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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Usefull manual : patients with chronic disease
Preventing the deterioration of diabetes
For disaster preparedness phase For emergency phase For recovery restoration phase

Preventing the deterioration of diabetes


Pay attention to nutritional balance


After a disaster occurs, certain limitations will be imposed on meals you can take.  However, to prevent your disease from getting worse, you should take care of your diet.  (After a disaster, it's common to take in too many carbohydrates from rice balls, and excessive fats and salt from convenience foods, such as cup noodles.)

- What is the daily number of calories you are instructed to take by your doctor? (     kcal)
- Nonperishable foodstuffs, including frozen diabetic diet, will be of help in the event of disaster.
- After experiencing a disaster, you probably tend to eat too much, out of stress or fear that you might run out of food.  Be careful not to eat too much.
- Measure your weight when you have a chance.
- Drink adequate fluids.

Pay attention to nutritional balance

Adjust your living conditions


1) If a disaster occurs, your daily rhythm can be easily disturbed, due to sleep disorders or loss of appetite.
The amount of activity may increase because of reconstruction work and crippled transportation systems.  But vice versa, the amount of activity may decrease, because of changes in your living conditions.  For example, you may not be able to take a walk, or you may have to use diapers if a bathroom is located too far away.  We recommend that you get enough sleep even if you have to use a sleeping pill occasionally, take moderate exercise and bask in the sun.



2) Cope with cold, heat, and other changes in your living conditions by using blankets, a cap and other items.

Adjust your living conditions


3) Make use of the consultation services provided by the local government.
Do you need to borrow a cane or stand to help you get up?
Are there any problems with the steps or the bathroom in the housing?
Can you go shopping by yourself?

* You should make use of the consultation services available in your local community, in addition to consulting with your family


Don't let stress build up


1) Stress-related physical symptoms (insomnia, headache, stomach ache, high blood pressure, hyperventilation syndrome, etc.)
As mentioned in [I. Physical self-care], you should strive to alleviate your physical symptoms.  To reduce stress, we recommend that you talk about your stress with your family, neighbors and other people you can trust, and to consult your physician, public health nurse, healthcare worker, and counselor.

2) Proper countermeasures (medication usage, exercise, and refreshing the spirit)
It is important to control stress by participating in community center activities and regional events, and by enjoying reading books and other hobbies for relaxation during leisure times.  However, you should not become engrossed in gambling nor indulge in drinking to reduce your stress.  As well, we don't recommend thrill-seeking behaviors or avoidance of contact with other people as ways to relieve stress.  These behaviors will adversely affect your physical condition, leading to aggravation of your diabetes, especially.
Don't let stress build up
 
 

 
Information Base for Disaster Nursing Knowledge and Skills to Protect Lives
Useful manuals
Disaster phase
Useful manuals Patients with chronic disease
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