By Jeremy C. Holloway, PhD
We hear the term “age-friendly” a lot these days—but what does it really mean? Is it just about having grab bars in bathrooms and good lighting in hallways? Or is there more to it?
The truth is, being age-friendly goes much deeper. It’s about creating environments—homes, communities, healthcare systems—where older adults can thrive, not just survive. It’s about honoring dignity, supporting independence, and building a culture where aging is celebrated rather than feared.
Let’s break it down simply, using the 4Ms Framework—a proven, person-centered approach from the Institute for Healthcare Improvement that’s being adopted nationwide:
1. What Matters Most
Too often, older adults are told what they need rather than asked what they want. Age-friendly care begins by asking questions like:
- “What are your goals for your health?”
- “What brings you joy?”
- “What do you want your day to look like?”
Tip for caregivers: Don’t assume—ask. Whether you’re helping a loved one or supporting a client, take the time to understand their wishes and values.
2. Medication
Older adults are more sensitive to medications, and sometimes prescriptions can cause confusion, dizziness, or even falls.
Tip for older adults: Ask your provider, “Is this medication still right for me?”
Tip for professionals: Use tools like the Beers Criteria to guide safe prescribing, and watch out for interactions that can affect mentation and mobility.
3. Mentation (Mind, Memory & Mood)
We’re not just bodies—we’re minds, too. Age-friendly care focuses on preventing, identifying, and treating issues like depression, dementia, and delirium.
Tip for everyone: Watch for changes in mood or confusion, especially during transitions like hospital stays. Gentle, consistent routines and engagement go a long way.
4. Mobility
Staying mobile keeps older adults independent, confident, and safe. But mobility isn’t just about walking—it’s about moving safely and meaningfully every day.
Tip for caregivers: Create fall-proof environments and encourage movement—even just a stroll to the mailbox.
Tip for professionals: Consider assessments like the Timed Up and Go (TUG) or 30-Second Sit-to-Stand tests to monitor physical function.
Being Age-Friendly Is a Mindset
It’s not about perfection—it’s about intentionality.
It’s about listening more, assuming less, and designing environments that uplift and support older adults at every level.
Whether you’re a family caregiver, a healthcare worker, or part of a local community, we all play a role in making the world more age-friendly.
So let’s ask:
> Are we honoring what matters to those we serve?
> Are we simplifying and de-risking medications?
> Are we supporting memory, mood, and mental health?
> Are we encouraging safe movement each day?
Because age-friendly isn’t just a healthcare model.
It’s a reflection of who we are—and who we want to be.
About the Author: Jeremy C. Holloway, PhD, is a professor at New Mexico Highlands University and Director of the Tellegacy program, a national intergenerational initiative advancing social connection, age-friendly education, and health equity.
Disclaimer: This blog is for informational purposes only and does not constitute, nor is it intended to be a substitute for, professional advice, diagnosis, or treatment. Information on this blog does not necessarily reflect official positions of the Aging Life Care Association® and is provided “as is” without warranty. Always consult with a qualified professional with any particular questions you may have regarding your or a family member’s needs.
