Deprem Korkusu
7 Şubat 2023
Çocuklarda Deprem Korkusu
10 Şubat 2023
Psikolojik İlk Yardım
Psikolojik ilk yardım nedir?
Afet, kaza, terör saldırısı, bireysel veya toplumsal düzeyde olumsuz etkilere neden olan herhangi bir olay sırasında veya sonrasında gerçekleştirilen erken dönem psikososyal müdahale yaklaşımına Psikolojik İlk Yardım denilmektedir.
. Psikolojik İlk Yardım bir tanı veya tedavi yöntemi değildir. Olay esnasında veya sonrasında ortaya çıkan psikolojik ya da temel fiziksel ihtiyaçların karşılanması ve bireylerin yaşadığı yoğun stresinden kaynaklanan travma sonrası semptomları olabildiğince en aza indirmeyi hedefler. Ayrıca kişinin yaşamına devam edebilmesi için baş etmeyi destekleyen bir koruyucu müdahaledir.
Psikolojik ilk yardım kimlere verilir?
Psikolojik İlk Yardım yakın zamanda ciddi bir kriz durumuna maruz kalmış stres altındaki kişiler içindir. Yetişkinlerde uygulanabildiği gibi çocuk ve ergenlerde de kullanılabilir olmasından dolayı afet ve travma çalışmalarında geniş bir uygulama alanı bulmaktadır.
Birçok travma uzmanı uygulamaların işlevsel olduğunu ve adaptasyonu arttırdığını bildirmektedir. Travmatik bir olay sonrasında alınan yardım üç kısma ayrılmaktadır; akut dönem, orta vade ve uzun vade. Akut dönemde olaydan etkilenen bireylerin güvenlik, sağlık gibi temel ihtiyaçları karşılanırken aynı zamanda psikolojik ilk yardım müdahalesinde de bulunulmaktadır. Orta ve uzun vadede ise daha kapsamlı desteğin yanında uzman desteği ile birlikte psikoterapi basamaklarıyla ilerlenmesi önerilmektedir.
Sahada Psikolojik İlk Yardım aşamaları nelerdir?
Sahaya inecek olan ilk yardım sağlayıcısı öncelikle kendini kişisel olarak ve olaya özgü olarak kendini hazırlamalıdır. Sahada ilk yardım üç aşamadan oluşmaktadır; izle, dinle ve bağ kur.
• İzleme: Bu aşamada acil durum alanını gözlemlemek ve bir ön değerlendirme yapmak önemlidir. Alanın güvenli olup olmadığını, kimin ilk yardıma ihtiyacı olduğunun tespit edilmesi gerekmektedir. Krizi yaşayan kişilerde kaygı, üzüntü, suçluluk, panik, hayal kırıklığı ve utanç gibi duygusal tepkiler ortaya çıkabilir. Bunun yanında kişi bellekle ilgili sorunlar, kafa karışıklığı, yön bulamama, olay anından tekrar tekrar hatırlanması gibi zihinsel tepkiler verebilir. İlk yardım sağlayıcısının yoğun stres tepkileri gösteren kişileri tespit etmesi gerekmektedir.
• Dinleme: Psikolojik ilk yardıma ihtiyacı olan kişilere doğru şekilde yaklaşmak, ihtiyaçlarını öğrenmek ve güvende hissetmelerini sağlamak için iletişim kurulmalıdır. İlk yardımı verirken kişinin duygularını, yaşadıklarını ve ihtiyaçlarını içtenlikle dinlemek gerektirmektedir. Olayı yaşayan kişilerin o anda yaşadığı duyguları dinlenmeli ve duyguları normalize edilmelidir. Kişileri dinlemek ve güvende olduğunu hissettirmek iyileştirici desteğin en önemli parçasıdır.
• Bağ Kurma: Bu aşamada kişilerin ihtiyaç duydukları fiziksel, tıbbi ve psikolojik desteklere ulaşmaları için ilgili kurum ve kişilerle iletişime geçme görevi ilk yardım sağlayıcısına düşmektedir. Kişilerin tıbbı ve fiziksel ihtiyaçlarına ulaşmasını sağladıktan sonra sevdikleri insanlara ulaşılmaları sağlanmalıdır.
Son olarak Psikolojik İlk Yardımı sonlandırma işlemi gerçekleşmektedir. Sonlandırma ilk yardım verilen kişinin durumuna göre işlemektedir. Eğer kişinin ihtiyaçları karşılanışsa yardım sağlayıcı durumun değerlendirmesini yapmalıdır. Sonlandırma işlemi kişiye açıklanır ve diğer servis hizmetlerinden yararlanması sağlanılır; daha sonra Psikolojik İlk Yardım süreci tamamlanır.
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