Li W 1173185, Role of Rehabilitation Professionals in Response. , Available from: I give my consent to Physiopedia to be in touch with me via email using the information I have provided in this form for the purpose of news, updates and marketing. 37, no. We highlight that there is also a pressing need to ensure that rehabilitation strategies and professionals including but not limited to physiatrists, occupational and physical therapists and rehabilitation nurses are included in the early phases of a disaster response. This workbook is developed as a supplementary document to the Disaster Rehabilitation and Recovery Planning Guide developed by the National Economic and Development Authority (NEDA). OCHA coordinates the global emergency response to save lives and protect people in humanitarian crises. Rescue from immediate danger and stabilisation of the physical and emotional condition of survivors is the primary aims of disaster response/relief, which go hand in hand with the recovery of the dead and the restoration of essential services such as water and power [3]. The role of rehabilitation professionals in this phase will be dependent on the nature and scale of the emergency, the experience and training of individuals, as well as local health and rehabilitation infrastructure. First: Rehabilitation can facilitate earlier discharge from hospitals thereby improving the overall institutional capacity to treat a higher number of patients. ,aVR+b.J`0f`6bZie 0K'Xji|V.F-Qce>@hQc2V2PUhz!Q% Following injury, patients often develop system-wide secondary complications that can further contribute to the severity of the long-term disability. During the early post earthquake period, there was a strong and refreshing presence of Nepalese medical and health professionals working within Nepali institutions providing the majority of medical care. Independent Oversight and Advisory Committee, IASC Guidelines, Inclusion of Persons with Disabilities in Humanitarian Action, Strengthening rehabilitation in emergencies. 10 0 obj [%uFf$5ir; a ]@0N75Z1@w@-B ?#a4tH Gao X <> That is usually the journal article where the information was first stated. Wang J Second: Rehabilitation can prevent secondary musculoskeletal, integumentary and pulmonary complications. 6h*3ZKQ:g ] ;I9-$XgrSn-x$\"~1x1%Le7pk -G. Informed by the lessons learned from previous disasters, locally and globally, the National Disaster Risk Reduction and Management Council (NDRRRMC) approved the Philippine Disaster Rehabilitation and Rehabilitation Planning Guide on March 2019. Tel. 100025, Beijing endobj Spinal cord injury in post earthquake Haiti: Lessons learned and a call to action. Zhao M These clusters are groups of humanitarian organisations, both UN and non-UN, in each of the main sectors of humanitarian action, e.g. peoples health, often well after the headlines fade. Read more, Physiopedia 2022 | Physiopedia is a registered charity in the UK, no. What exactly is the role of rehabilitation professionals within early rehabilitation in disasters and conflicts and where do they fit in with the disaster management continuum? Gao G Fu W [*] Authors: Landry, Michel D.a; * | Salvador, Edwin C.b | Sheppard, Phillip S.c | Raman, Sudha R.d, Affiliations: , Nevertheless, a strong role for rehabilitation providers emerged in Nepal, especially when hospitals were filled beyond capacity. %PDF-1.7 ),lx:6N}?>Ou^/=j)H 0 ##=F 1013 BG Amsterdam , The first people to respond to disasters and conflicts are those affected by them, with local, national or international support arriving over the first days and weeks. In our opinion, and given what we have learned regarding the role of rehabilitation in Nepal and other disasters, we argue that it is unethical and immoral not to integrate rehabilitation into disaster response. [emailprotected], For editorial issues, permissions, book requests, submissions and proceedings, contact the Amsterdam office [emailprotected], Inspirees International (China Office) For instance, rehabilitation for spinal cord injured patients can reduce the incident of secondary pulmonary, skin and musculoskeletal complications that can be life threatening or contribute to further disability. The authors have no conflicts of interest todisclose. Preparedness is the main way of reducing the impact of disasters. 6751 Tepper Drive Journal of the Nepal Medical Association 2012;52(185):111. Therefore, given the realities, maximizing function through early rehabilitation services will not only be critical for their health, but will be necessary for their survival. China Despite the imbalances of supply and demand for the injured, the heroic actions of the Nepalese and international health workforce on the ground preserved numerous lives, often at great personal risk to themselves. Advocate for quality rehabilitation provision and basic needs for those injured, at an organisation, local and national levels, including use of injury-specific data to monitor outcomes effectively. [4], Preparedness planning should take place on the level of the individual (personal), their place of work (organisational) and their locality (both regional and national). Third: Rehabilitation improves function so that individuals can have better access to other essential post-disaster services. Leaning J , Fax: +31 20 687 0091 This second version (2017) of the ERF is an important contribution towards improving the predictability, timeliness and effectiveness of WHOs response Emergencies and disasters take a profound toll on Technological advancesin emergency medicine and emergency preparedness have increased the likelihood of surviving a disaster. , endobj , [a] Physical Therapy Division, Duke University Medical Centre, Durham, NC, USA As an example, the World Health Organization (WHO) is currently in the final stages to releasing guidelines for emergency response protocols for Foreign Medical teams (FMT) to disasters, and there will be a clear role for rehabilitation within those guidelines. This field guide will be regularly updated as new controversies are raised and evidence grows. 