title: Delivering comprehensive geriatric assessment in new settings: advice for frontline clinicians.
abstract: Over the decades, as the principles of comprehensive geriatric assessment have been established, there have been attempts to apply its principles to settings other than acute hospital medical wards or the general communitydwelling older population, for example, to other settings where older people with infirmity are found. The purpose of this paper is to describe and reflect upon the application of and evidence for comprehensive geriatric assessment in these new settings and give some advice to clinicians about how to optimise their contributions to these processes. I will state my advice having first discussed intermediate care, emergency surgery (hip fracture), elective surgery, dementia and delirium care, emergency care, cancer care, and the care of residents of care homes (mindful of the irony of calling the latter a new setting, given that geriatric medicine originated in long term care).
authors.affiliation: JRF Gladman, Division of Rehabilitation and Ageing, B Floor Medical School, Queen's Medical Centre, Nottingham NG7 2UH, UK, E-mail john.gladman@nottingham.ac.uk.
authors.forename: J R
authors.initials: JR
authors.lastname: Gladman
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003693:Delirium; D003695:Delivery of Health Care; D003704:Dementia; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital; D015577:Geriatric Assessment; D005853:Geriatrics; D006299:Health Services for the Aged; D006620:Hip Fractures; D006707:Homes for the Aged; D006761:Hospitals; D006801:Humans; D009369:Neoplasms
keywords: care homes; comprehensive geriatric assessment; emergency care; intermediate care; oncogeriatrics; orthogeriatrics