Disaster management & response : DMR : an official publication of the Emergency Nurses Association最新文献_第4页

Health Needs of Patients With Chronic Diseases Who Lived Through the Great Hanshin Earthquake 阪神大地震中慢性病患者的健康需求

Disaster management & response : DMR : an official publication of the Emergency Nurses Association Pub Date : 2007-01-01 DOI: 10.1016/j.dmr.2006.11.002

Kikuko Mori RN, MSN, Kazuhiro Ugai MD, PhD, Youko Nonami RN, PhD, Tomoko Kirimura RN, Chiaki Kondo RN, Tomoko Nakamura RN, Emi Motoki RN, Hidesuke Kaji MD, PhD

{"title":"Health Needs of Patients With Chronic Diseases Who Lived Through the Great Hanshin Earthquake","authors":"Kikuko Mori RN, MSN, Kazuhiro Ugai MD, PhD, Youko Nonami RN, PhD, Tomoko Kirimura RN, Chiaki Kondo RN, Tomoko Nakamura RN, Emi Motoki RN, Hidesuke Kaji MD, PhD","doi":"10.1016/j.dmr.2006.11.002","DOIUrl":"10.1016/j.dmr.2006.11.002","url":null,"abstract":"<div><h3>Objective</h3><p>To identify the health needs of patients with chronic diseases who lived through the great Hanshin earthquake of 1995.</p></div><div><h3>Methods</h3><p><span>Twenty-nine patients with rheumatism, diabetes, or </span>chronic respiratory disease were enrolled in the study. Semi-structured interviews were performed by the authors in 2004.</p></div><div><h3>Results</h3><p>Priorities for patients with all three diseases were securing medications and ensuring that they were able to take their medications. Rheumatism patients required methods of preventing their bodies from becoming cold, fatigued, and stressed in order to prevent aggravation of their disease; they also wanted relief workers to understand the physical limitations they experience. The health needs of diabetic patients included receiving an appropriate diet and developing ways to cope with the stress caused by the change in living environment. Patients with chronic respiratory diseases reported that their health needs included developing methods to prevent their bodies from becoming cold, fatigued, and stressed in order to prevent aggravation of their disease, access to respiratory masks to minimize dust and cold air exposure, and guidance in methods to alleviate respiratory symptoms.</p></div><div><h3>Conclusions</h3><p><span>The emergency preparedness planning and care priorities for individuals with chronic health problems<span><span>, such as rheumatism, diabetes, and pulmonary disease, should include attention to medication availability, </span>stress management, support for </span></span>activities of daily living, appropriate food, and availability of support devices necessary to minimize exacerbation of symptoms.</p></div>","PeriodicalId":84599,"journal":{"name":"Disaster management & response : DMR : an official publication of the Emergency Nurses Association","volume":"5 1","pages":"Pages 8-13"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.dmr.2006.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26558451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 44

Preparing for Disaster: A Way of Developing Community Relationships 为灾难做准备:一种发展社区关系的方式

Disaster management & response : DMR : an official publication of the Emergency Nurses Association Pub Date : 2007-01-01 DOI: 10.1016/j.dmr.2006.10.004

Gail Insko Wise BSN, MSN, EdD

引用次数: 17

Managing Bioterrorism Mass Casualties in an Emergency Department: Lessons Learned From a Rural Community Hospital Disaster Drill 在急诊科处理生物恐怖主义造成的大规模伤亡:从农村社区医院灾难演习中吸取的教训

Disaster management & response : DMR : an official publication of the Emergency Nurses Association Pub Date : 2007-01-01 DOI: 10.1016/j.dmr.2006.11.003

Eric Vinson DO

{"title":"Managing Bioterrorism Mass Casualties in an Emergency Department: Lessons Learned From a Rural Community Hospital Disaster Drill","authors":"Eric Vinson DO","doi":"10.1016/j.dmr.2006.11.003","DOIUrl":"10.1016/j.dmr.2006.11.003","url":null,"abstract":"<div><p>Bioterrorism represents a threat for which most emergency departments (EDs) are ill prepared. In order to develop an evidence-based plan for ED and hospital management of contaminated patients, a review was conducted of the most effective strategies developed during the severe acute respiratory syndrome (SARS) epidemic, as well as Centers for Disease Control and Prevention and military guidelines on biowarfare. Six basic steps were identified: 1) lock down the hospital and control access to the ED; 2) protect emergency care personnel with appropriate personal protective equipment; 3) decontaminate and triage patients; 4) isolate patients; 5) treat patients with appropriate medications or measures, including decontamination of wounds; and 6) use restrictive admission and transfer guidelines. By emphasizing these six basic concepts, a rural ED passed an annual state-run bioterrorism mass-casualty drill. The drill provided health care personnel with the knowledge and skills necessary to prepare for future bioterrorism casualties. These same concepts could also be used to manage highly virulent viral or bacterial outbreaks.</p></div>","PeriodicalId":84599,"journal":{"name":"Disaster management & response : DMR : an official publication of the Emergency Nurses Association","volume":"5 1","pages":"Pages 18-21"},"PeriodicalIF":0.0,"publicationDate":"2007-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.dmr.2006.11.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26614569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 20

