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“GoneWiththeWind”DISASTERPREPAREDNESSFORPERSONSWITHDIABETES第一页,共四十六页。LearningObjectivesDescribethe2004FloridahurricaneaftermathanditsimpactonvictimswithdiabetesListthe4psychologicalstagesofadisasterStatecomponentsofadisasteractionplanforpersonswithdiabetesIdentifydisastertrainingopportunities第二页,共四十六页。Diabetes

SpecialNeedsandChallengesMedicationNutritionMonitoringActivitiesFootcareVisionMentalhealth第三页,共四十六页。MedicationChallengesMedicationschedulesnotbeingfollowedInabilitytolocate,purchase,re-fillRxduetopharmaciesandMDofficesbeingdemolishedPowerfailurecausinginabilityofpharmaciestoopenLackofrefrigeration第四页,共四十六页。NutritionChallengesContaminatedorspoiledfoodandwaterLimitedfoodsupplySkippedordelayedmealsorsnacksInabilitytocookduetopowerfailureHigh“carb”mealsatshelterormobilemealvansites第五页,共四十六页。GlucoseMonitoringChallengesLostmeterandsuppliesInabilitytoobtainnewsuppliesForgettingornottakingtimetotest第六页,共四十六页。ActivityChallengesOver-exercisewhendoingcleanupandrepairwork(hypoglycemia)Disruptionofregularactivitypatternswhilelivinginashelter(hyperglycemia)第七页,共四十六页。FootCareChallengesLostfootwearInadequatefootprotection,unsafeconditions-nailsInadequatefootfirstaidresultingininfectedlacerationsandbrokenbones第八页,共四十六页。VisionChallengesLosteyewearBrokeneyeglasses第九页,共四十六页。MentalHealthChallengesLackofsleepandrestcausesincreaseinstresslevelsSeparationfromfamilymembersandsupportsystemsIsolationduetocommunicationbreakdownandlackoftransportationasroadsnotclearedCopingskillsimpaired-causinganger,depression,anxiety,frustration,grief,fear,resentment,and/orinsecurity第十页,共四十六页。PsychologicalPhasesofaDisaster

HeroicHoneymoon

DisillusionmentReconstruction第十一页,共四十六页。HeroicPhase

(EmergencyorAcutePhase)

OccursimmediatelyafterthedisasterConsistsoftheheroicrescueeffortsofthecommunityIndividualsarousedphysicallyandemotionally,preoccupiedwiththoughtsabouttheirexperience,discussingtheiranxieties第十二页,共四十六页。HoneymoonPhaseOccursoneweekto3-6monthsafterthedisasterAtimeofsharingandhelpingSocialattachmentishighSomemayhavesocialwithdrawal第十三页,共四十六页。DisillusionmentPhaseOccurs2monthsto1-2yearsafterwardFeelingofanger,disappointment,resentment,andbitternessif/whenexpectationsforrecoveryandsupportarenotmet第十四页,共四十六页。ReconstructionorAdaptationPhase

MayoccurseveralyearsafterthedisasterPhysicalaswellasemotionalreinvestmenttakesplaceTroublinghealthsymptomsdisappear第十五页,共四十六页。AssistanceforDisaster

RecoveryRedCrossServiceCenters

AssistinhandlingthesurvivorsimmediateneedsFinancialassistanceforclothing,bedding,medication,eyeglassesReconnectwithcommunityandsupportsystems第十六页,共四十六页。AssistanceforDisaster

RecoveryFEMA(FederalEmergencyManagementAgency)

Createdin1979asadisasterrelieforganizationResponsibleforindividualassistance(housing,lowinterestloans,crisescounseling)Responsibleforpublicassistance(debriscleanupandremoval,provisionofemergencypublicservices),andprovidingassistancetostateswheredisasterhasoverwhelmedthelocalandstategovernment第十七页,共四十六页。StopPanic-

