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As background, we discuss Manju Kurella Tamura’s landmark NEJM paper that found, contrary to expectations, that function declines precipitously for nursinghome residents who initiate dialysis. So, for example, you know, we see somebody coming in from the nursing. A nursinghome. 2009, yeah, 2009.
If you develop dementia, odds are you will spend the last months to years of your life in a nursinghome or assisted living facility. This study explored nursinghome organizational factors and staff perceptions that are associated with the variation in care for residents with advanced dementia.
I was alone with her in the end of a long hallway at a nursinghome health center. My entire career has been taken care of in primary hospitalists and palliative underserved populations, either dual-eligible, Medicaid, and Medicare or community health centers, so I’ve always worked in that environment.
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