7 0 obj This should include consideration of likely specific disease or injury types, as well as response capacity and possible impact on existing healthcare services. For the purposes of early rehabilitation, we will focus on the role of rehabilitation professionals within disaster preparedness and response, which is where early rehabilitation fits within the continuum. The guidance note is not intended to be a step-by-step or technical guide, nor is it exhaustive, and does not supersede any specific guidance provided by your own global professional body. <>stream A key initial objective in an emergency response is to quickly match the complex and fluid parameters of medical demands, with the available supply of people and resources to maximally reduce mortality. Zhou C , <> Pradhan RL Best Practice Example; Physical and occupational therapists were involved in the response to the Nepalese Earthquake of 2015 from the initial few hours as a result of rehabilitation being appropriately embedded into trauma emergency plans.[4]. This manual is designed for Physiotherapists and Occupational Therapists who provide rehabilitation in the immediate aftermath of a sudden onset disaster. Handicap International: London, UK. International Federation of Red Cross and Red Crescent Societies. Shen J 2, pp. Ciyunsi Beili 207(CapitaLand), Bld 1, 7-901 As of the writing of this commentary, the estimate of casualties has surpassed 8,500 making it the deadliest natural disaster in Nepal over the past 80 years. It provides a continuum of four phases: preparedness, response, recovery and mitigation, although in practice each of the four phases often blends into the next, with no clear beginning or end as can be seen in the Figure.1. Correspondence: <> , , Based on years of forecasting and predictions of such an event, the national government alongside the constellation of local and international Non Governmental Organizations (NGO) had disaster contingency plans in place [1]. Select this link to jump to navigation, In footer section. Nepal is one of the poorest countries in Asia, and is a nation that has struggled with high rates of extreme poverty, unemployment and social unrest in recent decades. , | Get Top Tips Tuesday and The Latest Physiopedia updates, The content on or accessible through Physiopedia is for informational purposes only. Select this link to jump to content. Minimum Technical Standards and Recommendations for Rehabilitation. "The knowledge and capacities developed by governments, professional response and recovery organizations, communities and individuals to effectively anticipate, respond to, and recover from, the impacts of likely, imminent or current hazard events or conditions" [3]. Communicable Disease Control in Emergencies - A Field Manual. MDRPH045 - Operation update #3, Handover Ceremonies for the Shelter Assistance Project for the victims by Typhoon Rai in Negros Occidental, Philippines: Stories of survival and hope rise amid conflict in the Philippines, UN and humanitarian partners support 1M Odette-affected persons in last six months; recovery work continues till end of 2022. There is great opportunity to build back better in Nepal, but this will require a strong coordinated effort among all the stakeholders. Ultimately, the question is no longer if a disaster such as an earthquake will result in large scale rehabilitation needs; it is only a question of when and where an event will occur, and whether we have learned from our past successes and mistakes. endobj According to ICRC, Disaster Preparedness refers to measures taken to prepare for and reduce the effects of disasters, be they natural or man-made. Although the complete clinical profile of the large group of people injured is not yet fully known, we can to some extent predict the injury outcomes following an earthquake. The aim of building resiliency is to prepare communities to resist, absorb, recover, and transform from the consequences of current and foreseen hazards and events. Zhang L . It explains how responsibilities and rights for health personnel can be derived from international humanitarian law, human rights law and medical ethics. It doubles as the reference material with key concepts in disaster rehabilitation and recovery, and worksheets that should be accomplished by the Local Government Units (LGUs) for each part. Corresponding author: Michel D. Landry, BScPT, PhD, Doctor of Physical Therapy Division, Duke University Rehabilitation professionals can make significant contributions to disaster management preparedness by being aware of any specific hazards and the vulnerability of their country/region, and the likely consequences of disasters that could occur. Community-based preparedness and management should be a high priority in physical therapy practice management [3]. 