Understanding the multiple dimensions of ageing: 5Ms for the rheumatologist.

IF 15 1区 医学 Q1 RHEUMATOLOGY
Bjoern Buehring, Marloes van Onna, Elena Myasoedova, Jiha Lee, Una E Makris
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引用次数: 0

Abstract

The global population is ageing and the rheumatology workforce should be prepared to take care of the inevitable complexities of ageing patients. We can learn from our colleagues and experts in geriatrics about how best to manage multimorbidity, polypharmacy, geriatric syndromes, and shifting priorities of older patients in the context of delivering care for rheumatic diseases. One approach to learning and adopting key ageing constructs within rheumatology practice is to incorporate the established Geriatric 5Ms-principles fundamental to caring for older adults. In this Series paper we discuss the 5Ms in the context of rheumatology practice (1) multicomplexity: assessing and managing multimorbidity and challenging biopsychosocial situations, (2) medications: ensuring that medications do not interfere with the other Ms, (3) mind: managing neurocognitive disorders and comorbid mental health conditions, (4) mobility: ensuring older adults can move independently and safely, and (5) what matters most: aligning care with an older adult's specific goals.

了解老龄化的多重维度:风湿病学家的 5Ms。
全球人口正在老龄化,风湿病医生队伍应做好准备,应对老龄患者不可避免的复杂情况。我们可以向老年病学领域的同行和专家学习,了解在提供风湿性疾病护理服务的过程中,如何以最佳方式管理老年患者的多病症、多重药物治疗、老年病综合征以及不断变化的优先事项。在风湿病学实践中学习和采用关键的老龄化概念的一种方法是将已确立的老年病学 5M--护理老年人的基本原则纳入其中。在这篇系列论文中,我们讨论了风湿病学实践中的 5M:(1)多重复杂性:评估和管理多发病和具有挑战性的生物-心理-社会情况;(2)药物:确保药物不会干扰其他 Ms;(3)心理:管理神经认知障碍和合并的精神健康状况;(4)移动性:确保老年人能够独立、安全地移动;以及(5)最重要的事情:使护理与老年人的特定目标相一致。
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来源期刊
Lancet Rheumatology
Lancet Rheumatology RHEUMATOLOGY-
CiteScore
34.70
自引率
3.10%
发文量
279
期刊介绍: The Lancet Rheumatology, an independent journal, is dedicated to publishing content relevant to rheumatology specialists worldwide. It focuses on studies that advance clinical practice, challenge existing norms, and advocate for changes in health policy. The journal covers clinical research, particularly clinical trials, expert reviews, and thought-provoking commentary on the diagnosis, classification, management, and prevention of rheumatic diseases, including arthritis, musculoskeletal disorders, connective tissue diseases, and immune system disorders. Additionally, it publishes high-quality translational studies supported by robust clinical data, prioritizing those that identify potential new therapeutic targets, advance precision medicine efforts, or directly contribute to future clinical trials. With its strong clinical orientation, The Lancet Rheumatology serves as an independent voice for the rheumatology community, advocating strongly for the enhancement of patients' lives affected by rheumatic diseases worldwide.
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