time and your choice. 8.3.2 Intellectual Wellbeing Boost your Brain. Figure: 8.3 boost your brain with meditation 126 CU IDOL SELF LEARNING MATERIAL (SLM)

An active and open mind leads to a life filled with passion and purpose. To further apply this dimension of wellbeing engaging in creative and stimulating activities are ideal. Helping keep your mind sharp and your brain healthy and happy. Similarly, you can energize your brain with a thought-provoking seminar or class – coming soon. 8.3.3 Environmental Wellbeing Love the Earth. Figure: 8.4 Environmental Wellness. Help the planet and bring a sense of accomplishment and wellbeing to your own life. Consequently, have you asked how your daily habits can affect the world around you in a positive way? Find Serenity in the Gardens. 8.3.4 Vocational Wellbeing Live with Purpose. Figure: 8.5 Vocational Wellbeing by Volunteering and helping. 127 CU IDOL SELF LEARNING MATERIAL (SLM)

This dimension of wellbeing focuses on enriching your life and that of others by sharing your special gifts, skills, and talents. Whether through work or volunteering, you can make a positive impact and reap the health benefits of adding purpose to your life. Find purpose in the Centre for Health & Wellbeing through volunteer opportunities. 8.3.5 Social Wellbeing Connect with Others. Figure: 8.6 Main Relationships Personal connections contribute to a long and fulfilling life. When you nurture relationships with family and friends, you create healthy support networks for life. Plan to Attend a Program Soon with Friends. 8.3.6 Emotional Wellbeing Practice Gratitude. 128 CU IDOL SELF LEARNING MATERIAL (SLM)

Figure: 8.7 Gratitude Self-esteem and optimism are powerful healers. Similarly, expressing love and other emotions help achieve balance in the face of challenges. Therefore, be mindful and live in the moment! It brings many happy tomorrows. Concerned about your mental health? No need to suffer alone. Reach out to our Advent Health behavioural health clinical team for a mental health check-up. 8.3.7 Spiritual Wellbeing Nourish your Soul. Figure: 8.8 Being Spiritual Is your mind at peace? A set of core beliefs or values that shape you and how you live your life often creates harmony. Thus, if you’re willing to seek meaning and purpose in your life with an open mind, you will likely find inner peace. Moreover, to enhance your self-exploration, you’ll have the chance to take a mind/body/spirit class at the Peggy & Philip B. Crosby Wellness Center or a class or seminar at the conference center. 8.4 QUALITY OF LIFE India is a country located in South Asia. It is the seventh-largest country in the world by geographical area; the second-most populous country, with over 1.2 billion inhabitants; and the most populous democracy in the world. India’s history can be traced back to the third millennium BC, and its contribution to the cultural, artistic, and spiritual heritage of mankind is quite remarkable. During the last decades, Indian economy underwent a strikingly fast and massive development. Health, education, and general standard of living 129 CU IDOL SELF LEARNING MATERIAL (SLM)

substantially improved as well throughout the country. Since the majority of the Indian population resides in rural areas, QOL must be differentially discussed and evaluated for rural and urban India. Description Quality of life (QOL) refers to evaluation of general well-being of an individual. In the following article, QOL has been discussed with a broader perspective in the context of India. QOL in India will be viewed from various angles starting. 8.5 HEALTH TOURISM WORLDWIDE: BENEFITS & ADVANTAGES Health tourism is generally defined as organized travel outside one’s local environment for the maintenance, enhancement, or restoration of an individual’s wellbeing in mind and body. Medical tourism is regarded as more organized travel outside one’s natural health care jurisdictional is a country located in South Asia. It is the seventh-largest country in the world by geographical area; the second-most populous country, with over 1.2 billion inhabitants; and the most populous democracy in the world. India’s history can be traced back to the third millennium BC, and its contribution to the cultural, artistic, and spiritual heritage of mankind is quite remarkable. During the last decades, Indian economy underwent a strikingly fast and massive development. Health, education, and general standard of living substantially improved as well throughout the country. Since the majority Common categories of procedures that medical travellers pursue during healthcare trips are orthopaedics and trauma surgery, aesthetics and cosmetic surgery, cardiology or cardiac surgery, bariatric surgery, dentistry, cancer treatment and aftercare. According to international statistics and facts over 7 million global citizens cross borders yearly to appreciate the benefits and advantages of health tourism. So, the health tourism, which also includes medical tourism as a part of it, is like a gateway for medical tourists to receive affordable and cheaper healthcare without compromising on quality. 1. Many medical facilities provide high quality medical services, but suffer from un- utilized excess capacity. These institutions are looking for ways to exploit it by attracting other customers from out of town, whether from other cities in the Kingdom or from other countries. 2. Accessing new markets at lower costs: Tour operators can market health and wellness tourism in regions and cities that cannot access medical facilities at a lower cost for an extended period. This can provide more clients for these installations. 130 CU IDOL SELF LEARNING MATERIAL (SLM)

