Age-Friendly Care:
It's About What Matters to You
We all deserve health care that meets our needs as we get older.
Age-Friendly Care:
What Is Age-Friendly Care?
Age-friendly care is health care that addresses your unique needs and wants. It can help you enjoy a better quality of life.
It is care that is safe and based on what research shows are the most important things to pay attention to as we get older - the 4Ms: what Matters, Medication, Mentation and Mobility.
A growing number of hospitals, practices, clinics and nursing homes are delivering 4Ms care through the Age-Friendly Health Systems initiative.
Learn more about how you can ask for age-friendly care below. Más información está aquí en español.
The 4Ms of Age-Friendly Care
Explore the 4Ms: What Matters, Medication, Mentation, and Mobility
Resources for Family Caregivers
Discover curated resources from JAHF grantees to support older adults and their family caregivers.
The 4Ms of Age-Friendly Care
Ask for 4Ms Age-Friendly Care
Use this guide to talk to your health care providers about the essential elements of age-friendly care known as the 4Ms.
And read below to learn about each of the 4Ms of age-friendly care:
- What Matters
- Medication
- Mentation (Mind)
- Mobility
The 4Ms
What Matters
As you age, your needs might change. It’s important for you to share your concerns, goals, wishes, needs and experiences with all of your health care providers.
What You Can Do
- Tell your care team about the things that matter to you
- Make a list of questions to ask at each health care visit
- Talk with your family and providers about your wishes for care at the end of life
Resources
- MyHealthPriorities.org: An online tool from Patient Priorities Care to help you identify what matters most to you, your health priorities
- Conversation Starter Kit: A guide to talking with your family about what matters to you at the end of life (available in multiple languages)
- Prepare for Your Care: A step-by-step program with video stories to help you put your medical care wishes in writing (also in Spanish)
- Prepare for Their Care: To support you as you help other people with their medical planning and decisions
Medication
You might take many medicines now, which can mean more side effects. Some drugs affect us in new ways as we age, too.
What You Can Do
- Talk with your medical provider about any side effects that you experience
- Ask your care team to assess how your medicines interact with each other
- Tell your providers about any over-the-counter medicine or natural remedies you take
Resources
- HealthinAging Tip Sheet: Ten Medications Older Adults Should Avoid Or Use With Caution (also in Spanish)
- National Institute on Aging: Tracking Your Medications Worksheet (scroll down for the worksheet)
Mentation
Older adults are at risk for dementia (problems with thinking, memory, and reasoning), depression (ongoing sadness or loss of interest) and delirium (sudden confusion), but there are steps you can take to lower your risk.
What You Can Do
- Tell your medical provider if you notice any changes in your memory or mood
- Get screened for dementia and depression each year
- If you become confused suddenly, get help right away. Sudden confusion (delirium) is a medical emergency
Resources
- Alzheimer's Association: Live Well with Alzheimer’s: Taking Care of Yourself
- HealthinAging Tip Sheet: Managing Delirium In Older Adults
- National Institute of Mental Health: Older Adults and Depression: Learn the signs and find treatment
Mobility
It’s important to think about how to get around safely as we get older. Staying active helps you maintain your health and independence.
What You Can Do
- Talk with your care providers about how you get around at home or go from place to place. Tell them about what’s working and what’s not.
- Ask about how you can improve strength, flexibility, and balance.
- Check your home for objects you can trip on or missing handrails that can cause falls.
Resources
- National Institute on Aging resources: Go4Life Exercise and Physical Activity
- HealthinAging Tip Sheet: Home Safety Tips For Older Adults
- National Council on Aging: Falls Free CheckUp
- Office of Disease Prevention and Health Promotion: Move Your Way tools, videos and fact sheets
Watch our Segment about the 4Ms of Age-Friendly Care
NBC Universal has a televised segment about age-friendly care airing throughout the month of September on NBC's Peacock streaming service.
