"In today’s fast-paced and increasingly complex world, medical science and the evolution of unique models for health care are bringing us closer to truly personalized medicine. Given these evolving trends, the need for a comprehensive and dynamically responsive plan for your health is even more important. For this reason we want to help you create personalized health plans that are as responsive to your current health needs as they are adaptable to your future health."
- Duke Integrative Medicine Center
The Duke Wheel of Health is Duke University's visual to show their integrative health paradigm.  The Wheel of Health provides a framework for a comprehensive and highly individualized and personalized health plan for each person.  The Wheel of Health is a constantly evolving and responsive life tool. 
YOU are the the center of your own life and health, as you should  be in our health care system. YOU are indicated in yellow at the center of the Wheel of Health.  The entire Duke Integrative Medicine Center interdisciplinary approach to health care has the value that the person is always at the center of and directing their own health care. 
Mindfulness is the foundation of the Wheel of Health with each person being mindful and conscious of their health and lifestyle choices.  Mindfulness is the key to the process of positive health changes.  Duke Integrative Medicine Center has found Mindfulness so critical to personalized health care and well-being as well as problem-solving in life that Mindfulness is the foundation of the entire Integrative Medicine Center practice and services.  Duke Integrative Medicine doctors, nurses, and all professional members of the interdisciplinary team that serves you practice daily mindfulness in their own lives. 
YOU are in charge of and responsible for your own health and the Self-Care  areas of your life are indicated in green on the Duke Wheel of Health. 
  • The Mind-Body Connection
  • Movement, Exercise, and Rest
  • Nutrition
  • Personal and Professional Development
  • Physical Environment
  • Relationships and Communication
  • Spirituality
Self Care resonates deeply in all aspects of your health and well-being, and is reflected in your lifestyle, priorities, motivation, and habits.  Recognizing the impact of lifestyle on your basic health , and how it supports the basic functions in your life, allows you to rebuild a healthier life from the ground up.
Mind-Body Connection:
Taking advantage of complex connections between state of mind and basic physiologic functions in the body, many mind-body skills can have a profound impact on your health. Breathing techniques, meditation, progressive muscle relaxation, guided imagery, and other therapies are used to activate the body’s automatic healing response and reduce the harmful effects of stress.
Movement, Exercise, and Rest:
Exercise supports your health in maintaining weight, blood pressure, reducing lipids, releasing stress, and improving mood and focus. Developing a sustainable, appealing plan that meets your needs and keeps you strong, flexible, balanced, and happy is ideal. You must also balance physical activity with rest, healthy sleep, and restorative relaxation.
Attending to what you eat can boost your body’s natural healing potential. An integrative nutrition approach includes developing healthy eating habits, eating foods that support your health and fit your lifestyle, selecting dietary supplements that provide support for various issues in your health, and regulating substances you ingest that may impact health such as caffeine, alcohol, nicotine, etc.
Developing a deep understanding of the purpose and meaning in your life supports all aspects of physical and emotional health. Religion, prayer, and spiritual connections in traditional healing systems complement conventional medicine and offer positive effects on health and well-being.
Personal and Professional Development:
An ongoing assessment of where you are with personal, career or life goals-- especially important at times of transition, milestones, and tipping points in life—can reinforce healthy behavior and lifestyle choices. Taking a deeper look at work-life balance, financial goals, and personal growth supports optimal well-being.
Physical Environment:
Evolving science suggests that your surroundings can influence your health in many ways. It is important to give some thought to how your environment can support your health: creating a nurturing space that facilitates relaxation, or a special place to build your mind-body practices; arranging workspaces and selecting furniture that supports your body; exploring options for dealing with concerns you may have about toxic exposure, safety, noise, clutter and other aspects of your environment.
Relationships and Communication:
Building a supportive community and maintaining healthy connections with your family, co-workers, and friends is important to your life and your health. It is vital to identify the ways in which you need support, and to communicate them effectively to those around you.
The individual person is supported in achieving and maintaining their maximal health and lifestyle by a Professional Support System of their choice.  The Professional Care system is represented on the Duke Wheel of Health by the color blue
Integrative Medicine combines evidence-based therapies from both conventional (Western or Allopathic Medicine) and complementary and alternative medicines and therapies.  Professional Care can include Conventional Medical Practitioners and/or Complementary Health Care Providers. 
  • Prevention:  First and foremost, Professional Supports create ongoing partnerships with you to maximize your wellness and lifestyle to prevent disease or disability  
  • Intervention:  If health or lifestyle imbalances occur in any area of your life, Professional Supports assist you in addressing those to restore balance and maximal health.  
The Duke Wheel of Health
Duke Integrative Medicine is committed to transforming the way health care is delivered in the 21century.The expert providers at Duke Integrative Medicine integrate the best of Western scientific medicine with proven complementary therapies to address the whole person - body, mind, spirit, and community.  
Duke Integrative Medicine, Duke Center for Living Campus, 3475 Erwin Road, Durham, NC 27705  866.313.0959 (toll-free phone) 919.660.6826 (local)  919-668-7892 (fax) | copyright © 2009. 
The Duke Wheel of Health is used with permission as a graduate of Duke Integrative Medicine Center Professional Training Programs