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 [email protected]
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