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“ Don’t Leave Me Behind ! ” Older Persons in the Community and Long Term Care

“ 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

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“ Don’t Leave Me Behind ! ” Older Persons in the Community and Long Term Care

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  1. “ 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

  2. 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

  3. 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

  4. 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

  5. Family Member Safety Notification/Evacuation Transportation Independence Chronic Health Issues Medications/Supplies Isolation Water Contamination Sensory Changes Mental Health Literacy Housing Financial Limits Bureaucracy Concerns of Older Adults

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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

  16. American Red Cross Army Corps of Engineers Emergency Medical Fire/Police Departments National Guard Neighbors, family, church, friends Physicians, health care workers Pharmacists Public Health Rescue Squad Senior Citizen Center Staff Who Older Persons Believe Will Help…..

  17. Long Term Care Plan

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

  19. 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

  20. 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

  21. 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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