搜索
“GoneWiththeWind”DISASTERPREPAREDNESSFORPERSONSWITHDIABETES郑州微信营销•Describethe2004Floridahurricaneaftermathanditsimpactonvictimswithdiabetes•Listthe4psychologicalstagesofadisaster•Statecomponentsofadisasteractionplanforpersonswithdiabetes•IdentifydisastertrainingopportunitiesDiabetesSpecialNeedsandChallenges•Medication•Nutrition•Monitoring•Activities•Footcare•Vision•MentalhealthMedicationChallenges•Medicationschedulesnotbeingfollowed•Inabilitytolocate,purchase,re-fillRxduetopharmaciesandMDofficesbeingdemolished•Powerfailurecausinginabilityofpharmaciestoopen•LackofrefrigerationNutritionChallenges•Contaminatedorspoiledfoodandwater•Limitedfoodsupply•Skippedordelayedmealsorsnacks•Inabilitytocookduetopowerfailure•High“carb”mealsatshelterormobilemealvansitesGlucoseMonitoringChallenges•Lostmeterandsupplies•Inabilitytoobtainnewsupplies•ForgettingornottakingtimetotestActivityChallenges•Over-exercisewhendoingcleanupandrepairwork(hypoglycemia)•Disruptionofregularactivitypatternswhilelivinginashelter(hyperglycemia)FootCareChallenges•Lostfootwear•Inadequatefootprotection,unsafeconditions-nails•InadequatefootfirstaidresultingininfectedlacerationsandbrokenbonesVisionChallenges•Losteyewear•BrokeneyeglassesMentalHealthChallenges•Lackofsleepandrestcausesincreaseinstresslevels•Separationfromfamilymembersandsupportsystems•Isolationduetocommunicationbreakdownandlackoftransportationasroadsnotcleared•Copingskillsimpaired-causinganger,depression,anxiety,frustration,grief,fear,resentment,and/orinsecurityPsychologicalPhasesofaDisaster•Heroic•Honeymoon•Disillusionment•ReconstructionHeroicPhase(EmergencyorAcutePhase)•Occursimmediatelyafterthedisaster•Consistsoftheheroicrescueeffortsofthecommunity•Individualsarousedphysicallyandemotionally,preoccupiedwiththoughtsabouttheirexperience,discussingtheiranxietiesHoneymoonPhase•Occursoneweekto3-6monthsafterthedisaster•Atimeofsharingandhelping•Socialattachmentishigh•SomemayhavesocialwithdrawalDisillusionmentPhase•Occurs2monthsto1-2yearsafterward•Feelingofanger,disappointment,resentment,andbitternessif/whenexpectationsforrecoveryandsupportarenotmetReconstructionorAdaptationPhase•Mayoccurseveralyearsafterthedisaster•Physicalaswellasemotionalreinvestmenttakesplace•TroublinghealthsymptomsdisappearAssistanceforDisasterRecoveryRedCrossServiceCenters•Assistinhandlingthesurvivorsimmediateneeds•Financialassistanceforclothing,bedding,medication,eyeglasses•ReconnectwithcommunityandsupportsystemsAssistanceforDisasterRecoveryFEMA(FederalEmergencyManagementAgency)•Createdin1979asadisasterrelieforganization•Responsibleforindividualassistance(housing,lowinterestloans,crisescounseling)•Responsibleforpublicassistance(debriscleanupandremoval,provisionofemergencypublicservices),andprovidingassistancetostateswheredisasterhasoverwhelmedthelocalandstategovernmentStopPanic-BePrepared!DiabetesDisasterPlanning•Planningaheadiscrucial!!•Thefirst72hoursaremostcriticalinadisaster.RoleoftheDiabetesEducator•Pre-planningandpreparationarethekeystosurvival-dothe“legwork”aheadoftime.•ReviewDisasterPlanningwithyourclientsbeforethedisasteractuallyhappens!•Encourageproblem-solvingskillsandpreventivethinking.BeReady!ComponentsofaDisasterPlan•ImportantDisasterInformation•KeyEmergencyInformation•DietConsiderationsDuringaDisaster•FoodSupplyandStorage•MedicalandOtherSupplies•MedicationStorage•SickDayRulesImportantDisasterInformation•Safestplacestogo,dependingontypeofdisaster•Locationofutilitycut-offvalvesandswitches•Alternateplacestostay,shouldclientneedtoevacuate•PlansforanypetsKeyEmergencyInformation•Localemergencycontacts•Out-of-towncontacts•Medicalproviders•Medicationlist,includingallergies•Extracopiesofprescriptions•MedicalequipmentneedsDietConsiderationsDuringaDisaster•Ifactivityisreduced,mosthealthypeoplecansurviveonhalfoftheirusualintakeforanextendedperiod,andevengowithoutfoodforafewdaysiftheyhaveto.•Withdiabetes,thesesamerulesdonotapply.Theremustbeabalanceoffoodgroupsandadequatecalories,especiallywhentakinginsulinand/ororalagents.FoodSupplyfor7DaysLgboxofcrackers1jarsoftcheeseor2pkof6cheesecrackers1gallonofwaterperday1jarpeanutbutter6cansregularsoda6pkParmalatmilkSmboxpowderedmilk6cansdietsoda6cansliteorwater-packedfruit1pkgdry,unsweetenedcereal6pk.cannedorangeorapplejuice1canofpreparedmeatFoodSupplyandStorageDon’tforgettoincludethefollowing:•Eatingutensils•Mechanicalcanopener•DisposablecupsFooditemsshouldbestoredinrubbertoteordufflebag,andreplacedyearly.BuildaKit!Havea“BePrepared”Listwiththesesuppliesavailable:•Emergencyinformation(copy)•Insuranceinformation(copy)•Prescriptions(copy)•Insulinand/orpills(includeOTCs)MedicalSupplies•Syringes•AlcoholSwabs/anti-bacterialwipes•Cottonballsandtissues•BloodGlucoseLog•InsulinPumpsupplies(ifa“pumper”)•Glucometer&UrineKetoneStrips•LancingdeviceandlancetsMedicalSupplies,cont.•FirstAidKit•Quick-actingCHO(glucosetabs,OJ)•GlucagonEmergencyKit•Emptyhardplasticdetergentbottlewithcap(forusedlancetsandsyringes)Othersupplies•Flashlightwithextrabatteries•Whi