Author(s): Bruce Ambuel, PhD

Be aware that some members of our community will suffer a very personal loss—a friend, colleague or family member who has experienced the wholesale destruction of a home or livelihood, injury, death. Some may already know about such a personal loss, while others may learn of the injury or death of family, friends or colleagues in the coming hours or days. If you know someone who has suffered such a loss, offer them your support and love. If you have suffered such a personal loss yourself please reach out to friends and colleagues.
Our feelings, thoughts and reactions to this tragedy may last for an extended period of time. This is normal following a major disaster. At this point in time we do not have important information. Who has been injured, who is missing and who has died? How extensive is the damage to cities and towns in the hurricane’s path? What is the true extent of the environmental damage? What else could happen that might magnify the tragedy? As we learn more about what has happened and what we have lost, we will continue to experience a range of thoughts and feelings. The magnitude of this tragedy will be imprinted in out hearts and minds.

The importance of doing our job:

At a time like this it is important to remind our selves that each patient who walks in our clinic door is seeking our help as they cope with their own illness, injury or concern. What we can offer to each of our patients is a healing relationship. The first step in creating this healing relationship is giving our complete attention to the individual patient. In spite of the turmoil in the world around us, our job remains tending to the healing of the individual, serving witness to the individual’s suffering, treating the individual’s disease or injury, sustaining the individual’s health.
In the coming days we will need to work to maintain each patient’s concerns as our top priority, and resist the temptation to be distracted from this mission by the swirl of events around us. As we face this challenge, let us rededicate ourselves to providing a compassionate, friendly and supportive environment to each patient.

What can you do:

Here are some steps you can take to help yourself and others cope.
* Talk with friends, family and coworkers about what you are feeling and thinking.
* Listen to and read the news. Obtain accurate information, as it becomes available. At the same time allow yourself to break away from the intense news coverage. Each of us needs accurate information, but we also need time away from the media coverage to think and digest what we have seen and heard. Some people will prefer to limit or avoid television news coverage because the video images are too intense and upsetting.
* Children, depending upon their developmental stage and individual temperament, may not have the intellectual and emotional tools to understand the vivid and intense coverage on TV and cable news. Parents should monitor and limit children’s television as appropriate.
* Seek professional help if you become concerned that your emotions and thoughts leading to depression or anxiety that inactivates you or makes you ineffective at work or home. Contact your Employee Assistance Program, your primary care physician, or a local mental health clinic. Seeking help early is more effective than trying to be tough. People who begin developing problems with anxiety after a traumatic event recover more rapidly when they seek help immediately.
* Think about what has ultimate importance and meaning in your life—people, relationships, spiritual beliefs. If you are religious or spiritual, seek out the comfort and perspective that can come from spiritual literature, prayer, meditation, and your religious community.
* Parents and teachers can find advice for children at the National Association of School Psychologists web site: http://www.nasponline.org
* The American Psychological Association, http://www.apa.org/, has excellent resources on coping with disaster.
* The U.S. Centers for Disease Control and Prevention have good resources on hurricane recovery: http://www.bt.cdc.gov/disasters/hurricanes/index.asp.
* Donate blood at your local blood center .
* Contact the American Red Cross, http://www.redcross.org/, to donate money and ask about the need for clothing, food, etc. The Red Cross takes a central leadership role in disaster relief efforts.
Fast Facts are edited by David E. Weissman, MD; Palliative Care Center, Medical College of Wisconsin. For comments/questions write to: dweissma@mail.mcw.edu. The complete set of Fast Facts are available at EPERC: www.eperc.mcw.edu
Copyright/Referencing Information : Users are free to download and distribute Fast Facts for educational purposes only. Citation for referencing. Fast Facts and Concept #50 Ambuel B. Disaster: Coping with Tragedy. August 2005. 2 nd Edition End-of-Life Palliative Education Resource Center www.eperc.mcw.edu.
Disclaimer : Fast Facts provide educational information, this information is not medical advice. Health care providers should exercise their own independent clinical judgment. Some Fast Fact information cites the use of a product in dosage, for an indication, or in a manner other than that recommended in the product labeling. Accordingly, the official prescribing information should be consulted before any such product is used.

Purpose: Self-Study Guide, Teaching
Audience(s)

Training: Fellows, 1st/2nd Year Medical Students, 3rd/4th Year Medical Students, PGY1 (Interns), PGY2-6, Physicians in Practice
Specialty: Anesthesiology, Emergency Medicine, Family Medicine, General Internal Medicine, Geriatrics, Hematology/Oncology, Neurology, OB/GYN, Ophthalmology, Pulmonary/Critical Care, Pediatrics, Psychiatry, Surgery
Non-Physician: Clergy/Chaplains, General Public, Graduate Students, Lawyers, Patients/Families, Nurses, Social Workers
Keyword(s): Personal reflection, Professional burnout