The 5 Ms: A Simple Framework to Care for Older Patients

Conclusion

When caring for the geriatric patient, the big picture matters, and the 5 Ms can help guide care. It’s important to be proactive and take both biological and psychosocial changes associated with aging into account.

“At the end of the day, nothing can overcome shared decision making with patients, families and caregivers,” concluded Dr. Singh. “Prioritize their quality of life.”

Samantha C. Shapiro, MD

Samantha C. Shapiro, MD, is a clinician educator who is passionate about the care and education of rheumatology patients. She writes for both medical and lay audiences and practices telerheumatology.

References

1. U.S. Census Bureau. Population projections.
2. Inouye SK, Studenski S, Tinetti ME, Kuchel GA. Geriatric syndromes: Clinical, research, and policy implications of a core geriatric concept. J Am Geriatr Soc. 2007 May;55(5):780–791.
3. Radner H, Yoshida K, Smolen JS, Solomon DH. Multimorbidity and rheumatic conditions—Enhancing the concept of comorbidity. Nat Rev Rheumatol. 2014 Apr;10(4):252–256.
4. Rochon PA, Gurwitz JH. The prescribing cascade revisited. Lancet. 2017 May 6;389(10081):1778–1780. Erratum in Lancet. 2017 Jun 3;389(10085):2192.
5. van Onna M, Boonen A. Challenges in the management of older patients with inflammatory rheumatic diseases. Nat Rev Rheumatol. 2022 Jun;18(6):326–334.
6. Buehring B, van Onna M, Myasoedova E, et al. Understanding the multiple dimensions of ageing: 5Ms for the rheumatologist. Lancet Rheumatol. 2024 Dec;6(12):e892–e902.
7. American Geriatrics Society 2023 updated AGS Beers Criteria for potentially inappropriate medication use in older adults. J Am Geriatr Soc. 2023 Jul;71(7):2052–2081.