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NURS FPX 6618 Assessment 3 Disaster Plan With Guidelines for Implementation

Student Name

Capella University

NURS-FPX 6618 Leadership in Care Coordination

Prof. Name:

Date

Disaster Plan with Guidelines for Implementation: Tool Kit for the Team

Hello, everyone! This is __. First, I want to thank you all for listening to my presentation. In healthcare practice, it is crucial to be prepared for difficult times and devise a plan to overcome challenges, especially in care coordination for the elderly population with chronic illnesses. This assignment provides an overview of a disaster plan to assist during such times.

Outline of the Presentation

The topics I will cover are:

  • Care coordination needs
  • Elements of a Disaster Preparedness Project Plan
  • Personnel and Material Resources Needed in Emergencies
  • Standards and Best Practices for Safeguarding
  • Interagency and Interprofessional Relationships
  • Local, National, and International Regulatory Requirements
  • Care coordination team

Care Coordination Needs of the Elderly Population

The elderly population is significantly at risk during disasters, as it becomes challenging to provide adequate care with proper coordination. Challenges include unmet healthcare needs, emergency and chronic illness management, limited accessibility to healthcare, insufficient equipment, and a shortage of healthcare providers (Chung, 2022). During the pandemic, meeting the healthcare needs of the elderly, such as medication and palliative care for chronic illnesses, was notably difficult. The CDC recommended nursing homes in the U.S. restrict visitation, cease activities, cancel group meals, and advise elderly individuals to stock up on medications and minimize outside contact (Lebrasseur et al., 2021).

Quarantine measures exacerbated difficulties for the elderly with chronic illnesses in managing their conditions and accessing healthcare services (Chen et al., 2020). Challenges included obtaining timely screenings, emergency check-ups, and routine healthcare visits such as dialysis or surgeries. Lockdowns led to postponed or canceled appointments, reducing screening, consultation, and monitoring, with severe consequences (Hartmann-Boyce et al., 2020). These challenges hindered healthcare organizations’ ability to support the elderly population.

To address this, many countries implemented online consultations, integrated technology into healthcare, and advised medication stockpiling. For instance, the Chinese Geriatric Endocrine Society provided guidelines for hyperglycemic crises, medication management, and certified internet-based medical services, ensuring minimal exposure during hospital visits (Hartmann-Boyce et al., 2020). These measures enable planning for evacuation and equipment management during pandemics, while educating the community on disease prevention and establishing an effective medication or e-helpline portal.

Critical Elements of a Disaster Preparedness Tool Kit

Disasters significantly impact healthcare systems, creating unmet primary care and mental health needs that persist in the disaster response phase. To ensure care coordination during such times, a disaster preparedness toolkit is vital. Post-pandemic research highlighted the need for attention to mental health issues and primary care needs (Mughal et al., 2023). Disaster effects on care coordination include delays in care for high-risk patients, financial and resource shortages, unmet needs, and burnout among professionals (Han & Suh, 2023).

The toolkit’s importance lies in fostering patient-centered, collaborative care and prioritizing the elderly with chronic conditions. Effective communication mechanisms must inform the elderly and their caregivers about available resources, protective measures, and evacuation routes. Team collaboration, including doctors, nurses, social workers, e-health providers, dieticians, and pharmacists, is essential for care delivery through timely coordination.

Factors to ensure adequate care include training the care coordination team in skills necessary for disaster settings, such as triage and mental health support. Collaboration with external organizations, such as NGOs and government bodies, ensures equitable care. Additionally, identifying high-risk patients helps prioritize care and track progress through e-health systems. Resources can be allocated and monitored through Hazard Vulnerability Analysis, which assesses potential damages and resources to enhance resilience to disasters (Emergency Preparedness, 2011). Financial aid through appropriate infrastructure can also support the elderly during crises.

Personnel and Material Resources Needed in Emergencies

Key personnel and material resources needed in emergencies (Frennert, 2023) include:

  • Personnel Resources:

    • First responders (emergency medical technicians, paramedics, doctors, nurses) to provide medical care.
    • Social workers to offer psychological support and assess social determinants of health.
    • Geriatric care managers for preventive awareness, individualized plans, and monitoring.
    • Pharmacists for medication management and drug availability.
    • Community health workers for education, awareness, and support in outreach communities.
  • Material Resources:

    • Access points of care (triage centers, emergency rooms) to treat patients while minimizing exposure.
    • Transportation (ambulances) equipped with life-support equipment for safe patient transport (Hartmann-Boyce et al., 2020).
    • Ventilators for elderly patients with respiratory distress.
    • Medical supplies (PPE, medications, IV fluids) for immediate patient treatment.

