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CDC (2012) “Identifying Vulnerable Older Adults and Legal Options in Increasing

ID: 235827 • Letter: C

Question

CDC (2012) “Identifying Vulnerable Older Adults and Legal Options in Increasing Their Protection During All-Hazards Emergencies”, Healthy Aging Program.

https://www.cdc.gov/phpr/documents/aging.pdf

After reading the CDC article above,

1.Identify one media resource or communication relating to an actual emergency where these needs were not appropriately addressed

2.Briefly summarize the reading you selected, outlining the emergency preparedness policies and special needs it addresses. 3.Describe the content of the communication you identified where these needs were not met and provide a link to the communication in your post.

4.Make concrete suggestions for how this emergency could have been handled differently to consider this select population's needs and to adhere to PHEP policies.

Explanation / Answer

Each Vulnerable older adult will require an emergency management. The emergency management expectations are: Emergency management planning— they should be engaged in an ongoing, continuous process to ensure that emergency management plans (EMP) are appropriate. Linkages and collaborations— they should maximize their linkages and collaborations. Communications and information sharing—they should have policies and procedures for communicating and sharing information with internal and external stakeholders. Maintaining financial and operational stability—their business plans should address financial viability in the event of an emergency.

Emergencies can disrupt care provided to vulnerable older adult patients by significantly increasing demand for services or severely impacting current operations. An emergency management plan or EMP (also known as an emergency operations plan or disaster plan) is essential to minimize the disruption of services for patients.

The EMP should address the four phases of emergency management—mitigation, preparedness, response, and recovery:

They should initiate emergency management planning by conducting a risk assessment such as a Hazard Vulnerability Analysis. The risk assessment should identify potential emergencies and the direct and indirect effects these emergencies may have on them and the demand for services. The risks identified in the risk assessment should be prioritized based on the likelihood of occurrence and severity and addressed in the EMP. There are many risk assessment tools available and they are encouraged to use the tools that best meets their specific needs. These could include a sudden and abrupt event such as an explosion or a sustained event over a longer period of time such as pandemic influenza.

To find out if there is an established community and/or regional EMP, they should contact their local county government.

EMP should address the following components as appropriate and necessary for them to respond to an emergency:

Individuals impacted by emergencies often experience significant emotional stress. Communications and Information sharing -

During an emergency, standard communication systems are often overwhelmed or destroyed and they will likely have difficulty accessing critical information. A well-defined communications plan is an important component of an effective EMP. The EMP should identify their policies and procedures for communicating with internal (staff, patients, special populations, Governing Board) and external (appropriate Federal, State, local, and Tribal agencies) stakeholders as well as with the public during emergencies.

They should also develop policies and procedures that describe who will be responsible for communicating important information and which agencies or groups should receive communication, the process for how the communication will take place, and what general information should be communicated.

They are encouraged to work with their State and/or local public health department in developing appropriate communication messages for patients. Local radio and television may be useful for communicating such messages. All educational materials and other emergency information should be culturally and linguistically appropriate and developed at reading levels appropriate for the population being served.

The EMP should identify backup (also referred to as redundant) communication systems in the event that standard communication systems are unavailable and include these in its EMP. Example of redundant communication systems include: two-way radios, mobile/cell phones, and wireless messaging like GIS. Their communication policies, procedures, command structure, and backup communication systems should be tested in conjunction with the EMP at least on an annual basis or more frequently, as appropriate. Their communications systems should be integrated into the local health care and community systems and be tested in conjunction with these systems.

The quality of key decisions made during emergencies is critically dependent on the availability of current, accessible, accurate, and relevant information. Data reporting assists decision makers in assessing the current situation and identifies critical needs,such as suppling and staffing, that are essential to continuing the provision of care prior to, during and after an emergency. Data reporting can assist local communities in positioning resources and facilitate access to these resources for them.

As part of these plans, they should annually review their insurance coverage to ensure that it is current and that the coverage is adequate.  In addition to developing, implementing, and maintaining an EMP, they should continually look for opportunities to enhance awareness, educate and train boards, evaluate and test procedures, and integrate emergency management into what the older adults does on a daily basis.

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