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Chronic Noninflammatory Joint Pain Management in the Community Dwelling Older Adult: A Guide for Primary Care Clinicians Using the 5Ms
Journal article   Peer reviewed

Chronic Noninflammatory Joint Pain Management in the Community Dwelling Older Adult: A Guide for Primary Care Clinicians Using the 5Ms

Krista Ford, Andrea Achenbach and Kathleen C. Buckwalter
Journal for nurse practitioners, Vol.22(5), 105763
05/2026
DOI: 10.1016/j.nurpra.2026.105763

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Abstract

NPs must be prepared to take care of community-dwelling older adults with joint pain as the aging population increases and the opioid crisis continues. To properly diagnose, treat, and manage this challenging population requires grounding in a geriatric framework that personalizes care. This article discusses incorporating the 5Ms framework for community-dwelling older adults with chronic noninflammatory joint pain. NPs play an essential role in managing chronic pain conditions, prioritizing what matters to each person. •Applies the Geriatric 5Ms to guide personalized evidence-based care for chronic joint pain.•Emphasizes NP-led assessment using history and examination for accurate diagnosis.•Centers shared decision making on “what matters most” to align treatment with patient priorities.
5Ms framework chronic joint pain older adult patient-centered care

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