Effective emergency preparedness requires a balance between personnel and material resources, influenced by variations in country-wide capacities. Challenges include availability of trained professionals and communication difficulties due to lack of physical contact, which can impede progress.

Standards and Best Practices for Safeguarding

Providing ethical and culturally competent care for vulnerable populations, such as the elderly with chronic illnesses, is crucial. Healthcare professionals must adhere to a robust framework of standards and best practices, emphasizing beneficence and non-maleficence. Research highlights the need for an ethical balance when treating the elderly, minimizing risks while maximizing benefits, and respecting their autonomy (Frennert, 2023). Cultural competency training is essential to understand diverse backgrounds and ensure culturally sensitive care. Compliance with HIPAA regulations safeguards patient privacy and confidentiality, maintaining the integrity of care plans (U.S. Department of Health and Human Services, n.d.). These standards enable healthcare professionals to navigate cultural and language barriers and ensure competent care for the elderly.

Interagency and Interprofessional Relationships

Effective coordinated care relies on collaboration among professionals and organizations. The Federal Emergency Management Agency (FEMA) coordinates federal disaster response, providing resources for disaster management and supporting state and local agencies during crises. Aligning with FEMA ensures resource allocation for unified disaster management. The Centers for Disease Control and Prevention (CDC) collaborates by setting preventive guidelines for the elderly, supporting interprofessional teams in care coordination. Interagency relationships are critical for effective care provision, facilitating resource regulation, informed decision-making, and comprehensive care planning (Shah et al., 2022).

Local, National, or International Regulatory Requirements

Regulatory requirements, such as HIPAA, help maintain the privacy and security of health information, allowing organizations to share patient data for public health and safety during disasters. The National Disaster Recovery Framework emphasizes collaboration among recovery managers to rebuild social, environmental, and economic factors post-disaster. Compliance with regulatory requirements, resource allocation, and adherence to response protocols ensure effective disaster management (Lebrasseur et al., 2020). Non-compliance can lead to resource wastage, coordination problems, and increased financial burden on the state.

Care Coordination Team

Preparing a care coordination team is essential for implementing the project plan for the elderly with chronic illnesses. Clearly defining team roles and responsibilities prevents duplication of efforts and ensures accountability. Personalized care plans tailored to individual needs address specific health concerns and improve outcomes. Cultural competency training enhances trust and patient engagement. Emergency preparedness, including response protocols, ensures continuity of care during crises. Regular meetings promote problem-solving and collaborative decision-making.

Anticipated questions may include:

  • Why conduct culturally competent training?
  • Why have regular meetings?
  • How will we handle emergencies and care for the elderly population?

Responses: Cultural competency improves patient engagement, while regular meetings ensure effective communication and problem-solving. Emergency protocols ensure safety and continuity of care. Potential resistance to protocols may occur, but awareness and education can mitigate this.

Conclusion

In conclusion, this presentation outlined a toolkit to support care for the chronically ill elderly population during challenging times like pandemics. It addressed the impact of pandemics on care provision, elements of disaster preparedness, necessary resources, safeguarding standards, the role of interagency relationships, regulatory requirements, and the care coordination team. Thank you for your attention. If you have any questions, please feel free to ask.

References

Chan, E. Y. Y., Kim, J. H., Lo, E. S. K., Huang, Z., Hung, H., Hung, K. K. C., Wong, E. L. Y., Lee, E. K. P., Wong, M. C. S., & Wong, S. Y. S. (2020). What happened to people with non-communicable diseases during COVID-19: Implications of h-edrm policies. International Journal of Environmental Research and Public Health, 17(15), 5588. https://doi.org/10.3390/ijerph17155588

Center for Disease Control and Prevention (2023, February 22). COVID-19 Risks and Information for Older Adults. https://www.cdc.gov/aging/covid19/index.html

Chung, W. (2022). Changes in barriers that cause unmet healthcare needs in the life cycle of adulthood and their policy implications: A need-selection model analysis of the Korea health panel survey data. Healthcare, 10(11), 2243. https://doi.org/10.3390/healthcare10112243

Emergency Preparedness (2011, September 26). Hazards vulnerability analysis https://www.calhospitalprepare.org/overview/hazards-vulnerability-analysis

Federal Emergency Management Agency (2023, September, 23). FEMA introduces disaster preparedness guides for older adults. https://www.fema.gov/press-release/20230920/fema-introduces-disaster-preparedness-guide-older-adults

