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. 2022 Sep 14;58(Suppl 1):26–35. doi: 10.1111/1475-6773.14055

TABLE 2.

Geriatric telemedicine visit content aligned with 5Ms domain

5 M domain Aligned visit focus from interviews Illustrative quotes
Medication
  • Deprescribing
  • Prescribing
  • Medication dosage adjustment
  • Medication review
  • Education around medication usage

“(The GRECC Connect clinician) helped me understand the options for medication (…) If his memory continues to deteriorate, then I need to contact them to get a prescription for one of the medications. She also helped us understand to be careful with certain medications (…) Caregiver D‐Site 2

Mentation
  • Agitation

  • Anxiety

  • Depression

  • Memory loss

  • Cognitive and mental health evaluation

  • Recommendations around activities to improve mood and cognition

“Well, on the Zoloft he's not pacing as much (…) He still has periods where he gets, like, you know, anxious and stuff, but it's not as bad” Caregiver E‐Site 5

“I think it's given me a little more confidence, well I know now I've got connection with the Memory Center so if I need to reach out for something I know I can. (…) We, I and Dad and my siblings, collectively we have a better understanding of the situation and now have contacts if I need assistance. I can call (the GRECC Connect provider) or I can call the (primary care provider) and get him on some medications that might help, (…) – we had none of this (before) because his memory had never been evaluated to any significant extent previously. So this is helpful.” Caregiver D‐Site 2

Mobility
  • Fall prevention

  • Physical therapy

  • Home safety evaluation

  • Durable medical equipment

  • Education around exercises and activities to maintain and improve mobility

“They've made recommendations for grab bars in the shower and the ramp for outside. (…) at one point they looked at what type of walker he had and they upgraded his walker for his condition. So they watch him and how he executes his exercises and make suggestions of how he can do it more affectively or more safely. The big thing is safety for him because he falls frequently.” Caregiver A‐Site 6

What matters most
  • Planning care around patient and caregiver goals

  • Attention to providing comfort/support and managing behaviors to improve quality of life

“The doctor (…) she encouraged me to [do things with my granddaughters]So I took that to heart and started doing some in‐person things and trying to do that more often ().” Patient B‐Site 3
Multi‐complexity
  • Care Coordination

  • Education around treatments/medications for one disease affecting symptoms of another

  • Connecting patient well‐being with caregiver well‐being

“You know, (they said), if you wear your oxygen, you know, you are gonna remember more, and believe it or not he has said to me, “You know, hey, I think this might be working a little bit ‘cause I remember a little bit more’ and he has. I noticed a difference (…).” Caregiver D‐Site 5