In the realm of geriatric care, healthcare professionals are constantly striving to provide the best possible care for older adults. Recognizing the unique needs and values of this population, the 5M Model of Care has emerged as an innovative approach that encompasses five key domains, including “What Matters Most.” In this article, we will explore the 5M Model of Care and discuss how incorporating this additional dimension benefits patients in geriatric care.

The 5M Model of Care:

The 5M Model of Care expands on the four essential domains of the previous model by adding a crucial component: “What Matters Most.” By acknowledging the personal values, preferences, and goals of older adults, healthcare providers can tailor their care plans to align with what truly matters to the individual. Let’s delve into the five domains of the 5M Model of Care.

Geriatric Primary Care


Similar to the previous model, the “Mind” component of the 5M Model emphasizes cognitive health and mental well-being. It involves assessing and managing cognitive impairment, addressing mental health conditions such as depression and anxiety, and promoting activities that stimulate cognitive function. By prioritizing the mind, healthcare professionals can significantly enhance patients’ quality of life, independence, and overall health outcomes.


The “Mobility” component focuses on optimizing physical function, balance, and strength to maintain independence and reduce fall risks. Healthcare providers assess patients’ mobility status and implement interventions such as exercise programs, physical therapy, and assistive devices to improve or maintain their mobility. By prioritizing mobility, the 5M Model aims to enhance patients’ functional independence, reduce fall risks, and improve their overall physical health.


The “Medication” component remains the same as in the previous model, aiming to optimize medication use in older adults. Healthcare providers carefully assess and review the medications older adults are taking to identify potential adverse effects, drug interactions, and medication-related problems. They work closely with patients and caregivers to simplify medication regimens, minimize desprescribing, and ensure proper adherence. By optimizing medication use, healthcare professionals can reduce the risk of adverse drug events and enhance therapeutic outcomes.


The “Multicomplexity” component of the 5M Model acknowledges and addresses the comprehensive nature of geriatric care, encompassing coordination, and integration of care across various healthcare settings. Healthcare providers embrace interdisciplinary teams and consider social determinants of health to provide holistic care. By embracing care of the whole person and recognizing the multicomplexity of the unique individual,  the 5M Model ensures that older adults receive integrated, patient-centered care that meets their unique needs.

What Matters Most:

The addition of “What Matters Most” is a crucial aspect of the 5M Model of Care. This component recognizes that the values, preferences, and goals of older adults should guide the care provided. Healthcare professionals engage in meaningful conversations with patients and their families to identify and honor their individual priorities. By incorporating “What Matters Most,” the 5M Model ensures that care plans align with patients’ personal values, enhancing satisfaction and overall well-being.

Benefits of the 5M Model of Care for Patients:

Implementing the 5M Model of Care, with the inclusion of “What Matters Most,” offers significant benefits for older adults:

Person-Centered Care: By prioritizing patients’ personal values and goals, the 5M Model ensures that care plans are tailored to their individual needs, promoting a sense of dignity and autonomy.

Enhanced Communication and Engagement: Involving patients in conversations about their values and preferences fosters better communication and engagement between healthcare providers and older adults, leading to a stronger therapeutic alliance.

Improved Quality of Life: By addressing the mind, mobility, medication, multicomplexity, and what matters most, the 5M Model aims to improve patients’ overall quality of life, ensuring their care aligns with their personal priorities.

Better Health Outcomes: The comprehensive and person-centered nature of the 5M Model promotes better health outcomes and disease management, as care plans align with patients’ values and preferences.

Empowered Decision-Making: By involving older adults in care decisions, the 5M Model empowers them to actively participate in their healthcare journey, promoting a sense of ownership and control.

The 5M Model of Care, with the addition of “What Matters Most,” revolutionizes geriatric care by prioritizing the personal values and goals of older adults. By encompassing the mind, mobility, medication, multicomplexity, and what matters most, healthcare providers can deliver person-centered care that aligns with individual needs, enhancing quality of life and health outcomes. Implementing the 5M Model with a focus on what matters most ensures that older adults receive the specialized, comprehensive, and individualized care they deserve.