Vila Health Disaster Management Paper
What is Vila health disaster management?
A disaster can be generally defined as an occurrence whose presence impedes access to various vital processes. Disasters often have a range of effects ranging from social, economic, physical to emotional effects (Das, 2018). These effects require time and effort for them to be effectively mitigated. It is the role of the individuals, social institutions, and the governments to mitigate the effects of these disasters when they occur. Recovery refers to occurrences before, during, and after a disaster has occurred. It is a process that often commences as early as during emergency response activities (Cicero, 2018). During the recovery process, communities such as the Villa Health community revitalize and restore the situation to normal. The effects of the disaster are mitigated during this stage.
Villa Health Community Needs
Villa health population requires unique needs that must be met. It is made up of a diverse population, serving patients of different ages. It consists majorly of short-term care patients who are generally discharged after a few days. The rest of the population majorly consists of elderly patients requiring skilled long-term nursing home care. These elderly patients often have many health needs due to their varying degrees of self-care acuity deficits. Acute conditions management equipment such as oxygen tanks, good electricity supply, dialysis machines, and various medications are necessary. Other patients are in the center for palliative care which requires palliative care. Some patients also come requiring rehabilitation services to restore or improve their physical performance.
Determinants of Health
Determinants of health can be broadly categorized into 3: social, environmental, and cultural determinants of health. The social determinants include social support, social exclusion, stress, and gender (Palmer et al., 2019 Vila Health Disaster Management Paper). Economic determinants of health include the availability of food, poverty, and educational level, lack of economic resources, employment, and unemployment. Cultural determinants of health include cultural beliefs, language, norms, rituals, values, sanctions, acculturation, diet, gender, and lay consultation. Environmental determinants of health include housing conditions, sanitation, hygiene, transport facilities, environment, and extreme weather conditions such as earthquakes. These factors are interlinked such that they influence each other and collectively determine an individual’s health state.
The Social, Cultural, and Economic Barriers that Impede Recovery Interventions.
Several factors affect and impede the process of recovery. These include social, cultural, and economic barriers. Lack of adequate social support impedes the healing process of those affected (Palmer et al., 2019). The recovery process requires the input of every community member. With a lack of social support and social exclusion, it becomes challenging to mitigate disasters that occur in these societies. Cultural factors are most notorious for impeding recovery activities. Acculturation may prevent people from seeking healthcare during events of disaster. It may also prevent care collaboration (Rice & Liamputtong, 2020).
Language barriers impede recovery activities by providing poor care coordination and problems with getting the necessary information to mitigate the effects of disasters. The level of education is usually synonymous with poverty and employment. When the population is poor, uneducated, or unemployed, it is most likely not to cooperate to mitigate disaster, especially those that require monetary input (Palmer et al. 2018). When efforts to mitigate disasters impinge on the people’s cultural beliefs, they lack support and collaboration and face rejection. The responsible teams must well analyze the efforts to fit the target population. Efforts should be culture sensitive to avoid being rejected or lack support.
As seen earlier in this paper, a disaster is an occurrence that often impedes access to vital services and key processes. Disasters include floods, fire incidences, earthquakes, airplane crashes, hurricanes, lightning, and storms. Recovery from a disaster is a process that begins before, continues during, and after the disaster occurs. The processes that take place before a disaster occurs are commonly referred to as disaster preparedness. An ideal recovery should constitute interventions that mitigate the effects of the disaster without causing more problems in the process.
Disaster Recovery Plan
Disaster recovery involves preparing for the disaster, managing it when it occurs, and assessing the situation later to determine complications or return to normal. It involves mobilizing, tracking, planning, implementing the plan, and tracking progress (Cicero et al., 2018). It involves knowing what to do, where to go, how to save your life and others.
The step involves determining the responders or first contact to the disastrous events. It also involves determining the hospital, first respondents, and utility supply such as ambulances and fire extinguishers (Das, 2018). It is a complex step that involves determining who is responsible for what, how, and when.
This step involves an outline of how the teams shall communicate. Communication could be through radios, sirens in local communities, and other channels decided upon to be used to communicate occurrence and coordinate care provision (ODPHP n.d.). The step also involves assessing the community’s needs. Determine the risk population and outline the population affected. Here, after identification, it becomes easy to direct care to the respective community groups.
The step involves disaster preparedness through training of the staff. The staff should be sensitized on waiting for the worst and taught on survival mechanisms in emergencies (ODPHP n.d.). Administrations should also have ready emergency supplies and emergency contacts.
Implementation of Disaster Management
During disasters, the patients should be categorized according to the severity of injuries for more accessible and effective management. The triaging should adopt a system such as that recommended by MAP.IT (ODPHP, n.d.): ‘A red label for very urgent patients, those with significant life-threatening injuries’. ‘yellow label for urgent, major injuries but which are not life-threatening.’ ‘A green label for patients who are stable, walking, and with minimum injuries.’ ‘A black label can indicate deceased or patients who are nearing death.’ Categorizing patients is very important to ensure they are given the necessary attention, and many if not all lives are saved and stabilized accordingly (Cicero et al., 2018). For continuity of care, the nurses should be divided into three groups set to work in shifts. The step is aimed at preventing burnout and being overwhelmed by work. I shall also ensure that the nurses have maintained high productivity at the workplace.
