Disaster Nursing Development of a Center of Excellence for Disaster Nursing in a Ubiquitous Society Information Base for Disaster Nursing Knowledge and Skills to Protect Lives
- So as not to forget that fateful day -
University of Hyogo, Graduate School of Nursing
The 21st Century Center of Excellence Program
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Useful Manuals:Tips on Health Care Volunteer Activities
Approach to Disaster Area
For disaster preparedness phase For emergency phase ery restoration phase

Care for Disaster Victims


1)Support of the evacuation center

(1)Living-Environment-Related Support

Temperature control and ventilation,consideration of lighting and noise
Clean living space including toilets and garbage disposal
Giving advice about how to care for pets
Separate smokers from non-smokers (set up smoking areas)

(2)Dietary Support

Coordinate a food menu for those who have special dietary requirements due to age, physical conditions or illnesses
e.g. elderly persons, infants, those feeling sick or having digestion problems, those suffering from hypertension, diabetes or other chronic illnesses, dialysis patients, etc.

Help evacuees drink a sufficient amount of water

Help those who need feeding care


(3)Support for Cleanliness and Excretion

Provide bathing support for those who need care (newborn babies and elderly persons)

Dry-bathe and shampoo those who cannot take a bath (because of being injured or bedridden)

Provide excretion care (including diaper change)

(4)Support for Restful Sleep and Privacy

Temperature control and ventilation,consideration of lighting and noise
Clean living space including toilets and garbage disposal
Giving advice about how to care for pets
Separate smokers from non-smokers (set up smoking areas)

(5)Support for Recreational Activities

Create opportunities to adjust daily rhythms.(waking up・going to bed, cleaning the entire living space all together)
Encourage regular exercise to prevent lack of exercise
Encourage such recreational activities as hiking and walking on holidays

Secure places and opportunities for children to play


(6)Psychological Support

Enlighten disaster victims on post-disaster stress reactions

Help disaster victims deal with any pent-up anger they might have

active listening

Make the rounds on a regular basis, talk to each victim

Locations and opportunities for gathering and sharing


・ You may meet some people who say, “I’m OK.” ?When you talk to these people, consider to what extent they have been affected and what their family situations are.
・ Some people may reject you. ?Do not push yourself to relate to them. ?Just tell them, “Please let me know if there is anything I can help with,” and leave them for the time being.
・ When you see a disaster victim busy working or tidying up the debris , work with him/her.


(7)Health Management

Health checkup of disaster victims

Cope with diseases that related disaster (pneumonia, economy-class syndrome, etc.)


・ Ask them specific questions such as: “Do you sleep well?”, “Do you eat?”, “Do you take your usual medications?”
・“How is the condition of your house? (There is a case to hear so that it influences health)”
・ Ask questions of each disaster victim.
・ Encourage disaster victims to do light exercises.


(8)Prevention of Infectious Diseases
(common cold, influenza, food poisoning, scabies, tuberculosis, diarrhea, infectious diseases mainly affecting children such as chicken pox, measles and mumps, etc.)

Encourage to evacuees to regularly wash their hands and gargle, ventilation ,teach directions for disinfectant at the time of a flood

Provide information concerning vaccinations and speak to those who might need to be vaccinated

Dispose of foods past the use-by date

(9)Support of Vulnerable Populations

・<In case of children>Provide ways of playing (make-believe play, story-telling, drawing/painting, etc.)
・<In case of seeing and hearing disabled persons>Introduce sign-language volunteers and guide helpers to those in need
・<In case of foreigners without Japanese ability>Introduce foreign residents to foreigners’ support centers
・<In case of chronic illnesses etc.>Help them take their usual medicines, inform them of consulting a doctor, and provide them with necessary care. Cooperation with the medical team




2)Support for Management of the Evacuation Center


(1)

Professional/ general volunteer makes each role clear and coordinate a role and share it

(2)

Coordinate responsibilities with volunteers in various activities such as ?washing, cooking and bathing

(3)

Protect disaster victims from the media

(4)

Provide and management of information at the evacuation center


⇒Provide necessary daily-life information (how to place and use items in the evacuation center, how to dispose of garbage, how to use the toilet, how to wash hands and gargle, supply of foods and other daily necessaries, information on various events and programs, government announcement, etc.)



3)Support for Those who Cannot Come to the Evacuation Center

(1) Provide information
(2) Visit them and talk to them
(3) Give them the same kind of support as in the evacuation center


Information Base for Disaster Nursing Knowledge and Skills to Protect Lives
Useful manuals
Disaster phase
Useful manuals Tips on Nursing Volunteer Activities
 
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