3. Ability to control the demand for services: Flexibility in marketing health and wellness tourism programs can intensify or reduce marketing based on the capacity available in the facility services. 4. Accessing clients with greater financial capability or desire to spend on additional services: Health and wellness tourism programs that can provide peace of mind can be attractive to a lot of those wanting to get them and pay for the services they offer. 5. The patient will focus on the medical treatment and services, while another party takes care of his needs such as the transportation, accommodation and related programs, which in return promote the patient desire to receive additional tourist services. 6. Health and wellness tourism programs attract medical cases from outside the perimeter of the facility which supports interaction with new medical conditions that can increases the expertise of the medical staff. 7. The medical facility will focus on its essential work, while the other party –the tour operator - takes care of the additional work. There are other advantages for a patient to have treatment abroad in a centre of excellence for certain conditions. Many of medical centres in the countries seeking to develop medical tourism invite professionals from well-known health care centres from the USA, the UK or Europe and are thus able to offer excellent medical care. Health and wellness tourism are one of the national tourism patterns stated in the National Tourism Development Strategy adopted by the Council of Minister. The health and wellness Tourism is characterized by a high rate of expenditure for the tourist trip, plus the length of the trip compared to other tourism patterns, the other visitors accompanying the patient, and the related sequent trips. The Importance of wellness and Health tourism: Health and wellness tourism programs and products have many benefits for the targeted sick and healthy people accompanying the sick. These benefits are as follows their importance for the tourist:  The reasonable prices: Health and wellness tourism programs and products provide medical and health services at lower prices since a number of medical, health and tourism services are provided with package rates including flat rate and discount in addition to the beneficiary's ability to choose the services at affordable prices from multiple choices in different areas.  Quality and Quantity: Tour operators look for medical and health institutions with international quality certificates, adopting international and local standards. 131 CU IDOL SELF LEARNING MATERIAL (SLM)

 Availability of latest medical technology: Medical facilities participating in the tourism health and wellness programs ensure the availability and use of modern technology in their services as they care to participate in healing and health tourism to cover excess potential in those services involving high technologies.  Personal services: The availability of personal services and programs by the participating parties in the program, in addition to allocating specialized staff in these institutions to be responsible for meeting the requirements of the tourists.  No waiting: The health and wellness programs seek to provide tourism services to the tourists without having to wait, through arranging pre-defined date to be respected by the institutions as part of the contract between them and the tour operators. 8.6 SUMMARY  To sum up, Indian tourism has vast potential for generating employment and earning large sums of foreign exchange besides giving a flip to the country’s overall economic and social development.  Much has been achieved by way of increasing air seat capacity, increasing trains and railway connectivity to important tourist destinations, four-lining of roads connecting important tourist centres and increasing availability of accommodation by adding heritage hotels to the hotel industry and encouraging paying guest accommodation.  Since tourism is a multidimensional activity, and basically a service industry, it would be necessary that all wings of the Central and State governments, private sector and voluntary organizations become active partners in the endeavour to attain sustainable growth in tourism if India is to become a world player in the tourist industry 8.7 KEYWORDS  Social Wellness - In simple words, social wellness is the ability to relate and connect with other people, at work, at home, in our neighbourhoods, etc. Social wellness is about building and maintaining positive relationships that add value to our and other people’s lives.  Emotional Wellness - Emotional wellness is also commonly referred to as mental wellness. Emotional wellness is our own ability to understand and accept ourselves and successfully cope and deal with the challenges and obstacles life and work bring. 132 CU IDOL SELF LEARNING MATERIAL (SLM)

