Document Type
Article
Publication Date
3-20-2025
Abstract
Complexity of care is the inevitable consequence of an aging population and is particularly true in instances where patients are managing chronic conditions such as heart failure with reduced ejection fraction (HFrEF). HFrEF itself is complex, with an undulating course of illness, increased risk of sudden cardiac death, and myriad accompanying treatment considerations. Generalist management of HFrEF among older patients is further complicated by competing comorbidities, potential for financial toxicity, potential for mental health symptoms, and risk of care with does not align with goals and preferences. The 5Ms (multicomplexity, mind, mobility, medications, and matters most) is a holistic conceptualization of care that has been applied to the care of older adults, including in gastroenterology, ICU care, oncology, and dentistry. In this narrative review, we present 5Ms Model of care for older adults with HFrEF.
Recommended Citation
Latimer, Abigail; Moser, Debra K.; Wu, Jia-Rong; Birtcher, Kim K.; Clancy, Malachy J.; Portz, Jennifer D.; Paladino, Joanna; Matlock, Daniel D.; and Knoepke, Christopher E., "Using the 5Ms Framework to Advance Aging-Responsive Care for Heart Failure with Reduced Ejection Fraction" (2025). Department of Occupational Therapy Faculty Papers. Paper 105.
https://jdc.jefferson.edu/otfp/105
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 3.0 License
PubMed ID
40129900
Language
English
Comments
This article is the author’s final published version in Clinical Interventions in Aging, Volume 20, 2025, Pages 325 - 333.
The published version is available at https://doi.org/10.2147/CIA.S493243. Copyright © 2025 Latimer et al.