Which domain in the 4 Ms framework focuses on medication management?

• A. Mobility
• B. Medication
• C. Mentation
• D. What Matters

Answer: (B)

In the 4 Ms framework, the Medication domain covers drug therapy and how we manage it for older adults. It includes medication reconciliation, avoiding polypharmacy, choosing appropriate medications, dosing adjustments for aging, monitoring for adverse drug events and interactions, and educating patients and caregivers. This domain specifically addresses medications, whereas What Matters focuses on patient goals and preferences, Mentation on cognition and mood, and Mobility on physical function and movement. So the domain that centers on medication management is the Medication domain.