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Knowledge and Skills Framework - Principles of Best Practice for the Older Person

Welcome to the NZNO College of Gerontology Nursing Knowledge and Skills Framework. Here you will find a variety of information that will be helpful for your practice, along with key resources for gerontology nursing.

The starting point of this framework is the GERIATRIC 5Ms© – a simplified communication framework to describe the core competencies in Geriatrics in a fashion that should be more comprehensible and more memorable to those outside of the field.


The Geriatric 5Ms


We have permission to use the model as follows:

You have authors' permission to use The Geriatric 5Ms for educational purposes with attribution to the authors and without changes. Include the following copyright statement in all materials: Copyright © 2017 Frank Molnar, Allen Huang, Mary Tinetti. 2017. May be used for educational purposes with full attribution and no alterations.

Gerontology Knowledge and Skills Framework

1. Matters most

The Geriatric 5Ms - 1. Matters Most'Matters Most' focuses on each individual’s own meaningful health outcome goals and care preferences. It underpins the majority of our work and is supported by relevant NZ Strategy documents and resources from:

  • Ministry of Health
  • Ministry of Social Development Super Seniors
  • Other agencies
  • Psychosocial resource providers.


[Read more]

2. Mind

The Geriatric 5Ms - 2. Mind

This section focuses on mental wellness and offers resources for conditions such as depression, delirium, and dementia. It includes:

  • Mind resources
  • Training and development.


[Read more]

3. Mobility

The Geriatric 5Ms - 3. Mobility Staying mobile is a key component of independence and individuals may need support to achieve it. This section contains resources related to:

  • Fall prevention (including Tai Chi programmes)
  • Independently mobile with devices
  • Mobility.


[Read more]

4. Medication

The Geriatric 5Ms - 4. Medications ​Polypharmacy, de-prescribing, adverse reactions to medications and best practice in medication management for older people are addressed here, and you can access best practice guidelines relating to:

  • Hospice
  • Medicines regulations
  • Medicine care
  • Best practice advocacy centre
  • Other

[Read more]

5. Multi complexity

The Geriatric 5Ms - 5. Multi-Complexity A key aspect of care for older people is supporting them to manage their health conditions, in particular multi complexity patients who have anything from two to seven co-morbidities to manage. This section addresses a variety of issues that can impact their day to day life, including:

  • Management and legal
  • Family and carers
  • Social, cultural and lifestyle
  • Relevant interest groups
  • Infection control
  • Wound care
  • Hospital and residential care
  • Online education.

[Read more]

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