From his experience, John stated several aspects that should be covered in a disaster plan. The ones pertaining to food and nutrition are: What food and drinks would he need to store at the HOW in anticipation for a disaster? For how many days should he plan on having food? In the past, residents have needed to stay at the HOW for 2-3 days. Should the residents of the mobile-home community also prepare an emergency supply of food/drinks and bring with them to the HOW? If a resident had something in their refrigerator (like milk, eggs, meats, cheeses, cooked casseroles, infant formula), can they bring it to the HOW? If so, which of these would need refrigeration? He would prefer NO fresh or frozen foods be stored at the HOW. If a resident had a cooked dish ready when the flood happened, can they bring it to the HOW and share with others? How should he assign cooking/feeding roles to the residents? In the past they barely got by with the little food he and his wife had, and what residents brought in from their homes. His wife and one other woman did all the cooking, but it wasn't much since there was little food to cook. When asked about serving facilities, John stated that they have a large hall with tables and chairs that seat about 100 people. They use it for meetings and pot-lucks. The room does have a very small kitchen with a 4-burner electric stove with an oven, a microwave oven, a sink and a regular-size refrigerator. They rarely use it for cooking, but they do use it for re-heating food during pot-lucks. When asked about where the residents usually shopped for groceries, John indicated that there is a Walmart about 1 hour away in a neighboring town, and most residents shop there on a weekly or bi-weekly basis. Some essentials are bought more often from smaller stores in Muriel County, but Walmart is where he would go if he needed to stock-pile some supplies. When asked about a budget for this disaster plan, John states that his congregation has collected funds to help the community. Of this money he calculates that he can spend about $1,000.00 on feeding (food, utensils and dishes). The remaining money he is allocating to cleaning needs and sleeping facilities. The Case Scenario is below. Please note that locations and names are fictional. You are an RDN at Muriel County's Health Clinic, located 70 miles north-east from Minneapolis, MN. Muriel County is divided in two by the Wacala River, with most of the population living to the west of the river. The Health Clinic is contacted by the minister, John, from a House of Worship (HOW) in the western part of the county. John is asking for assistance from the clinic as he tries to develop a disaster plan to be executed at his HOW. You have been asked to participate in these discussions since your input is integral to the design of this disaster plan. John states that his HOW is located on a hill in a remote area of western Muriel County, near the Wacala River. Not far from the HOW is a mobile-home (trailer-home) community whose homes are fairly close to the river, in a shallow area of a valley. Since the area is remote, the only way to access it is via a narrow 2- lane road that spans a mile between this small community and Hwy 189. During most of the year they are able to keep the road in good condition and access to the Hwy isn't a problem. John proceeded to explain that, over the past 3 years during the rainy season months, the Wacala River has risen significantly, and twice it has caused severe flooding in the valley. The mobile homes have flooded and the road to the Hwy has been impassable for 2-3 days. Since the HOW is on a hill and within walking distance from the mobile-home community, he has opened the doors to the residents to take refuge there until the waters subside. John explained that both times they have struggled to "make do" with the limited resources they had during those 2-3 days. Once the electricity was out since a power line was struck down by lightening during a thunderstorm. Both times their water was "dirty", probably as a result of the flooded water making its way to their well. They also ran out of everything, from toilet paper to diapers, not to mention food! In addition to these basic needs, some residents of the community have chronic illnesses that needed medication, adequate food and continual monitoring, all of which were difficult if not impossible to manage. John is asking the clinic to develop a disaster plan in anticipation of the next flood. With the rainy season starting in 2 months, he is already worried about potential flooding in the near future. He has surveyed the mobile home community and has the following demographics to share: - There are 30 mobile homes, with a total population of 98 residents. - The ages span between 1 month and 86 years. - Currently there are 4 infants: 1 month old, 6 month old, 8 month old and 10 month old. - There are 38 children between the ages of 1 and 18 years: Ages 1-4 years: 15 Ages 5-12 years: 18 Ages 13-18 years: 5 - There are 50 adults between the ages of 19-64 years There are 6 adults between the ages of 65 and 86 years - The HOW has 2 people living in an attached home, John and his wife are both 61 years old. One of John's concerns is the health status of some of the residents: One man, age 64, has end-stage renal disease and receives hemodialysis three times a week at a regional hospital, located 1 hour away. One man, age 55, and 3 women, ages 45, 58 and 59, have type 2 diabetes. None of them are on insulin. All of them take oral agents to help control their diabetes. One girl, age 15, has celiac disease. She is "a bit rebellious" and is known to not comply with her diet. The one-month-old infant seems to have a milk allergy and the mother states he is on a very expensive formula called "Enfamil Nutramigen". When asked about cooking facilities, John states that the HOW has very limited cooking facilities. His home has a small kitchen that includes the following electric appliances: A stove with 4 burners An oven A microwave oven A toaster with 2 slots A dishwasher A refrigerator (normal size) with freezer One crock pot A 10-cup coffee maker They also have a small gas grill in their yard.
Task to do:
1) Come up with a menu that can be implemented during a disaster. Plan a menu for 3 days. Any menu items should be accompanied by a recipe and the equipment where it will be cooked. The fact that this is a residential kitchen without commercial cooking equipment needs to be taken into account(for instance, they will not have cookware to make 100 portions of soup in one pot).
Take into account:
a. The shopping will be done at Walmart, Sam’s Club or Costco.
b. There are different ages being served.
c. There are very limited cooking facilities.
d. There are only two small refrigerators to store food and the HOW does not want fresh or frozen food stored in their refrigerators.
e. Assume that the electricity will NOT go out.
f. Almost all food items will need to be dry stored for at least 3-6 months.
g. There are medical needs amongst the population. Develop a regular menu, a renal menu, a diabetic menu and a gluten-free menu. The special menus should be based on the regular menu.
Note: The medical director of your clinic has said that, in the event of an emergency, the man with end-stage renal disease would be airlifted to a hospital if the disaster spanned for longer than 24 hours. Thus, this person will likely only be at the HOWfor the first 24 hours but will need meals planned for that one day.
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