(FT. DISASTER) KELOMPOK 7 "PENANGANAN FISIOTERAPI PADA KONDISI AKUT DAN SUBAKUT PASCA BENCANA"

Summary

This presentation discusses the vital role of physiotherapists in disaster management, focusing on acute and subacute post-disaster care. It covers the importance of physiotherapy across four phases: prevention, preparedness, emergency response, and recovery. Key tasks include rapid assessment, early mobilization, pain management, and rehabilitation to improve mobility and independence. The script highlights challenges like limited resources, training gaps, and coordination issues. Despite these hurdles, physiotherapists contribute significantly to restoring physical function and enhancing quality of life for disaster survivors.

Takeaways

• 🌍 Disasters are events that disrupt communities, caused by natural, human, or non-natural factors, resulting in physical, social, psychological, and environmental impacts.
• 🧑‍⚕️ Physiotherapists play a strategic role throughout all disaster management phases: prevention, preparedness, emergency response, and recovery.
• 📊 In the prevention and mitigation phase, physiotherapists contribute by planning, educating communities, and designing inclusive infrastructure for vulnerable groups.
• 📝 During the preparedness phase, physiotherapists help create contingency plans, train responders, and ensure inclusive evacuation systems.
• 🚨 In the emergency response phase, physiotherapists provide acute care, perform assessments, support rehabilitation, coordinate with medical teams, and offer psychosocial support.
• 💪 Recovery phase roles include ongoing rehabilitation, helping survivors reintegrate into the community, and participating in long-term health system planning.
• 🏃‍♂️ Acute post-disaster interventions include early mobilization, positioning management, splinting, assistive devices, medical team coordination, and respiratory therapy to maintain function and prevent complications.
• 🧘 Subacute post-disaster care focuses on functional assessments, pain and inflammation management, range of motion and strength exercises, mobility training, ADL training, edema management, and patient/family education.
• ⚠️ Challenges for physiotherapists include limited policy support, scarce resources, insufficient disaster-specific training, uneven distribution of personnel, poor inter-professional coordination, and low field implementation.
• 🎯 The overall goal of physiotherapy in disaster settings is to restore movement, independence, and quality of life, ensuring survivors receive comprehensive care from acute to long-term recovery.

Q & A

What is the definition of a disaster according to the script?

A disaster is defined as an event that disrupts the life of a community, caused by human factors (such as conflict, negligence, or environmental disruption), natural factors (such as earthquakes, floods, tsunamis), or non-natural factors (such as epidemics or technological failures). It results in environmental damage, property loss, human casualties, and psychological impacts.

What role do physiotherapists play during a disaster?

Physiotherapists play a crucial role throughout all stages of disaster management. They are involved not only in rehabilitation but also in the prevention, assessment, and urgent intervention of movement functions. Their skills are essential in assessing musculoskeletal conditions, managing rehabilitation, and optimizing functional recovery for disaster survivors.

What are the four phases of physiotherapy roles in disaster management?

The four phases are: 1) Prevention and Mitigation, where physiotherapists contribute to disaster planning and community preparedness; 2) Preparedness, where they help in creating contingency plans and improving emergency response capabilities; 3) Emergency Response, focusing on immediate care, including assessment and rehabilitation; and 4) Recovery, where physiotherapists assist in long-term rehabilitation and reintegration into society.

What is the role of physiotherapy in the emergency response phase?

During the emergency response phase, physiotherapists contribute to emergency medical services, conduct assessments, provide acute rehabilitation, coordinate with other medical teams, offer psychosocial support, and advocate for the needs of disaster survivors. The primary goal is saving lives and managing injuries from the acute phase to chronic recovery.

How does physiotherapy help in the acute recovery phase after a disaster?

In the acute phase, physiotherapy helps by conducting physical assessments, mobilizing patients early to prevent joint stiffness, muscle weakness, and complications like thrombosis, as well as managing body positions to avoid contractures. Physiotherapists also provide assistive devices and coordinate with other medical teams to ensure comprehensive care.

What is the importance of early mobilization in physiotherapy after a disaster?

Early mobilization is critical to prevent complications such as joint stiffness, muscle weakness, and pressure ulcers. It also helps in speeding up the functional recovery of patients, allowing them to regain movement and independence sooner. Activities like sitting, standing, and walking with assistance are part of early mobilization.

What are some of the challenges faced by physiotherapists in disaster management?

Some key challenges include limited policy support for physiotherapists in disaster response, lack of resources and facilities in disaster areas, insufficient disaster-related training for physiotherapists, unequal distribution of physiotherapy staff in affected areas, and difficulties in coordination with other health professionals. These issues can delay and limit the effectiveness of rehabilitation efforts.

How can physiotherapists prevent complications in disaster survivors during recovery?

Physiotherapists can prevent complications like contractures, muscle weakness, pressure sores, and circulation problems through mobilization, proper body positioning, and targeted therapeutic interventions. They also focus on pain management, improving movement range, and strengthening weakened muscles through exercises.

What role does patient education play in physiotherapy post-disaster?

Patient education is vital in teaching survivors and their families how to manage pain, perform self-exercises, maintain proper posture, and use assistive devices. This knowledge enhances patient independence, improves rehabilitation outcomes, and helps prevent secondary complications.

What are the key interventions physiotherapists focus on in the subacute recovery phase?

In the subacute recovery phase, physiotherapists focus on pain management, inflammation control, range of motion (ROM) exercises, muscle strengthening, functional mobility, and activities of daily living (ADL) training. They also address soft tissue management and work in multidisciplinary teams to ensure holistic recovery.