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老年友善健康体系的 4M 原则。

The 4Ms of an Age-Friendly Health System.

机构信息

Erin E. Emery-Tiburcio is an associate professor and Laurin Mack is an assistant professor in the Department of Psychiatry and Behavioral Sciences at Rush University Medical Center in Chicago, where Mary C. Zonsius is an associate professor in the College of Nursing, and Ellen Carbonell is a social worker and Michelle Newman is a program manager in the Department of Social Work and Community Health. Contact author: Erin E. Emery-Tiburcio,

出版信息

Am J Nurs. 2021 Nov 1;121(11):44-49. doi: 10.1097/01.NAJ.0000799016.07144.0d.

Abstract

This article is the first in a new series, Supporting Family Caregivers in the 4Ms of an Age-Friendly Health System, published in collaboration with the AARP Public Policy Institute as part of the ongoing Supporting Family Caregivers: No Longer Home Alone series. The 4Ms of an Age-Friendly Health System (What Matters, Medication, Mentation, and Mobility) is an evidence-based framework for assessing and acting on critical issues in the care of older adults across settings and transitions of care. Engaging the health care team, including older adults and their family caregivers, with the 4Ms framework can help to ensure that every older adult gets the best care possible, is not harmed by health care, and is satisfied with the care they receive. The articles in this new series present considerations for implementing the 4Ms framework in the inpatient hospital setting and incorporating family caregivers in doing so. Resources for both nurses and family caregivers, including a series of accompanying videos developed by AARP and the Rush Center for Excellence in Aging and funded by the John A. Hartford Foundation, are also provided. Nurses should read the articles first, so they understand how best to help family caregivers. Then they can refer caregivers to the informational tear sheet-Guide to the 4Ms of an Age-Friendly Health System for Family Caregivers-and instructional videos, encouraging them to ask questions. For additional information, see Resources for Nurses.

摘要

本文是“支持老年友好型医疗体系中的家庭照护者”系列文章中的第一篇,与 AARP 公共政策研究所合作出版,是正在进行的“支持家庭照护者:不再独自居家”系列的一部分。《老年友好型医疗体系的 4M 原则(什么是重要的、药物、心理状态和行动能力)》是一个基于证据的框架,用于评估和处理老年人在各种环境和医疗护理过渡中面临的关键问题。让医疗保健团队(包括老年人及其家庭照护者)参与 4M 框架,可以帮助确保每个老年人都能得到尽可能好的护理,不会因医疗护理而受到伤害,并对他们所接受的护理感到满意。本系列中的文章介绍了在住院医院环境中实施 4M 框架并将家庭照护者纳入其中的注意事项。还为护士和家庭照护者提供了资源,包括由 AARP 和拉什卓越老龄化中心制作的一系列配套视频,这些视频由约翰·A·哈特福德基金会资助。护士应先阅读这些文章,以便了解如何最好地帮助家庭照护者。然后,他们可以向照护者推荐信息传单——《老年友好型医疗体系的 4M 原则:家庭照护者指南》和教学视频,并鼓励他们提问。如需更多信息,请参见护士资源。

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