The 4M Model

Crit Care Nurs Clin North Am. 2023 Dec;35(4):367-374. doi: 10.1016/j.cnc.2023.06.003. Epub 2023 Jul 14.

Abstract

Engaging the health care team, including older adults and their caregivers, with the Institute for Healthcare Improvement 4M Model can help ensure every older adult receives (1) optimal health care, (2) is not harmed by health care, and (3) is satisfied with their health care. The evidence-based 4 Ms Model includes 4 significant concepts specific to older adult care: What matters, Mentation, Mobility, and Medication. Unfortunately, clinicians do not consistently apply the 4 Ms Model when caring for older adults. Personalized, age-friendly care based on the 4 Ms Model can improve outcomes for older adult patients.

Keywords: 4M model; Age-friendly health systems; Health care; Older adults.

Publication types

  • Review

MeSH terms

  • Aged
  • Caregivers*
  • Humans
  • Patient Care Team*