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Delivering Age-Friendly Interdisciplinary Care for Chronic Pain.

David E Reed1, Natalie Fullenkamp2, Keela Herr3

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The geriatric 5Ms framework offers a new approach to managing chronic pain in older adults. This review explores its application for age-friendly pain care, addressing challenges and solutions.

Keywords:
BiopsychosocialChronic painGeriatric 5MsInterdisciplinaryOlder adults

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Area of Science:

  • Geriatric medicine
  • Pain management
  • Health systems research

Background:

  • Chronic pain prevalence and costs are projected to increase significantly in older adults.
  • The geriatric 5Ms (multicomplexity, mind, mobility, medication, matters most) framework exists but lacks systematic application in chronic pain.
  • There is a need to integrate age-friendly principles into geriatric pain management.

Purpose of the Study:

  • To review the current application of the geriatric 5Ms in older adult chronic pain management.
  • To provide guidance on utilizing the 5Ms for age-friendly pain care.
  • To identify challenges, solutions, and interdisciplinary team roles for each 'M'.

Main Methods:

  • Systematic literature review synthesizing evidence on the geriatric 5Ms and chronic pain.
  • Analysis of challenges and potential solutions for each of the 5Ms.
  • Identification of relevant interdisciplinary team members for geriatric pain management.

Main Results:

  • Evidence on the systematic application of the geriatric 5Ms to chronic pain in older adults is limited.
  • Guidance is provided on adapting each 'M' for age-friendly pain care.
  • Challenges, solutions, and team roles are examined for multicomplexity, mind, mobility, medication, and matters most.

Conclusions:

  • The geriatric 5Ms framework provides a structured approach to delivering age-friendly chronic pain care to older adults.
  • Systematic implementation of the 5Ms can address the complexities of geriatric pain management.
  • Further research and interdisciplinary collaboration are needed to optimize the application of the 5Ms.