Management and Leadership

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United Nations defines disaster is the occurrence of a sudden or major misfortune which disrupts the basic fabric and normal functioning of society or community. In January 2010 earthquake that struck Port-au-Prince, Haiti caused>200,000 deaths thousands of injuries requiring immediate surgical interventions, and 1.5 million internally displaced survivors. The earthquake destroyed most medical facilities in the city seriously preventing the ability to deliver immediate help. Community nurse can help assist with all types of care and prevention: Primary, secondary and tertiary. Primary Prevention: nurse will gather critical health supplies those needed for treating casualties, and preventing the spread of communicable diseases. Include sanitary, blankets, food, and water. Education is ongoing. Disaster can increase the transmission of communicable diseases through following mechanism: (1) overcrowding and poor sanitation in temporary resettlements (2) Disruption and the contamination of water supply, damage to sewerage system and power systems are common in natural disasters. Secondary Prevention: Is to decrease deleterious effect on individual and the community. Community Nurse Need to implement as soon as possible all public health measures, to reduce the risk of disease transmission. Isolate population who are infected use universal precautions. Supply safe drinking water and proper disposal of excreta to eliminate outbreak of gastroenteritis, typhoid and cholera. Provide adequate wound cleaning and treatment. Monitor nutrition status of the affected population. Tertiary prevention: Rehabilitation and restoration to meet long-term needs of individuals and the community after the disaster. The pattern of health needs will change, moving from casualty treatment to more routine primary health care. Priorities also will shift from health care towards environmental health measures. Survey of all public water supplies should be made, ongoing psych evaluation....
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