The needs of service users can be complex and unpredictable as their medical status frequently changes. This may happen suddenly and without warning, leading to urgent or emergency situations arising. Higher rates of functional impairment, multimorbidities with consequent disability and medical complexity, as well as a higher prevalence of dementia/cognitive impairment, incontinence, poor mobility, circulatory problems and angina contribute to the ongoing daily clinical challenges care homes face.

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