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Patient Priorities in Age-Friendly 4Ms Care.

John W Meyer1, Kalen M Kearcher1, Ayesha S Ahmad1

  • 1Penn State College of Medicine, Hershey, University Park, Pennsylvania.

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|December 17, 2025
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Summary
This summary is machine-generated.

Geriatric inpatients prioritize quality of life, discharge planning, pain management, and understanding medical terms. These insights help tailor care and align with the 4Ms Framework for better patient-centered health outcomes.

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Area of Science:

  • Geriatric Medicine
  • Health Services Research
  • Patient-Centered Care

Background:

  • The Institute for Healthcare Improvement developed the 4Ms Framework (What Matters, Medication, Mentation, Mobility) to improve age-friendly, person-centered care.
  • Nurses at one medical center inquire daily about patient priorities to align care with the "What Matters" component of the 4Ms Framework.

Purpose of the Study:

  • To identify patterns and recurring themes in geriatric inpatients' stated priorities.
  • To understand patient needs across different age groups and hospital departments.

Main Methods:

  • Analysis of over 11,000 responses from geriatric inpatients.
  • Application of unsupervised clustering and topological data analysis techniques.

Main Results:

  • Four key themes emerged from patient responses.
  • Identified themes include: Inpatient Quality of Life, Discharge Planning, Pain Management, and Clarification of Medical Terminology.

Conclusions:

  • Understanding patient priorities is crucial for delivering responsive and personalized care.
  • Integrating these themes into system-level pathways can enhance alignment with the 4Ms Framework and improve care delivery.