who owns northeast rehab

Devastated by the loss, and weighed down with firsthand knowledge of the harsh side effects and hardships that traditional cancer treatments can bring, when Chris' father received a similar diagnosis years later, Chris believed he could find a better solution. Complex Wound and Ostomy Care. Their caring approach and commitment to best practices allows them to provide highly specialized care and education for each patient and their families. - Chiropractic Care Neither Gamzeh, Glatzer and Iko nor a PHG spokesperson responded to interview requests. - Acupuncture Well begin with an initial consultation and will work with you, your family and caregivers to develop a custom care plan that will help you accomplish your goals and rebuild your life. Bennett Kramer, M.D. Lower is better. Our current healthcare career opportunities include but are not limited to: More than 1,000 talented individuals serving in clinical and non-clinical positions have chosen to work with Northeast Rehabilitation Hospital Network and be part of our community. I loved being able to continue my recovery in the comfort of my own home. #hiringforhealthcare Tuesday 7:30 am 4:00 pm admissions@northeastrehab.com Jenelle Boyd, RN - Northeast Rehab at Pease, Portsmouth, NH Northeast Center for Rehabilitation and Brain Injury is not a part of a continuing care retirement community. The smooth transition from inpatient rehabilitation to Home Care made it easy for me to continue my momentum. Drs. New York Nursing Homes Senior Living Home Northeast Center for Rehabilitation and Brain Injury Nursing Home Community . Rutland Health & Rehab, which is owned by Genesis, but is not part of the sale, has also been hit by an outbreak. NRHN was instrumental in the founding and development of Northeast Passage,which provides access to adaptive recreational opportunities for disabled individuals. #healthcarejobs Host Amy Zellmer, a TBI survivor, and Wendy discussed the signs and symptoms of dehydration and explored the importance of staying hydrated. Claire Ashley, LPN - Unit 200, Salem, NH At the age of 19, NEA's Founder and CEO, Chris Harkins lost his mother after a hard-fought battle with cancer. PM&R physicians, called physiatrists, are medical doctors who diagnose and provide non-surgical treatment for acute and chronic disorders affecting the brain, spinal cord, nerves, bones, joints, muscles and other disabling conditions related to illness, surgery or injury. Stephen and Cathy draw from their advanced training and clinical expertise every day. They are symbols of hope and compassion. Brown has not appeared on Mid-Atlantic Sports Network's television broadcast since Baltimore's series against Tampa Bay from July 20 to 23. You can update your choices at any time in your settings. You can tell everyone enjoys their job here. Inpatient Eric S Email this Business. 300 Grant Ave., Lake Katrine, NY See Map Overall Rating ( 1 / 5) Overview. 220 Abraham Flexner Way Louisville, KY 40202 Get Directions Rebuilding Your Life at the UofL Health - Frazier Rehabilitation Institute "The doctors at the hospital, they're the ones that saved my life. #togetherwecanmakeadifference #northeastrehabilitationhospital, Northeast Rehabilitation Hospital Network recently celebrated our remarkable team of nurses by recognizing a Nurse of the Year for each unit across our hospitals. (570) 344-3788 Full time therapy staff which specializes in acute rehabilitation. Northeast Rehabilitation Hospital Network takes the security of your information seriously. The largest nursing home company in the U.S. is Genesis HealthCare, with a revenue of $5.7 Billion and 68,700 employees. We want to give recovering addicts the tools to return to the outside world completely substance-free and successful. (603) 893-2900. Three New York-based owners have taken over management of five Genesis nursing homes in Vermont. Our patients receive 3 hours of therapy 5 . The Board is excited to continue our wonderful relationship with Chuck. Well contribute up to $8,000 towards your RN Associate Degree or up to $10,000 in tuition assistance toward your BSN Degree! Our short-term program at Bedrock Recovery Center keeps you safe and comfortable during withdrawal, providing 24-hour medical care and supervision to manage health complications and prepare you for residential treatment. Anniston, AL 36207. They have filed an application with the state for approval to buy the cash-strapped facilities, which have been the site of Covid outbreaks and safety violations. Our specialized services include programs for adults needing treatment fororthopedic and neurological conditions. Located in a wooded residential area, our facility is conducive