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DISASTER NURSING The adaptation of Professional Nursing KNOWLEDGE , Skills and ATTITUDE in recognizing and MEETING the nursing

and MEDICAL NEEDS of DISASTER VICTIMS. BASIC PRINCIPLES INPLANNING FOR DISASTERNURSING •N- ursing Plans should be integrated and coordinated •U- pdate physical and Psychological preparedness •R- esponsible for Organizing, Teaching and Supervision •S- timulate Community Participation •E- xercise Competence BASIC PRINCIPLES OF NURSING CARE for DISASTER VICTIMS •A- daptation of Skills to Situation •C- are for Disaster Victims •C- ontinuous Awareness of the patient’s condition •T- each AUXILLARY personnel •S-election of Essential Care ROLES and RESPONSIBILITIES of a DISASTER NURSE  D- isseminate information on the prevention and control of environmental Hazards  I- nterpret health laws and regulations  S- erve yourself of self-survival  A- ccepts directions and take orders from an organized authority.  S- erve the best of the MOST  T- each the meaning of warning signals  E- xercise leadership  R- efer to appropriate agencies Factors affecting disaster Host factors In the epidemiological frame work as applied to disaster the host is human-kind. Host factors are those characteristics of humans that influence the severity of the disaster effect. Host factors include Ø Age Ø Immunization status Ø Degree of mobility Ø Emotional stability Environmental factors , this includes: 1. Physical Factors Weather conditions, the availability of food, time when the disaster occurs, the availability of water and the functioning of utilities such as electricity and telephone service. 2. Chemical Factors Influencing disaster outcome include leakage of stored chemicals into the air, soil, ground water or food supplies.

4) Rehabilitation Ø The final phase in a disaster should lead to restoration of the pre-disaster conditions. Occurs when majority of rescue operations are completed. rebuilding. 2) Impact Phase: a. Bioterrorism: Release of viruses. Psychological Factors: Psychological factors are closely related to agents. appearances of little effect by disaster.acceptance of loss.Assessment of extent of losses. Period of time when disaster occurs. Occurs prior to the onset of the disaster. Ø The pattern of healthy needs with change rapidly. The nature and severity of the disaster affect the psychological distress experienced by the victims. Remedy and recovery period. May not occur in all disaster. Biological Factors: Are those that occur or increase as result of contaminated water. Social Factors: Are those that contribute to the individual social support systems. c. c. Ø Honeymoon phase . b. Ø Disillusionment phase . Lengthy phase that may last for years. improper waste disposal. -Identification of remaining sources. -Planning for · Use of resources · Rescue of victims · Minimizing further injuries and property damage. Ø Reconstruction phase .feeling of euphoria. Includes the period of threat and warning. Inventory and rescues period. insect or rodent proliferations improper food storage or lack of refrigeration due to interrupted electrical services. b. continuing to immediately following disaster. bacteria or other agents caused illness or death. 3.) 3) Post impact phase a. b. Ø May be brief when disasters strike suddenly and is over in minutes (air plane clash. copping with stereo.feeling of anger. Loss of family members.Bhopal Gas Tragedy. . building collapse) or lengthy as incident continues (earthquake. moving from casualty treatment to more primary health care. tsunami etc. 5. 4. . changes in roles and the questioning of religious beliefs are social factors to be examined after a disaster. Phases of Disaster 1) Preimpact: a. flood. host and environmental conditions.Eg: . disappointment and resentment.

Preparedness phase   Personal preparedness Professional preparedness Key organizations and professionals in disaster management Health care community      Hospitals Health professionals Pharmacies Public health departments Rescue personnel Non-health care community       Fire fighters Municipal or government officials Media Medical examiners Medical supply manufactures Police .considered a massive disaster. Disaster mitigation   Disaster mitigation refers to actions or measures that can either prevent the occurrence of a disaster or reduce the severity of its effects.considered a moderate disaster. The local and community resources has to be mobilized to manage this situation Level i disaster. (American Red Cross).this involves a massive level of damage with severe impact. Phases of disaster management     Prevention phase Preparedness phase Response phase Recovery phase Prevention phase  Identify community risk factors and to develop and implement programs to prevent disasters from occurring.Levels of disaster    Level iii disaster – considered a minor disaster. Mitigation activities include awareness and education and disaster prevention measures. These are involves minimal level of damage Level ii disaster.

Psychological recovery must be addressed. Both victims and relief workers should be offered mental health activities and services. Recovery phase   During this phase actions are taken to repair. Community must have adequate warning system and a back up evaluation plan to remove people from the area of danger Response phase The level of disaster varies and the management plans mainly based on the severity or extent of the disaster. .Community preparedness   The level of community preparedness for a disaster is only as high as the people and organization in the community make it. rebuilt. or reallocate damaged homes and businesses and restore health and economic vitality to the community.