The Controversy Inherent in Managing Frail Nursing Home Residents During Complex Hurricane Emergencies

Journal of the American Medical Directors Association

Volumn 9, Issue 8, 2008, Pages 599-604

  Dosa, David M ^b,c   Hyer, Kathryn ^d   Brown, Lisa M ^d   Artenstein, Andrew W ^a,e   Polivka West, LuMarie ^g   Mor, Vincent ^a,f  

^a Program to Integrate Psychosocial   (United States)

^b Center for Restorative and Regenerative Medicine   (United States)

^c RHODE ISLAND HOSPITAL   (United States)

^d UNIVERSITY OF SOUTH FLORIDA   (United States)

^e Memorial Hospital   (United States)

^f Florida Health Care Association   (United States)

^g NONE

Author keywords

disasters; emergency preparedness; Nursing homes

Indexed keywords

ARTICLE; CERTIFICATION; CLINICAL PROTOCOL; COMMUNITY CARE; COMORBIDITY; DECISION MAKING; DISASTER; DISEASE EXACERBATION; DISEASE PREDISPOSITION; DISEASE SEVERITY; ELDERLY CARE; EMERGENCY HEALTH SERVICE; FRAIL ELDERLY; GERIATRIC DISORDER; GOVERNMENT REGULATION; HEALTH CARE NEED; HEALTH CARE PLANNING; HEALTH CARE POLICY; HIGH RISK PATIENT; HOSPITALIZATION COST; HUMAN; HURRICANE; MENTAL STRESS; MORBIDITY; MORTALITY; NURSING CARE; NURSING HOME; NURSING HOME PATIENT; PATIENT TRANSPORT; PERSONAL EXPERIENCE; POSTTRAUMATIC STRESS DISORDER; PROGRAM DEVELOPMENT; PSYCHOLOGICAL WELL BEING; UNITED STATES;

EID: 52749091687     PISSN: 15258610     EISSN: 15389375     Source Type: Journal    
DOI: 10.1016/j.jamda.2008.05.007     Document Type: Article

References (59)

