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5 Ms of geriatrics

1) Mind - maintaining mental health - managing dementia - prevention & treatment of delirium - evaluation & treatment of depression 2) Mobility - maintaining ambulation - maintaining balance - prevention of injury, especially due to falls 3) Medications - reducing polypharmacy - medication deprescribing - appropriate prescribing for the elderly - encourage awareness of drug adverse effects 4) Multicomplexity - older patients may have a multiplicity of health conditions - living conditions may be impacted by age, health conditions, & social concerns 5) Matters Most - advance directives - goals of care - care preferences reflected in treatment plan Notes: - also see geriatrics - in depth assessment of 5 M's in Clinician's Guide to Geriatric Assessment [2]

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geriatric assessment geriatrics

References

  1. HealthinAging.org The 5Ms of Geriatrics https://www.va.gov/covidtraining/docs/HIA_TipSheet_Geriatric_5Ms_19.pdf
  2. Sohn BC, Tung EE, Takahashi PY, Verdoorn BP Clinician's Guide to Geriatric Assessment. Mayo Clin Proc. 2024. Oct 9:S0025-6196(24)00417-8 PMID: 39387794 https://www.mayoclinicproceedings.org/article/S0025-6196(24)00417-8/fulltext