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

1

“ Don’t Leave Me Behind ! ” Older Persons in the Community

and Long Term Care

Arleen Johnson, PHD, OVAR/GEC DirectorUniversity 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

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

5

Concerns of Older Adults

Family Member Safety Notification/Evacuation Transportation Independence Chronic Health Issues Medications/Supplies Isolation Water Contamination

Sensory Changes Mental Health Literacy Housing Financial Limits Bureaucracy

6

What Older People Want to Know..How can I help my family members?Prepare to be on your own Emergency plansDisaster supplies kits Safe places Signal for helpEmergency phone numbersEscape routes TransportationPet careCon artist scams

What Older People Want to Know..

What state and local plans are in place?Service Agency PlansCounty Emergency PlansState Emergency PlansNational Emergency PlansPlanning CommitteesDrills and Exercises

7


8

Who is in charge in an emergency?

You are in charge for the first 36-72 hoursPersonal support network Care provider networkLocal and state officialsEmergency Managers


If I am isolated, how can I be notified? Plan for being notifiedPersons at-risk registryPersonal support networkCare provider networkAlert systems Emergency Alert radio Emergency Alert TV

9

10


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


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

Plans to shelter-in-placePlans to evacuatePersonal support networkCare provider networkIn crisis, call 911Evacuation lessons learned

11

12


How will transportation be provided?

Plans in place for transportationKnow your neighbors Buddy system City/county registerIf crisis, call 911Lessons Learned

13


What if special equipment is needed (wheelchair, oxygen, etc.)

Plans/support in place Personal networkCare providers networkIf in crisis, call 911Lessons Learned

14


How can pets/ service animals be protected?

Plans/support in place Supplies/equipment Kits for petsCommunity emergency shelterEmergency pet shelter Personal support networkCare providers networkLessons Learned


How do I get help if I am deaf, blind or non-English speaking? Plans in placePersonal networkKOIN care provider networkAsk for information Ask for interpretersAsk for personal assistance to understanding policies/procedures completing applications following directions

15http://www.ready.gov/individuals-access-functional-needs

16

Who Older Persons Believe Will Help…..

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

17

Long Term Care Plan

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

18

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

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

20

21

More InformationArleen Johnson, PHDOVAR/GEC University of Kentucky859/[email protected]://www.mc.uky.edu/aging/gec/

Betty Shiels, ABD-PHDOVAR/GEC University of Louisville502/[email protected]

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

22