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Disaster Services with Frail Older Persons: From Preparation to Recovery

  • Priscilla D. Allen
  • H. Wayne Nelson
Chapter

Abstract

Hurricanes claim the lives of the frail elderly more than any other age group due to this population’s reduced health status and heightened dependence, especially for those institutionalized. Social workers are obligated and ethically compelled (NASW, 1996, Code of ethics of the National Association of Social Workers. Washington, DC: NASW) to meet this high-risk group’s disaster readiness and recovery needs as posed to them by unexpected meteorological crises like Hurricanes Katrina, Rita, Gustav, and Ike. This chapter critically assesses social works’ tested but largely unheralded traditional disaster roles, as well as new ones that are emerging in the wake of Katrina and in light of recent developments in the field of emergency preparedness. These mandate that the social work profession boost its capacity and capability to provide competent emergency services to ease the suffering of older individuals before, during, and after a crisis. Recommendations by the AMA, The American Red Cross, AARP, and various disaster and gerontological scholars are synthesized.

Keywords

Nursing Home Nursing Home Resident Disaster Management Emergency Preparedness Social Work Profession 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Allen, P. D. (2007). Social work in the aftermath of disaster: Reflections from a special needs shelter on the LSU campus. Reflections, 13(3), 127–137.Google Scholar
  2. American Red Cross. (2000). The American Red Cross Disaster Mental Health Services: Development of a cooperative, single function, multidisciplinary service model. The Journal of Behavioral Health Services and Research, 27(3), 314–320.CrossRefGoogle Scholar
  3. Bellavita, C. (2005). Changing homeland security: The issue-attention cycle.Homeland Security Affairs, 1(1), 1–6, Retrieved October 17, 2008,from http://www.hsaj.org/pages/volume1/issue1/pdfs/1.1.1.pdf
  4. Browning, C. R., Wallace, D., Feinberg, S. L., & Cagney, K. A. (2006, August). Neighborhood social processes, physical conditions, and disaster-related mortality: The case of the 1995 Chicago heat wave. American Sociological Review, 71, 661–678.CrossRefGoogle Scholar
  5. Brunkard, J., Namulanda, G., & Ratard, R. (2008). Hurricane Katrina deaths, Louisiana, 2005. Disaster medicine and public health preparedness. Retrieved October 11, 2008, from http://www.dmphp.org/cgi/content/abstract/DMP.0b013e31818aaf55v1
  6. Campos-Outcalt, D. (2006). Disaster medical response: Maximizing your effectiveness. The Journal of Family Practice, 55(2), 113–116.PubMedGoogle Scholar
  7. Carafano, J. J. (2007). FEMA and federalism: Washington is moving in the wrong direction, The Heritage Foundation. Retrieved July 2, 2007, from http://www.heritage.org/Research/HomelandDefense/bg2032.cfm
  8. Centers for Disease Control and Prevention. (2007). Health information for older adults. Retrieved on July 16, 2008, from http://www.cdc.gov/aging/info.htm#2
  9. Cherry, K. E., Allen, P. D., & Galea, S. (In Press).  Older adults and natural disasters:  Lessons learned from Hurricanes Katrina and Rita.  In P. Dass-Brailsford (Ed.), Crisis and disaster counseling:  Lessons learned from Hurricane Katrina and other disasters. Thousand Ooks, CA: Sage.Google Scholar
  10. City of New Orleans. (n.d.). Office of Emergency Preparedness. Comprehensive emergency management plan. Retrieved September 28, 2005, from http://www.cityofno.com/pg- 46-26-hurricanes.aspx
  11. Clinton, J. J., Hagebak, B. R., Sirmons, J. G., & Brennan, J. A. (1995). Lessons learned from the Georgia floods, Public Health Reports, 110, 684–688.PubMedGoogle Scholar
  12. Dyer, C., Festa, N. A., Cloyd, B., Regev, M., Schwartzberg, J. G., James, J., et al. (2006). Recommendations for best practices in the management of elderly disaster victims. Baylor College of Medicine and the American Medical Association. Retrieved July 16, 2008, from http://www.bcm.edu/pdf/bestpractices.pdf
