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The Stratera Retreat
A Proposal to Improve Respiratory Manifestations and Quality of Life for 9/11 First Responders
Fillary Tsybushkina, WC-SN, Gabriela Pawlowski, WC-SN, Victoria Withers, WC-SN
Evelyn L. Spiro School of Nursing at Wagner College
Problem in the Community
Introduction and Selection of Community
• The attacks of September 11th, 2001, had
health impacts on first responders that
continue today.
• Particularly, the Ground Zero first
responders, which included firefighters,
police officers, paramedics, EMTs, and
military personnel, have experienced
widespread health issues related to debris
exposure.
• Some of the illnesses include respiratoryrelated illnesses like pulmonary fibrosis,
asthma, reactive airways dysfunction
syndrome (RADS), lung cancer, WTCexacerbated COPD, new onset of COPD,
chronic cough syndrome, chronic laryngitis
Community Assessment and Analysis
• Lower Manhattan is the southernmost part of
Manhattan encompassing neighborhoods
including the Financial District, Midtown,
Battery Park City, and Ground Zero.
• Today, the overall population size of Lower
Manhattan is 171,103.1
• Approximately 43,000 first responders were
present at Ground Zero participating in
rescue efforts.2
• The density of residents per sq. mile at the
time of 9/11 was 97,333. The density of
employees per sq. mile at the time was
188,667. There were approximately 566,000
workers in the area at the time of the
attacks.3
•
First responders were exposed to “World Trade Center dust,” and
the pollutants in the air following the attacks.3
• The 9/11 attack also included toxins not just from fire, but also a mixture of
chemicals and debris from the structural material of the buildings and aircrafts.
• Exposure to pollutants can extensively affect the body and irritate the
respiratory system, resulting in coughing, wheezing, shortness of breath,
phlegm, and bronchitis (short term), as well as respiratory cancer or COPD
(long term).4
• Most recently, the current data (2020) from the CDC shows that the following
number of first responders suffer from the following illnesses:
• Chronic Rhinosinusitis - 26,559
• Asthma - 13,082
• Sleep Apnea - 13,999
• Chronic Respiratory Disorder - 7,463
• WTC-Exacerbated Chronic Obstructive Pulmonary Disease COPD 3,2055
Proposed Solution
• Stratera Retreat aims to improve these respiratory
illnesses.
• It will utilize a holistic approach
• Activities will include yoga, meditation, swimming,
group/individual counseling, and respiratory therapy, along
with other therapies for other disorders.
• The focus of this solution is to improve overall quality of life
and wellness for these 9/11 responders.
• The retreat created follows the theory of Faye Abdellah, who
believed that nursing care is not just science, but an
interpersonal relationship between the nurse and the
patient.6
• We will not only care for the patient’s body, but for the mind
and soul too, in which it will heal the patient as a whole
rather than just to focus on the respiratory symptoms.
• The three points the responders will learn are:
• Using breathing techniques to ease their respiratory
symptoms; nonpharmacological interventions
• Maintaining a healthier lifestyle (sports, hobbies),
including eating cleaner foods
• Effectively learning and utilizing relaxation techniques
(mediation, yoga)
Reference List
1. Statistics [Internet]. [cited 2021Mar25]. Available from:
http://neverforgetproject.com/statistics
2. Hsdl.org. [cited 2021 Mar 30]. Available from:
https://www.hsdl.org/?view&did=783457
3. Program Statistics - World Trade Center Health Program [Internet]. Centers
for Disease Control and Prevention. Centers for Disease Control and
Prevention; [cited 2021Mar31]. Available from:
https://www.cdc.gov/wtc/ataglance.html
4. American Lung Association (2016) Looking at the Respiratory Impacts of
the Sept. 11, 2001 attacks. https://www.lung.org/blog/respiratory-impactssept-11
5. American Lung Association (2020) Protect Lung Heath for Firefighters and
First Responders https://www.lung.org/help-support/corporatewellness/firefighters-lunghealt.
6. Hawkins JW. The Historical Evolution of Theories and Conceptual Models
for Nursing. 1987.
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This archive contains materials from Wagner’s annual ‘Senior Presentations.’ This event honors outstanding students from each discipline who completed their Senior Learning Community project with excellence. The work is representative of Wagner’s highest standards, and is exemplary of the diversity of subject matter, public-facing scholarship, and civic-minded professionalism our students have attained through their four years here. These students were specially invited to present their work in a formal setting, traditionally the day of Baccalaureate. Students are encouraged to present their work in a format appropriate for their discipline, and so, the presentations vary in their format. Some might be in the form of a short video, or paper abstracts, while others might be posters or music clips. We expect this archive to serve as a resource for generations to come. Congratulations to our Seniors!
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Gabriella Pawlowski
Filiary Tsybushkina
Victoria Withers
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5/1/2021
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The Stratera Retreat: A Proposal to Improve Respiratory Manifestations and Quality of Life for 9/11 First Responders
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Doris Korona/Tina Marie Petrizzo-Hughes
Evelyn L. Spiro School of Nursing
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Nursing