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cover of episode Episode 198: Age Friendly Care in the ICU- Riding the Wave of 4Ms

Episode 198: Age Friendly Care in the ICU- Riding the Wave of 4Ms

2025/6/2
logo of podcast Walking Home From The ICU

Walking Home From The ICU
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Karen Mack
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Kaylee Dayton
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Karen Mack: 作为NICH的执行董事，我强调老年患者在ICU中面临的特殊挑战，特别是老年综合征的风险。NICH框架通过关注睡眠优化、饮食管理、失禁处理、认知参与和行动能力，帮助护士识别和管理这些综合征。我们提倡关注“What Matters（重要的事情）”、“Medications（药物）”、“Mentation（精神状态）”和“Mobility（行动能力）”的4M框架，以改善老年患者的预后。我们应该像关注肾功能一样关注患者的基线功能水平，防止因ICU干预导致的衰退，并强调预防谵妄的重要性，因为它与死亡率密切相关。我们应该将关注点从跌倒预防转移到促进行动能力上，并鼓励ICU团队将适老化护理融入日常实践，从而提高患者的生活质量和护理效果。 Kaylee Dayton: 作为ICU顾问，我强调在ICU中实施适老化护理的重要性，特别是在面对老年患者时。我们必须改变ICU长期以来的文化，即认为4M框架对危重患者不重要。我们应该关注非镇静策略，以便老年患者能够参与关键决策。我们应该认识到，即使是年轻患者在ICU中经历镇静和不动也会导致长期损害，因此对于已经存在神经退行性改变的老年患者来说，采取适老化护理措施更为重要。我们应该利用4M倡议作为推动变革的工具，鼓励ICU团队关注药物管理、精神状态、行动能力和患者的个人需求，从而改善老年患者的预后和护理体验。我们应该努力将循证实践融入ICU护理，并鼓励ICU团队参与适老化护理的实践和研究。

Deep Dive

Chapters
This chapter introduces Karen Mack, DNP, MBA, APRN, and the 4Ms initiative (Medications, Mentation, Mobility, and What Matters) promoting age-friendly care in ICUs. It sets the stage by discussing the importance of understanding the unique needs of older adult patients in critical care settings.
  • Introduction of Karen Mack and the 4Ms initiative.
  • Focus on age-friendly care in ICUs.
  • Importance of understanding older adult patients' needs in critical care.

Shownotes Transcript

CMS is rolling out a new initiative to require hospitals to have age-friendly care: 4Ms. This means that we must prioritize: Medications, Mentation, Mobility, and What Matters. Karen Mack, DNP, MBA, APRN, executive director at NICHE, shares with us how leverage age-friendly care in advocating for Awake and Walking ICUs!

Join the upcoming webinar on Verticalization Therapy in the ICU. Register here: https://tr.ee/-o9iVL3ErD)

www.DaytonICUConsulting.com)