scholarly journals Role of Home‐Based Care Programs During Hurricanes Harvey, Irma, and Maria

2019 ◽  
Vol 67 (8) ◽  
pp. 1754-1756 ◽  
Author(s):  
Tamar Wyte‐Lake ◽  
Maria Claver ◽  
Rachel Johnson‐Koenke ◽  
Darlene Davis ◽  
Aram Dobalian
Keyword(s):  
1997 ◽  
Vol 6 (4) ◽  
pp. 461-469 ◽  
Author(s):  
Tom Koch

The critical role of surrogates—commonly if erroneously called “Informal caregivers”—has been generally ignored by clinical and bioethical literatures. While assumed to provide no more than ancillary support, these patient representatives directly or indirectly affect patient care to the extent they inhibit or facilitate both home-based care and patient decisions regarding treatment alternatives. Members of this group include relatives and neighbors who may or may not act in consort as advisors, assistants, care providers, and surrogate decisionmakers acting on the patient's behalf with members of the medical community. Not only do they often possess a critical voice strongly influencing both patient care decisions and, after discharge, home care and rehabilitation, this paper argues they do so from a perspective that is often radically different from one endorsed by medical professionals.


2011 ◽  
Vol 36 (2) ◽  
pp. 88-99 ◽  
Author(s):  
Cas O'Neill

As a home-based care option for children at risk of significant harm, kinship care placements are steadily increasing in Australia as they are in other western countries. This article describes a qualitative research study undertaken with 65 kin (relative) and kith (nonrelative) carers in Victoria in the years 2004–2007. The aims of the research were to explore the lived experience of carers and to understand their support needs. The findings distinguish similarities and differences between the experience of formal and informal grandparent carers, non-grandparent relative carers and nonrelative carers. The article discusses the role of caregiving for the different groups, family relationships, finances (having enough money, as well as having too little), relationships with government agencies, respite and peer support.


2020 ◽  
Vol 14 (1) ◽  
pp. 119-124 ◽  
Author(s):  
Tamar Wyte-Lake ◽  
Maria Claver ◽  
Rachel Johnson-Koenke ◽  
Darlene Davis ◽  
Aram Dobalian

ABSTRACTObjective:The aim of this study is to determine the response of home-based primary care programs to the fall 2017 Atlantic hurricane season.Methods:This study examines the experiences of 9 Veterans Health Administration (VHA) Home-Based Primary Care (HBPC) programs in their responses to Hurricanes Harvey, Irma, and Maria. Thirty-four phone interviews with HBPC leadership and staff were conducted from April to July 2018.Results:The total census of impacted HBPC programs was 3118. No program reported loss of life due to these hurricanes. Early preparedness was key to an effective program response. Response included prompt tracking of the patients. In the most affected areas, respondents noted limited resources to support basic patient needs.Conclusions:Medically complex patients served by programs such as the VHA’s HBPC program represent a subset of the population, yet they have an outsized impact on health care resources that could be exacerbated by inadequate disaster preparedness. HBPC programs serve a unique role in supporting the “older old.” They are tasked with supporting disaster preparedness activities of patients. Understanding what is involved in actualizing their requirements shows communities how to effectively engage with these programs.


2007 ◽  
Vol 17 (8) ◽  
pp. 1028-1039 ◽  
Author(s):  
Heather Waterman ◽  
Jane Griffiths ◽  
Len Gellard ◽  
Catherine O'Keefe ◽  
Grace Olang ◽  
...  

2019 ◽  
Vol 8 (7) ◽  
pp. 2548
Author(s):  
AshoojitKaur Anand ◽  
Praneeth Pilala ◽  
SwathiS Balachandra ◽  
PrathameshSharad Sawant ◽  
Ramakrishna Prasad ◽  
...  

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