 Spiritual Wellness -Spiritual wellness goes hand-in-hand with emotional wellness, as spiritual and emotional wellness directly influence one another. Spiritual wellness is our ability to establish peace and harmony in our lives and to be fulfilled by what we do by aligning our values with our actions.  Environmental Wellness -Environmental wellness is being aware of nature, our environment, and our immediate surroundings. It is about protecting the environment and protecting ourselves from environmental hazards. This requires that people think of air, water, and land quality and take the necessary steps to protect it.  Occupational Wellness -Occupational wellness refers to our ability to feel fulfilled with our jobs and chosen career paths, without sacrificing work-life balance; it’s about being involved in work activities that allow you to show your talents and skill set.  Intellectual Wellness - Intellectual wellness encompasses creative and stimulating mental activities. It’s about our ability to open our minds to new ideas and experiences that can benefit our personal and professional lives. Intellectually well individuals have a desire to learn and apply new concepts, improve their existing skill sets, and seek new challenges. 8.8 LEARNING ACTIVITY 1. List out various preparation activities and cost involved in visiting a wellness centre in India 8.9 UNIT END QUESTIONS 133 A. Descriptive question Short Questions 1. What is the importance of health tourism? 2. What is quality of life? 3. What is spiritual wellness? 4. What is Physical wellness? 5. What is Environment wellness? Long Questions CU IDOL SELF LEARNING MATERIAL (SLM)

1. Explain in detail about wellness tourism? 2. Explain in detail the benefits of health tourism? 3. List the seven dimensions of wellness and explain. 4. What are the different types of therapies in India. 5. Explain the importance of wellness and health tourism. B. Multiple choice questions 1. What are some things you can do to help support your brain health? a. Eating nutritious food b. Regular Physical Activity c. Doing mental exercise d. All of these 2. What is the recommended amount of physical activity for adults per week? a. 60 Min b. 40 Min c. 150 Min d. 120 Min 3. eating a healthy diet can help reduce the risk of developing health problems, such as: a. Some forms of cancer b. High Blood pressure c. Heart & respiratory disease d. All of these 4. Spiritual wellness is same as 134 a. Physical wellness b. Emotional wellness c. Environmental wellness d. None of these CU IDOL SELF LEARNING MATERIAL (SLM)

5. Occupational wellness is to feel a. fulfilled b. unhappy c. In able d. None of these Answers 1-b, 2-c, 3-d, 4-b, 5-a 8.10 REFERENCES Reference books/material:  Atkinson, E.T. Himalayan Gazetter, Cosmo Publication, New Delhi, 1993.  Gupta. S.K. (2102) Tourism and Heritage Resources of Garhwal, Kaveri Books, New Delhi.  Bisht, D.S. Garhwal and Kamaon Hills, Trishul Publication, Dehradun,1982.  Bose,S.C.GeographyoftheHimalaya,NationalBookTrust,1976.Kaur, J, Himalayan Pilgrimages and the New Tourism, Himalayan Books,NewDelhi,1985  M. Smith and L. Puczko, Health and wellness tourism, B. Heinemann (2109)  Sonali Kulkarni, Spa and Health Tourism, Book Enclave, Jaipur (2108) 135 CU IDOL SELF LEARNING MATERIAL (SLM)

UNIT 9: TOOLS FOR WELLNESS STRUCTURE 9.0 Learning objectives 9.1 Introduction 9.2 History 9.3 Medicine Therapy 9.4 Psychology 9.5 Motivation and destination 9.6 Rehabilitation cosmetics 9.7 Factors need for wellness and tourism 9.8 Summary 9.9 Keywords 9.10 Learning activity 9.11 Unit end questions 9.12 References 9.0 LEARNING OBJECTIVES After studying this unit, the students will be able to  Define the meaning of medicine therapy  Explain the concept of therapeutic tourism  Describe the themes of psychology  Examine the motivation and destination  Evaluate rehabilitation cosmetics 9.1 INTRODUCTION Global Wellness Tourism Economy report—a landmark study that defined the parameters and characteristics of the emerging wellness tourism sector, estimated its global size, and highlighted its far-reaching economic impacts. Since then, this tourism segment has accelerated around the world. GWI now estimates that wellness tourism is a $639 billion global market in 2017, growing more than twice as fast as general tourism. 136 CU IDOL SELF LEARNING MATERIAL (SLM)

