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<p>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.</p>

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Adapting the Geriatric Medicine 5Ms Framework to Geriatric Dermatology

  • 期刊论文

  • 发表日期：

    2026年6月18日

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  • Karolina D. Perez,
  • Diane Hong,
  • Xiaochen Zhong,
  • Anne Lynn S. Chang,
  • Justin Endo,
  • Daniel C. Butler

摘要

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.