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Geriatric Mental Health Disaster and Emergency Preparedness

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depression v., 287<br />

during disasters, 21– 22<br />

hallucination <strong>and</strong>, 287<br />

medication <strong>and</strong>, 286 –287<br />

mental status examination for, 287<br />

Dementia, 283, 284, 285, 287–288,<br />

341–343. See also Persons with<br />

dementia<br />

agitation in, 19, 344, 357<br />

catastrophic reactions of, 351– 352<br />

challenging behaviors <strong>and</strong>, 355<br />

cognitive function infl uenced by,<br />

349 – 350<br />

during disasters, 364<br />

early-stage considerations for, 352 – 353<br />

fi rst responder consideration for,<br />

356 – 358<br />

limited communication skills of, 358<br />

medications for, 15<br />

MMSE assessment of, 287<br />

music therapy for, 219 –220<br />

of Nazi Holocaust survivors, 309<br />

orientation <strong>and</strong>, 282<br />

person-centered care for, 354 – 355<br />

PTSD <strong>and</strong>, 352<br />

response plan/identifi cation of, 355 – 356<br />

shelters <strong>and</strong>, 357<br />

training regarding care for, 354<br />

w<strong>and</strong>ering <strong>and</strong>, 350 – 351<br />

Department for the Aging, New York City<br />

(DFTA), 59<br />

Department of Defense (DOD), 338<br />

Department of <strong>Emergency</strong> Services, Santa<br />

Clara, California, 68<br />

Department of Homel<strong>and</strong> Security, U.S.,<br />

121<br />

Department of Veterans Affairs, U.S., 43,<br />

59<br />

Depression, 18 –19, 41, 282, 283 – 284, 304<br />

anxiety disorders <strong>and</strong>, 42<br />

of caregivers, 366 – 367<br />

chronic pain syndromes <strong>and</strong>, 42<br />

delirium v., 287<br />

help-seeking behavior <strong>and</strong>, 285 – 286<br />

Hopelessness Scale for, 145<br />

medication for, 302<br />

symptoms of, 367<br />

12-week antidepressant treatment<br />

trials for, 18<br />

Index 409<br />

Zung Self-Rating Depression Scale for,<br />

145<br />

DeWolfe, D., 7<br />

DFTA. See Department for the Aging,<br />

New York City<br />

Diax, E., 213<br />

Diazepam, 190<br />

Digoxin, 286<br />

<strong>Disaster</strong>(s), 4 – 9<br />

AD acceptance/processing of, 344<br />

appropriate health care during, 363<br />

bereavement during, 21<br />

case management for, 197–210<br />

cognitive function decline <strong>and</strong>, 343<br />

at community level, 119 –120<br />

community volunteers <strong>and</strong>, 160<br />

delirium during, 21– 22<br />

dementia during, 364<br />

emotional effects of, 42 – 43<br />

fi ght-or-fl ight response in, 40 – 41<br />

insomnia during, 22<br />

leaders needed prior to, 159 –160<br />

medication in, 34, 37– 39<br />

mental health impacts of, 3, 5, 22 –23<br />

mental health recovery from, 77<br />

mental processes/body implications in,<br />

39 – 40<br />

older person relief response from, 365<br />

older persons as resource during, 33 – 34<br />

older person social support in, 127–128<br />

practitioner trauma after, 132<br />

regional area impacted by, 72<br />

religion during, 368<br />

residential facility notifi cation for, 355<br />

response, refl ective practice <strong>and</strong>, 109<br />

risk factors/psychological impact of,<br />

274 – 277<br />

schizophrenia <strong>and</strong>, 42<br />

social interactions <strong>and</strong>, 43<br />

spiritual care during, 235<br />

stages of, 198<br />

sympathetic nervous response to, 221<br />

traumatic abuse history <strong>and</strong>, 292 –293<br />

vulnerability for, 96<br />

<strong>Disaster</strong> management (DM) education<br />

education gap in, 93 – 95<br />

high-risk populations <strong>and</strong>, 94 – 95<br />

insuffi cient program numbers for, 94<br />

mock disasters <strong>and</strong>, 95

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