9.2 HISTORY Wellness is a modern word with ancient roots. As a modern concept, wellness has gained currency since the 1950s, 1960s and 1970s, when the writings and leadership of an informal network of physicians and thinkers in the United States largely shaped the way we conceptualize and talk about wellness today. The origins of wellness, however, are far older – even ancient. Aspects of the wellness concept are firmly rooted in several intellectual, religious, and medical movements in the United States and Europe in the 19th century. The tenets of wellness can also be traced to the ancient civilizations of Greece, Rome and Asia, whose historical traditions have indelibly influenced the modern wellness movement. 3,000-1,500 BC: Ayurveda – originated as an oral tradition, later recorded in the Vedas, four sacred Hindu texts. A holistic system that strives to create harmony between body, mind and spirit, Ayurvedic regimens are tailored to each person’s unique constitution (their nutritional, exercise, social interaction and hygiene needs) – with the goal of maintaining a balance that prevents illness. Yoga and meditation are critical to the tradition, and are, of course, increasingly practiced worldwide. 3,000 – 2,000 BC: Traditional Chinese Medicine (TCM), one of the world’s oldest systems of medicine, develops. Influenced by Taoism and Buddhism, TCM applies a holistic perspective to achieving health and wellbeing, by cultivating harmony in one’s life. Approaches that evolved out of TCM, such as acupuncture, herbal medicine, qi gong and tai chi, have become core, modern wellness – and even Western medical – approaches. A number of alternative healthcare methods that focus on self-healing, holistic approaches, and preventive care – including homeopathy, osteopathy, chiropractic, and naturopathy – were founded during this era and gained widespread popularity in both Europe and the United States. Other new philosophies were more spiritually oriented (such as the “mind-cure movements,” including New Thought and Christian Science) and were instrumental in propagating the modern idea that a primary source of physical health is one’s mental and spiritual state of being. While some of the beliefs espoused by the thinkers behind these movements have been discredited, or seem “wacky” today, these movements did popularize ideas about regaining or maintaining one’s health through diet, exercise and other lifestyle measures. The philosophies embodied in these 19th century systems – that a healthy body is a product of a healthy mind and spirit – are now considered precursors to the current, thriving wellness and self-help 137 CU IDOL SELF LEARNING MATERIAL (SLM)

movements. In addition, although these approaches fell out of favour with the rise of modern, evidence-based medicine in the mid-20th century, several of them are now regaining favour within the mainstream medical community and the general public Our modern use of the word “wellness” dates to the 1950s and a seminal – but little known – work by physician Halbert L. Dunn, called High-Level Wellness (published1961). Although Dunn’s work received little attention initially, his ideas were later embraced in the 1970s by an informal network of individuals in the U.S., including Dr. John Travis, Don Ardell, Dr. Bill Hettler, and others. These “fathers of the wellness movement” created their own comprehensive models of wellness, developed new wellness assessment tools, and wrote and spoke actively on the concept. Travis, Ardell, Hettler and their associates were responsible for creating the world’s first wellness center, developing the first university campus wellness centre Several Key Moments: 1950s: J.I. Rodale, one the first advocates for organic farming in the U.S., launches Prevention magazine, a pioneering publication in promoting alternative/preventative health. 1950s-1960s: Physician Halbert L. Dunn presents his idea of “high level wellness” in 29 lectures, and then publishes these ideas in his influential book by the same title. 1970s: Dr. John Travis, influenced by Dunn, opens the world’s first wellness center in California, and publishes a 12-dimension wellness assessment tool, The Wellness Inventory (1975) and The Wellness Workbook (1977) – the latter both in use today. Don Ardell publishes High Level Wellness: An Alternative to Doctors, Drugs and Disease (1977, referencing Dunn’s work). The University of Wisconsin-Stevens Point (UWSP), drawing on Travis’ materials, establishes the first university campus wellness center, with campus wellness centers spreading throughout the U.S. in the 80s. In ’77-’78, Dr. Bill Hettler of USWP organizes the National Wellness Institute and first National Wellness Conference. 1980s-2000s: Workplace wellness programs, the fitness and spa industries, and celebrity wellness and self-help experts take off – bringing wellness into the mainstream. 9.3 MEDICINE THERAPY With the available therapies, disease control can be achieved in nearly all patients with acromegaly. 138 CU IDOL SELF LEARNING MATERIAL (SLM)

