Fellow in the Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic School of Graduate Medical Education, Mayo Clinic College of Medicine and Science.
Division of Community Internal Medicine, Geriatrics, and Palliative Care, Mayo Clinic, Rochester, MN.
Mayo Clin Proc. 2024 Nov;99(11):1773-1784. doi: 10.1016/j.mayocp.2024.08.017. Epub 2024 Oct 10.
The population of older adults is rapidly growing worldwide. Because of the substantial shortage of geriatricians, all clinicians need basic fluency in older adult care. In our approach to evaluating an older adult in the clinic or at the bedside, we apply the "Geriatric 5Ms" framework to manage the patient's care. The Geriatric 5Ms consist of the following key steps. First, consider the mind: the cognitive and psychological domains of a patient's health. Second, evaluate mobility and fall risk. Third, review and reconcile medications, particularly high-risk medications. Fourth, ask what matters most to the patient. Fifth, assess multicomplexity: how the intersection of multiple chronic conditions and social determinants of health influence the patient's health care management. Herein, we provide clinicians with practical suggestions and resources for quickly and effectively applying the Geriatric 5Ms to the care of older adults.
全球老年人口数量正在迅速增长。由于老年病医生严重短缺，所有临床医生都需要基本精通老年护理。在我们对诊所或床边的老年患者进行评估时，我们采用“老年 5Ms”框架来管理患者的护理。老年 5Ms 包括以下关键步骤。首先，考虑心理状态：患者健康的认知和心理领域。其次，评估活动能力和跌倒风险。第三，审查和调整药物，特别是高风险药物。第四，询问患者最关心的问题。第五，评估复杂性：多种慢性疾病和健康的社会决定因素的交集如何影响患者的医疗保健管理。在此，我们为临床医生提供了实用的建议和资源，以快速有效地将老年 5Ms 应用于老年患者的护理中。
