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Clinical interventions in aging
2025;20 325-333.

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

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
Author Information
  1. Abigail Latimer: College of Social Work, University of Kentucky, Lexington, KY, 40506, USA.
  2. Debra K Moser: College of Nursing, University of Tennessee Knoxville, Knoxville, TN, 37996, USA.
  3. Jia-Rong Wu: College of Nursing, University of Tennessee Knoxville, Knoxville, TN, 37996, USA. ORCID
  4. Kim K Birtcher: College of Pharmacy, University of Houston, Houston, TX, 77204, USA.
  5. Malachy J Clancy: Department of Occupational Therapy, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
  6. Jennifer D Portz: University of Colorado Anschutz, General Internal Medicine, Aurora, CO, 80045, USA.
  7. Joanna Paladino: Massachusetts General Hospital, Boston, MA, 02114, USA.
  8. Daniel D Matlock: Department of Medicine, Division of Geriatric Medicine, University of Colorado School of Medicine, Aurora, CO, 80045, USA. ORCID
  9. Christopher E Knoepke: Department of Medicine, Division of Cardiology, University of Colorado School of Medicine, Aurora, CO, 80045, USA.
PMID: 40129900 DOI: 10.2147/CIA.S493243

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.

Keywords

cardiovascular disease framework interdisciplinary interprofessional older adult

References

  1. BMC Cardiovasc Disord. 2019 Apr 29;19(1):99 [PMID: 31035921]
  2. Gerontol Geriatr Educ. 2024 Aug 29;:1-5 [PMID: 39207931]
  3. J Am Coll Cardiol. 2022 Feb 8;79(5):482-503 [PMID: 35115105]
  4. Mayo Clin Proc. 2020 Jun;95(6):1231-1252 [PMID: 32498778]
  5. Med Decis Making. 2023 May;43(4):508-520 [PMID: 37057380]
  6. JAMA Cardiol. 2023 Mar 1;8(3):299-301 [PMID: 36630145]
  7. Gerontologist. 2020 Sep 15;60(7):e524-e534 [PMID: 31872232]
  8. Eur J Cardiovasc Nurs. 2020 Oct;19(7):629-637 [PMID: 32340476]
  9. Neth Heart J. 2021 Jul;29(7-8):365-367 [PMID: 34142338]
  10. J Am Coll Cardiol. 2018 May 1;71(17):1921-1936 [PMID: 29699619]
  11. Circulation. 2020 Jun 2;141(22):e864-e878 [PMID: 32349542]
  12. Int J Older People Nurs. 2007 Sep;2(3):204-12 [PMID: 20925877]
  13. J Am Heart Assoc. 2016 Jun 17;5(6): [PMID: 27317347]
  14. J Cardiovasc Nurs. 2022 Dec 20;: [PMID: 36542682]
  15. Curr Probl Cardiol. 2022 Dec;47(12):101354 [PMID: 35970299]
  16. Int J Environ Res Public Health. 2022 Apr 26;19(9): [PMID: 35564650]
  17. J Card Fail. 2023 Aug;29(8):1187-1206 [PMID: 36958392]
  18. Int J Cardiol. 2020 Oct 1;316:161-171 [PMID: 32320778]
  19. Circ Heart Fail. 2020 Nov;13(11):e007094 [PMID: 33176459]
  20. Circ Heart Fail. 2020 Sep;13(9):e006502 [PMID: 32873058]
  21. Mayo Clin Proc. 2024 Nov;99(11):1773-1784 [PMID: 39387794]
  22. Circulation. 2022 May 3;145(18):e895-e1032 [PMID: 35363499]
  23. J Am Geriatr Soc. 2019 Aug;67(8):1737-1749 [PMID: 31066916]
