The Geriatric 5Ms (Tinetti et al., J Am Geriatr Soc, 2017) is a framework for caring for older adults through the aging process and the end of life that aligns with the 4Ms of Age-Friendly Health Systems (Mate et al, J Aging Health, 2021). This Geriatric 5Ms pocket card, adapted from Holliday et al., J Am Geriatr Soc, 2019, outlines key geriatric concepts to help improve care for older adults in any setting, including:
What Matters Most
- Current care planning: Identifying health goals and preferences
- Advance care planning
Mind
- Addressing cognition and mental health
- Mitigating sensory impairment
Mobility
- Optimizing functional status
- Maintaining safe mobility
Medications
- Tailoring medications to meet goals and preferences
- Avoiding high-risk medications
Multicomplexity
- Navigating health care settings and transitions
- Balancing multiple chronic conditions
- Addressing social determinants of health
Each section of this app includes suggestions of history or physical exam components, validated screening tools, helpful resources, and potential interprofessional team members with whom to collaborate in delivering patient-goals directed geriatric care. References, an online Quick Guide version of this app, and downloadable PDF version may be found at GeriatricsCareOnline.org here.