DeprescribingJessica Visco, PharmD, CGP

SeniorPharmAssist

August 24, 2016

Deprescribing

Jessica Visco, PharmD,

CGP

SeniorPharmAssist

Webinar #1

Webinar #21

Emergency Preparedness for Older Adults Living in the Community

Tina Hamlin

EMS Coordinator City of Durham Fire Department

Taylor S. Davis

Durham County Emergency Management Coordinator

Disclosures No commercial support has influenced the planning of the

educational objectives and content of the activity. Any

commercial support will be used for events that are not CE

related.

There is no endorsement of any product by DUHS

associated with the session.

No influential financial relationships have been disclosed by

planners or presenters which would influence the planning of

the activity. If any arise, an announcement will be made at

the beginning of the session.

This program is supported by a Geriatric Workforce

Enhancement Program (GWEP) grant (U1QHP28708) from

the U.S. Bureau of Health Professions Health Resources

and Services Administration (HRSA).

Objectives

Discuss the challenges of accessing a patient in need

who cannot provide access to their residence.

Discuss ways to provide First Responders speedy

access to your residence.

Discuss the Vial of Life and how it benefits the patient

and First Responders.

Residential Forcible Entry

Residential Knox Box

Vial of Life

Objectives

Discuss the role of Emergency Management and what

happens during a disaster

Discuss how to be personally prepared

Get A Kit, Make A Plan, Stay Informed

Discuss the importance of being prepared for your

decision to evacuate or shelter-in-place

Discuss the Access and Functional Needs Program

Emergency Management supports

Discuss the impact disasters have on the older population

in our community

Emergency Management North Carolina Emergency Management Act 166A-19

Reduce vulnerability of people and property of this State to damage,

injury, and loss of life and property.

Prepare for prompt and efficient rescue, care, and treatment of

threatened or affected persons.

Provide for the rapid and orderly rehabilitation of persons and

restoration of property.

Provide for cooperation and coordination of activities relating to

emergency mitigation, preparedness, response, and recovery among

agencies and officials of this State and with similar agencies and

officials of other states, with local and federal governments, with

interstate organizations, and with other private and quasi-official

organizations.

Emergency Management Hazardous Materials Federal Regulations

SARA Title III

40 CFR

OSHA 1910.120

What is Emergency Management?

Why Plan for Disasters?

Emergencies in Durham

Natural – “lack of control”

Hurricanes

Flooding

Tornadoes

Winter Weather

Wildfires

Volcanoes

Tsunamis

Earthquakes

Extreme Heat

Landslides/Mudslides

Lightning

Emergencies in Durham

Technological – “loss of control”

Dam/Levee Failure

Industrial Accident

Mine Accident

Pipeline Explosion

Hazardous Materials Release

Radiological Release

Train Derailment

Urban Conflagration

Utility Disruption

Transportation Accidents

Emergencies in Durham

Human-made

Active Shooter

Armed Assault

Biological Attack

Chemical Attack

Cyber-attack

Data

Infrastructure

Explosives Attack

Improvised Nuclear Attack

Nuclear Terrorism Attack

Radiological Attack

Get A Kit

Preparedness

ready.gov/build-a-kit

Home, Car, and Work!

Extra eyeglasses and hearing aid batteries

Special Health Needs

Catheters, Feeding tube, ostomy supplies

Over the counter medications

Blankets, battery powered fans, freezable towels

Preparedness

Make A Plan

How will you reach family members in an emergency?

Family Communications Plan

Emergency Contact List

Create a support network

Have an extra key available

Direct deposit for Federal Benefits

Emergency Plans for clinic or hospital

Vital Records and Documents

Medical-alert tags or bracelets

Copies of medical insurance

List of meds including dosages, allergies, and doctors

Make A Plan

Preparedness

Be Informed

NOAA Weather Radio

Battery-powered Radio

Only trust Reliable and Verified Sources

Sign up for Alert Durham!