The short segment explains the 4Ms of age-friendly care: What Matters, Medication, Mind (Mentation), and Mobility.
WebMD Video: See Age-Friendly Care in Action
A retail pharmacy clinic
When providers ask about a patient’s goals, medications, memory and mobility, they feel heard, says nurse practitioner Sidney Hunt of MinuteClinic at CVS.
Watch more WebMD videos of age-friendly care in action.
Find Age-Friendly Care
The John A. Hartford Foundation wants to make sure that age-friendly care reaches as many people as possible.
Map of Age-Friendly Health Systems
We support the Age-Friendly Health Systems initiative. It is helping hospitals, doctor's offices, retail pharmacy clinics, nursing homes and home-care providers deliver age-friendly care.
Find a list of the growing number of recognized Age-Friendly Health Systems and go to an interactive map of recognized sites.
PACEFinder: Find a PACE Program in Your Neighborhood
Programs of All-Inclusive Care for the Elderly (PACE) programs coordinate and provide all needed preventive, primary, acute and long-term care services so older individuals can continue living in the community.
Learn more about PACE and use the PACEFinder to find a PACE program in your neighborhood.
The Eldercare Locator Helps You Find Age-Friendly Services in the Community
The Administration for Community Living's Eldercare Locator website connects those who need assistance with state and local agencies on aging, as well as community-based organizations that serve older adults and their caregivers.
House Call Finder Helps You Find Practices that Specialize in Home-Based Medical Care
The American Academy of Home Care Medicine's House Call Finder is a comprehensive and accessible national directory for home-based medical care that simplifies the process of locating and connecting with practices specializing in home-based medical care.
Palliative Care Helps You Live Well With Serious Illness
Where You Can Find It
Palliative care is specialized medical care for people who are living with a serious illness. Palliative care focuses on relieving symptoms like pain and stress, with the goal of improving quality of life for patients and their families and caregivers.
Age-Friendly Resources for Family Caregivers
Grantees and partners of The John A. Hartford Foundation offer an array of support to family caregivers of older adults. Here are five key resources:
Dementia Care Programs for Family Caregivers
Best Programs for Caregiving free directory of top-rated programs that support family and friend caregivers of individuals living with dementia.
Get Online Help Navigating Caregiving
CareNav is a simple online tool from the Family Caregiver Alliance, which also has 14 fact sheets translated into Spanish, Chinese and other languages.
News Articles on Caregiver Support and Resources
A range of topics are explored on Next Avenue, public media’s news outlet for older adults. Read additional stories reflecting the diversity of family caregivers.
How-To Videos on Preparing for a Hospital Stay
AARP provides guidance on going to or leaving the hospital and on medical/nursing tasks like managing medications in a series of instructional videos for family caregivers; more tools can be found in their resource center.
Call for Help to Get Support
WeCare...Because You Do℠ provides telephone support to family caregivers from the Benjamin Institute Rose on Aging, which also has a searchable library of resources for family members and friends.
Family Caregiver Services by State
Family Caregiver Alliance's Services by State tool helps family caregivers locate public, nonprofit, and private programs and services nearest the older adult they care for.
More resources
Actionable Tools with Healthcare Cost Information for Older Adults and Family Caregivers
FAIR Health has created a dedicated section for older adults and caregivers with shared decision-making and treatment cost tools, educational content and other resources as part of its consumer website that promotes age-friendly care.
Age-Friendly Care Articles and Resources at WebMD
WebMD.com/AgeFriendly is an educational collaboration between The John A. Hartford Foundation and WebMD. The series includes articles on Age-Friendly Care and each of the 4Ms, stories, videos and related resources.
For Clinicians and Health Systems:
Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement in partnership with the American Hospital Association and the Catholic Health Association of the United States.
For more information and to join the Age-Friendly Health Systems movement, visit www.ihi.org/AgeFriendly.
To access resources, including The Business Case for Becoming an Age-Friendly Health System, click here.
