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The term failure to cope (FTC) is often used to dismissively describe hospitalized older adults. The purpose of this study was to identify the factors associated with receiving a label of FTC. Age-matched, case-control study with electronic and paper chart review identifying patient characteristics and admission details. One hundred eighty-five patients 70 years of age or older admitted to a general medicine team over two years 99 patients with the label of FTC and 86 controls. No patients labelled with FTC came from long-term care. Ch