Need domain | Operational definition | Potential effects of natural hazards |
---|---|---|
Physical/cognitive | Need for help with symptom management of cancer-related problems, treatment-related toxicity, cognitive dysfunction | Disruption of physical care, including medication, treatment, and observation |
Psychosocial/emotional | Need for help with psychological/emotional symptoms such as depressive mood, anxiety, fear/worry, despair | Additional stresses resulting from disaster, loss and disruption |
Family-related and family caregiver support | Need for help with dysfunctional family relationships, fears/concerns for family future; participation of family caregivers to continue supportive care, encouragement to cancer survivors | Potential separation from family members and loss of support |
Social/societal | Need for help with experience of social isolation, inefficient social support, diminished socialization | Separation from normal social connections; potential increased isolation |
Interpersonal/intimacy | Need for help with altered body image or sexuality, sexual health problems, compromised intimacy with partner, loss of fertility | Exacerbation of intimacy issues resulting from stress, disruptions, or separation from partner |
Practical/daily living | Need for help with transportation, will to live, out-of-hours accessibility, funeral care, financial strain, experience of restriction in daily living tasks such as housekeeping, exercise | Disruptions of many or all aspects of daily living |
Information/education | Need for help with lack of information, uncertainty about diagnosis/treatment, uncertainty/lack of knowledge about selfcare | Infrastructure disruption limiting access to information |
Health system/patient-clinician communication | Need for help with insufficient communication between patients and clinicians, satisfaction with care, participation in decision-making, preferences in communication | Infrastructure disruption precluding healthcare contact |