BePrepared!第十八页,共四十六页。DiabetesDisasterPlanning

Planningaheadiscrucial!!Thefirst72hoursaremostcriticalinadisaster.第十九页,共四十六页。RoleoftheDiabetesEducatorPre-planningandpreparationarethekeystosurvival-dothe“legwork”aheadoftime.ReviewDisasterPlanningwithyourclientsbeforethedisasteractuallyhappens!Encourageproblem-solvingskillsandpreventivethinking.第二十页,共四十六页。BeReady!第二十一页,共四十六页。ComponentsofaDisasterPlanImportantDisasterInformationKeyEmergencyInformationDietConsiderationsDuringaDisasterFoodSupplyandStorageMedicalandOtherSuppliesMedicationStorageSickDayRules第二十二页,共四十六页。ImportantDisasterInformationSafestplacestogo,dependingontypeofdisasterLocationofutilitycut-offvalvesandswitchesAlternateplacestostay,shouldclientneedtoevacuatePlansforanypets第二十三页,共四十六页。KeyEmergencyInformationLocalemergencycontactsOut-of-towncontactsMedicalprovidersMedicationlist,includingallergiesExtracopiesofprescriptionsMedicalequipmentneeds第二十四页,共四十六页。DietConsiderationsDuringaDisasterIfactivityisreduced,mosthealthypeoplecansurviveonhalfoftheirusualintakeforanextendedperiod,andevengowithoutfoodforafewdaysiftheyhaveto.Withdiabetes,thesesamerulesdonotapply.Theremustbeabalanceoffoodgroupsandadequatecalories,especiallywhentakinginsulinand/ororalagents.第二十五页,共四十六页。FoodSupplyfor7DaysLgboxofcrackers1jarsoftcheeseor2pkof6cheesecrackers1gallonofwaterperday1jarpeanutbutter6cansregularsoda6pkParmalatmilkSmboxpowderedmilk6cansdietsoda6cansliteorwater-packedfruit1pkgdry,unsweetenedcereal6pk.cannedorangeorapplejuice1canofpreparedmeat第二十六页,共四十六页。FoodSupplyandStorageDon’tforgettoincludethefollowing:EatingutensilsMechanicalcanopenerDisposablecupsFooditemsshouldbestoredinrubbertoteordufflebag,andreplacedyearly.第二十七页,共四十六页。BuildaKit!第二十八页,共四十六页。Havea“BePrepared”List

withthesesuppliesavailable:

Emergencyinformation(copy)Insuranceinformation(copy)Prescriptions(copy)Insulinand/orpills(includeOTCs)第二十九页,共四十六页。MedicalSuppliesSyringesAlcoholSwabs/anti-bacterialwipesCottonballsandtissuesBloodGlucoseLogInsulinPumpsupplies(ifa“pumper”)Glucometer&UrineKetoneStripsLancingdeviceandlancets第三十页,共四十六页。MedicalSupplies,cont.FirstAidKitQuick-actingCHO(glucosetabs,OJ)GlucagonEmergencyKitEmptyhardplasticdetergentbottlewithcap(forusedlancetsandsyringes)第三十一页,共四十六页。OthersuppliesFlashlightwithextrabatteriesWhistle/noisemakerExtrapairofglassesFemalesanitarysuppliesHeavyworkglovesToolsCoolerwithdryiceorfreezerpacks第三十二页,共四十六页。OtherSupplies,cont.RadiowithextrabatteriesPad/pencilWatchMatches/candlesClothingandbeddingExtrasocks;comfortableshoes Cellphone**Checkbatteriesevery2-3monthstopreventexpiration第三十三页,共四十六页。MedicationStorageInsulinmaybestoredatroomtemperature(59-86º)for28daysInsulinpensinusecanbestoredatroomtemp.accordingtomanufacturer’sinstructions.Incaseofpowerfailure,havesmallcoolerwithdryiceorfreezerpacksSpecialinsulincooleronmarketrequireswatertoactivatechemicalcoolantgel第三十四页,共四十六页。SickDayRulesRemindclienttotakeallmedicinesontime,orasclosetoscheduleaspossibleInstructclienttoeatattimesappropriatetoworkwiththeirinsulinReinforceimportanceofnotskippingmealsIfnauseaorvomitingoccurs,instructclienttosipregularcola,andsuckonhardcandiessincetheycannoteat.第三十五页,共四十六页。SickDayRules,cont.AdviseclienttonotifyMDifbloodsugaraveragesover240mg.Instructtotestforketonesifbloodsugaraveragesover240mg.,isvomiting,orhassymptomsofhyperglycemia第三十六页,共四十六页。IfMedicalAssistanceNeeded

Adviseclientsto:GotonearesthospitalContactthepoliceContacttheAmericanRedCrossGotoanEmergencyMedicalCenter第三十七页,共四十六页。UsingaNOAAWeatherRadioBestwaytoreceivewarningsfromtheweatherserviceBroadcastswarnings,watches,forecasts,andotherhazardinformation24hrs/dayAveragereceptionrangeis40mileradiusfromtransmitter第三十八页,共四十六页。RadioFeaturestoLookForDoesitincludebatteryback-up?HaveaSpecificAreaMessageEncoderfeature?ReceiveallsevenNOAAWeatherRadiofrequencies?Canbepurchasedatretailelectronicandsportinggoodsstores.

第三十九页,共四十六页。

TrainingSavesLives!

第四十页,共四十六页。HowCanIHelp?第四十一页,共四十

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