Romem Anat, Zalcman Beth G, Katz Emilia, Prager Tal
Department of Nursing, Jerusalem College of Technology, Jerusalem Israel.
Rehabilitation Department, Dorot Netanya Geriatric Medical Center, Netanya, Israel.
SAGE Open Nurs. 2024 Aug 16;10:23779608241274209. doi: 10.1177/23779608241274209. eCollection 2024 Jan-Dec.
This Practice Update discusses the potential for implementation of the 4M model for care of older adults in Israel, to complement the medical-centric model that exists today. The older adult population in Israel is increasing. However, efficient and sufficient care that takes patient's wishes into consideration is lacking.
Care of older adults, particularly palliative patients, is complex and requires multidisciplinary efforts. There are numerous challenges to caring for older adults. These include fragmentation of care, unclear boundaries between palliative and geriatric care, and the preservation of patient autonomy, indicating a need to adopt new care frameworks.
The authors suggest implementing the 4M model as a new care framework in addition to the current medical-centric model. This framework considers important care aspects during discussions of care: what matters to the patient, medication, mentation, and mobility. Implementation of this model can promote better-integrated care, thus improving the quality of life for older adults.
本实践更新探讨了在以色列实施老年人护理4M模型的可能性，以补充现有的以医疗为中心的模式。以色列的老年人口正在增加。然而，缺乏考虑患者意愿的高效且充分的护理。
老年人护理，尤其是姑息治疗患者的护理，非常复杂，需要多学科的努力。照顾老年人存在诸多挑战。这些挑战包括护理碎片化、姑息治疗和老年护理之间界限不明确，以及维护患者自主权，这表明需要采用新的护理框架。
作者建议在当前以医疗为中心的模式之外，实施4M模型作为新的护理框架。该框架在护理讨论中考虑了重要的护理方面：对患者重要的事项、药物治疗、精神状态和活动能力。实施该模型可以促进更综合的护理，从而提高老年人的生活质量。
