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
Physical self-care
For disaster preparedness phase For emergency phase For recovery restoration phase

Physical self-care


Do you have any physical disorders?



Place a checkmark in all applicable boxes in the following checklist: one week after a disaster occurs, one month after the disaster, and whenever you are aware of changes in your physical condition.


*General physical conditions

Date of entry        

1. Stomach ache

       

2. Stiff shoulders

       

3. Headache or heavy-headedness

       

4. No appetite

       

5. Tired easily and feel weary

       

6. Thumping heart

       

7. Diarrhea or constipation

       

8. Shortness of breath or trouble breathing

       

9. Often catch a cold

       

10. Fever

       

11. Nausea or vomiting

       

12. Joint pain

       

13. Low back pain

       

14. Trembling hands/feet or numbness in hands/legs

       

15. Dizziness

       

16. Hot flushes or ringing in ears

       

17. Swollen hands and feet

       

18. Canker sores

       

Changes in your rheumatic conditions after a disaster

1.Joint pain

Worsen
Slightly worsen
Remains unchanged
Slightly better
Better

2.Number of joints with pain

Increased
Slightly increased
Remains unchanged
Slightly decreased
Decreased

3.Joint stiffness

Worsen
Slightly worsen
Remains unchanged
Slightly better
Better

4.Walking

Became more difficult
Became slightly more difficult
Remains unchanged
Became slightly easier

Became easier

5.Activities in your daily life

Became more difficult
Became slightly more difficult
Remain unchanged
Became slightly easier

Became easier
6. In question above, if you answered that your activities in daily life "Became more difficult" or "Became slightly more difficult," what kinds of activities do you have difficulty doing?  Check "Yes" or "No" for each of the following activities.

a. Sitting up or tossing about in bed
Yes       No

b. Going up and down the stairs
Yes       No

b. Going up and down the stairs
Yes       No

c. Putting on and taking off outdoor shoes
Yes       No

d. Putting on and taking off clothes
Yes       No

e. Washing your face and hair
Yes       No

f. If you have any other activities that became more difficult for you, please
describe. (                                             )

(Date of entry: Month/day/year)

What can be found by checking general health conditions

The items for general health conditions show physical problems that may more easily occur after you have experienced a disaster.  The more items you have marked, the more care is required.  The following information will be useful in detecting illness at an early stage and preventing rheumatic conditions from worsening.


1) Symptoms thought to be caused by stress

After experiencing a disaster, you are under great physical and psychological stress. Items (1) through (18) are all stress-related physical symptoms. To maintain your physical and mental health, try to decrease your stress.(Please read page 13 of this handbook.)

2)

Symptoms thought to be caused by excessive work

Have you worked too much after a disaster occurs? Overusing your muscles and joints that are not normally used very much will result in fatigue, which could cause you to have the symptoms mentioned in items (2) stiff shoulders, (5) tired easily and feel weary,and/or (13) low back pain.
At any rate, it is important for you to get adequate rest and keep warm.

Symptoms thought to be caused by excessive work


3)

Symptoms that may indicate some underlying diseases to be cared for


Any of the following symptoms could be a sign of some disease.


* If you marked items (1) Stomach ache, (4) No appetite, (11) Nausea or vomiting, and/or (18) Canker sores, you may be suffering from stomach inflammation or ulcer induced by stress.

* If you marked items (3) Headache or heavy-headedness, (15) Dizziness, and/or (16) Hot flushes or ringing in the ears, you may have high blood pressure.  Please measure your blood pressure.

* For those who checked item (7) Diarrhea or constipation: if you suffer from constipation, you should drink adequate fluids and get proper exercise.  If you suffer from diarrhea, it could be caused by bacterial infection, which requires that you visit a doctor promptly.

* The frequency of catching a cold can be considered a barometer of the body's resistance and immune strength.  If you checked (9) Often catch a cold, your body resistance or immune strength may have decreased.

  If you have symptoms of items (4) No appetite, (5) Tired easily and feel weary, (6) Thumping heart, (8) Shortness of breath or trouble breathing, (9) Often catch a cold, or (10) Fever, you may be suffering from an infection, in particular, a respiratory infection.
Listen to the voice of your body


4)

Possible side effects of medications you are taking


The medications you are currently taking to treat rheumatism have various side effects.  If your body has weakened because of post-disaster stress and overwork, side effects that you have not had before may additionally appear.  For example, symptoms such as items 1) Stomach ache, (11) Nausea or vomiting, and (18) Canker sores may indicate that you have gastrointestinal problems developed as side effects from the medications.  Also, (8) Shortness of breath or trouble breathing may be a symptom of drug-induced pneumonia, and (17) Swollen hands and feet can be from kidney damage that occurred as a side effect of medication.



5)

Symptoms that may be related to rheumatic conditions


* If you have (2) Stiff shoulders, (3) Headache or heavy-headedness, and/or (14) Numbness in hands/legs, your neck bones may be showing rheumatic symptoms.

* The symptoms of items (4) No appetite, (5) Tired easily and feel weary, and/or (10) Fever may indicate that your rheumatism has worsened.

* The possible causes of (8) Shortness of breath or trouble breathing include aggravation of a rheumatic lung disease as well as a side effect of medication.

* Concerning (17) Swollen hands and feet, particularly swollen feet, a cause of the symptom may be a blood circulation problem or the worsening of arthritis due to hard work.  It may be effective in alleviating the symptom if you put your feet in a slightly raised position by supporting them with a pillow or bedding.


What can be found by checking the changes in your rheumatic conditions after a disaster


The checklist for the changes in your rheumatic conditions is designed to allow you to check on your own if your current rheumatic conditions have worsened or not, comparing between before and after the disaster.  If you checked "Worsen," "Became difficult" or "Increased" in response to many of the five questions, it is clear that your rheumatism has been aggravated.


What can be found by checking the changes in your rheumatic conditions after a disaster
 

 

 
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