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Issues in Nursing Home Evacuations US Adults as Special Population

Issues in Nursing Home Evacuations US Adults as Special Population. Threats. Weather Human Internal Mechanical External Mechanical. Availability of Resources. Lack of Transportation Lack of Transportation Planning Lack of Wheelchair Lifts Lack of Staff

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Issues in Nursing Home Evacuations US Adults as Special Population

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  1. Issues in Nursing Home EvacuationsUS Adults as Special Population

  2. Threats • Weather • Human • Internal Mechanical • External Mechanical

  3. Availability of Resources • Lack of Transportation • Lack of Transportation Planning • Lack of Wheelchair Lifts • Lack of Staff • Lack of Capability to Haul Mobility Equipment

  4. Social Climate • Staff to Patient Ratio • Lack of Physician and Specialist Participation • External vs. Internal Decision to Evacuate • Communications

  5. Social Linkages • Effectiveness of Evacuation = Type of Threat + Resources + Social Climate + Social Linkages + Extracommunity Factors • Different Nursing Homes functioned differently • 17 out of 44 were Independent • 27 were connected to larger corporations • 37 of 42 lived within 10 miles • 42 of 45 provided long-term care

  6. Social Linkages (cont.) • Low # of Elderly picked up by Friends and Family • 21 Facilities reported no clients picked up • 75 were taken to homes of Family and Friends • Others went to Shelters • 21 Facilities had 1-12 clients picked up from outside persons • 18 of the 21 had 5 or fewer clients picked up from the facility prior to the organizational withdrawal

  7. Extra-community Factors • 46 Reporting Destinations • Shelters • Schools, Hospitals, and other Nursing Homes • Parks, Churches, and Individual Homes • Evacuation Times • 10 Minutes to 7 Hours • 5 organizations made consecutive moves • Inefficient; was not planned well • Shelters were not equipped for Special Needs

  8. Natural Disasters and Older US Adults with Disabilities: Implications for Evacuation

  9. Elderly and Disabled as Special Populations • Generally 54% age 65 or older have what would be considered a Disability • Not mentioned in the article is the fact that this is the fastest growing sector of the population in the United States • Challenges in collecting this type of health data include; willingness to respond, use of landline only, physical limitations of people having the ability to answer the phone, and HIPAA.

  10. Elderly and Disabled as Special Populations • Article references Behavioral Risk Factor Surveillance System (BRFSS) • Also mentioned is the Micropolitan or Metropolitan Statistical Area (MMSA) that provided estimates of citizens in an area that were age 65 or older • BRFSS utilized phone survey to collect data

  11. Elderly and Disabled as Special Populations • Questions: • “Are you limited in any way in any activities because of physical, mental, or emotional problems?” • “Do you now have any health problem that requires you to use special equipment such as a wheelchair, a special bed or a special telephone?”

  12. Elderly and Disabled as Special Populations • Conclusions: • Current HIPAA regulations are prohibitive in collecting health data on a given population. • Possible solutions could be First Responder data, and Medical Specialty equipment companies. • These are to other avenues that potentially could be used to collect data for a better snapshot of a given population.

  13. An Examination of Behavior and Hazards Faced by Physically Disabled: Loma Prieta Earthquake

  14. People Included in Study • 33 people included in study • All had some type of immobility • Disabilities included MS, Cerebral Palsy, Neuromuscular diseases, and Spinal Cord Injury • 17 of the 33 were alone on the day of the earthquake

  15. Research • Studies included elements of interior and surrounding objects, and type of room and interior layout • 15 lived in houses 14 lived in apartments or condominiums, 1 lived in a duplex • Disabled persons home already arranged for ease of access

  16. Results • Staying calm during an earthquake reduced injuries • Initial body position is important to persons ability to react

  17. Psychological Advantage • 14 out of the 33 felt vulnerable prior to earthquake • Those who felt vulnerable all took safety measures however those that did not feel vulnerable stayed passive • Psych advantage to disabled persons because they deal with psychological and environmental disabilities every day

  18. Policy Implications • Improve search and rescue

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