• Bonnie C Sohn, Ericka E Tung, Paul Y Takahashi, and Brandon P Verdoorn.
• 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.
• Mayo Clin. Proc. 2024 Oct 9.

AbstractThe 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.Copyright © 2024 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

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