Summer 2023 Newsletter
By Robin McAtee, PhD, RN, FACHE – Director
Arkansas Geriatric Education Collaborative (AGEC), a Geriatric Workforce Enhancement Program (GWEP) at the University of Arkansas for Medical Sciences (UAMS) Donald W. Reynolds Institute on Aging (DWR IOA)
This quarter I will be continuing my writing about the 4M’s framework of Age-Friendly care. We have reviewed the overall concept of the 4M’s framework, the first “M” of “what Matters” (the cornerstone of the framework) and last quarter we reviewed Medication. This summer quarter we will move on to Mobility.
As you can guess, “mobility” involves a LOT! It is critical to what matters and can be greatly impacted by medications! Here we can see how all of these “M’s” intertwine and are co-dependent. So, when reviewing Mobility, we need to first assess, recognize and document limitations. First, some factors that increase the mobility risk factors include; aged 65+, female, obesity, chronic physical conditions such as arthritis, diabetes and other joint conditions or injuries. Risk factors also include mental conditions such as depression, dementia, delirium, to just name a few. The main goal is to ensure that the older adult moves safely in every day circumstances to maintain function and do “What Matters” to them. So next, one would screen for mobility limitations and then work to create safe everyday environments including the use of adaptive equipment when appropriate.
We also need to work with the entire geriatric team to consider the other 4 M’s such as assessing any medications that may sedate the older adult, cause postural hypotension, cause dizziness, or contribute to other factors that might impair mobility and therefore decrease their ability to do what Matters. In addition, other appropriate measures might include a consult to physical and or occupational therapy.
Mobility is vital for us all to do what Matters, it is no different for an older adult. However, with older adults, there are many more contributing factors and information that must be considered.
This was just a quick overview of “Mobility”, and there is a lot more to learn and apply with this “M”, but I hope it helps to inform and remind us to use the 4 M’s and to always consider each “M” within the context of What Matters Most. If you want to learn more, additional information can be found at
https://www.ihi.org/Engage/Initiatives/Age-Friendly-Health-Systems/Pages/default.aspx
If you would like more information or training regarding the 4M’s of Age-Friendly care, please contact the AGEC.