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Appendix 11.1
For the Healthcare Professional: When
Disaster Strikes
Understanding and Managing Normal
Reactions of Traumatic Shock and Grief
Thousands of healthcare professionals face the
possibility that their patients may suffer severe
physical disability and pain, as well as that their
patients may die. Although unavoidable, exposure
to human suffering and death (and to the emotional
suffering that this causes for the patient's loved
ones) is very stressful for the healthcare provider.
In many cases, providers cope very well by
simply going on with their work, by turning to
trusted colleagues to informally seek and give
emotional support, and by finding a balance
of rejuvenating activities outside the workplace.
However, facing suffering, disability, and death
day after day at work causes a cumulative drain
on even the most resilient provider's physical,
emotional, and social resources. Normal stress
reactions can become nagging psychological prob-
lems, for example:
•
Emotional reactions: Feelings of shock, fear,
grief, irritability, resentment, guilt, shame,
helplessness, hopelessness, and emotional
numbness (difficulty feeling love and intimacy
or in taking interest and pleasure in day-to-day
activities)
.
•
Cognitive reactions: Confusion, disorienta-
tion, indecisiveness, worry, shortened atten-
tion span, concentration problems, memory
