Using the 5Ms Framework to Advance Aging-Responsive Care for Heart Failure with Reduced Ejection Fraction

Area of Science:

• Geriatrics
• Cardiology
• Internal Medicine

Background:

• Aging populations increase the complexity of managing chronic conditions like heart failure with reduced ejection fraction (HFrEF).
• HFrEF presents unique challenges including unpredictable illness trajectories, risk of sudden cardiac death, and complex treatment requirements.
• Managing HFrEF in older adults is further complicated by comorbidities, financial toxicity, mental health issues, and misaligned care preferences.

Purpose of the Study:

• To present the 5Ms Model as a framework for optimizing the care of older adults with HFrEF.
• To highlight the holistic approach of the 5Ms Model in addressing the multifaceted needs of this patient population.

Main Methods:

• This is a narrative review.
• The 5Ms Model (multicomplexity, mind, mobility, medications, and matters most) is discussed in the context of HFrEF care.
• Existing applications of the 5Ms Model in other medical fields are considered.

Main Results:

• The 5Ms Model provides a structured, holistic approach to gericare for HFrEF.
• It addresses key domains impacting older adults with HFrEF: overall complexity, mental well-being, physical function, medication management, and patient-centered goals.
• This model can guide generalist management, improving care alignment with patient values.

Conclusions:

• The 5Ms Model offers a valuable framework for improving the comprehensive care of older adults with HFrEF.
• Implementing this model can lead to more personalized and effective management strategies.
• Further research may explore the direct impact of the 5Ms Model on clinical outcomes in HFrEF patients.