Question

Complete a CARE PLAN for a client after a disaster. The six steps of the nursing process required 1- assessment 2- diagnosis 3- outcome identification 4- planning 5- implementation 6- Evaluation

Answer 1

Disaster:

Disaster is a result of vast ecological breakdown in the relation between humans and their environment, as serious sudden event on such a scale that the stricken community needs extraordinary efforts with cope with outside help or international aid

Nursing assessment:

• Immediate post disaster Intervention
• Establish safety
• Medical Treatment & Nursing Care plan as per need
• Psychological Support
• Health Facilities available
• Most disaster related concerns
• Burns, head injury, fractures, pneumonia

Psychiatric: Sleep disturbances, recurrent intrusive dreams of the event

Circulation: palpitations or tachycardia and cold and clammy hands

Neurosensory: anticipation of misfortune to self or others. feeling stuck

Pain and Discomfort: Muscle aches, headache, chest pain

Respiratory: shortness of breath, something sensation, increased respiratory rate

Sexuality: Decreased libido

Nursing Diagnosis:

Dependent on fracture or injury agent/ exposure and availability

Nursing Priorities:

• Prevent treat life threating conditions
• prevent further injury/ spread of infection
• support efforts to cope this situation
• psychological support
• if any fractures give support and immobilize the fracture area  

Risk factors may include:

Biological, contact with chemical pollutants, poisonous agents, exposure to open flammable material

Desires Outcome:

• Minimize degree of fracture prevent further injury and damage
• Verbalize understanding of condition/ specific needs.
• Identify intervention appropriate to situation
• demonstrate behavior necessary to protect self from further injury

Planning:

• Identify basic resources needs and help to prepare to staff for appropriate level of respondents
• determine primary needs/ specific complaints of patient check for medical alert tag

Implementation:

• diagnostic checkups such X-ray and labs for infection findings
• systematic examination of the patient thoroughly
• emphasize on rehabilitation and evaluation

Evaluation:

• Assessment of knowledge, employee could not list all applicable steps for disaster prevention. Therefore, this care plan was created to assist employee in becoming aware of readiness for disaster prevention.
• -Employee acknowledges that due to multiple electronics and electrical wires (3 computers, 1 fax, 1 printer, 2 modems, and 1 Wi-Fi tower), there is at risk for fire and burns with a possible disaster of house and nearby residential houses engulfing in fire.
• -Employee acknowledges that a railway disaster may occur since industrial railroad track is about 100 yards from work space.