Colorado Christian University Mental Health for EMS Providers Paper

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View attached explanation and answer. Let me know if you have any questions.A RESEARCH ON THE IMPACT OF STRESS-RELATED TO COVID-19 ONPARAMEDICS’ DECISION MAKING AND PATIENT CARE.INTRODUCTIONThe coronavirus, commonly known as covid-19, swept the world by storm, and no one had anidea of how serious its impacts would be to individuals across the globe. We saw many peoplelose their lives and many others left in distress because of the measures that came with thepandemic. The lockdown was one measure that saw many people suffer and in pain. It wasimposed almost in all countries across the globe in an effort to curb the disease. But this provedto be a problem for people whose livelihood depended on business to earn their living; duringthis process, many lives were lost, and many people were left stranded, not knowing what to do.Help from different parts of the globe was provided; among this was the help of the paramedics.Paramedics were deployed to different parts of the world in order to assist with the trouble thatcame with the covid-19 pandemic. Many third-world countries were greatly affected by thispandemic because of the lack of resources in dealing with the pandemic. Many people in suchcountries died and lost their lives. At the beginning of the pandemic, the situation was extremelyserious, and no one had an idea of handling it because even the medical personnel themselveshad not yet found a solution to the problem. Because of this, that is why paramedics fromdifferent parts of the world were deployed to different places in order to try and help with thesituation. This was a very challenging task, especially because their health was involved in theirline of duty. As much as they were helping others, they put their own lives at risk. In their line ofduty, the paramedics faced many challenges, including seeing people die in large numbers at atime; they would see how the patients struggled and writhed in pain because of the disease. Theyhad to witness families lose their loved ones and breadwinners; this, in turn, sent the remainingmembers of the family in depression and some with huge debts to pay in the hospitals. Some hadto see patients and other people starve because nobody was allowed outside because of thelockdown. All these challenges had very adverse effects on the mental states of the paramedics;they were greatly bothered, which in turn interfered with their day-to-day activities. These eventsthat they were witnessing were too traumatic for them and sometimes made them unable to dotheir work. In this research, we will research and see the impact of stress-related to covid-19 onparamedics’ decision-making and patient care resulting from this deadly pandemic.OUTLINEIn this research I am going to try and find out the impact of stress on paramedics during thecovid-19 pandemic. As much as paramedics are put out there to help us and see to it that we arefine, they also face a major number of stressors. I shall first of all talk about the subject of thestudy; this shall simply explain what the study is about and expound more on the topic. After thatI shall dwell on the literature review plus the research methodology used. This is simply the wayor how I was able to get my data and what ways I used in order to achieve it. After that I shallthen talk about the results and findings, here I shall dwell on the things I found to be the cause ofthe stressors that paramedics faced during the pandemic. I shall then look at possibleinterventions to help out with such situations and finally conclude my research.SUBJECT OF RESEARCHThe topic that I am dwelling on, as mentioned above, is trying to do research and find out theimpacts of stress related to covid-19 on paramedic’s decision making and patient care. The typeof work that the paramedics were doing concerning helping other people during the pandemichad very adverse effects on them; they were mostly stressed because of the sorry state that theywould see their patients in. this greatly interfered with their work as they could not completelyfocus. The images of suffering people and dead ones proved very traumatic to them. In thisresearch, we will see the impact of this stress when it came to them (paramedics) makingdecisions and the care they gave the patients. This research will solely deal with the issuementioned above and try to find some solutions to the problem that can be used in assistingfuture medics who may be faced with similar problems. This research is to greatly help theparamedic community because the type of help they give to various people around the globe isaccompanied by many stress-related and traumatic experiences.LITERATURE REVIEWHere, I will look at how I came to this conclusion and the many other sources that I gatheredinformation from that helped me come up with this fully compiled document. This will clearlyshow the facts found and how to arrive at different points.RESEARCH METHODOLOGYIn this research, I used different research methods to come up with the whole project. First of all,I surveyed to try and see the impact that stress had on paramedics when it came to them carryingout their work and decision making. The survey was to confirm if paramedics around the globesuffered from this problem of stress and sometimes trauma and how it affected their ability to dotheir work. In 2020, researchers found out that about 62% of paramedics showed signs ofdepression and anxiety. The research also found that about 55% of the same population ofparamedics showed signs of stress during the covid-19 pandemic (Andrzej Piotrowski, RyszardMakarowski, and Ole Boe). The numerous difficulties they were experiencing at their workplacemostly led to their occupational stress. This study was carried out in two different phases. Onewas done in 2019, October-November, while the other was done around May-June 2020 usingquestionnaires. This research showed that paramedics who contacted patients in the year 2020experienced a higher stress percentage