Using the 5Ms Framework to Advance Aging-Responsive Care for Heart Failure with Reduced Ejection Fraction.

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Clinical Interventions in Aging Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI:10.2147/CIA.S493243

Abigail Latimer, Debra K Moser, Jia-Rong Wu, Kim K Birtcher, Malachy J Clancy, Jennifer D Portz, Joanna Paladino, Daniel D Matlock, Christopher E Knoepke

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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.

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护理的复杂性是人口老龄化不可避免的结果，尤其是在患者需要治疗射血分数减低性心力衰竭（HFrEF）等慢性疾病的情况下。射血分数降低性心力衰竭（HFrEF）本身就很复杂，病程起伏不定，心脏性猝死风险增加，治疗过程中需要考虑的问题也很多。对老年患者进行 HFrEF 的综合治疗会因并发症、潜在的经济负担、潜在的精神健康症状以及治疗目标和偏好不一致的风险而变得更加复杂。5Ms（多重复杂性、心智、移动性、药物和最重要的事）是一种整体护理概念，已被应用于老年人的护理中，包括肠胃病学、重症监护病房护理、肿瘤学和牙科。在这篇叙述性综述中，我们介绍了针对患有高频心衰的老年人的 5Ms 护理模式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Interventions in Aging GERIATRICS & GERONTOLOGY-

CiteScore

6.80

自引率

2.80%

发文量

193

审稿时长

6-12 weeks

期刊介绍： Clinical Interventions in Aging, is an online, peer reviewed, open access journal focusing on concise rapid reporting of original research and reviews in aging. Special attention will be given to papers reporting on actual or potential clinical applications leading to improved prevention or treatment of disease or a greater understanding of pathological processes that result from maladaptive changes in the body associated with aging. This journal is directed at a wide array of scientists, engineers, pharmacists, pharmacologists and clinical specialists wishing to maintain an up to date knowledge of this exciting and emerging field.