Geriatric Disaster Preparedness

 
Abstract
The elderly population has proven to be vulnerable in times of a disaster. Many have chronic medical problems for which they depend on medications or medical equipment. Some older adults are dependent on caregivers for managing their activities of daily living (ADLs), such as dressing, and their instrumental activities of daily living (IADLs), such as transportation.
 
A coordinated effort for disaster preparation in the elderly population is paramount. This study assessed the potential needs and plans of older adults in the face of a local disaster.
 
The setting was a community-based, university-affiliated, urban emergency department (ED) that sees more than 77,000 adult patients per year. A survey on disaster plans and resources needed if evacuated was distributed to 100 community-residing ED patients and visitors aged 65 years and older from January through July 2013. Means and proportions are reported with 95% confidence intervals (CIs).
 
Data were collected from 13 visitors and 87 patients. The mean age was 76 years, and 54% were female. Thirty-one responded that they had a disaster plan in place (31/100; CI, 22.4-41.4%). Of those 31, 94% (29/31; CI, 78.6-99.2%) had food and water as part of their plan, 62% (19/29; CI, 42.2-78.2%) had a supply of medication, and 35% (12/31; CI, 21.8-57.8%) had an evacuation plan. When asked what supplies the 100 subjects might need if evacuated, 33% (CI, 23.9-43.1%) needed a walker, 15% (CI, 8.6-23.5%) needed a wheelchair, 78% (CI, 68.6-85.7%) needed glasses, 17% (CI, 10.2-25.8%) needed a hearing aid, 16% (CI, 9.4-24.7%) needed a glucometer, 93% (CI, 86.1-97.1%) needed medication, 14% (CI, 7.8-22.4%) needed oxygen, 23% (CI, 15.2-32.5%) needed adult diapers, and 21% (CI, 13.2-30.3%) had medical equipment that required electricity. Many of the subjects also required help with one or more of their ADLS, the most common being dressing (17%; CI, 10.3-26.1%), or their IADLS, the most common being transportation (39%; CI, 29.7-49.7%). Only 42% (CI, 32.3-52.7%) were interested in learning more about disaster preparation.
 
Only a minority of the older adults in the study population had a disaster plan in place. Most of the respondents would require medications, and many would require medical supplies if evacuated.
 
BhallaMC, BurgessA, FreyJ, HardyW. Geriatric Disaster Preparedness. Prehosp Disaster Med. 2015;30(5):443–446.
 
Copyright © World Association for Disaster and Emergency Medicine 2015 
 
Corresponding author: Mary Colleen Bhalla, MD Department of Emergency Medicine Summa Akron City Hospital 525 East Market St. Akron, Ohio 44304-1619 USA E-mail: bhallam@summahealth.org

Published online: 15 September 2015 | DOI: https://doi.org/10.1017/S1049023X15005075

Linked references

MC Bhalla , A Burgess , J Frey , W Hardy . Geriatric disaster preparedness. Prehosp Disaster Med. 2015;30(5):443446.

3.S Powell , L Plouffe , P Gorr . When ageing and disasters collide: lessons from 16 international case studies. Radiat Prot Dosimetry. 2009;134(3-4):202206.

6.FM Hustey , LC Mion , JT Connor , CL Emmerman , J Campbell , RM Palmer . A brief risk stratification tool to predict functional decline in older adults discharged from emergency departments. J Am Geriatr Soc. 2007;55(8):12691270.

7.ST Wilber , M Blanda , LW Gerson . Does functional decline prompt emergency department visits and admission in older patients?Acad Emerg Med. 2006;13(6):680682.

9.MC Bhalla , MU Ruhlin , JA Frey , ST Wilber . Evaluation of ED patient and visitor understanding of living wills and do-not-resuscitate orders. Am J Emerg Med. 2015;33(3):456458.

11.LC McGuire , ES Ford , CA Okoro . Natural disasters and older US adults with disabilities: implications for evacuation. Disasters. 2007;31(1):4956.

*Source : Cambridge University Press

© 2016, bastamanography.id.

saya percaya para pengunjung dan pembaca tulisan-tulisan di website ini adalah mereka yang termasuk golongan cerdas dan terpelajar, yang mampu berkata santun, berkritik disertai saran yang membangun dalam berkomentar, terima kasih ..