Lessons Learned About Geriatric Emergency
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Using Preventive Gerontechnology Systems to Monitor Residents’ Behavior for Health Services During Emergencies Dr. Robert Roush, Baylor College of Medicine, Houston, TX
Dr. Gloria Gutman, Simon Fraser University, Vancouver, BC 7th World Conference of the International Society for Gerontechnology, Vancouver, BC May 28, 2010
This educational resource was developed, in part, with grants from the U.S. Health Resources and Services Administration – All rights reserved, 2010
Our Wonderful World Is Also a Dangerous Place Anthrax
2001
SARS
2003
Tsunami
2004
Bombings 2005 Hurricanes 2005
Avian Flu
2006
Swine Flu
2009
Earthquake & floods 2010
September 11, 2001
Is health care prepared? Are you?
What’s next? ‘11
Global Aging 1.2 billion older people worldwide in 2025 70% will be in developing countries
1 million people turn 60 monthly worldwide now! 12,000 persons in the U.S. turn age 62 daily! 1st of 77 million U.S. boomers turn 65 in May 2011
Context and Perspective – GEPR Older persons have altered levels of immune function Higher risk of infectious illness and reduced response to antibiotics Few health care workers have had adequate training in disaster planning Even robust elders have a greater risk in natural disasters We need all-hazards approach to geriatric emergency preparedness and response – GEPR Technology can play an important role in mitigating effects of disasters
Topics for This Program
Need for disaster training Preparedness issues Diagnosing & treating older adults Bioterrorism and emerging infections Natural disasters, evacuation or shelter in place Communications and technology Reverse alerts to PERS subscribers
Need for Local Training in GEPR
Heat waves – France Extreme cold – England Floods – Manitoba and Nashville, TN Wild fires – Australia and California Tsunamis – S. Asia Earthquakes – Haiti Hurricanes – Katrina, Rita, Wilma, and Ike! Avian Influenza (H5N1), then Swine Flu (H1N1) Weaponized biological agents Your hometown Your family Your residents/patients
Need for National Training in GEPR 65 were more frequently without fevers, had lower peak temperature, and had higher mortality. Screening for infection in older people can’t have absolute temperature cutoff = many will be missed. Less response does not mean less severe infection. Gleckman, 1981, Chassagne, 1996
Clinical Features by Age: 20-49 50-64 65+ Unclear History 12% 23% 44% Temp
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