  13. Elder Law Answers. (2008). Nursing home residents among last to be evacuated; Many die Retrieved June 6, 2008, fromhttp://www.elderlawanswers.com/resources/article.asp?id=4903&section=4
  14. Faffer, J. I. (2007). In the eye of the storm: Responding to senior needs before, during, and after. Journal of Jewish Communal Service, 83(1), 70–74.Google Scholar
  15. Fernandez, L. S., Byard, D., Lin, C. C., Benson, S., & Barbera, J. A. (2002, April–June). Frail elderly as disaster victims: Emergency management strategies. Prehospital and Disaster Medicine. Retrieved October 16, 2008, from http://www.gwu.edu/?icdrm/publications/67-74_fernandez.pdf
  16. Friedsam, H. J. (1960, Winter). Older persons as disaster casualties. Journal of Health and Human Behavior, 1, 267–278CrossRefGoogle Scholar
  17. Hazzard, W. R., Blass, J. P., Ettinger, W. H., Halter, J. B., & Ouslander, J. G. (1999). Principles of geriatric medicine and gerontology (4th ed.). New York: McGraw-Hill.Google Scholar
  18. Huber, R., Nelson, H. W., Netting, F. E., & Borders, K. (2007). Elder advocacy: Essential knowledge and skills across settings. Belmont, CA: Thomson, Brooks Cole.Google Scholar
  19. James, C. H., & Scantlebury, C. (2008, Winter). After the storm: When Houston becomes home. Generations, 31(4), 55–56.Google Scholar
  20. Kailes, J. I. (2005). Disaster services and “special needs”: Term of art or meaningless term? Retrieved July 8, 2007, from http://www2.ku.edu/Errtcpbs/findings/pdfs/SpecialsNeeds.pdf
  21. Knowles, R. M. (2007). Family resiliency among hurricane survivors: Resource loss, prior traumatic events, and cumulative stress. Unpublished thesis, Louisiana State University, Baton Rouge. Retrieved December 3, 2008, from http://etd.lsu.edu/docs/available/etd- 07112007-150118/unrestricted/RobinKnowlesThesis.pdf
  22. Knowles, R. M., & Garrison, B. (2006). Planning for elderly in natural disasters. Disaster Recovery Journal, 19(4), n.p. Retrieved on December 4, 2008,from http://www.drj.com/articles/fall06/1904-07p.html
  23. Laditka, S. (n.d.). Protecting our most vulnerable citizens: Lessons learned from Katrina to improve readiness in nursing homes. University of South Carolina. Retrieved October 27, 2008, from http://www.sc.edu/katrinacrisis/laditka.shtml
  24. Lamb, K. V., O’Brien, C., & Fenza, P. J. Elders at risk during disasters. Home Healthcare Nurse, 26(1), 30–8.Google Scholar
  25. Landesman, L. Y. (2005). Public health management of disasters: A practice guide (2nd ed.). Washington, DC: American Public Health Association.Google Scholar
  26. Louisiana Public Broadcast. (1998). A Science Odyssey. A worldwide flu pandemic strikes, 1918–1919. Retrieved October 10, 2008, from http://www.pbs.org/wgbh/aso/databank/entries/dm18fl.html
  27. Marscher, F. (2004). Elderly in Florida at risk in every hurricane season. BNET. Retrieved October 8, 2008, from http://findarticles.com/p/articles/mi_qn4188/is_/ai_n11475506
  28. McCarthy, J. F., Blow, F. C., & Kales, H. C. (2004). Disruptive behaviors in veterans affairs nursing home residents: How different are residents with serious mental illness? Journal of the American Geriatrics Society, 52(12), 2031–2038.PubMedCrossRefGoogle Scholar
  29. McGlown, K. J. (2004). Terrorism and disaster management: Preparing healthcare leaders for the new reality. Chicago: Health Administration Press.Google Scholar
  30. Mead, R. A. (2006, Spring). St. Rita's and lost causes: Improving nursing home emergency preparedness. 7 Marquette Elder’s Advisor, 2, 153–201.Google Scholar
  31. Mellor, M. J. (2003). From the editor. Journal of Gerontological Social Work, 40(4), 1–2.CrossRefGoogle Scholar
  32. MSNBC (2005, September 30). Officials deny responsibility for evacuee bus fires. Retrieved October 3, 2008, from http://www.msnbc.msn.com/id/9547486
  33. National Association of Social Workers (NASW). (1996). Code of ethics of the National Association of Social Workers. Washington, DC: NASW.Google Scholar
