Providing Shelter to Nursing Home Evacuees in Disasters: Lessons From Hurricane Katrina

Laditka, Sarah B.; Laditka, James N.; Xirasagar, Sudha; Cornman, Carol B.; Davis, Courtney B.; Richter, Jane V.E.

doi:10.2105/ajph.2006.107748

Cited by 70 publications

(78 citation statements)

References 16 publications

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“…[10][11][12] These forms are a public health resource if ad hoc surveillance is needed during a disaster if regular reporting mechanisms are disrupted or a location needing surveillance is not part of the existing surveillance system (eg, megashelter). [13][14][15] Based on this work, the reporting process of the existing CDC and Red Cross disaster morbidity surveillance system was converted from an individual format to an aggregate format. Changes arose from experience with large numbers of individual surveillance forms generated during an event, which burden volunteers' time and the logistical challenges of collecting and sending these data to the CDC.…”

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confidence: 99%

Disaster-Related Injuries and Illnesses Treated by American Red Cross Disaster Health Services During Hurricanes Gustav and Ike

Noe

Schnall²,

Wolkin³

et al. 2013

Southern Medical Journal

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Objective-To describe the injuries and illnesses treated by the American Red Cross (Red Cross) during Hurricanes Gustav and Ike disaster relief operations reported on a new Aggregate Morbidity Report Form. Results-A total of 3863 clients were treated. Of the clients, 48% were girls and women and 44% were boys and men; 61% were 19 to 64 years old. Ninety-eight percent of the visits occurred in shelters. The reasons for half of the visits were acute illness and symptoms (eg, pain) and 16% were for routine follow-up care. The majority (65%) of the 2516 visits required treatment at a field location, although 34%, or 1296 visits, required a referral, including 543 healthcare facility transfers. Methods-FromConclusions-During the hurricanes, a substantial number of displaced evacuees sought care for acute and routine healthcare needs. The capacity of the Red Cross to address the immediate and ongoing health needs of sheltered clients for an extended period of time is a critical resource for local public health agencies, which are often overwhelmed during a disaster. This article highlights the important role that this humanitarian organization fills, to decrease surge to local healthcare systems and to monitor health effects following a disaster. The Aggregate Morbidity Report Form has the potential to assist greatly in this role, and thus its utility for real-time reporting should be evaluated further.

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confidence: 99%

Disaster-Related Injuries and Illnesses Treated by American Red Cross Disaster Health Services During Hurricanes Gustav and Ike

Noe

Schnall²,

Wolkin³

et al. 2013

Southern Medical Journal

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“…Multiple issues such as resourcing and adequate staffing, provision of care and patient safety, adequacy of shelter available, and transportation need to be considered prior to making a decision on whether to evacuate or shelter in place. This cannot be made without meticulous planning and expert decision making across local agencies prior to an event, and should be reflected within the organization's disaster plan (Hyer, Brown, Christensen, & Thomas, 2009;Laditka et al, 2008;Manley et al, 2006).…”

Section: Distributed Decision Making Is Fundamentalmentioning

confidence: 99%

“…Integrated emergency management processes were identified as lacking or below par. Many reported the need for improved communication with their emergency management and state regulatory agencies (Castro, Persson, Bergstrom, & Cron, 2008;Laditka, Laditka, Cornman, Davis, & Richter, 2009;Laditka et al, 2008;Saliba, Buchanan, & Kington, 2004), with some administrators feeling the pressure to evacuate, against their better judgment (Blanchard, 2009). Some felt abandoned by the state, alone in decision making, and overall, nursing home residents did not seem to be a priority for decisions on evacuation or ensuring essential supplies such as electricity to a facility if sheltering in place (Dosa, Grossman, Wetle, & Mor, 2007).…”

Section: Distributed Decision Making Is Fundamentalmentioning

confidence: 99%

“…This was also the case for some facilities that sheltered in place, with one respondent claiming that they had more staff than they needed (Hyer et al, 2009). Suggestions were also made to consider increasing the level of supplies stockpiled from the standard guidelines of 3 days to at least a week (Laditka et al, 2008) to cater for staff bringing their family members and pets with them.…”

Section: Personal Exposure and Interconnections Of The Individual Infmentioning

confidence: 99%

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Exploring the Demands on Nurses Working in Health Care Facilities During a Large-Scale Natural Disaster

