Geriatric Mental Health Disaster and Emergency Preparedness

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depression v., 287 during disasters, 21– 22 hallucination and, 287 medication and, 286 –287 mental status examination for, 287 Dementia, 283, 284, 285, 287–288, 341–343. See also Persons with dementia agitation in, 19, 344, 357 catastrophic reactions of, 351– 352 challenging behaviors and, 355 cognitive function infl uenced by, 349 – 350 during disasters, 364 early-stage considerations for, 352 – 353 fi rst responder consideration for, 356 – 358 limited communication skills of, 358 medications for, 15 MMSE assessment of, 287 music therapy for, 219 –220 of Nazi Holocaust survivors, 309 orientation and, 282 person-centered care for, 354 – 355 PTSD and, 352 response plan/identifi cation of, 355 – 356 shelters and, 357 training regarding care for, 354 wandering and, 350 – 351 Department for the Aging, New York City (DFTA), 59 Department of Defense (DOD), 338 Department of Emergency Services, Santa Clara, California, 68 Department of Homeland Security, U.S., 121 Department of Veterans Affairs, U.S., 43, 59 Depression, 18 –19, 41, 282, 283 – 284, 304 anxiety disorders and, 42 of caregivers, 366 – 367 chronic pain syndromes and, 42 delirium v., 287 help-seeking behavior and, 285 – 286 Hopelessness Scale for, 145 medication for, 302 symptoms of, 367 12-week antidepressant treatment trials for, 18 Index 409 Zung Self-Rating Depression Scale for, 145 DeWolfe, D., 7 DFTA. See Department for the Aging, New York City Diax, E., 213 Diazepam, 190 Digoxin, 286 Disaster(s), 4 – 9 AD acceptance/processing of, 344 appropriate health care during, 363 bereavement during, 21 case management for, 197–210 cognitive function decline and, 343 at community level, 119 –120 community volunteers and, 160 delirium during, 21– 22 dementia during, 364 emotional effects of, 42 – 43 fi ght-or-fl ight response in, 40 – 41 insomnia during, 22 leaders needed prior to, 159 –160 medication in, 34, 37– 39 mental health impacts of, 3, 5, 22 –23 mental health recovery from, 77 mental processes/body implications in, 39 – 40 older person relief response from, 365 older persons as resource during, 33 – 34 older person social support in, 127–128 practitioner trauma after, 132 regional area impacted by, 72 religion during, 368 residential facility notifi cation for, 355 response, refl ective practice and, 109 risk factors/psychological impact of, 274 – 277 schizophrenia and, 42 social interactions and, 43 spiritual care during, 235 stages of, 198 sympathetic nervous response to, 221 traumatic abuse history and, 292 –293 vulnerability for, 96 Disaster management (DM) education education gap in, 93 – 95 high-risk populations and, 94 – 95 insuffi cient program numbers for, 94 mock disasters and, 95
410 Index personnel needed for, 92 postsecondary courses for, 93 –94 Disaster Mental Health: A Critical Response , 78 –79 Disaster preparedness, 204 herbal remedies and, 222 multiapproach to, 239 – 240 problem-solving simulations for, 260 –268 for PWDS/family caregivers, 344, 348 rituals for, 235 –239 for specifi c /anticipated disasters, 204 –205 Disaster Prep Scenarios contingency cards for, 267–268 for interdisciplinary treatment teams, 260 –268, 269 role play in, 261, 262 –267 script for, 261–262 team leader guide for, 268 Disaster related elder mistreatment (DREM), 361– 373 actions associated with, 362 alcohol/drug abstinence during, 371 HelpAge International guidelines for, 372 as intentional action, 361– 362 prevention/management strategies for, 371– 372 risk factors for, 362, 366– 368 sociocultural/religious factors for, 367– 368 support structure, lack of, 368, 370 training /education on, 373 Disaster-related mental health comprehensive/individualized assessment for, 176 –181 connectedness promotion / hope installation, 184 during-disaster intervention for, 182 –185 EBC approaches to, 21–22 hierarchy of needs for, 183 –184 resilience and, 181–182 resiliency-based intervention approach to, 182 safety sense fostered / personal calming facilitated for, 183 Disaster response agencies AD/dementia tips for, 357– 358 short-term responsibilities of, 209 Disaster Response Centers, 205 – 206 District Guardian Program, of Manitoba, 147 Division of Aging and Seniors (DAS), 91 DM. See Disaster management education DNR. See Do not resuscitate DOD. See Department of Defense Donepezil, 343 Do not resuscitate (DNR), 307, 311 Drama therapy, 219 DREM. See Disaster related elder mistreatment E EBC. See Evidence-based care practices EBP. See Evidence-based practice ECT. See Electroconvulsive therapy Effectiveness and Effi ciency: Random Refl ections on Health Services (Cochrane), 9 Ehrenreich, J. H., 365, 366 Elder mistreatment. See also Disaster related elder mistreatment abandonment as, 361 AD predisposition to, 349 fraud/fi nancial abuse as, 366, 372 health care provider discovery of, 372 Elder mistreatment needs assessment, 368 – 371 postassessment maintenance and, 369 practical suggestions from, 371 SWiFT as, 369 Electroconvulsive therapy (ECT), 16, 309 Ellis, A., 162, 303 Emergency Management Framework for Canada , 96 Emergency preparedness, 4 – 6 community organizations and, 130 –131, 135 grassroots organization v. federal organizations, 90 older persons/disabled persons assisted from, 166–168 Red Cross kit for, 149 training importance for, 379 – 380
