Well Being of the Pre-Hospital Care Provider

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Well Being of the Pre-Hospital Well Being of the Pre-Hospital Care ProviderCare Provider


IntroductionIntroduction

• How can we help others if we can’t help ourselves?


WellnessWellness

• Wellness has 3 components– Physical– Mental– Emotional


Physical Well-BeingPhysical Well-Being

• Nutrition– Nutrients– Food groups– Principles of weight control– Tips to change behavior



• Physical fitness– Benefits– Cardiovascular endurance– Muscular strength– Muscular flexibility



• Sleep– Deprivation– Disruption of circadian timing system



• Disease Prevention– Cardiovascular disease– Cancer– Infectious disease



• Injury Prevention– Body mechanics during lifting/moving– Hostile Environments– Rescue Situations– Safe vehicle Operations– Safety Equipment and Supplies


Mental & Emotional HealthMental & Emotional Health

• Substance misuse / abuse control

• Anxiety and Stress• Personal Time• Family, Community,

Peer connections• Freedom from Prejudice

– Cultural differences– Individual differences


StressStress

• Three stages of stress response– Alarm Reaction– Resistance– Exhaustion


StressStress

• Factors that trigger stress response• Physiological and psychological effects

– Normal, healthy response– Detrimental, unhealthy response

• Signs and symptoms of stress– Physical– Emotional– Cognitive– Behavioral


StressStress

• Causes of Stress in EMS– Environmental Stress– Psychosocial Stress– Personality Stress


StressStress

• Reactions to Stress

• Reactions are individual– Adaptation– Dynamic evolving process– Defense– Coping– Problem Solving– Mastery


StressStress

• Stress Management Techniques

• Critical Incident Stress Management– Organized, formal, peer, mental health– Components of CISM– Situation in which CISM should be

considered

• Techniques for reducing crisis-induced stress


Coping with DeathCoping with Death

• Patient and Family needs

• Stages of grieving process– Denial– Anger– Bargaining– Depression– Acceptance



• Needs of the Paramedic when dealing with death and the dying



• Developmental considerations when dealing with death and dying– Newborn to three– Three to six– Six to nine– Nine to twelve– Elderly


Preventing Disease Preventing Disease TransmissionTransmission


TerminologyTerminology

• Air/Blood borne pathogens

• Exposure

• Cleaning, Disinfecting, Sterilization

• Body Substance Isolation / Universal Precautions


Sources of ExposureSources of Exposure

• Needle stick

• Broken or scraped skin

• Mucous membranes


ProtectionProtection

• Follow work practices

• Maintain good health and hygiene habits

• Maintain immunizations

• Periodic TB screening

• Body Substance Isolation

• Cleaning, Disinfecting, Disposing of materials / equipment


Well BeingWell Being

• Periodic Risk Assessment

• Documenting and Managing an exposure


Questions?Questions?

Documents

Well Being of the Pre-Hospital Care Provider