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Disaster Public Health and Older People introduces professionals, students and fieldworkers to the science and art of promoting health and well-being among older people in the context of humanitarian emergencies, with a particular focus on low- and middle-income country settings. Older people face specific vulnerabilities in physical, mental and social well-being during disasters. They are likely to experience socio-economic marginalisation, isolation, inaccessible information and a lack of relevant post-emergency support services. Meanwhile, although older people can also significantly contribute to disaster preparedness, response and recovery, their capacities are often under-utilised. Drawing on a range of global case studies, this book provides readers with a theoretical underpinning, while suggesting actions at the individual, community and national levels to reduce the health risks to older people posed by the increasing frequency and intensity of disaster, in particular those resulting from natural hazards. Topics covered range from the health impact of disasters on older people and response to their post-disaster health needs, to disaster preparedness, disease prevention, healthy ageing, global policy developments and the contributions of older people in disaster contexts. This book draws on lessons learnt from previous disasters and targets students and professionals working in disaster medicine, disaster public health, humanitarian studies, gerontology and geriatrics.
Disaster Preparedness for Seniors: A Comprehensive Guide for Healthcare Professionals outlines specific disaster scenarios for homebound, community, hospitalized, long term care, homeless and aged veterans. Chapters are written by a diverse group of authors, all of whom offer insight and expertise in training healthcare professionals in preparing for disasters. Topics include myths and realities of natural disasters and disaster preparedness for special populations of elders-the acute care elderly, the community-dwelling elderly, home based primary care senior veterans, the immune-compromised elderly, those with multiple and co morbid illnesses, the long-term care elderly, those elderly at the end of life and the effects of disaster on caregivers. A significant portion of the book is also devoted to training, competencies, literacy, cultural competency and resilience in disaster preparedness as well as the role of the academic medical center. The volume concludes with coverage of the management of behavioral, medical and psychological consequences of disasters. Disaster Preparedness for Seniors: A Comprehensive Guide for Healthcare Professionals is an important new volume and will serve as a guide for the development of programs, policies and procedures for evacuation of seniors during various disaster scenarios.
"Geriatric Mental Health Disaster and Emergency Preparedness significantly contributes to the somewhat limited literature available on this topic." --The Gerontologist "This is a must-read book for clinicians, service providers, policy makers, program planners, and teachers in the fields of mental health, aging, and emergency preparedness." From the Foreword by Robert N. Butler, MD This book provides a comprehensive overview of the essential information that everyone working, or hoping to work in the field of aging, should know about disasters, emergencies, and their effects on the mental health and well-being of older persons. It provides the reader with evidence-based approaches for identifying and classifying mental health problems, such as Post-Traumatic Stress Disorder (PTSD), depression, and substance use disorders in older adults, which may occur during and post disasters/emergencies. Specific attention is given to the special needs and approaches to the care of at-risk groups of older persons such as veterans and holocaust survivors; older adults who are isolated, dependent, have mobility problems, communication deficits, are cognitively impaired, or have other co-morbidities; elders who use meals-on-wheels, vital medications, or home care; or older persons who are in senior centers, nursing homes, or assisted living settings. Key Features Increases understanding of the mental health issues in older adults Provides tools that can foster resiliency and recovery at the community, group, and individual levels Influences the development of positive responses to disasters that can potentially minimize adverse mental and physical outcomes in older persons and maximize individual and group recovery
This comprehensive volume provides a practical framework for evaluation, management and disposition of this growing vulnerable patient population.
Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.
Older people have often been overlooked in disasters and conflicts, and their concerns have rarely been addressed by emergency programs or planners. This analysis seeks to highlight factors that particularly affect older people in emergencies, especially health-related concerns, propose a strategy to raise awareness about older people in emergencies and recommend policies and practices to address these considerations. Until recently, older people's needs in disasters and conflicts were addressed only by broader adult health and humanitarian programs. This has changed as several recent emergencies highlighted this population's vulnerabilities. Of the 14 800 deaths in France during the 2003 heat wave, 70% were of people over 75 years. Of the estimated 1330 people who died in the wake of Hurricane Katrina, most were older persons. In Louisiana, 71% of those who died were older than 60 years; 47% of this group were over 77 years old. Worldwide, the UNHCR has estimated that older persons make up 8.5% of the overall refugee population, and in some cases comprise more than 30% of caseloads. In 2005, approximately 2.7 million people over the age of 60 were living as refugees or internally displaced persons. Globally, the proportion of older people is growing faster than any other age group. In 2000 one in ten, or about 600 million, people were 60 years or older. By 2025, this figure is expected to reach 1.2 billion people, and in 2050 around 1.9 billion. In developing countries, where 80% of older people live, the proportion of those over 60 years old in 2025 will increase from 7% to 12%. The increasing population of older people has drawn attention to the need to revise humanitarian policies to adequately serve this group s basic living and health requirements. From a health perspective, it is important to recognize the needs of older persons and to develop appropriate policies to promote emergency health care. Yet it is equally critical to assess and prepare for demographic and health trends that determine the shape of future emergencies. By 2050, the prevalence of disability in some developing countries is projected to rise by 400% as the population ages. At the same time, it is important to observe that the older population as a whole is neither helpless nor dependent. Most older people are capable of coping and adapting, despite increasing poor health and frailty as they age. Older people contribute immeasurably to their families and communities in various roles, and commonly sacrifice their well being to help their children and grandchildren. In Africa, the HIV/AIDS epidemic has seen older persons assume responsibility for raising many thousands of orphaned grandchildren and other children in need. Finally, older people contribute to their communities their decades of accumulated experience, knowledge and understanding. This insight makes them an essential resource and potential partner in developing emergency preparedness and response programmes.
Climate change is having an immediate and sometimes life-threatening impact, especially for older adults – generally speaking, people 65 or older. Older adults often face mobility, cognitive, and resource challenges, which contribute to a disproportionate number of deaths in the face of major disasters. But some challenges are less visible. Consider the grandparent who no longer can stand and wait at the bus stop because of the heat, or the retiree who lives in a home with black mold due to chronic flooding that she can’t afford to remediate or leave because of her limited fixed income. Our population is aging—by 2034, the US will have more people over 65 than under 18. Despite the evidence that climate change is severely impacting older adults, and the reality that communities will be confronted with more frequent and more severe disasters, we’re not prepared to address the needs of older adults and other vulnerable populations in the face of a changing climate. In Climate Resilience for an Aging Nation, community resilience and housing expert Danielle Arigoni argues that we cannot achieve true resilience until communities adopt interventions that work to meet the needs of their oldest residents. She explains that when we plan for those most impacted by climate, and for those with the greatest obstacles to opportunity and well-being, we improve conditions for all. Arigoni explores how to integrate age-friendly resilience into community planning and disaster preparedness efforts through new planning approaches—including an age-friendly process, and a planning framework dedicated to inclusive disaster recovery—to create communities that serve the needs of older adults better, not only during disasters but for all the days in between. Examples are woven throughout the book, including case studies of age-friendly resilience in action from New York State; Portland, Oregon and Multnomah County; and New Orleans. Climate Resilience for an Aging Nation will help professionals and concerned citizens understand how to best plan for both the aging of our population and the climate changes underway so that we can create safer, more livable communities for all.