2022
DOI: 10.5811/westjem.2022.4.56115
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A Qualitative Study of “What Matters” to Older Adults in the Emergency Department

Abstract: Introduction: The “4Ms” model – What Matters, Medication, Mentation, and Mobility – is increasingly gaining attention in age-friendly health systems, yet a feasible approach to identifying what matters to older adults in the emergency department (ED) is lacking. Adapting the “What Matters” questions to the ED setting, we sought to describe the concerns and desired outcomes of both older adult patients seeking ED care and their treating clinicians. Methods: We conducted 46 dyadic semi-structured interviews of … Show more

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Cited by 17 publications
(27 citation statements)
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References 33 publications
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“…ED study. 11 Whereas this prior study identified outcomes desired by older adults, our study identified common concerns and challenges to achieving these outcomes from a patient perspective. By pairing patient concerns and desired outcomes using the 4Ms, it could be possible to identify patients at risk of declining functional status who would benefit from a focus on functional recovery in the ED and after discharge.…”
Section: Discussionmentioning
confidence: 93%
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“…ED study. 11 Whereas this prior study identified outcomes desired by older adults, our study identified common concerns and challenges to achieving these outcomes from a patient perspective. By pairing patient concerns and desired outcomes using the 4Ms, it could be possible to identify patients at risk of declining functional status who would benefit from a focus on functional recovery in the ED and after discharge.…”
Section: Discussionmentioning
confidence: 93%
“…Our study findings address the knowledge gap in that we evaluated all 4Ms beyond what matters. The previous study by Gettel et al 11 evaluated “what matters” conversations in the ED. Kaldjian et al 18 identified several key themes for goals of care conversations in the palliative care setting using literature review.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…In itself, What Matters Most is an important concept for providers to better understand older adult goals 4,5 . This patient‐centric topic has been examined in a number of populations and locales, including the emergency department and acute care settings 6–8 . However, to our knowledge, there is a lack of information on what matters most to older adults in the postacute or skilled nursing facility setting.…”
Section: Introductionmentioning
confidence: 99%