Integrating the Geriatric 5Ms: Enhancing Physical Therapy Care of Older Adults

The Geriatric 5Ms framework offers a comprehensive, person-centered approach to addressing the complex needs of older adults. Initially developed in geriatric medicine, the 4Ms strategy- Medications, Mind, Mobility , and what Matters Most to the patient-challenges clinicians to consider these dimensions in guiding care decisions. The Geriatric 5Ms builds on this framework and adds Multicomplexity , which emphasizes the management of multiple co-existing acute and chronic conditions, along with social and environmental factors and access to resources. The Geriatric Movement System Task Force recognizes the relevance of the 5Ms framework for addressing the functional movement needs of older adults with complex medical conditions. As movement experts, physical therapists are uniquely positioned to assess, monitor, and address Mobility issues while considering the impact of Medications, Mind, and Multicomplexity on movement and function. Engaging in meaningful conversations with older adults and their families about what Matters Most further ensures that care aligns with the individual's values and goals, forming the groundwork for successful outcomes. This article highlights the significance of the Geriatric 5Ms framework and advocates for its integration into physical therapy practice. By adopting this model, physical therapists can enhance examination, intervention planning, and rehabilitation outcomes, ultimately optimizing care for older adults.