Hurricane Preparedness for Caregivers: How to Shelter in Place with a Loved One Who Has Dementia

Preparing to shelter in place for a hurricane while caring for someone with dementia or Alzheimer’s requires careful planning to ensure both safety and comfort.

Create a Safe Environment

• Secure the home: Move objects that could become hazards during the storm (loose furniture, glass objects, etc.) to safe areas. Install window protection (e.g., shutters or plywood).
• Limit access: Ensure the person cannot access dangerous areas or items (such as sharp objects or cleaning supplies).
• Use labels: Clearly mark essential rooms like the bathroom, as stress can increase confusion in people with dementia.

Prepare a Care Kit

• Medication: Pack at least a two-week supply of medications, with clear instructions on dosages.
• Identification: Ensure the person wears a medical ID bracelet or has identification with details about their condition, in case of separation.
• Personal Comfort Items: Familiar objects (blankets, photos, favorite snacks) can help reduce anxiety. Bring along activities they enjoy like puzzles or books to keep them calm.
• Incontinence Supplies: Stock up on disposable briefs, pads, and any other personal hygiene items.
• Medical Information: Keep a detailed list of the person’s health conditions, medications, and contact info for doctors in a waterproof bag.

Prepare for Communication and Comfort

• Create a routine: People with dementia rely on familiar routines, so try to keep meal times, rest periods, and activities as consistent as possible during the storm.
• Reduce Anxiety: Avoid overloading them with too much information about the hurricane. Stay calm and reassuring to help manage their stress levels.
• Noise Control: Use headphones or white noise machines to block out the sound of the storm, which can be distressing.

Plan for Power Outages

• Backup power: Ensure you have battery-powered or hand-crank flashlights, radios, and fans.
• Climate control: Keep the person cool, as those with dementia may not be able to regulate their body temperature well.
• Medical equipment: If the person uses medical equipment that requires electricity (e.g., oxygen machines), have a backup power source or battery and alert authorities ahead of time.

Develop an Emergency Plan

• Evacuation options: Even if planning to shelter in place, have a backup evacuation plan in case the situation worsens. Identify nearby shelters that are dementia-friendly or accommodate special needs.
• Inform neighbors: Let neighbors or nearby family members know you are sheltering in place with a person who has dementia, in case you need assistance.

Food and Water

• Stock enough supplies: Ensure you have enough non-perishable food, water (1 gallon per person per day for at least three days), and easy-to-eat snacks.
• Familiar foods: Stick to familiar foods that the person with dementia likes to eat to avoid additional stress or confusion.

Stay Informed

• Keep updated: Use a battery-powered radio to stay updated on weather conditions and emergency instructions.
• Alert authorities: If possible, notify local emergency management that you are caring for someone with dementia so they can offer specific assistance if needed.

Prepare Mentally and Emotionally

• Have support: If you are the sole caregiver, ensure that you have emotional support (from family, friends, or professional services) during this stressful time.
• Monitor closely: The stress of a hurricane can exacerbate confusion, agitation, or aggressive behaviors in people with dementia. Be patient and prepared for mood changes.

By planning ahead and creating a calm, safe environment, you can reduce stress for both yourself and the person you’re caring for during a hurricane.