Medicine and Therapy Medicine is the art, science, and practice of caring for a patient and managing the diagnosis, prognosis, prevention, treatment or palliation of their injury or disease. Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness. Medicine is the field of health and healing. It includes nurses, doctors, and various specialists. It covers diagnosis, treatment, and prevention of disease, medical research, and many other aspects of health. Medicine is the field of health and healing. It includes nurses, doctors, and various specialists. It covers diagnosis, treatment, and prevention of disease, medical research, and many other aspects of health. Medicine aims to promote and maintain health and wellbeing. Conventional modern medicine is sometimes called allopathic medicine. It involves the use of drugs or surgery, often supported by counselling and lifestyle measures. Alternative and complementary types of medicine include acupuncture, homeopathy, herbal medicine, art therapy, traditional Chinese medicine, and many more. Medicine is the field of health and healing. It includes nurses, doctors, and various specialists. It covers diagnosis, treatment, and prevention of disease, medical research, and many other aspects of health. Medicine aims to promote and maintain health and wellbeing. Conventional modern medicine is sometimes called allopathic medicine. It involves the use of drugs or surgery, often supported by counselling and lifestyle measures. Alternative and complementary types of medicine include acupuncture, homeopathy, herbal medicine, art therapy, traditional Chinese medicine, and many more. Fields of medicine Modern medicine has many fields and aspects. Here are some of them. Clinical practice 139 CU IDOL SELF LEARNING MATERIAL (SLM)

Figure: 9.1 a Health Worker with Patient A clinician is a health worker who works directly with patients in a hospital or other healthcare setting. Nurses, doctors, psychotherapists, and other specialists are all clinicians. Not all medical specialists are clinicians. Researchers and laboratory workers are not clinicians because they do not work with patients. The physician assesses the individual, with the aim of diagnosing, treating, and preventing disease using knowledge learned from training, research, and experiences, and clinical judgment. Biomedical research Figure: 9.2 A Bio-Medical Research This area of science seeks ways to prevent and treat diseases that lead to illness or death. 140 CU IDOL SELF LEARNING MATERIAL (SLM)

Biomedical scientists use biotechnology techniques to study biological processes and diseases. They aim to develop successful treatments and cures. Biomedical research requires careful experimentation, development, and evaluation. It involves biologists, chemists, doctors, pharmacologists, and others. Medications Figure: 9.3 Drugs. This field looks at drugs or medicines and how to use them. Doctors and other health professionals use medications in the medical diagnosis, treatment, cure, and prevention of disease. Surgery Surgical procedures are necessary for diagnosing and treating some types of disease, malformation, and injury. They use instrumental and manual means rather than medication. A surgeon may carry out a surgical procedure to remove or replace diseased tissue or organs, or they may use surgery to remove tissue for biopsy. Sometimes, they remove unwanted tissue and then send it for diagnosis. Medical devices Health professionals use a wide range of instruments to diagnose and treat a disease or other condition, to prevent a worsening of symptoms, to replace a damaged part — such as a hip or a knee — and so on. 141 CU IDOL SELF LEARNING MATERIAL (SLM)

Medical devices range from test tubes to sophisticated scanning machines. Alternative and complementary medicine Figure: 9.4 Ancient Healing Art Ayurveda is an ancient healing art and a form of alternative medicine. This includes any practice that aims to heal but is not part of conventional medicine. Techniques range widely. They include the use of herbs, manipulation of “channels” in the body, relaxation, and so on. Alternative and complementary do not have the same meaning: Alternative medicine: People use a different option from the conventional one, such as using relaxation measures to improve headaches, rather than pain relief medication. Complementary medicine: People add another treatment option to a main treatment. For example, they may use relaxation as well as pain relief medication for a headache. Alternative and complementary therapies are often based on traditional knowledge, rather than scientific evidence or clinical trials. Examples include homeopathy, acupuncture, Ayurveda, naturopathic medicine, and traditional Chinese medicine. Clinical research 142 CU IDOL SELF LEARNING MATERIAL (SLM)

