Related Experiment Video
Updated: Apr 3, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Geriatric Disaster Preparedness
Mary Colleen Bhalla1, Amos Burgess1, Jennifer Frey1
11Department of Emergency Medicine,Summa Akron City Hospital,Akron,OhioUSA.
Few older adults have disaster plans, highlighting a critical need for improved emergency preparedness. Most elderly individuals require essential medications and medical supplies during evacuations, underscoring their vulnerability.
Area of Science:
- Gerontology
- Emergency Medicine
- Public Health
Background:
- Elderly individuals are particularly vulnerable during disasters due to chronic conditions and reliance on medication or equipment.
- Many older adults depend on caregivers for daily living activities (ADLs) and instrumental activities of daily living (IADLs).
- Coordinated disaster preparedness efforts for the elderly population are essential.
Purpose of the Study:
- To assess the disaster preparedness, potential needs, and resource requirements of older adults in a local disaster scenario.
- To identify specific medical supplies, equipment, and assistance older adults might require during an evacuation.
Main Methods:
- A survey was administered to 100 community-residing patients and visitors aged 65 and older in an urban emergency department.
- The survey collected data on existing disaster plans and essential resources needed in case of evacuation.
- Data analysis included calculating means and proportions with 95% confidence intervals.
Main Results:
- Only 31% of older adults surveyed had a disaster plan, with most including food and water, but fewer had medication or evacuation plans.
- A significant majority of respondents indicated needs for medications (93%), glasses (78%), and assistance with transportation (39%) if evacuated.
- Many also required walkers (33%), wheelchairs (15%), and had medical equipment dependent on electricity (21%).
Conclusions:
- A minority of older adults in this study possessed a disaster plan, indicating a significant gap in preparedness.
- Most respondents would require essential medications and various medical supplies during an evacuation.
- There is a clear need to enhance disaster preparedness and support systems for the elderly population.
Related Concept Videos
Drug Dosing: Geriatric Patients
Pharmacodynamics in Geriatric Patients: Effects of Age
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Absorption
Heart Failure VII: Nursing Interventions
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Distribution
Planning Nursing Care I

