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Optimizing Medications with the Geriatrics 5Ms: An Age-Friendly Approach.
Patrick James Monette1, Andrea Wershof Schwartz2,3
1Harvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
Drugs & Aging
|April 12, 2023
Summary
The Geriatrics 5Ms framework provides a person-centered strategy to manage polypharmacy in older adults. This approach optimizes medications by considering the patient's overall health and personal goals.
Area of Science:
- Geriatric Medicine
- Pharmacology
- Internal Medicine
Background:
- Polypharmacy is prevalent in older adults due to multiple chronic conditions and fragmented care.
- Optimizing medication regimens is crucial for improving health outcomes in the elderly population.
Purpose of the Study:
- To introduce the Geriatrics 5Ms framework as a person-centered approach for medication management.
- To explore how the Geriatrics 5Ms framework can address polypharmacy and guide deprescribing in older adults.
Main Methods:
- The Geriatrics 5Ms framework includes Medications, Mind, Mobility, Multicomplexity, and What Matters Most.
- This framework aligns with the Age-Friendly Health Systems initiative, focusing on patient goals.
Main Results:
- Each of the 5Ms influences and is influenced by medication management.
- Understanding patient goals through the 5Ms can inform Age-Friendly medication optimization plans.
Conclusions:
- The Geriatrics 5Ms framework offers a structured approach to person-centered medication optimization.
- Further research is needed to evaluate the clinical impact of the Geriatrics 5Ms framework in practice.
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