Disaster Preparedness for Technology and Electricity-Dependent Children and Youth With Special Health Care Needs

Sakashita, Kazumi; Matthews, Wallace J.; Yamamoto, Loren G.

doi:10.1177/0009922813482762

Cited by 26 publications

(17 citation statements)

References 6 publications

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“…In the post-disaster/terrorism landscape, temporary shelters or housing may not accommodate the needs of people with disabilities [4,34,79]. For children with medical support needs, the destruction of health care facilities and temporary shortages in electrical power may compound chronic disabilities [80]. Children who use durable medical equipment, such as walkers, wheelchairs, or hearing aids, or who require medical supports also may be differentially at-risk post-disaster/terrorism when these supports are lost or discontinued [81].…”

Section: Social and Community Factors Secondary Adversitiesmentioning

confidence: 99%

Addressing the Needs of Children With Disabilities Experiencing Disaster or Terrorism

Stough

Ducy

Kang

2017

Curr Psychiatry Rep

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Research indicates adults with disabilities experience increased exposure to hazards due to existing social disparities and barriers associated with disability status. However, studies on the psychological effects of disaster/terrorism on children with pre-existing disabilities are exceedingly few and empirical evidence of the effectiveness of trauma-focused therapies for this population is limited. Secondary adversities, including social stigma and health concerns, also compromise the recovery of these children post-disaster/terrorism. Schools and teachers appear to be particularly important in the recovery of children with disabilities from disaster. Disasters, terrorism, and war all contribute to increased incidence of disability, as well as disproportionately affect children with pre-existing disabilities. Disaster preparedness interventions and societal changes are needed to decrease the disproportionate environmental and social vulnerability of children with disabilities to disaster and terrorism.

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Section: Social and Community Factors Secondary Adversitiesmentioning

confidence: 99%

Addressing the Needs of Children With Disabilities Experiencing Disaster or Terrorism

Stough

Ducy

Kang

2017

Curr Psychiatry Rep

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“…Binomial logistic regression analyses with evacuation intention in the event of an evacuation order as the dependent variable (1: "definitely want to evacuate and want to evacuate if support is available," 0: "abandoned the prospect of evacuating and do not want to evacuate"; n = 53). seniors within a community (Tsukasaki et al, 2016), awareness and presence of disaster preparedness steps among home-care or elderly patients who depend on various medical treatments or medications (Bhalla, Burgess, Frey, & Hardy, 2015), and disaster preparedness among children reliant on electrically powered medical equipment and their families (Nakayama et al, 2014;Sakashita et al, 2013). However, no studies have explored the preparedness of power-dependent home-care patients and their families or comprehensively analyzed the factors affecting patients' evacuation intentions in the event of an evacuation order from the local government.…”

Section: Disaster Preparedness Among Power-dependent Home-care Patientsmentioning

confidence: 99%

“…Further, there is insufficient preparation for blackouts caused by hurricanes or earthquakes in the United States, despite the fact that blackout conditions could endanger electricity-dependent children (Sakashita, Matthews, & Yamamoto, 2013). In this way, both nationally and internationally, home-care patients and children using electricity-dependent medical equipment can suffer more damage than that caused by the disaster itself, as their conditions can be exacerbated-and life crises caused-by interruption of their use of medical equipment.…”

Section: Introductionmentioning

confidence: 99%

Factors Related to Evacuation Intentions of Power-Dependent Home Care Patients in Japan

Nakai

Tsukasaki

Kyota

et al. 2016

Journal of Community Health Nursing

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This study investigated factors affecting disaster preparedness and evacuation intentions among home-care patients dependent on electrical power for life support. Health professionals interviewed 53 home-care patients using the Kanazawa and Kochi Disaster Preparedness Checklist. About half of the participants requiring continuous artificial ventilation or aspiration indicated that they would not or could not evacuate following a disastereven though their lives could be at risk. The availability of emergency medical equipment for use during a power outage was positively associated with the desire to evacuate. Our results indicate the need for improved systems to assist power-dependent home-care patients.Despite having escaped the immediate impact of the earthquake tremors and tsunami, users of artificial respirators and oxygen concentrators died owing to power outages following the 2011 Great East Japan Earthquake (Ministry of Health, Labour, and Welfare, 2011). Further, there is insufficient preparation for blackouts caused by hurricanes or earthquakes in the United States, despite the fact that blackout conditions could endanger electricity-dependent children (Sakashita, Matthews, & Yamamoto, 2013). In this way, both nationally and internationally, home-care patients and children using electricity-dependent medical equipment can suffer more damage than that caused by the disaster itself, as their conditions can be exacerbated-and life crises caused-by interruption of their use of medical equipment. Therefore, it is essential to prepare for electricity-dependent individuals to be provided with stable use of medical equipment during a blackout until they can evacuate to institutions, such as hospitals, with secure electricity supplies. However, it is unrealistic to expect patients or their families to shoulder the major burden of such preparations alone. Some individuals who did not evacuate, despite the evacuation order, were not able to evacuate for a physical reason by themselves or because they had to care for someone else (Brodie, Weltzien, Altman, Blendon, & Benson, 2011). It would be effective to prepare evacuation methods and provide for the secure evacuation of supporters in patients' living environments and health professionals who support everyday life.In the United States, the Federal Emergency Management Agency and American Red Cross have established and widely disseminated an approach to help people with disabilities and special needs to prepare for a disaster or emergency. The planning process includes identifying-in conjunction with family members, friends, and personal care attendants-the support and HEALTH NURSING 2016, VOL. 33, NO. 4, 196-208 http://dx.doi.org/10.1080/07370016.2016 resources that would be required (Federal Emergency Management Agency, & American Red Cross, 2004). Similarly, the Australian Red Cross (2015) and New Zealand Ministry of Civil Defence and Emergency Management (2010) have developed approaches to establish personal support networks and prepare for emergen...

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“…6 Yet, many erroneously believe that help will arrive within hours of a disaster, which leaves many inadequately prepared for the delays involving the arrival of aid. 4 Inadequate resource planning may result in unnecessary morbidity and mortality. Educational interventions such as our video can provide more realistic expectations for families and other care providers.…”

Section: Discussionmentioning

confidence: 99%

“…One of the challenges is that children are dependent on adults for care, and this is especially true of the children with access and functional needs. 4 More can be done to prepare for pediatric victims, including creating emergency plans at places where large numbers of children spend their time. To help address this shortcoming, a free video tutorial was created using the Delphi technique.…”

mentioning

confidence: 99%

Creation of a Collaborative Disaster Preparedness Video for Daycare Providers: Use of the Delphi Model for the Creation of a Comprehensive Disaster Preparedness Video for Daycare Providers

Mar

Spears²,

Reeb³

et al. 2018

Disaster med. public health prep.

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Disaster Preparedness for Technology and Electricity-Dependent Children and Youth With Special Health Care Needs

Abstract: Technoelectric-dependent CYSHCN are poorly prepared for electrical power failure.

Cited by 26 publications

References 6 publications

Addressing the Needs of Children With Disabilities Experiencing Disaster or Terrorism

Addressing the Needs of Children With Disabilities Experiencing Disaster or Terrorism

Factors Related to Evacuation Intentions of Power-Dependent Home Care Patients in Japan

Creation of a Collaborative Disaster Preparedness Video for Daycare Providers: Use of the Delphi Model for the Creation of a Comprehensive Disaster Preparedness Video for Daycare Providers

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