Long Term Care Facilities: Are they Equipped to respond to Disasters?
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Transcript of Long Term Care Facilities: Are they Equipped to respond to Disasters?
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Long Term Care Facilities: Are they Equipped to respond to Disasters?
Sandra P. Hirst RN, PhD, GNC(C)
IFA, 2012
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Outline
• Laying the context of our work– Population of LTC facilities
• Literature review– Initial review
• Overview of study– Questions– Method
• Findings – Challenges
• Promoting connections• Population specific• implementation
• Discussion of Findings
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Context of Our Work: LTC
Residents
StaffPolicies, practice
s, legislati
on
Physical structur
e
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Resident Population of LTC
• Special challenges– Functional ability e.g. walking, ability to follow instructions– Medications / life essential treatments e.g. O2– Equipment e.g. wheelchair, walkers
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Residents
StaffPolicies, practice
s, legislati
on
Physical structur
e
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• Policies, regulations, and laws– Brown, Hyer & Polivka-West, 2007– Hyer, Polivka-West & Brown, 2007
• Evacuation plans used by LTC facilities– Castle, 2008– Fitzgerald, 2008
• Response systems– Castro, Pearson, Berstrom & Cron, 2008– Hyer, Brown, Berman & Polivka-West, 2006– Laditka, Xirasagar, Cornman & Ritchter, 2008
• Impact upon residents– Castle & Engberg, 2011
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Overview of our Study: Questions
• What challenges are faced in the introduction of disaster management technology into long term care facilities?
• What recommendations / strategies might facilitate the adaptation of disaster management technologies into long term care facilities?
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Method
• Environmental scan– specialized searches of Academic One
File, Academic Search Complete, and Credo databases
– free word texts– Interlibrary loan
• Internet search• Informal conversations key
stakeholders
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Limitations
• English speaking resources– Research – Some translation from French
• Obtainable by reviewers• Last decade for publications /
credibility / current trends
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Findings
• Promoting Connections– Challenges
• Promoting communication and meeting information needs
• Structural specific factors• Inadequate infrastructures
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• Population Specific– Challenges
• Transportation of older adults with complex needs• Medication and equipment management• Location / Tracking
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• Implementation– Challenges
• Lack of consensus on value• Negative misconceptions• Lack of financial incentives
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Strategies to Address Identified Challenges
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Connectivity Specific Strategies
• Raise awareness of benefits of disaster management technologies in LTC
• Improve interconnectivity
• Consider GPS technology
• Integrate social connectedness
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Population Specific Strategies
• Initiate resident tracking systems
• Design and market technologies with LTC in mind
• Advance vehicle locating
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Implementation Specific Strategies• Develop the infrastructure necessary to make
disaster management technology initiatives effective
• Provide incentives for various technology providers
• Support research that values aging services / disaster management / technology
• Raise awareness about effective disaster management technologies for LTC
• Advocacy efforts• Identify and learn from “best practices”• Promote a culture of under-promising and over-
delivering
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Thank you