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(2) Hospice Quality Reporting Program (HQRP) Data In addition to survey data, we proposed to use quality measures from the HQRP to capture hospice care processes and beneficiary/caregiver care experiences

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Common neurological manifestations include: Paraesthesia (pins and needles) in the hands and feet Numbness and altered sensation Difficulty with balance and coordination (ataxia) Memory problems and cognitive impairment Mood changes, including depression and irritability In severe cases, visual disturbances and confusion These neurological features arise from demyelination of peripheral nerves and the spinal cord, a condition known as subacute combined degeneration when it affects the posterior and lateral columns of the spinal cord