to the recovery process. Please join us in congratulating them! The professionalism and the compassion the staff offers is like no other. Enjoy listening and be sure to hydrate. Morgan Medical Complex Claim this business. We know were pretty aggressive in pursuit of quality adherence to standards, she said. The origins of #Juneteenth date back to June 19, 1865, when Maj. Gen. Gordon Granger, a U.S. Army officer and Union General during the Civil War, issued an order in Galveston, Texas, announcing that all slaves were free under the Emancipation Proclamation. . Facebook Messenger (Requires Facebook), Outpatient Facebook Messenger (Requires Facebook). Our Occupational Medicine Clinic, Rapid Care, not only conducts pre-employment services, but offers a wide range of services that help manage work-related injury, illness and disability. Dr. Gardner and his associates set out to build the first free-standing Acute Rehabilitation Hospital in New Hampshire. - Physical Therapy Across our locations, youll find smart, caring, compassionate leaders who are also wonderful mentors. Congratulations to Chop Robinson for being named Allied Services and Northeast Rehab's PLAYER OF THE WEEK for his efforts in last week's victory over his previous team, Maryland. Weoffer people the ability to receive personalized rehabilitation care with the support of an entire network of rehabilitation services. Facebook Messenger (Requires Facebook), Patient Bill of Rights (English / Espaol). The horrors of addiction are real. We offer continuing care at all of our facilities to support your recovery efforts after treatment. admissions@northeastrehab.com The number of emergency room visits per 1000 patient days for this community is 1.8. (*based on a minimum of 48 hours worked per scheduled pay period while in school and after graduation). We also encourage you to follow us on Facebook for the latest information about NRHN, tips for a healthy lifestyle, fun raffles, patient stories and much more. We then develop your personalized treatment plan and set you up for care at one of our four treatment centers as quickly as possible. Home Health Aide Services. Yes, we offer evening appointments at every clinic, but each clinics hours vary slightly. Lower is better. Directions. The number of rehospitalizations per 1000 patient days for this community is 1.9. Specialty Nursing Care Immaculate Mary Center offers a variety of specialized skilled nursing care, such as IV Therapy, Tracheostomy Care, PICC Line Therapy, Wound Care Learn More Memory Care Unit At Immaculate Mary Center, our highly trained and caring staff are there to care for your loved one with Alzheimer's and other forms of Learn More As of 2021, the US nursing home industry has a market size of $146.9 billion. Gamzeh, Glatzer and two other partners bought Barre Gardens Nursing and Rehab in 2017. 42.1% of residents were given antipsychotic drugs. Friday 7:00 am 2:00 pm. Be the first to know about new products and promotions. LinkedIn and 3rd parties use essential and non-essential cookies to provide, secure, analyze and improve our Services, and (except on the iOS app) to show you relevant ads (including professional and job ads) on and off LinkedIn. Facebook Messenger (Requires Facebook), Outpatient He and his wife Rose live in walking distance from their son and daughter-in-laws house. We provide daily access to the most comprehensive clinical care team - dedicated hospitalists and physiatrists, RNs, therapists and specialty physicians. Lower is better. Chuck joined the network in 2012 as the Chief Financial Officer and in 2020 his role expanded to include Chief Operating Officer. Nursing home has failed to notify the resident or the residents representative in writing how long the nursing home will hold the residents bed in cases of transfer to a hospital or therapeutic leave. The company settled in February for $740,000. We were honored to support their efforts through our career advancement opportunities. Thank you to everyone who participated and to the recipients for their meaningful contributions. - Massage Additionally, wewill take reasonable steps to ensure that persons with limited English Proficiency will have meaningful access and opportunity to participate in our services. They tried at the time to buy four nursing homes in the Northeast Kingdom, but ultimately that deal fell through. She enjoyed meeting some LNAs who are ready to take the next step in their career and spoke with many individuals who will graduate before the end of the year. Patients who find relief from the Intracept Procedure often describe pain in the middle of their low back that is made worse by physical activity, prolonged sitting, bending forward or with bending and lifting. Northeast Rehabilitation Hospital Network was honored to continue our relationship as the title sponsor of this important event. Individuals were nominated by their peers and all nominations were reviewed by their nurse leaders. 