NURS FPX 6618 Assessment 3 Disaster Plan With Guidelines for Implementation

FEMA (2011). National Disaster Recovery Management https://www.fema.gov/pdf/recoveryframework/ndrf.pdf

Frennert, S. (2023). Moral distress and ethical decision-making of eldercare professionals involved in digital service transformation. Disability and Rehabilitation: Assistive Technology, 18(2), 156–165. https://doi.org/10.1080/17483107.2020.1839579

Hartmann-Boyce, J., Morris, E., Goyder, C., Kinton, J., Perring, J., Nunan, D., Mahtani, K., Buse, J. B., Del Prato, S., Ji, L., Roussel, R., & Khunti, K. (2020). Diabetes and COVID-19: Risks, management, and learnings from other national disasters. Diabetes Care, 43(8), 1695–1703. https://doi.org/10.2337/dc20-1192

Han, H. J., & Suh, H. S. (2023). Predicting unmet healthcare needs in post-disaster: A machine learning approach. International Journal of Environmental Research and Public Health, 20(19), 6817. https://doi.org/10.3390/ijerph20196817

Lebrasseur, A., Fortin-Bédard, N., Lettre, J., Raymond, E., Bussières, E.-L., Lapierre, N., Faieta, J., Vincent, C., Duchesne, L., Ouellet, M.-C., Gagnon, E., Tourigny, A., Lamontagne, M.-È., & Routhier, F. (2021). Impact of the COVID-19 pandemic on older adults: Rapid review. JMIR Aging, 4(2), e26474. https://doi.org/10.2196/26474

Mughal, F., Hossain, M. Z., Brady, A., Samuel, J., & Chew-Graham, C. A. (2021). Mental health support through primary care during and after COVID-19. BMJ (Clinical Research Ed.), 373, n1064. https://doi.org/10.1136/bmj.n1064

Shah, I., Mahmood, T., Khan, S. A., Elahi, N., Shahnawaz, M., Dogar, A. A., Subhan, F., & Begum, K. (2022). Inter-agency collaboration and disaster management: A case study of the 2005 earthquake disaster in Pakistan. Jàmbá : Journal of Disaster Risk Studies, 14(1), 1088. https://doi.org/10.4102/jamba.v14i1.1088

U. S. Department of Health and Human Service (n.d). The HIPAA privacy rule. https://www.hhs.gov/hipaa/for-professionals/privacy/index.htm

Appendix A

Disaster Planning Toolkit

Comprehensive disaster planning is crucial, especially when addressing the needs of the chronically ill elderly population. This toolkit exemplifies our dedication to ensuring effective, patient-centered, and collaborative care for this demographic, particularly in times of crisis such as pandemics. Our disaster preparedness strategy hinges on a strong policy framework designed specifically to meet the unique challenges faced by the chronically ill elderly during emergencies. This policy outlines the specific roles and responsibilities of healthcare providers, emphasizes health preservation for this vulnerable group, establishes continuous communication channels during crises, and implements evacuation protocols to ensure safe access to necessary medical facilities. Central to this policy is the training of first responders to effectively manage the specialized needs of elderly patients.

To translate our policy into actionable steps, we have developed clear guidelines. These include mapping high-risk elderly populations to allocate resources efficiently, preparing emergency kits stocked with essential medical supplies, and creating comprehensive care plans tailored to the medical and supportive needs of each elderly patient during emergencies. Additionally, advocating for standardized state-wide protocols ensures that healthcare facilities are adequately equipped and staffed to handle the unique demands of such situations. Successful implementation and sustainability of our disaster preparedness plan rely on effective collaboration among stakeholders. We propose a structured engagement plan involving regular meetings to provide updates, ensuring all stakeholders are informed and aligned.

NURS FPX 6618 Assessment 3 Disaster Plan With Guidelines for Implementation

Community outreach initiatives serve dual purposes: raising essential awareness and fostering community trust. Collaboration is further strengthened by integrating feedback from diverse stakeholders into our planning processes, ensuring a well-rounded and comprehensive approach to preparedness. Tailored training sessions help stakeholders navigate the complexities of geriatric care during emergencies. Finally, we emphasize the importance of continuous feedback mechanisms to incorporate stakeholders’ concerns and suggestions, facilitating iterative improvements to our disaster preparedness framework. In conclusion, our disaster planning toolkit integrates policy, practical implementation strategies, and robust stakeholder engagement to provide a comprehensive framework for protecting our elderly during challenging times.

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