1. Katz A., Staiti A.B., and McKenzie K.L. Preparing for the unknown, responding to the known: communities and public health preparedness. Health Affairs 25 (2006) 946-957
2. Dosa D., Grossman N., Wetle T., and Mor V. To evacuate or not to evacuate: Lessons learned from Louisiana nursing home administrators following Hurricanes Katrina and Rita. J Am Med Dir Assoc 8 (2007) 142-149
3. Hyer K., Brown L.M., Berman A., and Polivka-West L. Establishing and refining hurricane response systems for long-term care facilities. Health Affairs 25 (2006) w407-w411
4. Belli A. 24 nursing home evacuees die in bus fire. Houston Chronicle. September 24, 2005:A1.
5. Harris G. In NH, a fight lost to rising waters. New York Times. September 7, 2005:A1.
6. Hull A, Struck D. At NH, Katrina dealt only the first blow. Washington Post. September 23, 2005:A01.
7. Langford T, Markley M. Evacuations plagued by problems. Houston Chronicle. September 27, 2005:A1.
8. Brodie M., Weltzien E., Altman D., et al. Experiences of hurricane Katrina evacuees in Houston shelters: Implications for future planning. Am J Public Health 96 (2006) 1402-1408
9. Kayman H., and Ablorh-Odjidja A. Revisiting public health preparedness: Incorporating social justice principles into pandemic preparedness planning for influenza. J Public Health Manag Pract 12 (2006) 373-380
10. Root E., Amoozegar J., and Bernard S. Nursing Homes in Public Health Emergencies: Special Needs and Potential Roles (2007), Agency for Healthcare Research and Quality, Rockville, MD Report No.: 07-0029-1
11. Eldar R. Vulnerability of disabled and elderly in disasters: Case-study of Israel during 'Desert Storm'. Med War 7 (1991) 269-274
12. Fernandez L.S., Byard D., Lin C.C., et al. Frail elderly as disaster victims: Emergency management strategies. Prehosp Disaster Med 17 (2002) 67-74
13. Mudur G. Aid agencies ignored special needs of elderly people after tsunami. BMJ 331 (2005) 422
14. Saliba D., Buchanan J., and Kington R.S. Function and response of nursing facilities during community disaster. Am J Public Health 94 (2004) 1436-1441
15. Office of the Inspector General. 2006. Nursing home emergency preparedness and response during hurricanes (OEI-06-06-00020), Washington DC: Department of Health and Human Services.
16. US General Accounting Office. 2006. Disaster preparedness: Limitations in federal evacuation assistance for health facilities should be addressed (GAO-06-826). Washington DC: Government Accountability Office.
17. Hyer K., Polivka-West L., and Brown L.M. Nursing homes and assisted living facilities: Planning and decision-making for sheltering in place or evacuation. Generations 31 (2007) 29-33
18. Shaughnessy P.W., and Kramer A.M. The increased needs of patients in nursing homes and patients receiving home health care. N Engl J Med 322 (1990) 21-27
19. Gabriel C. Characteristics of elderly NH residents and discharges: Data from 1997 National NH Survey. Adv Data 312 (2000) 1-15
20. Rothman M., and Brown L.M. Medical care for geriatric casualties during disasters. Generations 31 (2007) 20-24
21. Polivka-West L. 2006, August. Statement of LuMarie Polivka-West for the American Health Care Association/National Center for Assisted Living. To the National Transportation Safety Board Hearing on Wilmer, Texas, Highway Accident & Selected Federal Motor Carrier Safety Administration Oversight Issues.
22. Morrow B.H. Identifying and mapping community vulnerability. Disasters 23 (1999) 1-18
23. Harrington C., Carillo H., and LaCava C. Nursing facilities, staffing, residents and facility deficiencies, 1999 through 2005 (2006), University of California, San Francisco
24. Jones A. The National Nursing Home Survey: 1999 summary. National Center for Health Statistics. Vital Health Stat 152 (2002) 1-116
25. Chou Y.J., Huang N., Lee C.H., et al. Who is at risk of death in an earthquake?. Am J Epidemiol 160 (2004) 688-695
26. Nicole L.E., Strausbaugh L.J., and Garibaldi R.A. Infections and antibiotic resistance in nursing homes. Clin Microbiol Rev 9 (1996) 1-17
27. Semenza J.C., Rubin C.H., Falter K.H., et al. Heat-related deaths during the July 1995 heat wave in Chicago. N Engl J Med 335 (1996) 84-90
28. Brown L.M., Rothman M., and Norris F. Issues in mental health for older adults during disasters. Generations 31 (2007) 25-30
29. Capezuti E., Boltz M., Renz S., et al. Nursing home involuntary relocation: Clinical outcomes and perceptions of residents and families. J Am Med Dir Assoc 7 (2006) 486-492
30. Friedman S.M., Williamson J.D., Lee B.H., et al. Increased fall rates in nursing home residents after relocation to a new facility. J Am Geriatr Soc 43 (1995) 1237-1242
