Caring for Older Adults with Dementia when Disaster Strikes

Abstract

Diseaser emergencies are occurring with seemingly increased frequency. The likelihood that gerontological nurse will be involved in a disaster scenario, regardless of practices setting, is real. Instead of recoiling from this likelihood, the best approach is preparedness. In this article we examine what constitutes a disaster and how it differs from an emergency, as well as the potential impact of disaster on older adults in general and those with dementia in particular. Concepts of sheltering in plac, caring for older adults with dementia in a temporary shelter, and partnering with nurses in acute care settings are discussed.

Disaster Preparedness Among Older Japanese Adults With Long-Term Care Needs and Their Family Caregivers

“…12 Cognitive impairment and dementia also make it more difficult for an older person not only to independently evacuate but also to judge the severity of an emergency and to form a plan for where and how to evacuate. 14 Nevertheless, emergency and disaster planning is often a distant priority for families organizing care plans. 15 Enhancing the preparedness of older people living in the community is crucial from a public health perspective.…”

“…, 13 Additionally, women and those with less wealth or education are reportedly at increased risk of being unprepared for disasters 12 . Cognitive impairment and dementia also make it more difficult for an older person not only to independently evacuate but also to judge the severity of an emergency and to form a plan for where and how to evacuate 14 . Nevertheless, emergency and disaster planning is often a distant priority for families organizing care plans 15 …”

Multi-disciplinary Care for the Elderly in Disasters: An Integrative Review

“…Lack of adequate medical records and current medication lists were identified as being significant barriers to care 4 20 , 30 , 41 - 45 , 48 , 54 Community, hospital, and long-term care facilities recognized that policies and guidance concerning evacuating versus sheltering in place were lacking †††…”

A Comparison of pharmacologic and mechanical prophylaxis on the prevention of deep vein thrombosis in spinal cord injury

“…Given the high number of deaths and injuries among the elderly, this population deserves special attention (16,17). Likewise, according to human right laws, every person has the equal rights to protection (18).…”