 Although it is of some concern that there may be problems with development of some early dementia, the patient is adamant about not going to a nursing home and has been placed in a Nursing Home in the past, but Dr. Y states that she has managed to be discharged after two previous nursing home placements. 
Although it is of some concern that there may be problems with development of some early dementia , the patient is adamant about not going to a nursing home and has been placed in a Nursing Home in the past , but Dr. Y states that she has managed to be discharged after two previous nursing home placements .