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A Piece of My Mind
November 13, 2002

Grace Notes

Author Affiliations

A Piece of My Mind Section Editor: Roxanne K. Young, Associate Editor.

JAMA. 2002;288(18):2231. doi:10.1001/jama.288.18.2231

I woke early this Sunday morning to get my tasks in the nursing home done, to see my family before plunging into the hectic week when our contacts become fleeting and matter-of-fact.

Old records, of old people: the ebb and flow of nursing home traffic most often ends in death, most often after a decline, and most often it is painful. So, confronting the Front Sheets with their regimented Admitting Diagnoses, Jewish Home Diagnoses, Discharge Diagnoses, and my required Discharge Summary, I'm faced, as always, with some questions.

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