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NURS FPX 6618 Assessment 3 Disaster Plan With Guidelines for Implementation

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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 of all, I would like to thank you all for listening to my presentation. Within healthcare practice, it is essential to be ready for difficult times and devise a plan to overcome the challenges by implementing a plan based on care coordination for the elderly population with chronic illnesses. The current assignment is based on providing an overview of the disaster plan that can assist in difficult times.

    Outline of the Presentation 

    The topics that I will be going through 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 one of the significant risk groups that gets affected by any disastrous situation, as it becomes challenging to provide adequate care with proper care coordination. These challenges associated with disaster events are unmet healthcare needs, palliative care, emergency and chronic illness management, accessibility to healthcare, insufficient equipment, a lack of resources, and a shortage of healthcare providers (Chung, 2022). Recently, during the pandemic, providing healthcare assistance to the elderly population and meeting their healthcare needs, such as medication, treatment, and palliative care for their chronic illnesses, was significantly difficult. The CDC made several recommendations to nursing homes in the U.S. regarding restricting visitation, cessation of all activities, canceling group meals, and also recommending that elderly individuals at home to stock up on medications and minimize outside contact (Lebrasseur et al., 2021).

    With the implementation of the quarantine measures, the elderly with chronic illnesses had more significant difficulties managing their illnesses and accessing healthcare services (Chen et al., 2020). The challenges were associated with getting timely screenings, emergency check-ups, scheduled or lined-up appointments, and healthcare visits such as dialysis support or heart surgeries. Due to the lockdown, many facilities postponed and canceled outpatient visits, resulting in a scaled-down of screening, consultation, and monitoring practices, leading to severe consequences (Hartmann-Boyce et al., 2020). These challenges significantly hinder the ability of healthcare organizations to facilitate and support the older population.

    NURS FPX 6618 Assessment 3 Disaster Plan With Guidelines for Implementation

    To combat this situation, many countries opted for online consultations, integrated healthcare with technologies, advised stocking up medication, and provided instructions to nursing homes. Such as the Chinese Geriatric Endocrine Society guiding prevention, early assessment of hyperglycemic crises, management through medication, access to certified internet-based medical services, detailed guidance to prepare for consultation before leaving home, and providing a route during a hospital visit to avoid exposure (Hartmann-Boyce et al., 2020). These requirements allow the organization to plan an evacuation plan in case of a pandemic or epidemic, ensuring there are no significant issues in equipment, services, or exposure to the pandemic while educating the community on disease prevention, false alarms, and installing an effective medication or e-helpline portal.

    Critical Elements of a Disaster Preparedness Tool Kit

     The disasters have a significant impact on the healthcare system as they leave a surge of unmet primary care and mental health needs that linger on in the disaster response phase as well. These unmet primary care needs and mental health issues lead to another silent pandemic. To ensure care coordination during such times, a disaster preparedness toolkit becomes vital. After the pandemic, many researchers highlighted mental health issues and unattended primary care needs, which require utmost attention and a plan to overcome (Mughal et al., 2023). The potential effects of the disaster on care coordination, timely care for high-risk chronic illness patients, financial and resource unavailability, unmet primary needs, burnout, and stress among professionals (Han & Suh, 2023).

    Therefore, the disaster preparedness toolkit holds critical importance that can be achieved through patient-centered and collaborative care and prioritizing the well-being of the elderly population with chronic conditions. Adequate communication mechanisms must be in place to inform the elderly and their caregivers about available resources, protective measures, and evacuation routes, if necessary. The central element in the disaster plan will be team collaboration, including doctors, nurses, social workers, e-healthcare providers, dieticians, and pharmacists, with the aim of providing adequate care delivery through on-time coordination and collaboration.

    NURS FPX 6618 Assessment 3 Disaster Plan With Guidelines for Implementation

    The factors that should be considered to ensure that the elderly population receives adequate care and support are: first of all, provide care coordination team training to ensure that they are equipped with skills necessary for dealing with disaster settings, such as training on triage, emergency care, and mental health support. Then, coordinate with outside organizations such as NGOs, government bodies, and community-based organizations to ensure that the elderly population receives equal and effective care regardless of place.

    Similarly, another important aspect of the plan is the evaluation routes, such as in cases where the elderly population can seek shelter or transportation when needed (Hartmann-Boyce et al., 2020). Lastly, the identification of high-risk patients in relation to disease and underlying health conditions will help providers prioritize care needs and track the elderly population through e-healthcare systems. Along with this, resources can be allocated, and progress can be tracked through Hazard Vulnerability Analysis, which systematically evaluates the potential damages, impacts, and available resources to reduce population vulnerability and increase resilience to disasters (Emergency Preparedness, 2011). Furthermore, financial aid can be provided to the elderly population through appropriate infrastructure for the government to address the crisis.