Researchers carry out investigations to find out which diseases are present, why they occur, what can treat or prevent them, what makes them more likely to happen, and many other aspects of health. Clinical trials are one aspect of clinical research. They aim to find out if a therapy — often a drug — is safe and effective to use when treating a specific condition. The most effective way to demonstrate the effectiveness of a drug or technique is to carry out a double-blind, random, long-term, large clinical human study. In this type of study, researchers compare the effect of a therapy or drug in with either a placebo, no treatment, or another therapy or drug. Psychotherapy Counselling, cognitive behavioural therapy (CBT), and other forms of “talking cure” can be helpful for people with conditions that affect their mental health, ranging from depression to stress to chronic pain. Physical and occupational therapy These treatments do not involve medication, although a person may use medication alongside them. Physical therapy can help improve strength and flexibility in people who have a condition that affects their musculoskeletal system. Occupational therapy can teach people new and better ways to do things physically. A person who has had a stroke, for example, may benefit from learning again how to walk, using techniques that perhaps they did not use before. Other fields of medicine include pharmacology and pharmacy, nursing, speech therapy, medical practice management, and many more. Branches of medicine There are many branches in medicine. Here are some of them. 143 CU IDOL SELF LEARNING MATERIAL (SLM)

Figure: 9.5 Doctors of Anatomy Anatomy is a field of medicine that looks at the different parts that make up the body. Anatomy: This is the study of the physical structure of the body. Biochemistry: A biochemist studies chemical components and how they affect the body. Biomechanics: This focuses on the structure of biological systems in the body and how they work, using a mechanical approach. Biostatistics: Researchers apply statistics to biological fields. This is crucial for successful medical research and many areas of medical practice. Biophysics: This uses physics, mathematics, chemistry, and biology to model and understand the workings of biological systems. Cytology: This is a branch of pathology that involves the medical and scientific microscopic study of cells. Embryology: This branch of biology studies the formation, early growth, and development of organisms. Endocrinology: Scientists investigate hormones and their impact on the body. 144 CU IDOL SELF LEARNING MATERIAL (SLM)

Epidemiology: Researchers track the causes, distribution, and control of diseases in populations. Genetics: This is the study of genes and their impact on health and the body. Histology: This involves looking at the form of structures under the microscope. It is also known as microscopic anatomy. Microbiology: This is the study of organisms that are too small to see with the naked eye, known as microorganisms. Aspects of microbiology include bacteriology, virology, mycology (the study of fungi), and parasitology. Neuroscience: Neuroscientists study the nervous system and the brain and investigate diseases of the nervous system. Aspects of neuroscience include computational modelling and psychophysics. Some types of neuroscience are cognitive neuroscience, cellular neuroscience, and molecular neuroscience. Nutrition: Nutritionists study how food and drink influence health, and how they can help treat, cure, and prevent different diseases and conditions. Share on Pinterest There are different types of medical laboratory workers. Some identify the causes of diseases, while others study toxins and their effects. Sometimes they deal with hazardous materials. Pathology: This is the study of disease. A pathologist often works in a laboratory, where they do tests — usually on a sample of blood, urine, or body tissue — to help diagnose diseases and conditions. Pharmacology: This involves the study of pharmaceutical medications, or drugs, where they come from, how they work, how the body responds to them, and what they consist of. Radiology: Radiologists use X-rays and scanning equipment during the diagnostic procedure, and sometimes as part of treatment, too. Toxicology: A toxicologist studies poisons, what they are, what effects they have on the body, and how to detect them. Therapeutic recreation process acquires the skills to complete client assessments and to develop, implement and evaluate group and individual therapeutic recreation programs. A 145 CU IDOL SELF LEARNING MATERIAL (SLM)

