Dr. Fulmer outlines what the '4Ms' are, "essential, initial elements that systems need to provide older adults with the best care possible":
- What Matters: Understanding what each patient’s health goals and care preference are across settings to know and align care, including (but not limited to) end-of-life.
- Medication: If medications are necessary, using age-friendly medications that do not interfere with What Matters, Mentation or Mobility.
- Mentation: Preventing, identifying, treating, and managing dementia, depression and delirium across care settings
- Mobility: Ensuring that older adults move safely every day to maintain function and do What Matters to them.
She discusses how these high-level interventions provide a much-needed framework for helping system leaders and frontline teams consistently deliver high-quality, age-friendly care.