    Personnel and Material Resources Needed in Emergencies

     The key personnel and material resources needed in emergencies (Frennert, 2023) are

    Personnel Resources 

    • First responders, such as emergency medical technicians, paramedics, doctors, and nurses, can provide essential medical care services, diagnoses, and treatment options.
    • Social workers can offer psychological support and assess the social determinants of health and needed services.
    • Geriatric care managers who can provide preventive awareness, prepare individualized plans, monitor healthcare progress, and understand the unique needs and challenges of older patients
    • Pharmacists who can help with medication management and ensure the availability of life-saving drugs.
    • Community health workers who can provide education, awareness, and support to outreach communities to ensure preventive measures

    Material Resources

    • Critical Access Point of Care to healthcare facilities such as triage centers and emergency rooms to treat patients without making them exposed to pandemic-like situations.
    • Transportation such as ambulances to rescue and provide on-time transportation to take patients to the hospital through safe routes is equipped with life-support equipment such as ventilators and defibrillators (Hartmann-Boyce et al., 2020).
    • Ventilators for the elderly with respiratory distress provide relief and manage the problem on time.
    • Medical supplies such as PPE to reduce the spread of infections, medications, and IV fluids to treat the patient immediately

    Effective emergency preparedness requires a unique balance between personnel and resource material, as variations and country-wide resource capacities can influence the effectiveness of care coordination. The assumptions were based on the availability of the trained and experienced care coordination team and resource availability for the toolkit. However, a few uncertainties that present concern are the availability of trained professionals, such as the presence of medical professionals, which is uncertain, and the energy situation, which could lead to potential delays in medical assistance for the elderly population. Also, communication challenges due to a lack of physical contact can impede progress.

    Standards and Best Practices for Safeguarding

    Providing ethical and culturally competent care, especially for vulnerable populations like the elderly with chronic illnesses, is crucial in challenging situations. To ensure this, healthcare professionals need a robust framework of standards and best practices. Their primary responsibility is to adhere to a recognized code of ethics, emphasizing beneficence and non-maleficence. Research emphasizes that when dealing with the elderly, there’s a pressing need to strike an ethical balance. This balance ensures that while risks are minimized, the benefits of intervention are maximized, thereby respecting their autonomy and ensuring equitable treatment (Frennert, 2023). Moreover, integrating cultural competency training is indispensable.

    Such training equips professionals with the ability to understand and respect the diverse cultural backgrounds of elderly patients, ensuring care practices are sensitive to their unique cultural needs. Furthermore, adherence to policies like the HIPAA regulations is paramount. HIPAA safeguards a patient’s privacy and confidentiality and enshrines the ethical obligation toward them (U.S. Department of Health and Human Services, n.d.). This regulation is particularly significant in maintaining the integrity of care plans for patients and respecting their autonomy. In conclusion, by harnessing these standards and practices, healthcare professionals can effectively navigate challenges ranging from cultural and language barriers to medical complications, ensuring that the elderly receive the competent and compassionate care they deserve.

    Interagency and Interprofessional Relationships

    Effective coordinated care is contingent upon synergized collaboration among various professionals and organizations.  The Federal Emergency Management Agency (2023) is responsible for coordinating the federal disaster response, providing financial resources for disaster management, and supporting state and local agencies in times of energy crises. The importance of aligning with the federal emergency is to allocate resources so that the entire population gets unified disaster management. Similarly, the Centers for Disease Control and Prevention (2023) can collaborate in setting up guidelines for the elderly population that can help them with preventive strategies and care coordination.

    The CDC can provide effective measures and strategies that can support the interprofessional team and the patients in care coordination. It can help in disease control while guiding to inform providers, emergency responders, and patients on disease management. Therefore, the interagency and interprofessional relationship is the linchpin for effective coordination of care provision in emergencies, as they help different agencies regulate and allocate resources effectively based on need. Also, the disaster response requires effective communication of the information to ensure informed decision-making that interagency relationships make possible through collaboration (Shah et al., 2022). Furthermore, they share their expatriates and knowledge to ensure that a comprehensive care plan is sorted out.

    Local, National, or International Regulatory Requirements

    The regulatory requirements, such as HIPAA regulation, can help in maintaining the privacy and security of health information, as during times of disaster, HIPAA allows organizations to share patient information for public health and safety purposes, allowing for effective care coordination plans. The National Disaster Recovery Framework (2011) places a strong emphasis on encouraging recovery managers to work together and in unison in order to rebuild the social, environmental, and economic factors of the population that can support the disaster-affected state.