2016

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Creative Commons CC-BY: This article is distributed under the terms of the Creative Commons Attribution 3.0 License (http://www.creativecommons.org/licenses/by/3.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). Article BackgroundNo country is truly exempt from a disaster. History has already provided examples of what can happen to a community in the event of a large-scale natural disaster. Factors such as population growth and urban development are increasing the risk faced by populations worldwide. Climate change will increase the incidence, duration, and severity of hazards of meteorological origin. The risk of disaster and thus the human consequences is increasing. When disaster strikes, health care organizations, and particularly their nursing and medical staff, are a critical element in any disaster response. They provide an essential service to any community, and hospitals and emergency departments (EDs) are often the first place of call for people affected by any type of emergency. The nursing workforce makes up a large part of any health care facility and organization, and is expected to be able to adapt and function competently. In addition, nurses may have to adapt at a moment's notice to events that occur with little or no warning, and they may be called upon to function effectively in challenging circumstances for periods of weeks or months and in contexts where their own community has been affected. The nature, extent, and speed of recovery in areas impacted by adverse events such as natural disasters is thus influenced by the adaptive capacity and resilience of nurses and the health care organizations they represent.The aim of the integrative review was to provide an evidence-based approach and re-conceptualization of ideas and recommendations for natural disaster preparation, preparedness, and competencies for nurses using an ecological 655587S GOXXX10.1177/2158244016655587SAGE OpenScrymgeour et al. AbstractNurses are pivotal to an effective societal response to a range of critical events, including disasters. This presents nurses with many significant and complex challenges that require them to function effectively under highly challenging and stressful circumstances and often for prolonged periods of time. The exponential growth in the number of disasters means that knowledge of disaster preparedness and how this knowledge can be implemented to facilitate the development of resilient and adaptive nurses and health care organizations represents an important adjunct to nurse education, policy development, and research considerations. Although this topic has and continues to attract attention in the literature, a lack of systematic understanding of the contingencies makes it difficult to clearly differentiate what is known and what gaps remain in this literature. Providing a sound footing for future research c...

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“…In particular, the frail elderly with chronic conditions often require special equipment and supplies [9]. Laditka et al [10,11] report in-home health care services for older and disabled people to be less prepared to respond to emergencies than skilled nursing facilities, although they find that the latter could benefit from more direct inclusion in community emergency planning and practice. Emergency planning and response for children is similarly underdeveloped and understudied [12], particularly for those with disabilities and special medical needs who may require medication, technology (e.g., ventilators, pumps), and customized management plans-all of which may depend on utilities like power and water [13,14].…”

Section: Introductionmentioning

confidence: 99%

Assessing Disaster Preparedness of Officials and Residents in Two North Carolina Counties

Shay

Combs²,

Salvesen³

et al. 2014

J Geogr Nat Disast

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Emergency management professionals devote significant expertise and resources to preparing for emergencies through planning and exercises. Despite this preparation by professionals, residents are often unprepared for emergencies and unfamiliar with recommended practices. This is a concern particularly for those who are socially vulnerable, such as the elderly, those without transportation, or those who speak English less than well. To improve understanding of this gap in disaster preparedness, we interviewed emergency managers and others with professional knowledge about emergency preparedness and management at the County level. Findings were validated by surveying households to gather information about services and information received from officials before, during, and after emergencies. Results suggest emergency managers are aware that improved communication with residents could improve preparedness. Residents cite clear priorities in the types of information they want from emergency managers, including where and when to evacuate, how to maintain safe water and sanitation during a disaster, and how to prepare their property for a disaster. Attention should be given to identifying vulnerable groups and providing them with information about preparing disaster plans and related topics.

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Providing Shelter to Nursing Home Evacuees in Disasters: Lessons From Hurricane Katrina

Abstract: Nursing homes should develop and practice procedures to shelter and provide long-term access to mental health services following a disaster. Nursing homes should be integrated into community disaster planning and be classified in an emergency priority category similar to hospitals.

Cited by 70 publications

References 16 publications

Disaster-Related Injuries and Illnesses Treated by American Red Cross Disaster Health Services During Hurricanes Gustav and Ike

Disaster-Related Injuries and Illnesses Treated by American Red Cross Disaster Health Services During Hurricanes Gustav and Ike

Exploring the Demands on Nurses Working in Health Care Facilities During a Large-Scale Natural Disaster

Assessing Disaster Preparedness of Officials and Residents in Two North Carolina Counties

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