Follow-up on the Recovery
Follow-up is as vital as all other steps in disaster management. The phase involves several events such as extending social services liaisons through home follow-up, assessing the mental state of the patients and how the disaster has affected them, providing solutions to arising problems (Cicero et al., 2018). The step attempts to fix the society by reconnecting it with the resources. The teams involved should also meet and reflect on the disaster events. The team ascertains activities that worked and those interventions that did not, finds reasons why, and plans for better management if such disaster occurs in the future (ODPHP, n.d). At this stage, the care providers are assessed and accorded necessary mental and physical care. Caring for care providers ensures they remain productive throughout their professional life (Cicero et al., 2018).
Resources that were used are replenished, and the stores are kept in case of other emergencies. The borrowed resources are paid at this stage. The hospital or the government can borrow funds to mitigate disaster effects. These should be repaid during the follow-up stage of the recovery process. Areas of improvement are determined at this stage, and interventions that would have been more effective are also determined. Those that impeded recovery are scrapped off. The respective professional teams should meet and discuss how normal routine is to resume and discuss changes if there is a need for change
Government Policies in Disaster Management
Government policies impact directly on disaster recovery efforts. It can either impede or facilitate recovery efforts depending on the policies it puts in place. The Federal Emergency Management Agency is the government arm responsible for responding to federal emergencies (Hub and Saturday, 2018). The government, by all means, works to mitigate the effects of the disasters, promote the recovery of its citizens from the disaster, and prevent future occurrences of similar disasters. The government often offers free or highly subsidized medical treatment of individuals during a disaster (Hub & Saturday, 2018). The government has developed several policies that relate to disaster management. These pertain to disaster preparedness, capacity building and research, disaster mitigation, and disaster prevention. It’s the role of the government to ensure their citizens are safe and those affected are accorded help accordingly.
Overcoming Barriers and Enhancing Interprofessional Collaboration
One of the most effective ways of overcoming communication barriers is deciding on a common communication channel. The management should decide on the best communication channel, for example, radio calls. Another strategy is maintaining respect among the professionals. When all the professionals respect each other accordingly, they often have productive interactions (Cazeau, 2021). The effect is that disaster effects are mitigated harmoniously and collaboratively by all the healthcare providers.
Providing adequate information to all healthcare professionals. Well-informed people make informed decisions which most often are the bright decisions. Disaster information such as causes, duration, the severity of previous cases, and the population affected should be indicated and communicated effectively (Cazeau, 2021). Providing adequate and timely feedback is an integral part of communication. People appreciate when feedback is provided. Moreover, it makes the communication process complete. All healthcare providers should provide timely and comprehensive feedback to their colleagues.
As seen above, mitigation of disaster effects is very important. It begins way before disaster occurs through disaster preparedness, continues during the disaster to aftermath. The process requires interprofessional collaboration and thus effective communication is very essential. A well laid out plan that prevents further problems should be laid down to mitigate the effects of disasters.
References for Vila Health Disaster Management Paper
Das, R. (2018). Disaster preparedness for better response: Logistics perspectives. International Journal Of Disaster Risk Reduction, 31, 153-159. https://doi.org/10.1016/j.ijdrr.2018.05.005
Cazeau, N. (2021). Interprofessional Communication: Integrating Evidence to Enhance Systems During a Pandemic. Clinical Journal of Oncology Nursing, 25(1), 56-60. DOI: 10.1188/21.cjon.56-60
Cicero, M. X., Whitfill, T., Walsh, B., Diaz, M. C., Arteaga, G., Scherzer, D. J., Goldberg, S., Madhok, M., Bowen, A., Paesano, G., Redlener, M., Munjal, K., Kessler, D., Auerbach, M. & Wagner, J. (2018). 60 Seconds to Survival: A Multisite Study of a Screen-based Simulation to Improve Prehospital Providers Disaster Triage Skills. AEM Education and Training, 2(2), 100–106. doi:10.1002/aet2.10080
Hub, K., & Saturday, B. (2018). Engaging vulnerable populations in preparedness and response: a local government context. Australian Journal of Emergency Management, 33(1). https://knowledge.aidr.org.au/resources/ajem-jan-2018-engaging-vulnerable-populations-in-preparedness-and-response-a-local-government-context/
Office of Disease Prevention and Health Promotion. (ODPHP) (n.d.). MAP-IT: A guide to using Healthy People 2020 in your community. Retrieved from https://www.healthypeople.gov/2020/tools-and-resources/Program-Planning
Palmer, R. C., Ismond, D., Rodriquez, E. J., & Kaufman, J. S. (2019). Social Determinants of Health: Future Directions for Health Disparities Research. American Journal of Public Health, 109(1), S70-S71. https://doi.org/10.2105/AJPH.2019.304964
Rice, Z. S., & Liamputtong, P. (2020). Culture and Global Health: Cultural Determinants of Health and Well-Being. Handbook of Global Health, 1-26.