1 Meadowbrook Way, Canton, MA 02021 At Bedrock Recovery Center, our goal is to offer you a high-standard of care that is evidence-based, trauma-informed, family centric, and sensitive to your culture and gender. About Rehabilitation Hospital Cleveland Clinic Rehabilitation Hospitals in affiliation with Select Medical are located throughout Northeast Ohio to offer patients the very latest in rehabilitative care in Akron, Avon, Beachwood and the main campus location. (603) 689-2400. My confidence is growing and I feel much better. If you would like more information about NRHN Rehab Physician Services click here. This place saved my life. Regulated Facilities. 2022 Northeast Rehab, Inc. | Site Design. We offer continuing care at all of our facilities to support your recovery efforts after treatment. Northeast Rehabilitation Hospital Network Hospitals and Health Care Salem, New Hampshire 2,108 followers Here at Northeast Rehab, every day we are rebuilding lives through hope, compassion, and a . Yes, every therapist employed by Northeast Rehab is licensed in the State where they work. We have four residential inpatient treatment centers in Massachusetts: Our admissions process is simple. The importance of an accurate diagnosis and treatment plan, delivered by a multi-disciplinary clinical team, enables Northeast Rehab medical professionals to assist patients with return-to-function care that helps them achieve the highest levels of functioning possible. Our residents and patients matter most at Life Care Centers of America. Katie Jickling covers health care for VTDigger. - Medical Fitness #northeastrehab #tbi #hydration, Earlier in the summer Charles "Chuck" Champagne transitioned into the role of CEO/CFO when John F. Prochilo retired after 37 years as the CEO. Honesty, Integrity, Responsibility, Trust and Respect. At Ark Behavioral Health, we provide all levels of evidence-based care to help you begin your personal journey toward recovery. This is a great hands-on learning experience for Interventional Pain Physicians with a great faculty! Nursing home has failed to provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Fewer rehospitalizations is indicative of higher quality of care and attention to resident safety. I am so happy and feel very confident. Mary Aversa, The entire team was always encouraging and motivating. Addiction is a lifelong disease that requires constant care and support. Northeast Rehab, Inc. specializes in equipment and supplies used by physical therapists, chiropractors, hospitals, rehabilitation clinics and wellness centers. Staff and medical were phenomenal. We have been delighted with our PT who gives us home exercises between our weekly visit and our friendly, patient OT. Respiratory therapist (Former Employee) - NRH @ Portsmouth nh location - March 10, 2018. The Centers for Medicare and Medicaid Services conducts regular health, fire and safety inspections. Northeast Rehabilitation Hospital is accredited by The Joint Commission and Medicare. Northeast Addictions Treatment Center (NEATC) is located in the historic Quincy neighborhood of Boston. Day and night shift options. The trio will continue to operate the homes even though it will take months for them to get the permissions to buy them. 2023 VTDigger, a project of Vermont Journalism Trust, Ltd. Vermont Department of Disabilities Aging and Independent Living, Proudly powered by Newspack by Automattic. Join to see who you already know at Northeast Rehab. Nurse on Call after Hours. We use a whole-patient approach built on a foundation of integrity, transparency, and compassion. Existing patients please call the office where you are currently being treated. A chain-link fence topped with barbed wire has recently gone up along a canal that runs through north Fort Collins, prompting questions and disdain from nearby residents who . Meet the physicians who provide care at Northeast Rehabilitation Hospital. Northeast Center for Rehabilitation and Brain Injury, 300 Grant Ave., Lake Katrine, Our board-certified physicians provide services for many conditions in both inpatient and outpatient settings. Rebuilding lives through hope, compassion and a dedication to excellence. Whether you're looking for short-term rehab as you recover from surgery or you're needing some extended medical care, our skilled nursing and rehabilitation centers are here for you. Facebook Messenger (Requires Facebook), Assistant Medical Director of Hospitalist Medicine, Patient Bill of Rights (English / Espaol). 