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The care of older adults with chronic lung disease necessitates an age\u2010friendly approach due to marked differences in physiology, clinical presentation, disease trajectories, and healthcare priorities as compared to younger adults. Pulmonary care models have historically prioritised disease\u2010focused approaches over person\u2010centered care. Disease\u2010focused care fails to adequately address geriatric syndromes that complicate the management of chronic disease, such as multicomplexity, functional impairment, cognitive dysfunction, and psychosocial complexity. In this narrative review, we propose a deliberate, geriatrics\u2010informed approach to ambulatory pulmonary care using the Age\u2010Friendly 5Ms framework\u2014What Matters, Medications, Mentation, Mobility, and Multicomplexity. This framework is an easy\u2010to\u2010use reference for chronic disease management and offers a practical roadmap to support clinical decision\u2010making, inform health system improvement, and guide future research focused on outcomes that matter most to older adults living with chronic lung disease. We review how the 5\u2009M framework helps to align care with patients' goals and values, minimize medication\u2010related harms, address cognitive, psychological, and caregiving needs, preserve mobility and functional independence, and manage the intersecting medical and social challenges common in later life.<\/jats:p>","DOI":"10.1002\/resp.70252","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T03:21:09Z","timestamp":1781148069000},"page":"676-692","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["An Age\u2010Friendly Approach to Caring for Chronic Lung Disease in the Ambulatory Setting"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0230-4932","authenticated-orcid":false,"given":"Angela O.","family":"Suen","sequence":"first","affiliation":[{"name":"Division of Pulmonary, Critical Care, Allergy &amp; Sleep Medicine University of California, San Francisco  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren R.","family":"Pollack","sequence":"additional","affiliation":[{"name":"Division of Pulmonary, Critical Care, and Sleep Medicine; Division of Pulmonary and Critical Care Medicine University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5253-0623","authenticated-orcid":false,"given":"C. 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