5 0 obj The following INGOs are examples of those that have recently supported rehabilitation responses in emergencies: NOTE: It is essential that the individuals responding understand their own role and that of the wider humanitarian response, in particular the Humanitarian Principles. , [d] OConnell C Landry MD The International Federation of Red Cross & Red Crescent Societies defines disaster management, as the organisation and management of resources and responsibilities for dealing with all the humanitarian aspects of emergencies, in order to lessen the impact of disasters [1]. In areas of chronic instability and conflict, this disorder can persist. One way to consider preparedness for early rehabilitation in emergencies incorporating each level is to consider it in terms of four domains: Staff, Stuff, Systems and Space:[4]. This is achieved through research and planning in order to try to predict areas or regions that may be at risk of disaster and where possible prevent these from occurring and/or reduce the impact of those disasters on the vulnerable populations that may be affected so they can effectively cope. About Disaster Management. Management of Limb Injuries in Disaster and Conflict - A Field Manual. Philippines, Asia Pacific: Typhoon Rai (Odette) - Emergency Appeal No. Developing advocacy and policy resources to support the integration of rehabilitation into health emergency risk management. Disability & Rehabilitation 2010;32(19):16161618. Select this link to jump to content, In content section. Merin O Rehabilitation in Emergency Medical Teams, Early rehabilitation in conflict and disasters, First deployment of WHO emergency rehabilitation support, WHO launches free OpenWHO.org training on rehabilitation for COVID-19. Jiao Y 4 0 obj However, once a life has been preserved, implementing targeted and specific rehabilitation emerged as an appropriate investment to ensure that the resource intensive acute medical interventions are amplified through a continuum of care. [4]. , Tardiff G In response to the need to free up beds for incoming patients, rehabilitation providers began to facilitate the discharge process for inpatients who were medically stable. This manual is intended to help health professionals and public health coordinators working in emergency situations prevent, detect and control the major communicable diseases encountered by affected populations. |$]HYntY JP#-!]8b]N;-b&` Searching for just a few words should be enough to get started. Given the likely high cost of reconstruction, the country will not be very likely to allocate sufficient resources to adapt the physical and social environment. It draws on the expertise of the International Committee of the Red Cross, which has a long history of delivering care to patients and protecting them in conflict. endobj Chen X [b] Public Health Administrator, World Health Organization (WHO), Dhaka, Bangladesh endobj : +1 919 613 4520; E-mail: [emailprotected]. WCPT. Xian M Kreiss Y ), The variety and quantity of rehabilitation actors involved in emergency response will vary hugely depending on the scale and severity of the disaster, pre-existing level of health/rehabilitation infrastructure and the ability of local and regional actors to cope in both the immediate and longer-term. In this commentary, we argue that there were at least three main lessons learned for the rehabilitation sector following the 2015 earthquake. The initial stages of large-scale emergency response can often be chaotic, especially if there are no clear preparedness plans in place and infrastructure has been damaged. The educational resource package covers 6 clinical areas: The role of rehabilitation professionals in responding to sudden-onset disasters, such as earthquakes or tsunamis, is evolving rapidly and they increasingly find themselves at the forefront of emergency response teams. The israeli field hospital in haiti ethical dilemmas in early disaster response. Nepal Earthquake: The Latest Updates, Available from: http://www.handicap international.us/nepal_earthquake_the_latest_updates. It highlights key questions to consider before departing, whilst working in the disaster area and on returning home. . Just as was reported following the earthquake in Haiti [5, 7, 8], there is a need for ongoing quality improvement in rapid emergency response efforts post disasters. It was developed to support volunteers on the UK International Emergency Trauma Register but with the aim of being relevant to all rehabilitation professionals interested in rapid deployment to austere environments. . While rehabilitation may not directly save lives following a natural disaster such as an earthquake, it does save life among the survivors. Guha-Sapir D Nieuwe Hemweg 6B Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). In our opinion, and given what we have learned regarding the role of rehabilitation in Nepal and other disasters settings, we argue that it is unethical and immoral not to integrate rehabilitation care into post disaster responses. Responses to these questions considered are presented as Dos and Dont's which are exemplified by recommended practices and those to avoid in the real case studies below. Chen L Medical Centre, Box 104002, Durham, NC 27708, USA. While undoubtedly good intentioned, these short term strategies at times usurped the existing medical system, thereby creating further health care disjointedness [3]. While it may true that the environment should also adapt to their new needs, especially when considering the United Nations Charter on the Rights and Freedoms of Persons with Disabilities (CRPD), the reality is that countries such as Nepal had a finite amount of resources to allocate towards a disability strategy before the earthquake. According to the field handbook for Early Rehabilitation Conflicts and Disasters [4] the responsibilities of rehabilitation Professionals in the initial response may include: Additional responsibilities are both context, skill and training specific to the rehabilitation professional and might include:[4], Responding Internationally to Disasters: Dos and Donts. <>/Font<>/ProcSet[/PDF/Text]>>

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