17 Charles StreetBinghamton, NY 13905Phone: (800) 485-9717Fax: (607) 772-2455Email: info@nerehab.org. Gain valuable experience while advancing your career. The homes Gamzeh, Glatzer and Iko are seeking to buy have been the targets of lawsuits and Covid outbreaks. Our Pledge Northeast Rehabilitation Hospital Network does not discriminate on the basis of race, religion, color, national origin, sex, age, disability, marital status, sexual preference, or gender identity. Congratulations to Abdul Carter and Lackawanna Colleges JiAyir Brown for being named Allied Services and Northeast Rehabs PLAYERS OF THE WEEK! To be the preferred and most trusted provider and partner for all rehabilitation needs in the Northeast. NEATC will always strive to offer the highest quality of care not only in the Northeast region but for anyone across the United States. My Northeast Rehab Home Care specialists were amazing. CentralScheduling@northeastrehab.com Develop and strengthen partnerships within the community that are congruent with our philosophy to promote health, wellness and prevention. Our main treating locations are in Scranton, Wilkes-Barre, Carbondale, and Bethlehem. We use individualized treatment plans to address the underlying causes of your addiction, providing you with the tools and support systems you need to achieve a fulfilling life without alcohol or drugs. "Juneteenth celebrations are a chance for this country, for the United States to rethink not only its origins, but the relationship of everybody who lives in this country to each other," said Greg Carr, associate professor of Africana Studies at Howard University. This is just over the NH border; close to 93/495. The leader of that effort, Howard Gardner, MD, was an Army Neurosurgeon who saw, first hand, the benefits physical rehabilitation offeredwounded soldiers. Please contact us and we'll be happy to confirm that we service your town and accept your insurance. They tried at the time to buy four nursing homes in the Northeast Kingdom, but ultimately that deal fell through. Nursing home has failed to procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. These hospitals serve the needs of individuals challenged with conditions including stroke, brain injury, spinal cord injury and orthopedic injury. As we go through this process, well also look at your insurance coverage and payment options. 2019 SHPBest Premier Performer Patient Satisfaction AwardWe have earned an overall patient satisfaction score ranked in the top 5% of more than 3,000 home health providers. scott naftulin, Daniel C. Martin, Patrick H. Waring, and Fred DeFrancesch, MD discuss the value of learning to safely access cervical, thoracic, and lumbar discs with the hands-on training they'll be providing at the SIS Disc Access Bio-Skills Lab in New Orleans. Your choice to be part of Northeast Rehabilitation Hospital Network makes a difference! Its not the owners first foray into nursing home ownership in Vermont. Patients will appreciate the quiet setting and the ability, in appropriate weather, to enjoy outdoor therapy. This topic is important for everyone. Preventing infection is an indicator of quality care and attention to resident safety. Scranton, PA 18508 Demystify the Medicaid spend down process and gain insights into how it works. Facebook Messenger (Requires Facebook), Outpatient Since opening our flagship location in Salem, NH in 1984, Northeast Rehabilitation Hospital Network (NRHN) has added three more acute rehabilitation hospitals located in Nashua, Portsmouth and Manchester, NH. The Nursing Home Licensure and Certification Section of the Division of Health Service Regulation is responsible for the licensure and regulation of nursing homes. Such inspections are conducted at least every 15 months. Northeast Center for Rehabilitation and Brain Injury is the result of a vision - a special care program of rehabilitation and recovery to serve individuals with complex needs such as brain injury, neurobehavioral disorders, spinal cord injury, complex medical recovery, ventilator care and ventilator weaning. The pandemic has caused revenue and occupancy have plummeted. Many other specialty clinics designed to help those in need of rehabilitation Patient-family centered careand evidence-based practice makes Northeast Rehabilitation Hospital Network the best place for patients and families. We will also take reasonable steps to assist patients with disabilities so they have an equal opportunity to participate in our services. We appreciate and applaud all of the work that BIANH does on behalf of NH and also on behalf of many of our patients and families. This Nursing Homes Violations