Geriatric Simulations Toolkit
This toolkit includes guidance and materials to use in four simulations related to caring for older adults. The simulations include: an introduction to aging and home health nursing assessment, hospital care of older adults with a fall and acute respiratory symptoms, interprofessional home health assessments, and interprofessional skilled inpatient rehabilitation of older adults. The purpose of this toolkit is to improve the confidence and competence in adapting care of older adults while increasing the exposure for nursing students to various healthcare settings such as long term care.
What is an Age-Friendly Health System?
This lecture (31:15 minutes) given by Mindy J. Fain discusses the aspects of an age-friendly health system. By the end of this lecture, learners should be able to: (1) explain the need for age-friendly health systems; (2) describe what is meant by age-friendly care; and (3) discuss how to practice the 4Ms of age-friendly care.
Source: Arizona Center on Aging, 2025
https://aging.arizona.edu/education-training/care-partner-information-sheets
Age-Friendly Health Systems: Guide to Using the 4M's in the Care of Older Adults
This guide is designed to help health care teams test and implement a specific set of evidence-based geriatric practices called the 4M's. The 4M's include: What Matters, Medication, Mentation, and Mobility.
Source: Institute for Healthcare Improvement (IHI), 2020.
"What Matters" to Older Adults?
This toolkit is written to help health systems design better care for older adults while continuing to understand "what matters" the most to each adult. It also discusses how to prepare for and conduct specific "what matters" conversations with older adults and caregivers.
Source: Institute for Healthcare Improvement (IHI), 2019.
https://www.ihi.org/Topics/WhatMatters/Pages/default.aspx
Introducing The 4Ms Framework for an Age-Friendly Health System
This brief video provides an introduction to the 4Ms Framework for Age-Friendly Health Systems. It discusses how healthcare professionals can deliver "what matters" evidence-based care to older adults reliably across every care setting.
Source: RUSH Center for Excellence in Aging
https://www.rush.edu/
4Ms Framework
This framework provides a diagram of the 4Ms of an Age-Friendly Healthcare System. Each M within the framework is given a description of what it is.
Source: Institute for Healthcare Improvement (IHI)
Clinical Practice Guidelines for Quality Palliative Care 4th Edition
This report outlines the clinical practice guidelines for quality palliative care of older adults. It discusses ten domains while identifying specific guidelines within these domains regarding palliative care.The domains include: structure and process of care, physical aspects of care, psychological and psychiatric aspects of care, social aspects of care, spiritual, religious, and existential aspects of care, cultural aspects of care, care of the patient nearing the end of life, and ethical and legal aspects of care.
"Conversation Ready": A Framework for Improving End-of-Life Care (Second Edition)
This white paper provided by the Institute for Healthcare Improvement (IHI) provides a framework to help health care organizations and clinicians provide respectful end-of-life care that is coordinated with a patient's goals, values, and preferences.
How to Talk to Your Patients about End-of-Life Care: A Conversation Ready Toolkit for Clinicians
This toolkit designed by the Institute for Healthcare Improvemnt (IHI) was created to help clinicians address some of the challenges of engaging with patients and their families regarding end-of-life conversations that develop over time. The toolkit provides and details four patient cases with diverse backgrounds and experiences at different points of illness, along with diverse clinicians in various care settings.
Quality Clinical Care in Nursing Facilities
This article discusses recommendations for overcoming barriers to achieving consistent, high-quality clinical outcomes in long-term and post-acute care facilities. It also provides recommendations regarding inadequate workforce, suboptimal culture and interprofessional teamwork, insufficiently evidence-based processes of care, and poor adoption and fidelity of technology and integrated clinical decision support.
Source: The Society for Post-Acute and Long-Term Care Medicine, 2018.