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Adapting the Geriatric Medicine 5Ms Framework to Geriatric Dermatology
Karolina D Perez1, Diane Hong2, Xiaochen Zhong3,4
1Department of Dermatology, College of Medicine Tucson, University of Arizona, 7165 N. Pima Canyon Drive, Tucson, AZ, 85718, USA. kperez1813@arizona.edu.
None:
Older adults represent a growing proportion of dermatology patients, yet their care is complicated by multimorbidity, cognitive vulnerability, polypharmacy, functional decline, and competing health priorities. The Geriatric 5Ms framework (Mind, Mobility, Medications, Multi-Complexity, and Matters Most) offers a structured, patient-centered approach to address these challenges. This review applies the 5Ms to the management of common dermatoses in older adults, highlighting cognitive-regimen mismatch and preservation of autonomy (Mind), fall-risk and physical limitations affecting treatment feasibility (Mobility), polypharmacy and prescribing cascades (Medications), multimorbidity and caregiver context (Multi-Complexity), and alignment of care with patient goals (Matters Most). Integrating the 5Ms into dermatologic practice can enhance safety, preserve function, and align treatment with individual priorities.
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