Diagnostic testing and treatment are determined based on ability to improve disease process or quality of life/goals of care.

Review frequent impairment and complications of acute stroke.

Mobility is one of the 4 Ms of an Age-Friendly healthcare system.  This “M” emphasizes mobility.

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 5^th M is often incorporated to include Multi-Morbidity, which calls attention to the multiple, often inter-related, health problems that many older adults face. This Geriatric Fast Fact focuses on Mobility.

The 4Ms in improving the complex care of older adults are: What Matters Most, Mentation, Mobility, and Medication.

Identifying and decreasing environmental risk factors for falls.

Screening for osteoporosis aims to identify patients at increased risk of fragility fractures who may benefit from an intervention to mitigate that risk.

Frailty assessment of patients at time of ICU admission may be useful in identification of vulnerable elderly patients.

How will a home safety evaluation benefit your geriatric patient?

Identify fall risk factors and common interventions that decrease fall risk.

Review an algorithm for pain management of rib fractures.