Interviews reveal challenges in long-term care amid disaster response in Puerto Rico, indicating needed improvements.
= 20 in-person interviews were conducted with nursing home staff in three Puerto Rican nursing homes; in-home caregivers; and individuals providing disaster response. Thematic analysis revealed many challenges in the weeks and months after Maria, including navigating residents' health issues, supporting staff and caregivers, communication difficulties, and accessing necessary resources. Participants shared a general distrust of local and federal government and disappointment in government response. Adequate disaster preparedness played a significant role in navigating Maria. Participants shared lessons learned and suggestions to better prepare for future disasters.
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Leah Haverhals (2026) studied this question.
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