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Peer 1

When large volcanic eruptions or earthquakes occur below the ocean, large series of waves ensue that result in tsunamis (US Department of Commerce, 2019). When this type of natural disaster occurs, there is potential for various disease-processes like aspiration pneumonia, respiratory distress, and wounds of various stages, to occur. Nurses must continue to follow the nursing-process during these disasters and be keen to assess patients with signs of respiratory distress by noting hypoxemia, hyperventilation, tachycardia, or decreased blood pressure or urine output. The priority should remain assess airway and it’s patency by ensuring proper positioning and oxygenationation. Breathing and circulation should follow this assessment by monitoring breath sounds, respiratory rate, vital signs, and level of consciousness (Husna, 2012).

Further,  when a tsunami occurs, the volatility of the waves can lead to victims experiencing various wounds, as a result of the disaster. In these cases, wounds are categorized into either soft tissue injuries and fracture or dislocation, from there the soft tissue are categorized as major or minor wounds. Those classified as fracture or dislocation are then categorized as open or closed fracture and single or multiple. With these types of wounds, nurses at the scene must be able to assess for signs and symptoms such as pain, bleeding, swelling, unusual anatomical presentation, or inability to move the limb. It should also be understood that potential complications include hemorrhage, shock, or death, making treatment crucial for a positive prognosis (Husna, 2012). In the event of these disasters, nurses can help themselves and their community by providing further education, such as teaching on ominous signs of deteriorating health and how a civilian may be able to provide assistance and by they themselves providing assistance following a natural disaster with first aid and medication (

Nurses Play a Critical Role in Disaster Response at NSC

, 2021).

Peer 2

Wild fires although beneficial in a controlled environment can get out of control under the wrong circumstances and have devastating effects. From 2012 to 2021 there were approximately 61,289 wildfires. This account for about 7.4 million acres impacted annually. Around 90% of wild fires are started by people in the area. This means that most wild fires are near places that are heavily populated. Wild fires cause an incomprehensible amount of damage to houses, valuables, roads, and other material things. What many people don’t consider is how much damage Is done to the actual people who are in the area around a wild fire. Some diseases that come about from wild fire are bronchitis, asthma, heart failure, ARDS and many other respiratory and cardiac issues. The ash from the fires falls slowly and can cover a span of a few miles from the actual wild fire and may continue to fall for a few days. Patients may experience difficulty breathing, an itchy throat, coughing, gasping for air, and low o2 saturation. Some nursing considerations for these conditions would be how overwhelmed the hospital will be from this growingnumber of patients seeking help in the area. Considerations for patients would be airway and circulation. Airway considerations can be oxygen therapy, ineffective airway exchange, patient positioning, nebulizer, and breathing exercises.

Peer 3

This qualitive study Patients’ quality of life during active cancer treatment: a qualitative study focused on the quality-of-life cancer patients going through treatment. The study explored what negative effects the treatment had on quality of life of the patients and what positively affected the patient’s life during their treatment. The study consisted of interviewing participants who had different types of cancers and had been on treatment at least 6 months prior to the interview. Results indicated that most of the negative effects of the quality of life in these patients came from side effects of the chemo treatment and what positively affected their quality of life was interest in something specific, the outcome of the treatment (if it is working), and the relationships formed between their loved ones including friends, family, and their physician. What this study included that other wouldn’t is exploring the feelings of these patients they weren’t just a variable, or a number written down on paper, they were taken in consideration to their treatment and were able to express what they were going through negatively and positively during their treatment. The conclusion of this study indicates that when a physician shows interest in these areas can help improve the physician-patient-relationship, physicians should explore more often what objects hold the interest of their patient and encourage the maintenance of interest throughout their treatment (Sibeoni etal., 2018).

Peer 4

Qualitative research collects and analyzes non-numerical data such as texts, videos, or audio to understand concepts, opinions, or experiences. Qualitative research studies aim to attain and understand more excellent knowledge of the social world. I have read a qualitative study similar to the one listed in this chapter for another course prior to the nursing core to write a research paper. I encountered it on the NCBI generator, and the article was about how individuals are affected by mental health issues in our society today. In the qualitative article in chapter four, the researchers thought it was essential to conduct this study because they wanted to explore what affects the quality of life of a client receiving active treatment for cancer. Although this varies from person to person, the researchers conducted a study with cancer patients that resulted in many factors contributing to a positive or negative effect on the quality of life of those undergoing cancer treatment. For instance, clients had an activity or relationship that was helpful during this course, their perception of the treatment, and the relationships they have formed throughout this process. This study was different from other studies as its primary focus was on the quality of life of cancer patients rather than how the treatment affected each client. (Sibeoni et al., 2018)last 5 years 20017-2022. in-text citations no direct quotes 1-2 references for each.

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