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Multi-disciplinary Care for the Elderly in Disasters: An Integrative Review
Heather L Johnson1, Catherine G Ling1, Elexis C McBee2
11The Uniformed Services University of the Health Sciences,Daniel K. Inouye Graduate School of Nursing,Bethesda,MarylandUSA.
Prehospital and Disaster Medicine
|November 20, 2014
Summary
Older adults, especially those with chronic conditions or in long-term care, face greater disaster risks. Healthcare providers need enhanced skills for effective elderly care during emergencies, focusing on functional capacity, not just age.
Area of Science:
- Gerontology
- Disaster Medicine
- Public Health
Background:
- Older adults are disproportionately impacted by disasters.
- Vulnerable subgroups include frail elders, those with chronic conditions/disabilities, and residents of long-term care facilities.
Purpose of the Study:
- To identify essential knowledge and skills for multi-disciplinary healthcare providers caring for elderly populations during humanitarian and disaster-relief efforts.
Main Methods:
- Systematic literature search using PubMed, CINAHL, and PsycINFO.
- Inclusion criteria applied to 46 selected articles.
Main Results:
- Lack of clear policies for evacuation vs. sheltering-in-place for older adults.
- Need for defined standards of care, legal/ethical guidelines, and liability clarification for elderly disaster preparedness.
- Emphasis on functional capacity over chronological age in disaster planning.
Conclusions:
- Elderly individuals should be involved in disaster planning as experts.
- Multifaceted disaster planning and curriculum development are necessary.
- Consideration of biophysical, psychosocial, ethical, legal, logistical, and resource aspects is crucial for effective elderly care during disasters.
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