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Kentucky Links

OVAR-GEC UK/UofL

KY Department for Public Health

KY Community Crisis Response Board

KY Emergency Management

KY Office of Homeland Security

KY TRAIN

How to use TRAIN (pdf)

KY Department of Aging

KY Area Agencies on Aging

KY Outreach & Information Network -- KOIN

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National Links

FEMA

CDC

National Organization on Disability

American Red Cross

Pandemic Flu

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World Health Org.

Epidemic and Pandemic Alert and Response (EPR)

Avian influenza

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Resources

Agency Emergency Plan template

Family Emergency Plan template

Newsletter Archive

Contact Us

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VIDEO CONFERENCE OPPORTUNITY ACROSS KENTUCKY

The Kentucky Summer Series on Aging is pleased to announce a free video conference for long term care providers, health department personnel and community-based organizations serving seniors offered through the ITV facilities at regional health departments across Kentucky.

The workshop entitled, Emergency Readiness in Long Term Care, will be held from 3:30-5:00 (EDT) on June 23, 2008 Register Now!!.
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INSIDE THIS ISSUE ...

HEALTH LITERACY: ARTICLES & RESOURCES

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EMERGENCY READINESS IN LONG TERM CARE VIDEO CONFERENCE

The Kentucky Summer Series on Aging is pleased to announce a free videoconference for long term care providers, health department personnel and community-based organizations serving seniors offered through the ITV facilities at regional health departments across Kentucky.

The workshop entitled, Emergency Readiness in Long Term Care, will be held from 3:30-5:00 (EDT) on June 23, 2008.

Hurricanes Katrina and Rita brought national attention to the vulnerability of elders and highlighted the need to coordinate resident and staff evacuation of long term care facilities. The session will compare the National Response Plan and Stafford Act as the foundation documents for federal disaster preparedness planning and response, with the work being accomplished at the local, state, and regional levels.

The "Evacuation Decision-Making Criteria for Nursing Homes" will be presented and discussed with a focus on the key decision points around evacuation or "sheltering in place."

The software template being developed with the support of the John A. Hartford Foundation and the "aligned disaster preparedness guide will be presented and discussed as the basis for the regional planning model.

Video Conference Learning Objectives

The presenter for this videoconference is LuMarie Polivka-West, MSP. Ms. Polivka-West is the Senior Vice President, Chief of Clinical Services, with the Florida Health Care Association and is responsible for the planning and implementation of long term care related policies and programs, and staffing the Quality Credentialing Program and serves as the Principal Investigator for the John A. Hartford Foundation Disaster Preparedness grant.

Currently 11 Health Departments across the state will be hosting the training on Monday, June 23rd from 3:30-5:00pm.

Please register for this training 1) on TRAIN AND 2) completing an OVAR-GEC registration information form. Handouts and Social Work CE request forms will be forwarded prior to the training. Please feel free to pass this on to anyone who might be interested.

We look forward to having you join us on the 23rd. For more information, please contact us at Diana Lockridge or 859-257-2658.

Please register: 1) on TRAIN Course # 1012281 AND 2) complete an OVAR-GEC registration information form.

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HEALTH LITERACY & AGING

Health literacy is defined as "the degree to which people have the capacity to obtain, process and understand basic
health information and services to make appropriate health decisions" (Parker, Ratzan, Lurie, 2003). Results of the
National Adult Literacy Survey found almost half (48%) of adults in America had inadequate reading skills needed
to understand and act on health information. Among a sample of approximately 3000 Medicare recipients who were
interviewed, over one-third were assessed at marginal or inadequate health literacy. These individuals were likely to
be minorities, have lower incomes and less education and be older than those with adequate health literacy. Those
with lower health literacy also reported higher rates of chronic conditions including diabetes, hypertension, heart failure and arthritis. These chronic conditions are treated with medication which requires functional health literacy to take recommended dosages at prescribed times and often times involve taking medication with food for optimum efficacy. Physical functioning, mental health and management of activities of daily living are all negatively associated with low health literacy placing already vulnerable elders at more risk than seniors with adequate literacy.
(Wolf, Gazmararian & Baker, 2005).

Links:

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HEALTH LITERACY & EMERGENCY PREPAREDNESS

The risk factors that operate for elders with low health literacy can be amplified at a time of emergency response
both in the home environment and in evacuation to a community shelter. In-home emergency response calls for a
centrally located emergency plan that includes contact information of family members, a central point of phone
contact for all family members and an updated listing of medical conditions of the elder, medications and dosages as
well as medical equipment or assistive devices. This information is critical for self-management of the emergency
response, family response and any home health care response.

