Frail Elderly People Earthquake Emergency in Central Italy Hotel Project

Frail elderly people Earthquake emergency in Central Italy Hotel Project

Serrani Virginia Berardinelli Manuela Cipollari Susanna Coluccini Letizia Pascarella Marco Ridolfi Chiara

27th ALZHEIMER EUROPE CONFERENCE “CARE TODAY, CURE TOMORROW” BERLIN, GERMANY - 2-4 October 2017 A.A.M.A.F. “i colori della memoria” A.F.A. Palermo A.M.A. Amarcord SAN PIETRO IN CASALE A.M.A.S. Sardegna “uniti” = joined in the purpose to give back A.M.N.E.S.I.A. NAPOLI AFAR RAGUSA ALLEGRA-MENTE REGGIO CALABRIA dignity and normality to people with dementia Alzheimer Aprilia Onlus Alzheimer Plus ROMA ALZHEIMER RIMINI ALZHEIMER UNITI ABRUZZO ONLUS and their families Alzheimer Uniti Palermo Onlus Alzheimer Uniti ROMA Ama CHIERI ama novara onlus NOVARA one of the three AMMA MOLISE ARAD BOLOGNA National ASDAM Mirandola Associazione Familiari Alzheimer Marche ONLUS (AFAM) Associations in Associazione Malati Alzheimer e Telefono Alzheimer dell’Umbria Italy for people Associazione Malattia Alzheimer di Rieti ASSOCIAZIONE VERCELLESE MALATI DI ALZHEIMER with dementia Casa AIMA Onlus LATINA CASAlzheimer – Centro Albano Sostegno Alzheimer ALBANO GRUPPO ASSISTENZA FAMILIARI ALZHEIMER CARPI LA CASA DEI SOGNI SAN SEVERO 38 local LA GRANDE FAMIGLIA ONLUS PALERMO Moto Perpetuo Onlus SALERNO Associations PANTA REI A.M.A. MOLISE Reattiva-Mente Vigevano ONLUS affiliated RINDOLA VICENZA Splendida Dimora TAM TIENI A MENTE TUSCIA ALZHEIMER VITERBO

24th Aug 2016 _ 3:36am epicentre: Accumoli magnitude: 6,0

26th Oct 2016 _ 7:11pm / 9:18pm epicentre: Castelsantangelo sul Nera, Ussita magnitude: 5,4 / 5,9

30th Oct 2016 _ 7:40am epicentre: Norcia magnitude: 6,5

18th Jan 2017 _ 11:14am epicentre: Capitignano magnitude: 5,5

47.000 aftershocks

Amatrice (Rieti) from 24 August 2016 to today 300 total victims killed by earthquake or by indirect causes 40.000 people assisted by Civil Protection and Associations 600 sq km extension of the area deformed 131 towns in the Ministerial List of Urgent Intervention among 4 Region (Marche, Umbria, Abruzzo, Lazio)

11 municipalities affected Camerino, Serravalle, Muccia, Pieve Torina, earthquake Valfornace, Fiastra, Fiordimonte, Monte Cavallo, Bolognola, Visso, Ussita, Castelsantangelo sul

October Nera 26th 4 hospitals evacuated after Tolentino, Matelica, Cingoli, Amandola Hospitals

15.000 people homeless forced to leave their homes Visso (Macerata)

October in emergency 30th after

5.000 over 65 years old only in Macerata area Basilica San Benedetto in Norcia 400 people with dementia supposed to be, at least

4/5 care facilities condemned declared unsuitable for habitation

PSYCHOLOGICAL breaking a precarious balance TROUBLES CAUSED BY FEAR, STRESS, LOSS OF REFERENCES (HOME, RELATIVES, ROUTINE) FLARE UP OF CHRONIC DISEASE PHYSICAL PROBLEMS CAUSED BY UNSUITABLE LOSS OF INDEPENDENCE ACCOMMODATIONS (COMMON DORMITORY AND INCREASED HOSPITAL BATHROOMS, COLD) ADMISSIONS and INCREASED MORTALITY PRACTICAL DIFFICULTIES CAUSED BY MULTIPLE CHANGINGS IN wanting to go home CAREGIVERS AND ACCOMODATIONS is the most common reaction

27th ALZHEIMER EUROPE CONFERENCE Frail elderly people - Earthquake emergency in Central Italy hotel project “CARE TODAY, CURE TOMORROW” Serrani Virginia, Berardinelli Manuela, Cipollari Susanna, Coluccini Letizia, Pascarella Marco, Ridolfi Chiara BERLIN, GERMANY. 2-4 October 2017 what we have done six actions to support people with dementia and their families 1 2 3 4 … to support the management of emergency process 5 … to improve people with dementia wellbeing 6

… people scared from earthquakes

… people left alone by foreign carer 1

… people remained in collapsed house beacuse bedridden 2

... people in tends with practical difficulties 3

MANAGING BPSD 4 25% CAREGIVING ACCOMODATION 50% 15% 5 HEALTH NEEDS 10% 6

27th ALZHEIMER EUROPE CONFERENCE Frail elderly people - Earthquake emergency in Central Italy hotel project “CARE TODAY, CURE TOMORROW” Serrani Virginia, Berardinelli Manuela, Cipollari Susanna, Coluccini Letizia, Pascarella Marco, Ridolfi Chiara BERLIN, GERMANY. 2-4 October 2017 what we have done evaluation of people conditions in tends 1 2 … no place or activities for aged people 3 … not proper hygienic conditions 4 … lack of information … lack of appropriate 5 psychological and physical support 6

27th ALZHEIMER EUROPE CONFERENCE Frail elderly people - Earthquake emergency in Central Italy hotel project “CARE TODAY, CURE TOMORROW” Serrani Virginia, Berardinelli Manuela, Cipollari Susanna, Coluccini Letizia, Pascarella Marco, Ridolfi Chiara BERLIN, GERMANY. 2-4 October 2017 what we have done people with dementia for people with dementia 1 … the Daily Center for people with alzheimer disease in Camerino re-opened despite 2 aftershocks to give back people with dementia a part of their normal life 3 … people with dementia worked hard to give their contribution to the rebuilt 4

… with local products, events, occupational activities 5 6

FRIALTY DEGREE EVALUATION RECORD … 5 psychologists of Alzheimer Uniti evaluated Frialty Degree 1 … 373/400 people over 65 years old evauated in their temporary accommodation (40 hotel on the 2 Adriatic Coast) 3

… 5 people with severe dementia 4 … 22 people with moderate dementia … 25 people with mild dementia 5 … 75 people with chronical diseases … 223 people in health but with a high risk for depression 6

… a pilot project to move back 1 “home” elderly people affected by mild or moderate dementia 2 … the accommodation is arranged in Macerata hinterland, in hotels not 3 involved and impacted by season tourism 4 … with support to overcome fear and with opportunities MACERATA for involvement 5 HINTERLAND 6

… plan of actions to support management and coordination 1 of care for elderly people in emergency 2 … a flexible and implementable model to be applied and integrated in future emergency 3 conditions for frail elderly people

… developed by Alzeimer Uniti 4 Italia, Italian Association of Psycogeriatrics (AIP), Italian Association of Geriatrics and 5 Gerontology (SIGG), Fire Fightes (VVF) 6

for any further information, contact us:

[email protected]