The Controversy Inherent in Managing Frail Nursing Home Residents During Complex Hurricane Emergencies

被引：26

作者：

Bonnal, Christine ^{[1
,4
,5
]}

Baune, Bruno ^{[2
]}

Mion, Mathieu ^{[3
]}

Armand-Lefevre, Laurence ^{[5
,6
]}

L'Heriteau, Francois ^{[1
,4
,5
]}

Wolmark, Yves

Lucet, Jean-Christophe ^{[4
,5
]}

机构：

[1] Assistance Publ Hop Paris, Bretonneau Teaching Hosp, Infect Control Unit, Paris, France

[2] Assistance Publ Hop Paris, Bretonneau Teaching Hosp, Dept Pharm, Paris, France

[3] Assistance Publ Hop Paris, Bretonneau Teaching Hosp, Dept Geriatr, Paris, France

[4] Assistance Publ Hop Paris, Bichat Claude Bernard Teaching Hosp, Infect Control Unit, Paris, France

[5] Univ Paris 07, Paris, France

[6] Assistance Publ Hop Paris, Bichat Claude Bernard Teachin Hosp, Bacteriol Lab, Paris, France

来源：

JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION | 2008年 / 9卷 / 08期

关键词：

Nursing homes; emergency preparedness; disasters;

D O I：

10.1016/j.jamda.2008.04.004

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Emergency planning for vulnerable populations constitutes a major element of community disaster preparedness and is an area in which guidance is particularly sparse. As evidenced by the well-publicized deaths of nursing home residents following Hurricanes Katrina and Rita, the need to improve nursing home emergency preparedness is self-evident. Nevertheless, as efforts to improve preparedness develop, a central controversy remains. Aside from mandatory complete evacuations, is it better to evacuate or not to evacuate frail elderly nursing home residents in the setting of hurricane emergencies? This paper reviews the historical evidence on both sides of the argument and suggests a policy and research agenda. This is a US government work. There are no restrictions on its use.

引用

页码：605 / 609

页数：5

共 16 条

[1] DOES ASYMPTOMATIC BACTERIURIA PREDICT MORTALITY AND DOES ANTIMICROBIAL TREATMENT REDUCE MORTALITY IN ELDERLY AMBULATORY WOMEN [J].