Preparing for Bioterrorism & Emergencies: Lessons Learned from Elders

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Preparing for Bioterrorism & Emergencies: Lessons Learned from Elders Powered By Docstoc
					      “ Don’t Leave Me Behind ! ”
Older Persons in the Community and Long
               Term Care

     Arleen Johnson, PHD, OVAR/GEC Director
              University of Kentucky

 Betty Shiels, ABD-PHD, OVAR/GEC Institutional
        Director, University of Louisville

2012 Kentucky Outreach and Information Network (KOIN) Kentucky
         Functional Needs Collaborative Training, 9/4/12
                                                                 1
Objectives
   1. Discuss what older people want to know about
    emergencies

   2. Identify solutions for helping older persons to
    address their questions about emergencies

   3. Identify resources for disaster preparedness
    and response for aging and Long Term Care




                                                         2
Characteristics of Older Persons At Risk

   Increasing numbers
   Dependent
   Multiple Medications
   Decreased Immune Function
   Functional limitations
   Chronic Illness
   Pneumonia
   Presentation of illness
   Slower Response
   Long Term Care

                                           3
       In Need of First Responders

   KY Hospitals:         7,544 daily occupied beds
   Nursing Facilities:   26,714 daily occupied beds
                          69% have memory disorder
   Home Health:          41,626 daily bed census
   Hospice               2,876 daily census
   Memory Disorders:     80,000
   Community Elders:     13.3% of population




                                                       4
Concerns of Older Adults

   Family Member Safety
   Notification/Evacuation
   Transportation
   Independence                 Sensory Changes
   Chronic Health Issues        Mental Health
   Medications/Supplies         Literacy
   Isolation                    Housing
   Water Contamination          Financial Limits
                                  Bureaucracy

                                                     5
What Older People Want to Know..
How can I help my family members?
 Prepare to be on your own
 Emergency plans
 Disaster supplies kits
 Safe places
 Signal for help
 Emergency phone numbers
 Escape routes
 Transportation
 Pet care
 Con artist scams
                                    6
What Older People Want to Know..

What state and local plans are in place?
 Service Agency Plans
 County Emergency Plans
 State Emergency Plans
 National Emergency Plans
 Planning Committees
 Drills and Exercises




                                           7
What Older People Want to Know..

Who is in charge in an emergency?

   You are in charge for the first 36-72 hours
   Personal support network
   Care provider network
   Local and state officials
   Emergency Managers




                                                  8
What Older People Want to Know..

If I am isolated, how can I be notified?

   Plan for being notified
   Persons at-risk registry
   Personal support network
   Care provider network
   Alert systems
   Emergency Alert radio
   Emergency Alert TV




                                           9
What Older People Want to Know..
   What if I run out of medications?

   Plans in place
   Extra supply of medications
   Talk to your pharmacist
   Talk to your care providers
   Community plans for emergencies
   National Stockpile
   72-Hour Emergency Supply Policy



                                        10
What Older People Want to Know..

 What if extra help is needed to evacuate or
 shelter in place?

    Plans to shelter-in-place
    Plans to evacuate
    Personal support network
    Care provider network
    In crisis, call 911
    Evacuation lessons learned




                                               11
What Older People Want to Know..
How will transportation be provided?

   Plans in place for transportation
   Know your neighbors
   Buddy system
   City/county register
   If crisis, call 911
   Lessons Learned



                                        12
What Older People Want to Know..
What if special equipment is needed (wheelchair,
oxygen, etc.)

   Plans/support in place
   Personal network
   Care providers network
   If in crisis, call 911
   Lessons Learned




                                                   13
What Older People Want to Know..
How can pets/ service animals be protected?

   Plans/support in place
   Supplies/equipment
   Kits for pets
   Community emergency shelter
   Emergency pet shelter
   Personal support network
   Care providers network
   Lessons Learned


                                              14
What Older People Want to Know..

How do I get help if I am deaf, blind or non-English
speaking?
 Plans in place
 Personal network
 KOIN care provider network
 Ask for information
 Ask for interpreters
 Ask for personal assistance to
    understanding policies/procedures
    completing applications
    following directions

http://www.ready.gov/individuals-access-functional-needs   15
Who Older Persons Believe Will Help…..

   American Red Cross      Physicians, health
   Army Corps of            care workers
    Engineers               Pharmacists
   Emergency Medical       Public Health
   Fire/Police             Rescue Squad
    Departments             Senior Citizen Center
   National Guard           Staff
   Neighbors, family,
    church, friends


                                                     16
Long Term Care Plan




                      17
   Resources for Preparedness & Response

KDPH TRAIN KY Training Modules                         KY All Hazards Long Term Care
                                                         Planning and Resources Manual
https://ky.train.org/DesktopShell.aspx                   and Emergency Training
Helping Elders Prepare for Bioterrorism and              Materials
   Emergencies (Course ID 1006475)                     http://www.mc.uky.edu/aging/gec.html
Disaster Preparedness: Developing Agency
   Emergency Plan (Course ID 1007090)
CERT Community Emergency Response Team
   (Course ID 1005655)
The Aging Network (Course ID 1006470) Medical          FEMA
   Reserve Corps-An Introduction to Incident           NIMS Resource Center
   Command (Course ID 1014646)                           http://www.fema.gov/emergency/nims
Pandemic Influenza (future TRAIN Course ID               /
   1009188) Interim Link:
   http://cwte.louisville.edu/ovar/avianflu/index.html
Medical Reserve Corps-An Introduction to Incident      NIMS Training Courses – Fact Sheets
   Command (Course ID 1014646)                           http://www.fema.gov/emergency/nims
Pandemic Influenza (future TRAIN Course ID               /NIMSTrainingCourses.shtm#item1
   1009188)




                                                  18
    Resources for Preparedness and Response
Go to www.preparenow.org/prepare.html and click on
  Preparedness Library)

   Collecting Emergency Documents
   Creating an Emergency Health Information Card
   Visual Disabilities
   Hearing Impaired
   Cognitive Disabilities
   Environmental Illness or Multiple Chemical Sensitivities
   Mobility Disabilities
   People with Life Support System
   People with Communication and Speech Relation Disabilities
   Psychiatric Disabilities

                                                            19
Resources for Preparedness & Response

 OVAR/GEC E-News Emergency Preparedness for Aging
  Geriatric Education Resources
      http://cwte.louisville.edu/ovar/emergency/fall2007.htm

  Preparedness for Long Term Care
      http://cwte.louisville.edu/ovar/emergency/winter2008.htm

  Health Literacy for Emergency Preparedness/ Aging
      http://cwte.louisville.edu/ovar/emergency/spring2008.htm

  Pandemic Flu and Aging
      http://cwte.louisville.edu/ovar/emergency/summer2008.htm
  Long Term Care:
      http://cwte.louisville.edu/ovar/emergency/winter2008.htm
      http://cwte.louisville.edu/ovar/emergency/winter2009.htm
      http://cwte.louisville.edu/ovar/emergency/summer2009.htm
      http://cwte.louisville.edu/ovar/emergency/winter2010.htm


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                                  More Information
                             Arleen Johnson, PHD
                             OVAR/GEC University of Kentucky
                             859/257-8314
                             arleen@uky.edu
                             http://www.mc.uky.edu/aging/gec/

                             Betty Shiels, ABD-PHD
                             OVAR/GEC University of Louisville
                             502/852-8003
                             Betty.Shiels@louisville.edu

Funding through KCHFS/KDPH 2012-2013 grant #PON2 728
1200002645 1UK/UL Emergency Preparedness for Aging Training
Grant and HRSA GEC 2012 2013
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