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照顾者灾害防备:保障老年人安全.pdf

上传人: 彩旗 编号:1158778 2026-03-02 44页 2.18MB

1、Disaster Preparedness for Caregivers:Ensuring Older Adults SafetyRickeah Henderson,MSW student1,Intern2&Allison Gibson,PhD,MSW,Associate Professor11.Saint Louis University,School of Social Work2.Department of Health and Senior Services What are disasters?Background:Older Adults Affected By Disaster

2、Older adults consistently have the highest rate of disaster-related deaths Older adults have the highest prevalence rates for:multiple chronic conditions limitations in activities of daily living(ADLs)instrumental activities of daily living(IADLs)social isolationPhoto credit:Patricia Fletcher,Hurric

3、ane Michael,2018STAGES OF DISASTERPreparednessResponseRecoveryStep 1Step 2Step 3STAGES OF DISASTERPreparednessAssessing unique needs and risk factors.Education on preparedness.Establishing support for the disaster plan.Step 1Step 2Step 3Organizational preparedness.Special needs registries.Community

4、planning.“DISASTER PREPAREDNESS”AN OXYMORON?If communities were prepared,we wouldnt call them disasters,would we?Still,the rapid increase in the number of both older adults and natural disasters(record numbers)necessitate action to mitigate catastrophic effects.A SLOW SHIFT IN THE STATUS QUOWorldwid

5、e,older adults consistently have the highest rate of disaster-related deaths relative to the general population Hurricane Katrina 2005:75%of fatalities were older adults(60 years and older)Sparked discussion among government agencies,non-profit organizations,relief workers,and medical and mental hea

6、lth workers on increasing disaster preparednessPRE-DISASTER RISK FACTORSSensory or cognitive impairment Physical decline Poor literacy Social isolation Financial vulnerabilityLow education VULNERABILITY PREVENTABILITYOlder adults have the highest prevalence rates for:multiple chronic conditionslimit

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1. **老年人灾害脆弱性**:老年人灾害相关死亡率最高,75%的卡特里娜飓风遇难者为60岁以上;普遍存在多重慢性病、日常生活能力受限及社会隔离问题。 2. **照护者关键角色**:照护者(含正式与非正式)在灾害各阶段至关重要,但常面临准备不足、资源短缺及决策压力,尤其痴呆症照护更复杂。 3. **灾害三阶段应对**: - **准备**:评估需求、教育支持、建立特殊需求登记; - **响应**:解决医疗中断、沟通障碍及安置问题; - **恢复**:关注行为健康(6-20%可能发展为PTSD)及财务损失。 4. **行动建议**:照护者需制定应急计划(含医疗包、物资储备)、认知障碍者专项方案,社区应整合照护者至规划系统。
老人如何避险? 照护者如何准备? 灾后如何重建?
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