Polices related to disaster management Disaster preparedness Rehabilitation after disaster PTSD

2. Policy is a law, regulation, procedure,
administrative action, incentive, or
voluntary practice of governments
and other institutions.

4. The National Policy covers all aspects of
disaster management including
institutional, legal and financial
arrangement; disaster prevention,
mitigation, and preparedness.

5. To build a safe and disaster resilient
India by developing a holistic, pro-
active, multi- disaster oriented and
technology driven strategy through a
culture of prevention, mitigation,
preparedness and response.

6.  To minimize the loss of lives and
property; build a safe India, by holistic,
integrated, multi- oriented strategies.
 To promote culture of prevention,
preparedness, at all level through
knowledge, innovation and education.

7.  Encourage mitigation measures based on
technology, tradition and environmental
sustainability.
 Establish institutional and technological
framework to create on enabling
regulatory environment.

8.  Mainstreaming disaster management into
developmental planning process.
 To ensure efficient mechanism for
identification, assessment and monitoring of
disaster risks.
 To develop forecasting and early warning
systems.
 To establish proper communication.

9.  To ensure efficient response and relief
with a caring approach towards
vulnerable groups.
 Ensure safe life through reconstruction
process.

11.  No standard policy
 Each Government have it’s own pattern,
policy and plan for disaster management.

12.  Development of awareness campaign
strategy and it’s implementation in the
state.

13.  Development of human resource plan for
implementation thereof- development of
training modules and materials.

14.  To initiate risk and vulnerability
assessment and preparation of annual
vulnerability and risk reduction report.

15.  Follow up with various line departments to
ensure that, disaster risk reduction issues
have been addressed in their
development plan.

16.  Preparation of minimum standard of relief.

17.  Ensure the conduct of mock drills
regularly.

18.  Revitalize local economy
 Improved public safety
 Disaster resilience
 Improved governance
 Greater accountability and ownerships

19.  Housing
 Quality education
 Health care
 Employment
 Recreation

21. Disaster preparedness consists of a set of
measures undertaken in advance by
governments, organizations, communities, or
individuals to better respond and cope with
the immediate aftermath of a disaster,
whether it be human- induced or caused by
natural hazards.

25.  MEDICAL SUPERINTENDENT
 ADDITIONAL SUPERINTENDENT
 NURSING SUPERINTENDENT
 CHIEF MEDICAL OFFICER (CASUALITY)
 HEAD OF THE DEPARTMENT
 BLOOD BANK INCHARGE

26.  SECURITY OFFICERS
 TRANSPORT OFFICER
 SANITARY PERSONNEL
 FINANACE DEPARTMENT
 STORE AND SUPPLY DEPARTMENT
 PUBLIC RELATION OFFICER

27.  DIETARY SERVICE DEPARTMENT
 SOCIAL WELFARE DEPARTMENT
 HOSPITAL UNION

28.  Resuscitation equipments
 IV Set, IV Fluid
 Disposable needles and syringes
 Oxygen delivering devices
 Dressing materials
 Suction catheter and machines

29.  ECG monitors, defibrillators and ventilators
 Tracheostomy sets
 Linen and blankets

30.  Chain of authority
 Lines of communication
 Route and mode of transport
 Mobilization
 Warning
 Evaluation

31.  Rescue and recovery
 Triage
 Treatment
 Support of victims and families
 Care of dead bodies
 Disaster worker rehabilitation
 Resources

32.  Manpower
 Food and clothing
 Medical facility, supplies and equipments
 Outside and volunteered assistance
 Information centre
 Command post

34. Triage consists of rapidly classifying the injured,
on the basis of the severity of their injuries and
the levels promotes, the medical interventions.
 Red- high injuries
 Yellow- medium injuries
 Green- ambulatory patients
 Black- dead

35. Post Traumatic Stress Disorder is the most
important of the above, hence it is important
to identify the people vulnerable and
implement appropriate psychiatric nursing
interventions.

