Comprehensive care for vulnerable elderly veterans during disasters
Comprehensive care for vulnerable elderly veterans during disasters
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DOI：
10.1016/j.archger.2012.07.010
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发表时间：
2013-01-01
影响因子：
4
通讯作者：
Mallers, Melanie Horn
中科院分区：
文献类型：
--
作者：
Claver, Maria;Dobalian, Aram;Mallers, Melanie Horn
尽管在卡特里娜和丽塔飓风期间疗养院居民的疏散和庇护存在问题，但探索退伍军人健康管理局(VHA)疗养院(VANH)的经验对于全面检查医疗保健社区对这些灾难的反应是必要的。这些飓风期间的Vanh疏散还没有得到广泛的研究。这一探索性项目旨在提供有关弱势养老院居民的疏散经验和特征的信息。与疗养院工作人员和代表一起对VHA设施的关键线人进行的访谈显示，身体伤害、心理困扰、认知能力下降和社会孤立加剧是这一弱势群体值得特别关注的领域。此外，生理、心理和社会需求相互关联，相互影响。这些发现有助于在综合医疗保健提供系统中满足养老院居民的生物、心理和社会需求，以及更广泛地说，长期护理设施在规划未来灾难中的作用。爱思唯尔爱尔兰有限公司出版。
Despite problematic evacuation and sheltering of nursing home residents during Hurricanes Katrina and Rita, an exploration of the experiences of Veterans Health Administration (VHA) nursing homes (VANHs) is necessary for a comprehensive examination of the healthcare community's response to these disasters. VANH evacuations during these hurricanes have not been widely studied. This exploratory project aimed to provide information about the evacuation experiences and characteristics of vulnerable nursing home residents. Interviews with key informants from VHA facilities with nursing home staff and representatives revealed that physical harm, psychological distress, cognitive decline and increased social isolation were areas that deserved special attention for this vulnerable population. Moreover, physical, psychological and social needs were interconnected in that each influenced the others. Findings contribute to the general conversation about meeting the biopsychosocial needs of nursing home residents in an integrated healthcare delivery system and more broadly, the role of long-term care facilities in general in planning for future disasters. Published by Elsevier Ireland Ltd.