Speculating on the accuracy of Oscar's predictions, Teno said she wondered if he smells something, or he notices subtle changes in the behaviour of the nurses while they attend the patients.

在推测奥斯卡预测的准确性时，Teno怀疑是否它闻到了什么气味，或它注意到了护理病人的护士行为的细微变化。

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The use of feeding tubes in these patients does not extend life, according to Joan Teno, associate director of the center for gerontology at Brown.

FORBES: For Dying, Geography Can Be Destiny

As Teno and her colleagues note, one patient may spend her final week at home, but her last day in the hospital for pain control.

FORBES: More People Are Dying At Home And In Hospice, But They Are Also Getting More Intense Hospital Care

But Teno tells a much more complex tale.

FORBES: More People Are Dying At Home And In Hospice, But They Are Also Getting More Intense Hospital Care