Disaster Planning Considerations Involving the Geriatric Patient: Part II

Multi-disciplinary Care for the Elderly in Disasters: An Integrative Review

“…Some of the specific examples from this category were implications of “do not resuscitate” (DNR) orders and other advance directives, allocation of care and triage in the elderly, and liability at all levels and places of care 20 42 , 43 , 45 , 50 , 53…”

“…Lack of adequate medical records and current medication lists were identified as being significant barriers to care. 4,20,30,[41][42][43][44][45]48,54 Community, hospital, and long-term care facilities recognized that policies and guidance concerning evacuating versus sheltering in place were lacking. yyy In some instances, facilities were forced to evacuate with little notice and reported higher morbidity and mortality than if they had sheltered in place.…”

“…Some of the specific examples from this category were implications of ''do not resuscitate'' (DNR) orders and other advance directives, allocation of care and triage in the elderly, and liability at all levels and places of care. 20,42,43,45,50,53 Discussion While the authors sought to understand the issues surrounding care of the elderly in public health emergencies, the breadth, depth, and scope of topics discovered in this integrative review were considerable. There was one cross-cutting observation relative to age versus functional capacity.…”