  24. Eur J Cardiovasc Nurs. 2020 Feb;19(2):100-117 [PMID: 31782668]
  25. JACC Adv. 2022 Aug 26;1(3):100075 [PMID: 38938400]
  26. Aging Med (Milton). 2018 Dec;1(3):254-266 [PMID: 31410389]
  27. Front Cardiovasc Med. 2022 Feb 07;8:831734 [PMID: 35198608]
  28. J Am Coll Cardiol. 2019 May 28;73(20):2584-2595 [PMID: 31118153]
  29. JACC Heart Fail. 2023 Nov;11(11):1507-1517 [PMID: 37115133]
  30. Curr Heart Fail Rep. 2022 Oct;19(5):290-302 [PMID: 35723783]
  31. JAMA Netw Open. 2020 Feb 5;3(2):e200020 [PMID: 32101304]
  32. J Card Fail. 2018 Mar;24(3):186-201 [PMID: 28939458]
  33. J Cardiol. 2019 Jun;73(6):522-529 [PMID: 30598389]
  34. J Card Fail. 2021 Mar;27(3):318-326 [PMID: 33171293]
  35. Front Cardiovasc Med. 2022 Jul 14;9:952926 [PMID: 35911563]
  36. J Am Geriatr Soc. 2019 Apr;67(4):665-673 [PMID: 30663782]
  37. Eur Heart J Suppl. 2019 Dec;21(Suppl L):L12-L16 [PMID: 31885506]
  38. JAMA. 2019 Oct 8;322(14):1345-1346 [PMID: 31415085]
  39. Circulation. 2020 Jul 28;142(4):312-314 [PMID: 32525712]
  40. Health Expect. 2019 Dec;22(6):1331-1340 [PMID: 31560824]
  41. Heart Lung Circ. 2023 Apr;32(4):441-453 [PMID: 36804767]
  42. J Palliat Med. 2021 Dec;24(12):1798-1806 [PMID: 34182804]
  43. Front Physiol. 2019 Jul 03;10:791 [PMID: 31333480]
  44. Can Fam Physician. 2019 Jan;65(1):39 [PMID: 30674512]
  45. Prog Cardiovasc Dis. 2021 Jan-Feb;64:111-120 [PMID: 32800791]
  46. JACC Heart Fail. 2019 Dec;7(12):1001-1011 [PMID: 31779921]
  47. Circ Cardiovasc Qual Outcomes. 2022 Jun;15(6):e000108 [PMID: 35587567]
  48. Clin Transl Gastroenterol. 2022 Jan 12;13(1):e00445 [PMID: 35080513]
  49. J Cardiovasc Nurs. 2022 Mar-Apr 01;37(2):112-121 [PMID: 33148960]
  50. J Geriatr Cardiol. 2018 Jun;15(6):451-459 [PMID: 30108618]
  51. Clin Interv Aging. 2018 Oct 16;13:2021-2044 [PMID: 30410319]
  52. Eur J Heart Fail. 2020 Nov;22(11):2007-2017 [PMID: 32468714]
  53. J Card Fail. 2021 Jun;27(6):700-705 [PMID: 34088381]
  54. J Am Heart Assoc. 2021 Jul 20;10(14):e022164 [PMID: 33998273]

MeSH Term

Humans
Heart Failure
Stroke Volume
Aged
Aging
Comorbidity
Journal Article Review

Word Cloud

Created with Highcharts 10.0.0careHFrEFolder5MspatientsriskpotentialadultsComplexityinevitableconsequenceagingpopulationparticularlytrueinstancesmanagingchronicconditionsheartfailurereducedejectionfractioncomplexundulatingcourseillnessincreasedsuddencardiacdeathmyriadaccompanyingtreatmentconsiderationsGeneralistmanagementamongcomplicatedcompetingcomorbiditiesfinancialtoxicitymentalhealthsymptomsaligngoalspreferencesmulticomplexitymindmobilitymedicationsmattersholisticconceptualizationappliedincludinggastroenterologyICUoncologydentistrynarrativereviewpresentModelUsingFrameworkAdvanceAging-ResponsiveCareHeartFailureReducedEjectionFractioncardiovasculardiseaseframeworkinterdisciplinaryinterprofessionaladult

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