31. Farhall J., Trauer T., Newton R., and Cheung P. Minimizing adverse effects on patients of involuntary relocation from long-stay wards to community residences. Psychiatr Serv 54 (2003) 1022-1027
32. Thomasma M., Yeaworth R., and McCabe B. Moving day: Relocation and anxiety in institutionalized elderly. J Gerontol Nurs 16 (1990) 18-25
33. Feng Z., Intrator O., and Mor V. The effect of state case-mix payment on nursing home resident acuity. Health Serv Res 41 (2006) 1317-1336
34. Ford E.S., Mokdad A.H., Link M.W., et al. Chronic disease in health emergencies: In the eye of the hurricane. Prev Chronic Dis 3 (2006) A46
35. Aldrich N., and Benson W.F. Disaster preparedness and the chronic disease needs of vulnerable older adults. Prev Chronic Dis 5 (2008) A27
36. Mallick M., and Whipple T. Validity of the nursing diagnosis of relocation stress syndrome. Nurs Res 49 (2000) 97-100
37. Dosa D. Should I hospitalize my resident with nursing home-acquired pneumonia?. J Am Med Dir Assoc 6 (2005) 327-333
38. Rovner B. Prevalence of mental illness in a community nursing home. Am J Psychiatry 143 (1986) 1446-1449
39. Rosen J., Mulsant B., and Pollock B. Sertraline in the treatment of minor depression in nursing home residents: A pilot study. Int J Geriatr Psychiatry 15 (2000) 177-180
40. Parmelee P., Katz I., and Lawton M. Depression among institutionalized aged: Assessment and prevalence estimation. J Gerontol A Biol Sci Med Sci 44 (1989) M22-M29
41. Weissman D., Joranson D., and Hopwood M. Wisconsin physicians' knowledge and attitudes about opioid analgesic regulations. Wis Med J 90 (1991) 671-675
42. Cheok A., Snowdon J., Miller R., and Vaughan R. The prevalence of anxiety disorders in nursing homes. Int J Geriatr Psychiatry 11 (1996) 405-410
43. Pearson J. Research in late-life anxiety: Summary of a National Institute of Mental Health workshop on late-life anxiety. Psychopharmacol Bull 34 (1998) 127-138
44. Smalbrugge M., Pot A., Jongenelis K., Beekman A., and Eefsting J. Prevalence and correlates of anxiety among nursing home patients. J Affect Disord 88 (2005) 145-153
45. Administration on Aging. Transfer trauma: Minimizing the Impact on Community Based and Institutionalized Elders. May 31, 2006. Available at www.aoa.gov/Prof/Disaster_Assist/07DISITRAN.pdf.
46. In: Bongar B., Brown L., Beutler L., et al. (Eds). Psychology of Terrorism (2006), Oxford University Press, New York
47. Silver R.C., Holman E.A., McIntosh D.N., et al. Nationwide longitudinal study of psychological responses to September 11. JAMA 288 (2002) 1235-1244
48. Schuster M.A., Stein B.D., Jaycox L., et al. A national survey of stress reactions after the September 11, 2001, terrorist attacks. N Engl J Med 345 (2001) 1507-1512
49. Bellamy R., and Zajtchuk R. Conventional Warfare Ballistic, Blast, and Burn Injuries. Evacuation of Casualties with thermal injuries (1991), Office of the Surgeon General, Department of the Army, Washington DC
50. Harper P. Personal experience of aeromedical evacuation of patients in the Balkans. Br J Nurs 14 (2005) 202-204
51. Brown L.M., Hyer K., and Polivka-West L. A comparative study of federal and state laws, rules, codes and other influences on nursing homes' disaster preparedness in the Gulf Coast states. Behav Sci Law 25 (2007) 655-675
52. Mangum W.P., Kosberg J.I., and McDonald P. Hurricane Elena and Pinellas County, Florida: Some lessons learned from the largest evacuation of nursing home patients in history. Gerontologist 29 (1989) 388-392
53. Hyer K, Brown LM, Dosa D, Thomas K, Bond J, Polivka-West L. (2008). Caring for Vulnerable Elders in Florida Nursing Homes during Eight Hurricanes. (Unpublished).
54. Hyer K. Nursing homes and emergency response systems. The LTC Nurse's Companion 5 (2007) 5-6
55. US General Accounting Office. Status of Implementation of GAO Recommendations on Evacuation of Transportation-Disadvantaged Populations and Patients and Residents of Health Care Facilities. Washington, DC: US General Accounting Office, April 1, 2008. Publication GAO-08-844R.
56. US General Accounting Office. Disaster Preparedness: Limitations in Federal Evacuation Assistance for Health Facilities Should be Addressed. Washington, DC: GAO-06-826, July 20, 2006. Publication GAO-06-826.
57. Federal Emergency Management Agency. HAZUS-MH Best Practices: State of Florida. www.fema.gov/plan/prevent/hazus/hz_fl_bestpractices.shtm Accessed May 20, 2008
58. State of Florida Comprehensive Emergency Management Plan. http://www.floridadisaster.org/documents/CEMP/floridaCEMP.htm Accessed May 20, 2008
59. Wilson N. Hurricane Katrina: Unequal opportunity disaster. Public Policy Aging Report 16 (2006) 8-13