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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.
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Examining older adults' experiences with and response toward hurricanes within the context of the community of residence is key to both understanding their experiences and planning for future hurricanes. Specific to this research, the objective was to understand the current social network of older adults, or who provides care for whom under what circumstances, using the social constructionist perspective. Grounded theory combined with action research was the theoretical orientation guiding the study. Sources of data included the collection of household disaster plans, semi-structured interviews with older adult residents of housing authority neighborhoods, semi-structured interviews with community planners, and observation of community planning meetings. Data were gathered from older adults living in housing authority communities in Southeastern North Carolina using guidelines established by the North Carolina Department of Health and Human Services to develop individual disaster plans. The individual disaster plans were completed during face to face meetings with the older adults, as were semi-structured interviews. Semi-structured interviews were also completed with area planners. Agendas, minutes, and observational notes from disaster planning meetings were collected. The content of the individual disaster plans, semi-structured interviews, and observation notes were then analyzed to determine gaps that must be addressed in order to meet the overall needs of the community. Working with participants, the housing authority disaster response committee, and county planners, a neighborhood plan will be developed that reflects the social construction of all concerned for use in response to future hurricanes. The impact of the multiple levels of communities was apparent in this research. While common thematic processes emerged in data analysis, planners, housing authority personnel and residents of housing communities define community differently. There is discordance when they identify needed resources, and when they reflect on past experience. A power differential which resulted in stifling was also observed.
Older adults are considered one of the most vulnerable populations in natural disasters, and our knowledge of the communicative processes behind their disaster preparations is limited. Extant research has called for more scholarship to understand the antecedents to their preparations. One promising area in the literature is the notion of community for older adults. While perceptions of community have positive health benefits, there is little work that investigates the role of community perceptions in the natural disaster context for older adults. The focus of this effort is to bring more attention to the role that community and organizations have on risk behaviors for older adults by extending Witte’s (1992) Extended Parallel Process Model (EPPM). To accomplish this goal, this study incorporates the concept of community-efficacy into the perceptions of efficacy component of the model to better understand intention toward preparing in advance for natural disasters for older adults living in continuing care retirement communities (CCRCs). EPPM, generally an individual-centered health communication theory, includes the concepts of threat and efficacy, but overlooks a collective component, community-efficacy. Using quantitative survey data from two CCRCs in U.S., this research contributes to communication scholarship by highlighting how community-efficacy uniquely explains a significant, but small amount of additional variance on the intention to prepare for natural disasters above all other predictors in EPPM. This dissertation’s extension of the perceived efficacy components of EPPM can be useful at predicting older adults’ future disaster preparedness behaviors. Given the role of community resilience during natural disasters, as well as the beneficial impact of community within retirement communities, this dissertation examined several variables that influence the intention to prepare. The results show that disaster management perceptions, community identification, and response-efficacy moderate the relationship between community-efficacy and intention to prepare, while previous experience with natural disasters and communication with others before a natural disaster predicts the intention to prepare. Together, the investigation of these variables provides insight into both theoretical and practical considerations needed for understanding disaster preparations in the older adult context
Emerging Voices in Natural Hazards Research provides a synthesis of the most pressing issues in natural hazards research by new professionals. The book begins with an overview of emerging research on natural hazards, such as hurricanes, earthquakes, floods, wildfires, sea-level rise, global warming, climate change, and tornadoes, among others. Remaining sections include topics such as socially vulnerable populations and the cycles of emergency management. Emerging Voices in Natural Hazards Research is intended to serve as a consolidated resource for academics, students, and researchers to learn about the most pressing issues in natural hazard research today. Provides a platform for readers to keep up-to-date with the interdisciplinary research that new professionals are producing Covers the multidisciplinary perspectives of the hazards and disasters field Includes international perspectives from new professionals around the world, including developing countries
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.
This volume focuses on the status of the elderly and the disabled after disasters globally as well as the challenges of post-earthquake rebuilding in Haiti. The International Federation of the Red Cross and Red Crescent Societies has estimated that between 1987 and 2007, about 26 million older people were affected each year by natural disasters alone and that this figure could more than double by 2050 due to the rapidly changing demographics of ageing. People with disabilities (physical, medical, sensory or cognitive) are equally at risk of utter neglect during and after disasters. The Australian Agency for International Development estimates that 650 million people across the world have a disability and about 80 per cent of them live in developing countries. Similarly, before the January 2010 earthquake, Haiti was a “country with tremendous development needs and numerous impediments to development,” according to Congresswoman Maxine Waters when introducing a Resolution in the US House of Representatives to cancel Haiti’s debts in March 2007. These impediments included an overwhelming burden of international debt; lack of personal and community assets; and, very little or no internal and external capacities, all of which have been exacerbated by the aftermath of the earthquake. It was against this background that the Center for Rebuilding Sustainable Communities after Disasters at the University of Massachusetts Boston organized two international Conferences in 2010 – in April, on Rebuilding Sustainable Communities in Haiti in the wake of the January Earthquake; and, in July, on Rebuilding Sustainable Communities with the Elderly and Disabled People after Disasters. This edited book consists of selected papers that were presented at these academic events. The topics include Disaster Experiences of the Elderly and the Disabled in Nigeria; The Vulnerability of Elderly People in the Aftermath of Earthquakes in Iran; Methods for Assessing and Developing Understanding of Resiliency in Communities; The Tuareg’s traditional Shelter for Disaster Mitigation and Reconstruction in Libya; and, People with Disabilities in Haiti Before and After the 2010 Earthquake.
The baby boom generation were born between 1946 and 1964 and are the largest population cohort in US history. They should number about 90 million by mid-century, more than doubling their current size. The massive increase in seniors and relative decline of those of working age in the US is mirrored in almost all the world’s most populous countries. This book connects the dots between the US baby boom generation and the marked increase in natural and human-caused disasters. It evaluates options available to seniors, their aids, for and not-for and for-profit organizations and government to reduce vulnerability to hazard events. These include coordinated planning, risk assessment, regulations and guidelines, education, and other risk management efforts. Using interviews with experts, cases studies, especially of Superstorm Sandy, and literature, it culls best practice and identify major gaps. It is original and successful in making the connection between the growing group of vulnerable US seniors, environmental events, and risk management practices in order to isolate the most effective lessons learned.
"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