Afet ve Kriz Durumlarında Kronik Hastalıklarda Bakım Sürekliliği
Synopsis
Chronic diseases require regular monitoring, continuous treatment, access to medicines and medical supplies, and long-term self-management support. Disasters and crises may disrupt healthcare services, supply chains, transportation, communication, and living conditions, making chronic disease control more difficult. These disruptions may lead to serious complications, particularly among older adults, people with disabilities, individuals with multiple chronic conditions, those dependent on life-sustaining treatments, and people with limited social support. This chapter discusses the effects of disasters on chronic disease management, the concept of continuity of care, and the factors influencing care continuity. Preparedness before disasters, maintenance of essential services during disasters, and long-term follow-up after disasters are examined in relation to diabetes, hypertension and cardiovascular diseases, chronic kidney disease, COPD, and asthma. The chapter also addresses nurses’ roles in risk assessment, education, clinical monitoring, care coordination, psychosocial support, ethical decision-making, and advocacy. Ensuring continuity of care for chronic diseases depends not only on access to medicines but also on individualized preparedness, accessible health records, coordinated service delivery, and long-term follow-up. Therefore, chronic disease care should be integrated into all phases of disaster management, including preparedness, response, and recovery.
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