Bad day
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This document summarizes an expedition medicine conference presentation about expedition stress. It discusses an expedition in Malaysia in 2008, defines expedition stress as irritability, anxiety, and other changes in behavior from being outside one's comfort zone in an expedition setting. It notes that those particularly vulnerable include first timers, overconfident or inflexible individuals, and those with prior psychological or substance issues. The document outlines ways to counteract and prevent expedition stress through identifying vulnerable individuals, early recognition, stress-relieving activities, and proper selection, preparation, teamwork and leadership.
Bad day
- 1. Bad day at the office Wilderness & Expedition Medicine Conference Rural Clinical School, Bunbury 2-OCT-10 Tim Inglis Division of Microbiology & Infectious Diseases, PathWest Laboratory Medicine, WA
- 2. Outline Perak, Malaysia 2008 Expedition psychology What is expedition stress? Who gets it? What can be done about it? Can it be prevented?
- 3. Perak, 2008
- 5. Expedition psychology group travel with a purpose wilderness = outside comfort zone independent of external resources little redundancy ragbag assortment, individuals, egotists group aims > personal objectives expedition paradox: The need to maximise opportunity for individual expertise in order to achieve group objective
- 6. Expedition stress Irritability, blame-shifting, abdication Uncharacteristic behaviour Anxiety Loss of motivation, appetite, energy Inability to sleep when tired Depression Threat of or attempts at deliberate self harm NB malaria, other tropical infections, heat exhaustion can present with some of the above
- 7. Epidemiology? When - timeline 1 Preparation 2 Outward travel 3 Expedition 4 Return travel 5 Aftermath Who: Prior psychological history Vulnerable individuals: first timers overconfident inflexible intolerant poorly prepared substance dependent Stress overloaded Expedition leaders
- 8. Countermeasures identify vulnerable people, key stressors, triggers early recognition stress-easing, relieving & abating activities Task sharing Communication Rest & recreation Avoid superficial, quick & easy solutions
- 10. Thanks to Dr Abdul Russ Karim Hassan Prof Savithri Puthucheary Dr Richard Bradbury Prof Vasanthi Thesanevam