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A 78-year-old woman living in a nursing home is evaluated for incontinence. Over the past year, she has had progressive decline in her cognitive status and now spends most of the day in bed. She requires coaxing to join the other residents in their communal meals and requires assistance for eating and bathing. Medical history is significant for dementia and depression treated with citalopram. What is the most appropriate management of this patient?

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American College of Physicians: Internal Medicine — Doctors for Adults ®

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