  34. National Association of Social Workers. (2000). Disasters. InSocial work speaks, National Association of Social Workers policy statements, 2000–2003 (pp. 67–77). Washington, DC: NASW Press.Google Scholar
  35. National Long Term Care Ombudsman Resource Center. (n.d.). Center emergency procedures from the CDC. Retrieved October 6, 2008, from http://www.ltcombudsman.org/ombpublic/49_369_4543.cfm.
  36. Nelson, H. W., & Arday, D. (2007). Medical aspects of disaster preparedness and response: A system overview of civil and military resources and new potential. Joint Center for Operational Analysis Journal, 9(2), 42–55.Google Scholar
  37. Nelson, H. W., Borders, K., Huber, R., & Netting, F. E. (2008). Assessing long term care ombudsman program readiness to assist long term care facilities in the event of a disaster. Unpublished raw data.Google Scholar
  38. Padgett, D. (2002). Social work research on disasters in the aftermath of the September 11 tragedies. Social Work Research, 26(3), 185–192.CrossRefGoogle Scholar
  39. Puig, M. E., & Glynn, J. B. (2003). Disaster responders: A cross-cultural approach to recovery and relief work. Journal of Social Service Research, 30(2), 55–66.CrossRefGoogle Scholar
  40. Sahyoun, N. R., Pratt, L. A., Lentzner, H., Dey, A., & Robinson, K. N. (2001). The changing profile of nursing home residents: 1985–1997. Aging Trends No. 4. Retrieved October 28, 2008, from http://www.cdc.gov/nchs/data/ahcd/agingtrends/04nursin.pdf
  41. Senior Journal (2008, April 30). Alzheimer’s, dementia & mental health. Retrieved October 27, 2008, from http://seniorjournal.com/NEWS/Alzheimers/2008/8-04-30-SeniorDementia.htm
  42. Sharkey, P. (2007). Survival and death in New Orleans: An empirical look at the human impact of Katrina. Journal of Black Studies 37(4), 482–501.CrossRefGoogle Scholar
  43. Spader, C. (2005). Understanding transfer trauma. Nurse Week. Retrieved October 28, 2008, from http://www2.nursingspectrum.com/articles/article.cfm?aid=18535
  44. Sylves, R. (2008). Disaster policy and politics: Emergency management and homeland security. Washington, DC: University of Delaware.Google Scholar
  45. Torgusen, B. L., & Kosberg, J. I. (2006). Assisting older victims of disasters: Roles and responsibilities for social workers. Journal of Gerontological Social Work, 47(1/2), 27–44.PubMedCrossRefGoogle Scholar
  46. Wallace, J. R. (2005). Social work management in an age of terrorism. The national network for social work managers. Retrieved October 10, 2008, from https://www.socialworkmanager.org/articles.php?id=article0
  47. Webb, R. (2000). NASW and the American Red Cross partners in disaster mental health. Retrieved September 15, 2008, from http://www.socialworkers.org/practice/health/redcross.asp
  48. Weiner, E., Irwin, M., Trangenstein, P., & Gordon, J. (2005). Emergency preparedness curriculum in nursing schools in the United States. Nursing Education Perspectives, 26 (6), 334–339.PubMedGoogle Scholar
  49. Western Illinois Area Agency on Aging. A guide to the basics of disaster preparedness. Retrieved October 19, 2008, from http://www.wiaaa.org/rsvp/basic_disaster_preparedness.htm
  50. Yeoman, B. (2007, September). Katrina: The untold story. AARP, The Magazine, 72–79. Retrieved on October 28, 2008, from http://www.aarpmagazine.org/people/Katrina_untold_story.html
  51. Zakour, M. (1996). Disaster research in social work. In C. L. Streeter & S. A. Murty (Eds.), Research on social work and disasters (pp. 7–25). Philadelphia: Haworth Press.Google Scholar
  52. Zakour, M. J., & Harrell, E. B. (2003). Access to disaster services: Social work interventions for vulnerable populations. Journal of Social Service Research, 30(2), 27–54.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  1. 1.LSU Life Course and Aging Center, School of Social WorkLouisiana State UniversityBaton RougeUSA
  2. 2.Department of Health ScienceTowson UniversityTowsonUSA

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