    It outlines the roles and responsibilities of the recovery coordinators and how communities can rebuild themselves. Effective disaster relief and care coordination requires thorough planning and familiarity with the regulatory bodies working within the state. Compliance with the regulatory requirements, resource allocation, effective communication, and adherence to predetermined response protocols can help in the seamless implementation of the disaster management toolkit (Lebrasseur et al., 2020). However, the consequences of non-compliance can lead to wastage of resources, problems in care coordination, and harmful consequences for the elderly population that ultimately increase the financial burden on the state.

    Care Coordination Team

    It is essential to prepare a care coordination team that can help in the implementation of the project plan for the elderly population with chronic illnesses. For the successful implementation of the plan, it is essential to clearly define the roles and responsibilities of each team member to prevent duplication of effort and ensure accountability on the part of each team member. Similarly, the inclusion of the assessment protocol and encouraging the team to develop personalized care plans for each elderly individual tailored to their specific needs can help address specific health concerns and improve patient outcomes.

    The cultural competency of the team can help in managing cultural sensitivity, and training can educate the team to become adept at enhancing trust and patient engagement in their care. The emergency preparedness of the team, which includes an emergency plan and response protocols for unexpected situations, helps ensure the continuity of care during difficult times. Lastly, regular meetings encourage the team to discuss problems progress and adjust plans in time through collaborative decision-making and problem-solving.

    A few of the anticipated questions can be

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

     The response to anticipated questions is that cultural competency improves patient engagement, while regular meetings help ensure effective communication, on-time problem-solving, and collaborative decision-making. Similarly, the emergency protocols can help in ensuring the safety and continuity of care. However, potential resistance to the emergency protocol can occur from patients or professionals. However, awareness and effective education regarding the need and applicability of the protocols can help to rectify the resistance as well.

    Conclusion 

     In conclusion, this presentation was based on providing a toolkit that can help in providing care to the chronically ill elderly population under challenging times like pandemics. The presentation was based on highlighting the need and how the pandemic impacts their care provision, elements of the disaster prepared plan, the resources required in an emergency, standards that can be followed, the role of the interagency and interprofessional relationship in disaster management, regulatory requirements that can facilitate the plan, and the care coordination team. Thank you very much. If you have any other 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

    NURS FPX 6618 Assessment 3 Disaster Plan With Guidelines for Implementation

    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 becomes paramount when considering the vulnerable sector of our population: the chronically ill elderly. This toolkit embodies our commitment to ensuring effective, patient-centered, and collaborative care for this group, especially during challenging times like pandemics. The backbone of our disaster preparedness approach is rooted in a robust policy framework. This policy has been tailored to address the unique needs of the chronically ill elderly during emergencies. It delineates the precise roles and responsibilities of healthcare providers during such crises. Additionally, it emphasizes safeguarding the health of this vulnerable demographic, establishing a continuous communication flow during emergencies, and setting evacuation protocols, ensuring they have safe access to required medical facilities. A significant part of this policy is geared towards training first responders, ensuring they are equipped to handle the specific needs of the elderly patients they encounter.

    To transition our policy into actionable steps, we have established clear guidelines. Initiating the mapping of high-risk elderly groups allows us to allocate resources strategically. Preparing emergency kits for this demographic ensures immediate access to essential medical supplies. The creation of comprehensive care plans for each elderly patient will detail both medical and supportive care requirements during emergencies. Moreover, advocating for state-wise standardized protocols guarantees that healthcare facilities are prepared, both in terms of equipment and staffing, to tackle the unique challenges of these emergencies. Effective stakeholder collaboration is pivotal for successfully implementing and sustaining our disaster preparedness plan. We recommend a structured engagement plan that involves regular updates through meetings, ensuring all stakeholders remain informed and aligned.

    NURS FPX 6618 Assessment 3 Disaster Plan With Guidelines for Implementation

    Community outreach initiatives play a dual role: raising essential awareness and building community trust. Collaboration is further strengthened by integrating feedback from various stakeholders into our planning sessions, ensuring a rounded and comprehensive preparedness approach. Additionally, the provision of tailored training sessions aids stakeholders in understanding and navigating the complexities of geriatric care during emergencies. Lastly, we advocate for a continuous feedback mechanism, allowing stakeholders to voice concerns and suggestions, driving the iterative refinement of our disaster preparedness framework. In conclusion, our disaster planning toolkit weaves policy, practical implementation, and robust stakeholder engagement, offering a comprehensive blueprint to safeguard our elderly during challenging times.