A retrospective study found that patients in a nursing home spent their last week of life in pain, agitation and shortness of breath. One of the primary pitfalls of pain management for these patients was found to be the lack of scheduled medication. Instead medication was written to be administered as needed instead of scheduling it around the clock. Patients did not tend to ask for medication remaining in discomfort which only increased their agitation. The study was described in Neurology Today, July 17, 2014; Hendricks, SA, Smalbrugge, M., Hertogh CMPM, et al, Dying with dementia; symptoms, treatment and quality of life in the last week of life, Journal of Pain Symptom Management 2014, 47 (4) 710-720.