CCATT: A Military Model for Civilian Disaster Management CCATT:民用灾害管理的军事模式

Disaster management & response : DMR : an official publication of the Emergency Nurses Association Pub Date : 2006-10-01 DOI: 10.1016/j.dmr.2006.09.001

Jack Sariego MD (LTCol)

引用次数: 35

Who Will Respond the Next Time? 下次谁会回应?

Disaster management & response : DMR : an official publication of the Emergency Nurses Association Pub Date : 2006-10-01 DOI: 10.1016/j.dmr.2006.10.003

Margaret M. McMahon RN, MN, CEN, FAEN

引用次数: 1

Better Prepared But Spread Too Thin: The Impact of Emergency Preparedness Funding on Local Public Health 更好的准备，但覆盖面太广:应急准备资金对地方公共卫生的影响

Disaster management & response : DMR : an official publication of the Emergency Nurses Association Pub Date : 2006-10-01 DOI: 10.1016/j.dmr.2006.08.002

Justeen Hyde PhD, Basil Kim MPH, Linda Sprague Martinez PhDc, Mary Clark JD, Karen Hacker MD, MPH

{"title":"Better Prepared But Spread Too Thin: The Impact of Emergency Preparedness Funding on Local Public Health","authors":"Justeen Hyde PhD, Basil Kim MPH, Linda Sprague Martinez PhDc, Mary Clark JD, Karen Hacker MD, MPH","doi":"10.1016/j.dmr.2006.08.002","DOIUrl":"10.1016/j.dmr.2006.08.002","url":null,"abstract":"<div><p>Local public health authorities (LPHAs) are recognized as playing critical roles in response to biological, chemical, and other health emergencies. An influx of emergency preparedness funding has created new and expanding responsibilities for LPHAs. Concern that funding for emergency response is diverting attention and resources away from other core public health responsibilities is increasing. In order to determine the impact of emergency preparedness funding on public health infrastructure, qualitative interviews with 27 LPHAs in the metro-Boston area were conducted as part of an on-going evaluation of preparedness planning in Massachusetts. Feedback on the benefits and challenges of recent emergency preparedness planning mandates was obtained. Benefits include opportunities to develop relationships within and across public health departments and increases in communication between local and state authorities. Challenges include budget constraints, staffing shortages, and competing public responsibilities. Policy recommendations for improving planning for emergency response at the local level are provided.</p></div>","PeriodicalId":84599,"journal":{"name":"Disaster management & response : DMR : an official publication of the Emergency Nurses Association","volume":"4 4","pages":"Pages 106-113"},"PeriodicalIF":0.0,"publicationDate":"2006-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.dmr.2006.08.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26406968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 22

News and Insights 新闻与见解

Disaster management & response : DMR : an official publication of the Emergency Nurses Association Pub Date : 2006-10-01 DOI: 10.1016/j.dmr.2006.09.002

引用次数: 0

Information for Authors 作者信息

Disaster management & response : DMR : an official publication of the Emergency Nurses Association Pub Date : 2006-10-01 DOI: 10.1016/S1540-2487(06)00079-4

引用次数: 0

Disaster Nursing Book Seeking Contributors 灾难护理书寻求贡献者

Disaster management & response : DMR : an official publication of the Emergency Nurses Association Pub Date : 2006-10-01 DOI: 10.1016/j.dmr.2006.10.002

Robert Powers BS, RN, EMT-P

引用次数: 0

National Disaster Life Support Education for Emergency Nurses 全国急救护士灾害生命支持教育

Disaster management & response : DMR : an official publication of the Emergency Nurses Association Pub Date : 2006-10-01 DOI: 10.1016/j.dmr.2006.10.001

Anthony Colosimo RN, CEN

引用次数: 1