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Documentation in Long-Term and Home Healthcare Setting01:29

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Comprehensive care for vulnerable elderly veterans during disasters.

Maria Claver1, Aram Dobalian, Jacqueline J Fickel

  • 1Veterans Health Administration Emergency Management Evaluation Center and VAGLAHS HSR&D Center of Excellence for Study of Healthcare Provider Behavior, 16111 Plummer St. MS-152, Sepulveda, CA 91343, United States. mclaver@csulb.edu

Archives of Gerontology and Geriatrics
|August 21, 2012
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Summary

Veterans Health Administration nursing homes experienced challenges evacuating residents during hurricanes. Key informant interviews revealed physical, psychological, and social needs require integrated disaster planning for vulnerable long-term care populations.

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Area of Science:

  • Disaster medicine
  • Geriatric care
  • Healthcare management

Background:

  • Nursing home evacuations during Hurricanes Katrina and Rita highlighted significant challenges.
  • Veterans Health Administration (VHA) nursing homes (VANHs) have not been extensively studied in disaster contexts.
  • Understanding VANH experiences is crucial for comprehensive disaster response analysis.

Purpose of the Study:

  • To explore the evacuation experiences of vulnerable nursing home residents in VANHs.
  • To identify key characteristics and needs of this population during disasters.
  • To inform future disaster preparedness for long-term care facilities.

Main Methods:

  • Exploratory study design.
  • Interviews with key informants from VHA facilities, including nursing home staff and representatives.
  • Qualitative data analysis to identify themes related to resident experiences and needs.

Main Results:

  • Evacuation and sheltering processes presented significant difficulties.
  • Vulnerable residents experienced physical harm, psychological distress, cognitive decline, and increased social isolation.
  • Identified needs were interconnected, highlighting the complex biopsychosocial impact on residents.

Conclusions:

  • Disaster planning for VANHs must address the interconnected biopsychosocial needs of vulnerable residents.
  • Findings emphasize the critical role of long-term care facilities in disaster preparedness.
  • Integrated healthcare delivery systems should prioritize long-term care in disaster response strategies.