36.  Technological needs
 Self- resilience
 Communication
 Emergency preparedness
 Forecasting
 Disaster voluntary teams.

38.  Passing messages to near by hospitals
 Getting ready with emergency equipments
 Discharging the patient
 Creating awareness

39.  Identify the population
 Triaging the victim
 Care for the injured person
 Transporting the person
 Arrange for the physical facilities for the
victim.

40.  Counseling
 Continuing care
 Vocational training
 Behavioral modification
 Rehabilitation

41.  Awareness about the disaster
 Training to people
 Mass health education
 Education about warning signs of disaster

43. Post Traumatic Stress Disorder (PTSD) is a
reaction to an extreme trauma, which causes
pervasive distress to the individual. The
traumatic events may includes disaster (
natural/ manmade), war, rape, torture,
terrorism or other crimes.

44.  Traumatic experience
 Exposure to actual/ thermal death
 Experiencing serious injury
 Sexual violence.

45. The impact of trauma and severity of
symptoms depends on the temperament of
the individual and environmental factors;

46.  Traumatic experience:
• Severity and duration of the stressor
• Anticipatory preparation for the event
• Exposure to death.

47.  The individual factors:
• Poor ego strength
• Ineffective coping resources
• Pre- existing psychopathology
• Behavior or temperament.

48.  Recovery environment:
• Lack of social support
• Inadequate family system (lack of
protectiveness)
• Cultural and sub cultural influences.

49. 1. Intrusive memories of traumatic experiences
 Recurrent ,unwanted and distressing
memories of the event
 Flash back and nightmares.

50. 2. Avoidance
 Avoiding places and activities or people that
reminds of the traumatic event.
 Keeping excessively busy to avoid thinking
about the traumatic event.

51. 3. Negative thoughts and belief about self, people
or world
 Hopelessness
 Worthlessness
 Loss of interest in once important and emotional
reaction
 Being jumpy

52. 4. Changes in physical and emotional reaction
 Difficulty in maintaining close relationships
 Detached from family and friends
 Easily frightened
 Self- destructive behavior.
 Trouble sleeping
 Irritability, anger outbursts

53. A. PSYCHOLOGICAL THERAPIES
 Cognitive behavioral therapy
 Systematic desensitization
 Thought stopping

54. B. STRESS MANAGEMENT
 Relaxation training and hypnotherapy
 Assertive training (promoting positive
thinking)
 Supportive therapy

55. C. PHARMACOLOGICAL MANAGEMENT
 SSRI’s (Selective Serotonin Receptors Inhibitors)-
First line treatment.
Eg; paroxetien
 MAOI’s
Eg; phenelzine
 Tricyclic Anti- depressants
- Amitryptyline
- Benzodiazepines

57. Rehabilitation professionals can
minimize mortality, decrease
disability, and improve clinical
outcome and participation.

58. 1. Physical
2. Psychological
3. Financial

60.  Goals;
To restore physical health, quality of overall
wellness to the patient, while minimize the
risk of injury or illness in the future.

61. 1. ACUTE INJURY PHASE
Early stage of an injury and is the first
48- 72 hours of post injury.

62. 2. REPAIR PHASE
It begins when the inflammation subsides and
body begins to repair the injured area. It
lasts from 72 hours to 6 weeks after the
injury.

63. 3. REMODELLING PHASE
Final phase of the healing process, in which
the granulation tissue matures into scar and
tissue tensile strength is increases; this
phase can continue for 6 months to 1 year
after injury.

65. Psychological rehabilitation is the process that
facilitates, opportunities for persons with
chronic mental illness to reach their optimal
level of independent functioning in society
and for improving their quality of life.

66.  Goals
To reach the cognitive, emotional, and
social skills to help patients diagnosed
with mental health problems so,
independently they can work and live in
the society, as independently as possible.

67.  Yoga
 Light therapy
 Group discussions
 Training for daily living skills
 Social skill training
 Vocational training
 Individual and family counseling.