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      Vulnerable Older Adults in Disasters: Effects of Hurricane Irma on Nursing Homes and Assisted Living

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      Innovation in Aging
      Oxford University Press

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          Abstract

          Preparedness of residents in long-term care (LTC) in the face of hurricane emergencies is a contested and largely unanswered question. Our prior work involving the U.S. Gulf Coast hurricanes of 2005-08 showed that exposure to various storms on nursing home (NH) residents resulted in significantly more deaths than reported by health care officials. This work also highlighted that evacuation of NH residents, compared to sheltering in place, was independently associated with morbidity and mortality. Hurricane Irma struck Florida on Sept. 10, 2017, prompting the evacuation of thousands of NH and assisted living community (ALC) residents. This symposium will discuss the effects of Hurricane Irma on vulnerable older adults residing in NHs and ALCs using mixed quantitative and qualitative methodologies. The first presentation will discuss morbidity and mortality of NH residents exposed to Hurricane Irma and will stratify by long stay/short stay status and hospice enrollment. The second presentation will discuss improvements and continued barriers to NH preparedness based on interviews with 30 administrators following Hurricane Irma. Using a novel methodology to identify residents of ALCs using secondary data sources, the third presentation will document AL resident morbidity and mortality risk following Hurricane Irma. The final presentation will highlight results of interviews with 70 stakeholders from small and large ALCs concerning the hurricane experiences of residents, including those with dementia. This symposium offers a multi-faceted view of a disaster’s effects on LTC residents across Florida, including novel data from the NH environment and lesser-examined ALCs.

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          Author and article information

          Contributors
          Role: Chair
          Role: Co-Chair
          Role: Discussant
          Journal
          Innov Aging
          Innov Aging
          innovateage
          Innovation in Aging
          Oxford University Press (US )
          2399-5300
          2020
          16 December 2020
          16 December 2020
          : 4
          : Suppl 1 , Program Abstracts from The GSA 2020 Annual Scientific Meeting “Turning 75: Why Age Matters”
          : 733-734
          Article
          igaa057.2607
          10.1093/geroni/igaa057.2607
          7742517
          a0f7943e-6fc7-4351-8caa-d93c00f1806c
          © The Author(s) 2020. Published by Oxford University Press on behalf of The Gerontological Society of America.

          This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

          History
          Page count
          Pages: 2
          Categories
          Abstracts
          Session 6330 (Symposium)
          AcademicSubjects/SOC02600

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