In the event of a mandatory evacuation to a community shelter, an individual emergency plan (in their own language and in English) needs to accompany the elder. Shelters and shelter operators are not equipped for special needs populations, especially those who have limitations with communication, language, ambulation, stress management or cognitive impairment. Problems with transportation may occur and access to needed medications and medical equipment, dietary needs and assistance with activities of daily living such as feeding, bathing and toileting may not be available. An updated emergency plan attached to the evacuee may serve to give voice to the needs of the elder and provide the professionals at the shelter site with necessary health information about the evacuee to mitigate negative consequences.

Links:

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LESSONS LEARNED

Significant learning has occurred as a result of the devastating hurricanes in 2005 to hit the Gulf Coast, particularly for vulnerable elders and persons living with disabilities. Gaps in health literacy at the individual level, professional level and organizational level exacerbated the stresses of the trauma and may have contributed to negative outcomes for vulnerable elders even through the recovery phase. In a report following the Houston response to Hurricane Katrina where 23,000 persons were evacuated from New Orleans to the Houston Astrodome, dramatic evidence was reported of the stresses on seniors even months after the Hurricane. Baylor College of Medicine set up a medical unit within hours of evacuee arrivals. Of those seen in the unit, 56% were seniors. Of those who died after evacuation, 64% were 60 or over. The majority died of chronic health conditions.

During the evacuation period at the Astrodome, many elders could not manage bathing or toileting due to physical, medical or cognitive impairment. Some lost eyeglasses, hearing aids and other personal medical equipment including wheel chairs severely limiting their ability to self-manage. Some frail seniors were separated from their families in transport or had no family to be with in the shelter. As a result, gerontological professionals formed advocacy teams, Seniors Without Families Triage teams to address the needs of the seniors until the evacuation response effort was completed. This group of professionals learned how critical it is for organizations and professionals to plan for disaster response to include provisions for frail elders and persons with disabilities before an emergency. This in essence is professional and organizational health literacy.

Ten Recommendations for Best Practices came out of the review by the Baylor teams and the American Medical Assn. following the Katrina experience for the management of elderly disaster victims.
1. Develop a federal tracking system for elders and other vulnerable adults,
2. Create separate shelter areas for elders and other vulnerable adults,
3. Involve gerontologists from all disciplines in emergency preparedness and delivery of care during an emergency,
4. Involve agencies in the region that specialize in serving elders in planning efforts before a disaster,
5. Utilize the specialized knowledge of gerontologists in training and education of front-line workers, volunteers and first responders,
6. Use a triage system as developed by the Houston teams for both pre-and post disaster assessments,
7. Establish communication links within the shelter between the shelter director and those overseeing the shelter area set aside for frail elders and vulnerable adults,
8. Establish mechanisms to protect elders from fraud and abuse,
9. Establish regional plans for evacuation of homebound special needs populations and those residing in nursing homes,
10. Conduct emergency drills before the disaster and research afterwards.

Links:

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EMERGENCY PREPAREDNESS TOOLS AVAILABLE IN OTHER LANGUAGES


Western Languages (Bosnian, Brazilian, French, Spanish, Portuguese, Russian, Ukranian)

Asian Languages (Chinese, Hmong , Japanese, Hindi, Korean, Marshallese, Tagalog, Vietnamese)

African Languages (Somali)

Middle Eastern Languages (Arabic)

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UPCOMING TRAININGS

UNIVERSITY OF KENTUCKY / UNIVERSITY OF LOUISVILLE TRAINING RESOURCES

Regional Trainings
In anticipation of a crisis situation where emergency response will be required for and by older adults as well as organizations serving them, these trainings will offer techniques, tools and resources to assist and support preparedness for all ranges of hazards. These include preparedness for older adults as well as organizational planning, communication, response and recovery by service providers across county lines. Discussions will be held with service providers (and older adults where applicable) to increase awareness of the needs and concerns of older adults in the region during an emergency. Further, organizations will have an opportunity to learn how to facilitate tabletop exercises to test their preparedness plans and measures (where available). Free CEs available.

Dates of Upcoming Trainings Across Kentucky:

  • Lexington, Summer Series on Aging - June 2008

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LOANABLE TRAINING RESOURCES FROM THE UNIVERSITY OF KENTUCKY AGING LIBRARY

To reserve items below, please call UK OVAR Geriatric Education Center (859) 257-2658

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OVAR/KDPH Partnership
KY Department of Homeland Security University of Kentucky KY Department of Public Health University of Louisville OVAR GEC