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Geriatric Mental Health Disaster an
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Geriatric Mental Health Disaster an
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Dedicated to Flo Aaroe, who personi
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Contributors xi Foreword by Robert
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14 Geriatric Assessment for Differe
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xii Contributors Terry Fulmer, PhD,
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xiv Contributors Douglas M. Sanders
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Foreword With the increase in the n
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Preface The rage you feel does more
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Preface xxi and (3) influence the d
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Preface xxiii as key to the prepara
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Acknowledgments In connection with
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1 A Primer for Disaster and Emergen
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Chapter 1 A Primer for Disaster and
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2 Older Persons in Disasters and Em
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Chapter 2 Older Persons in Disaster
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NORMAL CHANGES WITH AGING ORGANS/SY
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Immune Function Laboratory Tests Em
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48 Geriatric Mental Health Disaster
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Table 3.3 GEC GEPR COLLABORATIVE PR
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Table 3.3 GEC GEPR COLLABORATIVE PR
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Community Response to the Needs of
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5 National and Cross-National Model
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Chapter 5 National and Cross-Nation
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6 Supervision and Facilitated Refl
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Chapter 6 Supervision and Facilitat
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INTERNATIONAL TREATIES Team Respons
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120 Geriatric Mental Health Disaste
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8 Self-Help Tools for Older Persons
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Chapter 8 Self-Help Tools for Older
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9 Volunteers: Who Are They and What
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Chapter 9 Volunteers 159 munity com
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Chapter 9 Volunteers 161 RECRUITING
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Chapter 9 Volunteers 163 et al.). O
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Chapter 9 Volunteers 165 cial effor
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Chapter 9 Volunteers 167 nizations
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VOLUNTEERS PROVIDING AND RECEIVING
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Chapter 9 Volunteers 171 Gibson, M.
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Clinical Response to the Needs of O
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Table 10.1 PRE-DISASTER/BASELINE DO
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Table 10.2 DURING-DISASTER SYMPTOM
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Table 10.3 POSTDISASTER SYMPTOM DOM
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Table 10.5 POSSIBLE BENEFITS OF SEL
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12 Complementary and Alternative Ap
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Chapter 12 Complementary and Altern
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Where to Find a Therapist Chapter 1
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Self-Care Chapter 12 Complementary
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13 The Interdisciplinary Treatment
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Chapter 13 The Interdisciplinary Tr
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Choose solutions Review literature
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14 This chapter focuses on the ment
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Chapter 14 Geriatric Assessment for
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15 Bereavement and Grief: What Is N
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Chapter 15 Bereavement and Grief 29
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The Length of Mourning Chapter 15 B
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16 The Experience of Vulnerability
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Chapter 16 The Experience of Vulner
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17 Alzheimer’s Disease and Relate
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Chapter 17 Alzheimer’s Disease an
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n Do your best to remain calm. The
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