The Therapeutic Hub: A Person-Centered Approach to Age-Friendly Care.

IF 2.5 4区医学 Q1 NURSING

American Journal of Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-24 DOI:10.1097/AJN.0000000000000062

Michelle Nai, Roxann Robinson, Anna-Rae Montano, Christine Waszynski

引用次数: 0

Abstract

Abstract: Providing age-friendly care to hospitalized older adults is critical to achieving favorable outcomes. The Therapeutic Hub is a space at an acute care level 1 trauma center in which nurses and other staff utilize the 4Ms of an Age-Friendly Health System framework to offer multisensory stimulation and comfort to older patients, with the aim of preventing cognitive and functional decline, agitation, and delirium. Individualized nonpharmacological therapeutic interventions are delivered through relationship-centered care. This article outlines the 4Ms (Mobility, Mentation, Medication, and What Matters), addresses barriers to implementing age-friendly care, and describes the Therapeutic Hub and its positive impact on patient outcomes.

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治疗中心：以人为本的老年友好护理方法。

摘要：为住院老年人提供老年友好护理是获得良好结果的关键。治疗中心是一个急性护理1级创伤中心，护士和其他工作人员利用老年友好健康系统框架的4m为老年患者提供多感官刺激和舒适，目的是防止认知和功能下降，躁动和谵妄。个性化的非药物治疗干预是通过以关系为中心的护理来实现的。本文概述了4Ms（流动性、心理状态、药物治疗和重要事项），解决了实施老年人友好型护理的障碍，并描述了治疗中心及其对患者结果的积极影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Nursing 医学-护理

CiteScore

1.10

自引率

3.70%

发文量

604

审稿时长

6-12 weeks

期刊介绍： The American Journal of Nursing is the oldest and most honored broad-based nursing journal in the world. Peer reviewed and evidence-based, it is considered the profession’s premier journal. AJN adheres to journalistic standards that require transparency of real and potential conflicts of interests that authors,editors and reviewers may have. It follows publishing standards set by the International Committee of Medical Journal Editors (ICMJE; www.icmje.org), the World Association of Medical Editors (WAME; www.wame.org), and the Committee on Publication Ethics (COPE; http://publicationethics.org/). AJN welcomes submissions of evidence-based clinical application papers and descriptions of best clinical practices, original research and QI reports, case studies, narratives, commentaries, and other manuscripts on a variety of clinical and professional topics. The journal also welcomes submissions for its various departments and columns, including artwork and poetry that is relevant to nursing or health care. Guidelines on writing for specific departments—Art of Nursing, Viewpoint, Policy and Politics, and Reflections—are available at http://AJN.edmgr.com. AJN''s mission is to promote excellence in nursing and health care through the dissemination of evidence-based, peer-reviewed clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the health care community and the public.