Silverman M A, Weston M, Llorente M, Beber C, Tam R
Geriatric Research, Education, and Clinical Center, VA Medical Center (GRECC), FL, USA.
South Med J. 1995 Jun;88(6):603-8.
We report on the experience of a 500-bed, long-term care facility in Miami, Fla, which provides housing and nursing care units for patients--ranging from those who are independently ambulatory to those who are acutely ill and feeble--in preparing for, during, and in the immediate aftermath of Hurricane Andrew, which struck on August 24, 1992. The problems encountered included a massive influx of evacuated elderly to the facility, facility isolation, loss of electrical power, loss of running water, special dietary needs, and limited professional staffing due to personal property losses or loss of transportation. Overwhelmed county emergency medical services, limited access to hospitals and patient care, and difficulty in procuring supplies exacerbated the already complicated situation resulting from the storm. As a result of these catastrophic conditions, a number of challenges specific to the care of the elderly were identified. In conjunction with the Florida Department of Elder Affairs, we drafted a comprehensive blueprint that could serve as a disaster plan for other long-term care facilities facing a similar threat during the hurricane season.
我们报告了佛罗里达州迈阿密一家拥有500张床位的长期护理机构的经历，该机构为患者提供住房和护理单元，患者范围从能够独立行走的人到急性病患者和体弱患者。该机构为1992年8月24日袭击的安德鲁飓风做准备、应对飓风期间以及飓风刚过后的情况。遇到的问题包括大量疏散的老年人涌入该机构、机构隔离、停电、停水、特殊饮食需求以及由于个人财产损失或交通不便导致的专业人员配备有限。不堪重负的县紧急医疗服务、难以进入医院和提供患者护理以及采购物资困难，加剧了风暴造成的本已复杂的局面。由于这些灾难性状况，确定了一些老年人护理特有的挑战。我们与佛罗里达州老年人事务部共同起草了一份全面蓝图，可作为其他在飓风季节面临类似威胁的长期护理机构的灾难计划。