variety of facilitative techniques are explored in order to assist individuals to participate in meaningful recreation and leisure experiences that will achieve health related goals, improve functional ability, and increase quality of life via tourism  Acute, chronic care,  Provincial agencies or facilities for individuals with psychiatric or developmental disabilities  Rehabilitation programs  Children's treatment centers  Long term care facilities/adult day programs  Correctional programs and facilities  Community or private agencies Recreational therapy, also known as therapeutic recreation, is a systematic process that uses recreation interventions to address the assessed needs of individuals with illnesses and/or disabling conditions, as a means to psychological and physical health 9.4 PSYCHOLOGY The key themes, suggests that tourism researchers can profit from contemporary developments in mainstream psychology. The themes addressed are motivation and destination choice, attitudes and satisfaction, memory, and personal growth. Patterned and dual processing approaches to behaviour are highlighted. Additionally a framework for advancing the analysis of minds on the move should consider a range of dimensions including emic and etic approaches, transects across domains of inquiry, social as well as individual processes, longitudinal work, pan-cultural analysis and contextual classifications. It is argued that accessing psychology scholarship can build the capacity of tourism Keywords: psychology; motivation; attitudes; satisfaction; memory; personal growth Psychoanalysis and behaviourism, both fading traditions from earlier eras of inquiry, are not a part of the present compass of interest. There is a continuing thread of interest in these earlier traditions of intellectual inquiry as applied to tourism It is an approach that requires explanation. Typically, there have been somewhat separate fields of inquiry in such domains as memory and cognition, social psychology, clinical psychology, personality, physiological psychology and developmental psychology. Some more recent trends in the last decade have seen courses and texts in positive psychology, evolutionary psychology, cross-cultural psychology and health psychology. The implications of these divisions within psychology for tourism study are that particular topics need to be treated across these intra-discipline divides. Social behaviours and relationships, for example, 146 CU IDOL SELF LEARNING MATERIAL (SLM)

are considered predominantly within social psychology but there are interesting sub-themes of inquiry and innovative ideas within cognition, personality, clinical studies, and importantly positive psychology. In this review we will try to link the thematic threads of inquiry across the contributions from different psychology fields 9.5 MOTIVATION AND DESTINATION Why people travel Answering the question “Why do people travel?” is, in both an academic and applied sense, a formative but naïve question. It is akin to asking the equally broad question “What are the impacts of tourism?” A better approach for those seeking a rich understanding of motivation is why certain groups of people choose certain holiday experiences (see, for example, Larsen, Øgaard& Brun’s 2011 study on the motivations of backpackers). Importantly, we need to answer these more specific questions without simply re-describing what we observe or seek to study. Such circularity is evident when assertions are made that people choose risky or adventurous activities because they are motivated by sensation or risk seeking 9.6 REHABILITATION COSMETICS The aesthetic medicine tourism. Its aim is to identify the essence and scope of services related to aesthetic medicine tourism and its location within the health tourism. The article is based on the theoretical study of literature from the field of health tourism and aesthetic medicine as well as empirical research results. The article discusses the issues of conditions of social changes that contribute to the creation of new trends in the tourism market. Further, it characterises aesthetic medicine. The article presents the results of empirical research indicating the need to expand the segment of health tourism to include aesthetic medicine tourism. Then the differentiators of aesthetic medicine tourism were identified, which may qualify it as a separate segment of health tourism. The theoretical added value of the article is the indication of the development of a new trend in health tourism and the identification of traits that allow the isolation of a new trend – aesthetic medicine tourism The changes caused by globalization of medical services, the change of lifestyle with displaying the healthy lifestyle, attention to the figure and well-being associated with the external appearance, combined with the willingness to travel, has given rise to a new segment of health tourism, that is aesthetic medicine tourism. This segment, already occurring in practice, has never been described in the literature. The purpose of this article is to identify the essence and scope of the services in the field of aesthetic medicine tourism and its placement within the health tourism. The basic research problem in the article comes down to seeking the essence of aesthetic medicine tourism, identifying its distinctiveness allowing for 147 CU IDOL SELF LEARNING MATERIAL (SLM)

