The 4Ms of Age Friendly Healthcare Delivery: #2 - Mentation

The 4Ms of Age Friendly Healthcare Delivery: #2 - Mentation - #102

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Mentation is one of the 4Ms of an Age-Friendly healthcare system.

In 2017, the Institute for Healthcare Improvement (IHI), the John A Hartford Foundation (JAHF), the American Hospital Association (AHA), and the Catholic Health Association (CHA) of the United States addressed the development of age-friendly health systems using a clinical framework to improve the complex care of older adults.

These organizations defined and operationalized age-friendly care following the guidelines of beneficence, evidence-based medicine, and patient/family aligned goals and concerns. The 4M Framework was the result: What Matters Most, Mentation, Mobility, and Medication.  A 5th M is sometimes incorporated to include Multi-Morbidity, which calls attention to the multiple, often inter-related, health problems that many older adults face.

Older adults in the outpatient and inpatient setting.

Assess brain function in older adult patients by considering cognitive function and psychiatric health.

  1. Describe the importance of screening for cognitive and psychiatric functioning and health.
  2. Identify tools to screen for neurocognitive impairment and mood disorders.
  1. Institute for Healthcare Improvement.  Age-Friendly Health Systems: Guide to Using the 4Ms in the Care of Older Adults.  July 2020.
  2. World Health Organization. Mental health of older adults.  December 12, 2017.  Mental health of older adults (
This GFF ___ my competence in geriatrics.

Steven Denson MD, Associate Professor, Division of Geriatric and Palliative Medicine, Medical College of Wisconsin