RESUMO
On the 7 October 1996 the Provisional Irish Republican Army launched a terrorist attack within Northern Ireland. This paper provides a descriptive reflective account of the psychological support and Critical Incident Stress Debriefings (CISD) provided for civilian/military personnel and service families. Between 66 hours and 96 hours following the incident, 407 people were debriefed.
Assuntos
Intervenção em Crise/métodos , Violência , Explosões , Humanos , Militares , Irlanda do NorteRESUMO
Post-traumatic stress disorder (PTSD) is an increasingly fashionable diagnosis used to describe an individual who experiences psychological problems following his/her involvement in a traumatic event. However, PTSD can prove difficult to assess accurately owing to the unique problems of co-morbidity with other psychological disorders or the late onset of symptoms. Paradoxically, PTSD may be misdiagnosed by a healthcare professional which may result in inappropriate therapeutic intervention. This article introduces a simple five-stage assessment that is designed to help the clinician determine whether the client's distress is caused by PTSD or another disorder. These guidelines are structured and explore the five stages of PTSD assessment: collecting background information; initial contact with the client; correctly identifying the problem; general assessment; and summary. Finally, some recommended structured clinical assessment guidelines and psychometric rating scales are outlined.
Assuntos
Avaliação em Enfermagem/métodos , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/enfermagem , Adulto , Erros de Diagnóstico , Humanos , Entrevista Psicológica , Masculino , Escalas de Graduação PsiquiátricaRESUMO
The provisional IRA's ceasefire ended abruptly with the Canary Wharf bombing in London in February 1996. Hopes that violence would not return to Northern Ireland were shattered by the explosion of two car bombs in the headquarters of the British Army in Ulster in October 1996. The second bomb specifically targeted medical staff treating casualties from the first explosion. This article describes the medical aspects of this incident, including the extensive use of critical incident stress debriefing, and emphasises the implications for the major incident plans of medical centres and military hospitals.
Assuntos
Planejamento em Desastres/organização & administração , Serviço Hospitalar de Emergência/organização & administração , Explosões , Militares , Violência , Traumatismos por Explosões/terapia , Feminino , Humanos , Irlanda , Masculino , Irlanda do Norte , Transtornos de Estresse Pós-Traumáticos/prevenção & controle , TriagemRESUMO
Following a succinct overview of post-traumatic stress disorder (PTSD), this article highlights the benefit of using Riehl's conceptual model, in conjunction with a cognitive behavioural approach, to help a serviceman suffering from PTSD. The case history and treatment are presented.
