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Geriatric Medicine—Clinical Content

The Department of Geriatric Medicine (or the Geriatric Unit) Many departments still have too few beds and their 'admitting beds' (assessment unit) may not be in a general hospital. Consequently, the first physicians in geriatric medicine adopted the 'pre-admission home assessment visit', which is not to be confused with the domiciliary consultation procedure. Many physicians still continue this practice because it gives them a more complete picture of the elderly person (as opposed to the hospital patient in bed I). Alternative methods of management may be seen to be practical and hospital admission to a limited number of beds can be more effectively arranged. If the relatives of an elderly patient can receive help before they reach 'breaking point', they will usually be quite willing to continue to cope or accept the patient back after hospital treatment. Potential breaking point situations can only be appreciated by an assessment visit.