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
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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

       

Symptoms that may deteriorate your disease

Date of entry        

19.Yellow or brown phlegm

       

20.Cough

       

21.Dim consciousness

       

22.Hands and feet feel hot

       


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  chronic respiratory diseases 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.

2)

Symptoms thought to be caused by excessive work


Overusing your muscles and joints that are not normally used very much will result in fatigue, which could cause you to have stiff shoulders, to get tired easily and feel weary, to have joint pain or low back pain, and other symptoms.  At any rate, be sure to rest and not to overwork yourself. 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 have the symptom of (15) Dizziness, you may be suffering from an autonomic disorder, brain injury, or ear and nose (otorhinolaryngological) disease.

* 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.

* If you often catch a cold (item(9)), it could be an indication of a decline in your immune strength.

Symptoms that may indicate some underlying diseases to be cared for


Symptoms thought to be related to the deterioration of chronic respiratory diseases

For people with a chronic respiratory disease, catching a cold, lack of oxygen, carbon dioxide buildup, and/or strain on the heart will lead to the deterioration of their disease.

* If you marked items (4) No appetite, (5) Tired easily and feel weary, (8) Shortness of breath or trouble breathing, (10)Fever, (19) Yellow or brown phlegm, and/or (29) Cough, you may be suffering from a respiratory infection.  During the first two weeks after a disaster occurs, you are more susceptible to pneumonia and bronchitis, and therefore early countermeasures are necessary.  If you experience the above symptoms, you should consult a doctor as soon as possible. We also recommend that you get enough nutrition and sleep, and keep warm, to protect yourself from further infections.

* If you have symptoms of items (8) Shortness of breath or trouble breathing, (3) Headache or heavy-headedness, *21 Dim consciousness, and/or *22) Hands and feet feel hot, it may be a sign of the lack of oxygen or carbon dioxide buildup. If you have the above symptoms, you should consult a doctor urgently.

* If you have symptoms of items (6) Thumping heart, (8) Shortness of breath or trouble breathing, and/or (17) Swollen hands and feet, your heart may have been strained.  Please consult a doctor urgently.  Working too much can put strain on your heart.  Take care not to overwork yourself.

 


 

 
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