Beiting Kimberly J, Landi A Justine, Pravodelov Vassiliki, Ari Mim
Division of Geriatric Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Section of Geriatrics and Palliative Medicine, Department of Medicine, University of Chicago, Chicago, Illinois, USA.
Gerontol Geriatr Educ. 2024 Aug 29:1-5. doi: 10.1080/02701960.2024.2395258.
Over the last two decades, the rate of fatal overdoses among adults 65 years and older has risen exponentially. Older adults are more vulnerable to opioids yet are less likely to have their opioid use disorder (OUD) recognized and treated. The prevalence of geriatric syndromes is higher among older adults with OUD, yet there is limited attention on how improving current OUD treatment for older adults can address their complex care needs. A case-based workshop was presented at the 2023 Annual Meeting of the Society of General Internal Medicine to provide generalists with training, skills, and resources to care for aging adults with OUD through the lens of the Geriatrics 5 Ms framework. After an introductory background, workshop participants engaged in a 5-part mega-case designed to encourage discussion and empower participants to apply each of the 5 Ms to the care of older adults with OUD. Attendees rated the workshop highly in achieved learning objectives, quality, facilitation, and planned incorporation of learned knowledge to teaching, research, patient care, or administration. An interactive case-based workshop on applying the 5 Ms framework to the care of older adults with OUD is feasible, replicable, and may promote age-friendly care for this patient population.
在过去二十年中，65岁及以上成年人的致命药物过量率呈指数级上升。老年人更容易受到阿片类药物的影响，但他们的阿片类药物使用障碍（OUD）被识别和治疗的可能性较小。患有OUD的老年人中，老年综合征的患病率更高，但对于如何改善当前针对老年人的OUD治疗以满足他们复杂的护理需求，人们的关注有限。在2023年内科医学年会（美国普通内科医师学会年会）上举办了一次基于病例的研讨会，旨在通过老年医学5M框架，为全科医生提供培训、技能和资源，以照顾患有OUD的老年人。在介绍背景之后，研讨会参与者参与了一个由五个部分组成的大型病例讨论，旨在鼓励讨论并使参与者能够将5M中的每一项应用于患有OUD的老年人的护理中。与会者对该研讨会在实现学习目标、质量、引导以及将所学知识纳入教学、研究、患者护理或管理方面给予了高度评价。举办一个关于将5M框架应用于患有OUD的老年人护理的互动式病例研讨会是可行的、可复制的，并且可能促进对这一患者群体的老年友好型护理。
