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Published on: February 16, 2011
The Therapeutic Hub: A Person-Centered Approach to Age-Friendly Care
Michelle Nai1, Roxann Robinson, Anna-Rae Montano
1Michelle Nai and Roxann Robinson are geriatric nurse educators, Anna-Rae Montano is the program director of inpatient geriatric services, and Christine Waszynski is a geriatrics consultant, all at Hartford Hospital in Hartford, CT. Contact author: Anna-Rae Montano, anna-rae.montano@hhchealth.org. The authors have disclosed no potential conflicts of interest, financial or otherwise.
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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