Emergency Alert System (EAS)

Door-to-Door Warnings

Stay Informed

Disaster Information DTV Channel 8 (Durham TV)

Local TV Media Stations

WUNC – PBS Channel 4

WRAL – NBC Channel 5

WTVD – ABC Channel 11

WNCN – CBS Channel 17

WLFL – CW Channel 22

NOAA Weather Radio – 162.550

Local Radio Stations

WQDR – 94.7 FM

WRAL – 101.5 FM

WUNC – 91.5 FM

Plan NowEvacuate or Shelter-in-Place

Shelter-in-Place

Do you have enough water & food?

Medical Supplies?

Personal Care Support?

Is your home safe?

Generator, Flood Zone, Interior Safe Zone

Prefill Prescriptions!

Plan NowEvacuate or Shelter-in-Place

Evacuation

Do you have a location? (Family, Friend, Shelter)

Transportation?

Assistance in evacuating?

Supplies?

Personal Care Support?

Operation of necessary equipment

Assistance with medications

Don’t forget Fido! Make A Plan

Boarding Facilities

Pet Friendly Hotels

Shelter

must register your pet

with your ID

Microchip

include out of area

contact

Neighbor Check

Get A Kit

Food

Water

Medicines

Medical Records

Pet Carrier

Sanitation

Picture of you and your pet

Collar/harness/leash

ID tag, rabies tag

Familiar items for your pet

Access and Functional Needs

Program

AFN Program Medical or Physical need that may require professional

assistance during an evacuation and sheltering

situation but do not require transportation to the shelter

Medical or Physical need that may require professional

assistance during an evacuation and sheltering

situation and do require transportation to the shelter

If you are elderly and have mobility issues with no

medical needs but require transportation to the shelter

during an evacuation and sheltering situations

AFN Program

Evacuation Assistance Information

Communication Limitations

Transportation Needs

Has difficulty walking and requires…

Oxygen Dependent

Medical Equipment not easily transportable

Vulnerabilities of Older Adults

Health & Medical Concerns

High Prevalence of chronic

conditions

Sensory and physiological

changes associated with

aging

Cognitive impairment

Mobility impairment

Risk of Trauma

Nutritional Needs

Socioeconomic Concerns

Transportation & evacuation

assistance

Reliance on home-based

services

Targets for fraud and abuse

Resistance to seek aid

Reluctance to leave pets

Limited Resources

Threats and their Affects Evacuation and Sheltering:

Separate older adults from family, friends, caregivers

Disrupt treatment and management of medical conditions

Disorient older adults

Worsen cognitive impairments, depression, anxiety

Exacerbate chronic conditions due to dietary and

nutritional needs

Fear loss of independence and placement in an

institutional setting

Resist abandoning valued possessions

Feel they can’t start over after they leave

Threats and their Affects

Pandemics, Social Distancing, Shelter-in-Place

Isolate older adults from supports and community-based

activities

Disrupt home-based services such as home health care

and meal delivery

Disrupt routine medical care for managing chronic

conditions

Depression and anxiety due to isolation

Agency Continuation of Services

Critical Services or “Mission Essential Functions”

What are they? Who determines? Who do they affect?

Remote Access to necessary records

Risks and Hazards

What are they? How often? What do they affect?

Services, Clients, Staff

Internal Communications

Phone tree, call-in number, website update, social media

External Communication

Are you following up with your clients and how?

Partnership and Collaboration

Provide shared services

Increase services necessary due to disaster

Stretch scare resources

Make effective use of facilities and staff

Resolve programmatic differences before disaster

Train together

Formulate consistent messages for the public

Culture of Preparedness Everyone can do something to make themselves safer!

Be flexible and resilient!

Vulnerable persons know best what their specific needs

and capabilities entail

Expectation gap between what people expect the

government to be able to do and what it can really

achieve in disasters

Plan for the whole community

Get Involved! Community Emergency

Response Team

Medical Reserve Corps

Community Organizations

Active in Disaster

Volunteer Fire Department

Start a neighborhood watch

program

Connect with Us!

@AlertDurham

www.AlertDurham.com

Continuing Education Credits 1 hour of CE credit is being offered for this webinar.

For the live webinar, to obtain the credit you must:

Add your name to the chat box (to verify attendance)

Complete the survey. The survey will open automatically at the end of the webinar and the link will be sent in a follow-up email.

If you did not register for this webinar and would like CE credit, contact gero@duke.edu