than when before the pandemic hit. This is because thepositions that they were in made it so difficult for them to work. Some worked under fewer hoursof sleep as there was a lot to be done and taken care of. They had many patients to take care of,which proved to be very stressful as everyone around them needed their attention for one reasonor the other. All this pressure on their shoulder made a leeway for them to be exposed toimmense mental conditions, anxiety and stress being the major ones. (Hanna et al., 2018; Brookset al., 2020; Fiorillo and Gorwood, 2020; Lima et al., 2020) They also experienced somephysical discomfort from the long hours they had to work while standing. Sometimes, theirmasks were too tight and damaged their skin by tightening their skins. The garments they had toput on were uncomfortable since they collected a lot of sweat, and each individual had to put ona gas mask that could aid in breathing. All these were way too many things for one individual tocarry on their body while still trying to assist others to get better as well.Another hard thing that the paramedics had to go through was the physical activities they wereinvolved in. for example, lifting the patients to their already waiting ambulances pushing andpulling the beds of those that required immediate action and help. All these exercises requiredphysical strength, which greatly drained the paramedics as they had to deal with many patientswho most probably required the same attention. (Coffey et al., 2016). These activities greatlyimpacted their work performance, among many other things.Also, due to the nature of their work, the paramedics faced a higher risk of getting involved inaccidents (Garus-Pakowska et al., 2016) as you never know what to expect in the field of workas many dangers lurk outside. One of them is that they might accidentally contract the covid-19disease. As much as this would not be what any one of them wanted, it could have happened toanyone during their work in the field. Contracting the disease meant that the paramedic had to bedropped, and now attention had to shift to them to try and bring them back to life. In turn, thismeant that there would be a shortage in labor provided to the covid-19 victims. The number ofadditional patients that kept on increasing as days went by proved to be stressful to theparamedics, and the direct contact they had with these patients put them at a greater risk ofcontracting the disease. (Tysiac-Mista et al., 2021) and also the contaminated surfaces that lay allover.FINDINGS/RESULTSDuring this research, I found out the tough work environment the paramedics were exposed togreatly interfered with their mental functioning regarding decision-making and taking care oftheir patients. Because of their disoriented states of mine, it was hard for them to make clear,better, and healthy decisions for the treatment of the patients. Some paramedics were prescribingwrong drugs to the patients and even giving them wrong jabs because they could not focus. Theactivities and scenes they had witnessed messed up their mental states, leading to them behavingthe way they were. It was also a problem when it came to taking care of the patients. Sometimesthe paramedics would leave their patients unattended and just be seen staring into space withoututtering a word. All the things they had experienced were very traumatic to them, making it hardfor them to carry out their day-to-day activities. Some paramedics also largely showed signs ofinsomnia and depression. The depression was because of the state they were seeing the covid-19patients in, which made some of them think of their families. They imagined that it was the samecondition back at home, sinking deep into depression. Paramedics deployed in areas far awayfrom their homes faced a lot of depression, especially when they thought their families were indanger. Also, without them having adequate time to speak and connect with their families provedto be very stressful to them. The covid-19 pandemic had sent everyone in a panic frenzy, andeveryone was worried about their families and loved ones. The paramedics, however, had verylittle time to talk to their families as they were always busy and always in the field moving fromone area to the other. They got very little time interacting with their loved ones, which madethem even more stressed. During the pandemic, especially its onset, nobody knew what to expectbecause everything was out of control, and vaccines had not been found. If anyone caught thevirus, it would be very hard to heal them, especially individuals above 50 years.Another challenge that the paramedics faced was to do with the PPEs that they had to put ondaily. The plastic gowns, gloves, masks, and goggles all proved to be very hectic for them,considering that this was a practice they were not used to. (Michael Georgiou, ambulancedirector). Putting on this equipment slowed down their ability to work, especially when takingcare of the patients. Taking care of a patient with that huge load can be tiring and quickly drainsan individual. The workload at their places of work was extremely a lot. Many people were beingbrought in for the same cases, and it was hard to deal with them simultaneously. This, in turn,made the medical staff stressed because not being able to help people was not part of their workresponsibility. All they wanted to do was offer help and at least save a life here and there, but thehuge numbers of patients brought in proved to be very stressful to them as they could not handlethem simultaneously. The paramedics’ lack of enough drugs was another stressful factor becauseof the huge number of covid-19 patients brought in daily. All these people wanted the samedrugs, and a shortage was inevitable because of the many presents that needed the medicines.This also stressed the paramedics as they sometimes blamed themselves for saving one life andleaving another to perish. This affected their work negatively as some paramedics didn’t want towork anymore, saying that they c…



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