为您的社区带来老年友好型护理——四个必须掌握的词汇.pptx

1、Bringing Age-friendly Care to Your Community:Four Must-know Words,Hedva Barenholtz Levy PharmD,BCPS,BCGPDirector,HbL PharmaConsulting,St.Louis,MO Age-friendly Pharmacist,Outline for Today,Age-friendly Health Systems Movement,Developed 2017Institute for Healthcare Improvement(IHI)and John A.Hartford

2、Foundation In partnership with the American Hospital Association and the Catholic Health Association of the United States.Purpose:To improve care among older adults,avoid harm,increase satisfaction of care received,Importance of Age-friendly Health Systems Movement&the 4Ms Framework,The 4Ms Framewor

3、k,Provides a common language and approach to care planning with older adultsEvidence-basedComponents are inter-linkedApplies across settingsAmbulatory/clinic,urgent care,hospital,long-term care,post-acute careApplies to healthcare providers,patients,caregiversApplies to managing disease states(e.g.,

4、diabetes,chronic kidney disease)What about other stakeholders?4Ms as a holistic approach to address the needs of older adults Promote aging in place,What Matters(aka Matters Most),Know and align care with patients health outcome goals and care preferencesPrioritize patient-specific goals Avoid unwan

5、ted careCollaborative goal-setting improves health outcomesEngage patients&caregivers in care planning conversationsClinicians AND patients/caregivers weigh benefits&harms of therapy optionsBalance clinical practice guidelines with patient preferencesDirectly talk with older adult about what Matters

6、 MostStart with Advanced Directives,healthcare power of attorney,Medications,Use“age-friendly”medications:ensure mobility,mentation,and what matters are not negatively impacted Review ALL medicines for proper dosage,duration of usePrescription,over-the-counter,and dietary supplementsAvoid high-risk