利用 4Ms 框架,创建支持经济适用房自愿健康评估的结构和流程。

IF 4.3 2区 医学 Q1 GERIATRICS & GERONTOLOGY
Elyse Perweiler MA, MPP, RN, Jennifer DeGennaro MA, Sherry Pomerantz PhD, Marilyn Mock MSW, Margaret Avallone DNP, RN, Aaron Truchil MS, Stephen Singer MCP
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引用次数: 0

摘要

背景:越来越多的老年人居住在老年人经济适用房中,其中许多人的支持系统有限,他们代表着服务不足或弱势群体。这些建筑中的工作人员处于一个独特的位置,可以识别和解决居民的医疗保健和生物心理社会需求,并将他们与服务和支持联系起来:方法:四个经济适用房地点的工作人员接受了有关 4Ms 方法的培训,以照顾老年人并进行居民健康评估。他们学会了使用 4Ms 居民健康风险评估(4Ms-RHRA)收集全面的健康信息,并将结果输入定制的电子数据库。嵌入式标志可识别潜在的风险因素,并启动后续流程,以记录干预措施并跟踪医疗保健和支持性服务的转介情况:在居民(63% 为女性,平均年龄为 71.1 岁,73% 为独居)完成的 221 份 4Ms-RHRA 中,81% 的人至少有一个问题被标记(平均值 = 2.2 个标记)。涉及 "重要事项 "的项目最常被标记:住户 "最重要的健康问题"(55%)和预先护理计划(ACP:48%)。对此,工作人员向感兴趣的住户提供了预先医疗指示表格和五个愿望小册子,并提醒住户每年查看 ACP 文件:对经济适用房工作人员、实习教师和学生进行培训,使其能够根据 4Ms 框架进行健康评估,并纵向跟踪与以居民为中心的需求相关的干预措施,以及管理长期服务和支持,这是建立一支能够满足经济适用房中老年人复杂需求的跨专业人才队伍的第一步。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Utilizing the 4Ms framework to create a structure and process to support voluntary health assessments in affordable housing

Utilizing the 4Ms framework to create a structure and process to support voluntary health assessments in affordable housing

Background

A growing number of older adults live in senior affordable housing, many with limited support systems and representing underserved or disadvantaged populations. Staff in these buildings are in a unique position to identify and address the healthcare and biopsychosocial needs of their residents and link them to services and supports.

Methods

Staff in four affordable housing sites received training on the 4Ms approach to caring for older adults and conducting resident health assessments. They learned to collect comprehensive health information using a 4Ms Resident Health Risk Assessment (4Ms-RHRA) and results are entered into a customized electronic database. Embedded flags identify potential risk factors and initiate a follow-up process for documenting interventions and tracking referrals to healthcare and supportive services.

Results

Eighty-one percent of the 221 4Ms-RHRAs completed with residents (63% female, mean age 71.1 years, 73% live alone) were flagged for at least one concern (Mean = 2.2 flags). Items addressing What Matters were most frequently flagged: resident's “most important health issue” (55%) and Advance Care Planning (ACP: 48%). In response, staff provided Advance Directive forms and Five Wishes pamphlets to interested residents and reminded residents to review ACP documents annually.

Conclusion

Training affordable housing staff, precepting faculty, and students to conduct health assessments based on the 4Ms framework and longitudinally track interventions related to resident-centered needs and manage long-term service and supports is a first step in creating an interprofessional workforce capable of addressing the complex needs of older individuals in affordable housing.

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来源期刊
CiteScore
10.00
自引率
6.30%
发文量
504
审稿时长
3-6 weeks
期刊介绍: Journal of the American Geriatrics Society (JAGS) is the go-to journal for clinical aging research. We provide a diverse, interprofessional community of healthcare professionals with the latest insights on geriatrics education, clinical practice, and public policy—all supporting the high-quality, person-centered care essential to our well-being as we age. Since the publication of our first edition in 1953, JAGS has remained one of the oldest and most impactful journals dedicated exclusively to gerontology and geriatrics.
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