Emergency Preparedness and Disaster Management Discussion Post

1. What spiritual considerations surrounding a disaster can arise from individuals, communities, and health care providers?

Undeniably, natural and human-related disasters such as floods, earthquakes, terror activities, hurricanes, and large-scale accidents result in multiple consequences such as deaths, destruction of property and infrastructure, life-threatening injuries and disabilities, and compromised quality of life for the affected community. According to Deloise (2018), these effects of disasters compel people to doubt their relationships with the environment and nature. As a result, spiritual worldviews and considerations emerge as a profound strategy for sustaining one’s sense of self and purpose by imparting a sense of beliefs, principles, and values while encountering adversity, trauma, and stress (Lalani et al., 2021). In this sense, disaster victims can seek and express meaning and purpose by evaluating their connectedness to the moment, to self, others, nature, and the sacred. The process of seeking and expressing meaning and purpose by applying spirituality enhances resilience and the ability to cope in disaster aftermath.

Diary of Medical Mission Trip

2. Propose an example of a nursing intervention related to the disaster from each of the following levels: primary, secondary, and tertiary prevention.

Based on the “Diary of Medical Mission Trip” videos dealing with the 2010 catastrophic earthquake in Haiti, it is vivid that disaster victims demand timely, effective, and urgent medical interventions. It is possible to group these interventions into three categories: primary, secondary, and tertiary prevention mechanisms. Primary prevention consists of measures targeting susceptible populations or individuals to alleviate the immediate effects of a disaster (Kisling & Das, 2021). At this point, it is essential to provide nursing interventions such as ensuring access to surgical, medical, and emergency obstetric care to enhance case management for people with trauma, wounds, and burns.

On the other hand, secondary prevention measures emphasize the rationale of improving victims’ health by preventing and averting the likelihood of other disaster-related issues such as outbreaks of infectious diseases due to poor hygiene in overwhelmed healthcare institutions. Therefore, it is essential to embrace interventions such as regular screening of injured people and mass vaccination for susceptible populations. Finally, tertiary prevention approaches are commonly rehabilitation efforts that focus on reducing the severity of a disaster or its sequel (Kisling & Das, 2021). Interventions such as providing sufficient clean water, community-based education programs, and nutritional support for vulnerable children are essential at this phase.

3. Under which phase of the disaster do the three proposed interventions fall? Explain why you chose that phase.

The proposed nursing interventions fall under the recovery phase which entails mechanisms for restoring people’s lives to normalcy after a disaster. In this sense, healthcare professionals and community members collaborate in addressing the effects of the disaster and implementing measures to enhance recovery and restore health. Fitter et al. (2017) argue that early recovery efforts aim at accompanying response activities by capitalizing on existing emergency and humanitarian programs, supporting community initiatives, and establishing a path for long-term recovery. Undoubtedly, embracing primary, secondary, and tertiary prevention measures is consistent with the need for early and long-term recovery.

4. With what people or agencies would you work in facilitating the proposed Interventions and why?

I would work with various humanitarian agencies in facilitating the proposed nursing interventions for supporting disaster victims. The American Red Cross, the Federal Emergency Management Agency (FEMA), and the United States Agency for International Development (USAID). These agencies play a forefront role in responding to emergencies and bolstering victims’ recovery and resilience at local, national, and global levels. Therefore, they can enable me to facilitate the proposed interventions in Haiti.

References

Deloso, L. (2018). Spirituality in survivors of natural disasters understanding the needs and improving the care (pp. 1–61). https://www.theseus.fi/bitstream/handle/10024/149854/Deloso_Linda.pdf?sequence=1

Fitter, D. L., Delson, D. B., Guillaume, F. D., Schaad, A. W., Moffett, D. B., Poncelet, J.-L., Lowrance, D., & Gelting, R. (2017). Applying a new framework for public health systems recovery following emergencies and disasters: The example of Haiti following a major earthquake and cholera outbreak. The American Journal of Tropical Medicine and Hygiene97(4_Suppl), 4–11. https://doi.org/10.4269/ajtmh.16-0862

Kisling, L. A., & Das, J. M. (2019, May 9). Prevention strategies. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK537222/

Lalani, N., Drolet, J. L., McDonald-Harker, C., Brown, M. R. G., Brett-MacLean, P., Agyapong, V. I. O., Greenshaw, A. J., & Silverstone, P. H. (2021). Nurturing spiritual resilience to promote post-disaster community recovery: The 2016 Alberta wildfire in Canada. Frontiers in Public Health9. https://doi.org/10.3389/fpubh.2021.682558

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