the classification of aesthetic medicine tourism as a separate segment of health tourism. The article is the study of literature extended by empirical result In methodological concept, the article has two approaches. One approach consists in identifying and ordering the views expressed in the published texts and discussions on health tourism and aesthetic medicine – this approach is based on materials derived from studies of the main items of specialized literature. As a further consequence of theoretical exposures that explain and organize the issues of aesthetic medicine tourism and expose the differences in aesthetic medicine tourism, it is possible to classify it as a separate segment of health tourism 9.7 FACTORS NEED FOR HEALTH & WELLNESS TROURISM Wellness tourism has been considered as a rapidly growing sector of the tourism industry since there was an Asian financial crisis in Southeast Asia in 1997 wellness and spa goers prefer to look for medical treatments or traditional tourist motivations. Factors encourage the wellness tourism, including health oriented social trends, the aging population and the desire to stay young Wellness and spa tourism has recently become a marketing strategy to attract tourists. It plays an important role in hotel industry, resorts and tourist destinations. Wellness and spa services are being required by local and international tourists. The interrelationship among motivations, satisfaction, and revisit intentions remain largely unexplored. Therefore, the purpose of the study was to facilitate understanding of the relationship among these constructs. In addition, very few studies on exploring consumers’ needs for the spa and wellness have been conducted in Malaysian context. Previous studies revealed that gaining deep insights into customer profiles and their desire for wellness and spa within this context needs to be taken into considerations, which encourages the development of wellness and spa tourism business. The findings of this study are believed to be advantageous to the wellness and spa service providers Wellness as a lifestyle refers to a special state of health, incorporating the harmony of body, mind and spirit Malaysia is famous for the development of health tourism due to its traditional therapies that are the oldest treatments in the world in recent years Motivation is a main subject of study in the area of psychology, and it is suggested that there are physiological, psychological or philosophical approaches The basic argument advanced by the proponents is that tourist visitation to a particular destination is a function of the push and pull factors. Accordingly, the push forces constitute the internal emotional desires of the tourist including, medical, experience, adventure, 148 CU IDOL SELF LEARNING MATERIAL (SLM)

relaxation and sport and fitness among others, whereas the pull factors are those forces that define the tourist choice of a destination (e.g. attractions). They are largely destination specific enticing elements. Therefore, collectively the two generic factors explain why a tourist would want to use spa where they would go to satisfy this need. There is a rapid growing of the spa and wellness market at the starting of the 21st due to the growing health awareness of people. Many of the hotels are outfitted with spa services and offer spa services for tourist. On the other hand, traditional spa hotels are highly competitive. It is true which the majority of tourist like visiting traditional spa services to visiting new spa hotels because traditional spa hotels provide various health care services rather exciting and relaxing services. It is true that the particular services in several hotels are deemed limited. Service quality remains questionable. 9.8 SUMMARY  Wellness is a modern word with ancient roots  Medical treatment to control growth hormone hypersecretion is often needed after radiation therapy until the effects are evident  Strength-based therapeutic recreation services using the therapeutic recreation process.  Recreational therapy, also known as therapeutic recreation.  wellness and spa goers prefer to look for medical treatments or traditional tourist motivations 9.9 KEYWORDS  psychology motivation personal growth  TCM –Traditional Chinese method. 9.10 LEARNING ACTIVITY 1. Learn about top 20 Wellness tourism locations in India ______________________________________________________________________ ______________________________________________________________________ 9.11 UNIT END QUESTIONS A. Descriptive Questions 149 Short Questions 1. What is motivation? CU IDOL SELF LEARNING MATERIAL (SLM)

2. What is destination? 150 3. What are the factors need for health and tourism? 4. What is Anatomy? 5. What is Bio-medical research? Long Questions 1.write about the history of wellness 2. What is meant by medical therapy? 3.What is therapeutic tourism? 4. Write a note on psychology? 5. Discuss about rehabilitation destination. B. Multiple Choice Questions 1. Medical tourism is also called as a. Health tourism b. Wellness tourism c. Therapeutic Tourism d. All of these 2. People travelling to foreign country for treatment are called as a. Out bound tourists b. Inbound tourists c. Domestic tourists d. None of these 3.____ is famous for health tourism a. Malaysia b. Australia c. Canada CU IDOL SELF LEARNING MATERIAL (SLM)