or Complaints, Best Continuing Care Retirement Community (CCRC), Best Medicare Advantage Plan Companies 2023, Best Medicare Part D Prescription Drug Plan Companies 2023, Learn more about how to pay for nursing home cost, Find Continuing Care Retirement Communites. Nursing home has failed to timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. This rating evaluates a nursing home's quality of post-acute care for patients recovering from a hospital stay such as after stroke, heart attack, infection or accidental injury. They achieved this career milestone because of their extensive experience in providing clinical care to individuals affected by neurological conditions. To learn more about your coverage,contact us today. Ratings based on recent data from July 2022 and earlier. #northeastrehab #healthcarecareers, We're looking for you! Website. #northeastrehab #BIANH #braininjury #briainjuryawareness, Kara, one of our amazing nurse managers, attended the International Institute of New England (IINE) job fair in Manchester, NH earlier this week. We may recommend you begin treatment with a medical detox program. She said the state holds itself to a high bar when it comes to elder care. Select Accept to consent or Reject to decline non-essential cookies for this use. Uncover the perfect fit for your golden years. This rating evaluates a home's ability to care for residents who need daily assistance with medical needs such as administering medications and non-medical needs such as dressing, eating and using the bathroom. A citation from the Centers for Medicare and Medicaid Services from earlier this year reports that staff at Barre Gardens failed to stop patient harm after two residents wrapped a blanket around a third resident and beat on the person. Through partnerships with patients, families and each other, we promote a healthy, healing environment. Nursing home has failed to provide appropriate pressure ulcer care and prevent new ulcers from developing. Northeast Rehabilitation Hospital is accredited by The Joint Commission and is certified by Medicare. 92.4% of residents who maintained the ability to move, eat, use the bathroom and do other common activities without help. The ability to return to a personal residence rather than a hospital or other care setting is an indication of successful rehabilitation. Northeast Rehab's Caring Community. He has always embraced the vision of our founders Dr. Howard Gardner and his wife Naomi, said Mark Taylor, Chairman of the Board of Directors. More by Katie Jickling, Click to share on Facebook (Opens in new window), Click to share on Twitter (Opens in new window), Click to email a link to a friend (Opens in new window), Click to share on LinkedIn (Opens in new window). Nurse on call after hours Our team was so grateful and honored to help lead this year's NEPA Heart Walk! Initial Consultation Continue your rehabilitation journey in the comfort of your home with Northeast Rehabilitation Hospitals Home Care specialists. Honesty, integrity, responsibility, trust and respect. 1 #healthcarecareers #choosenortheastrehab #northeastrehab #wearehiring, Congratulations to our licensed physical therapists Stephen and Cathy who recently became Board-Certified Neurological Clinical Specialists. Is it robust enough to try to help keep our most vulnerable Vermonters safe? she wrote. Select Accept to consent or Reject to decline non-essential cookies for this use. We also offer monthly health challenges, wellness webinars and access to Inova counseling. Property records show that RA Westlake Assets LLC bought the Rae-Ann Nursing and. 7.4% of serious infections developed during the rehabilitation stay. NRHNwill provide interpreter services at no cost to our patients when needed. Addiction is a lifelong disease that requires constant care and support. At NERA, we offer several additional services and provide a multi-disciplinary team approach to set goals and help you return to the highest functional level possible. 12.2% of short term residents who needed to go to an ER during their stay. WHERE ARE WE LOCATED? RN, LNA and LPN opportunities across our four hospitals: Manchester, Nashua, Portsmouth and Salem, NH. In 2021, Juneteenth became the first new federal holiday since the establishment of Martin Luther King Jr. Day in 1983. Gamzeh owns a stake in at least 36 nursing homes nationwide. We sent a loved one here and this place saved their life! and our team are proud to add this minimally invasive, implant-free procedure to our non-surgical treatment options. CentralScheduling@northeastrehab.com Patient visit 24-48 hours after discharge To care for others we must also care for ourselves and thats what we do. Join to see who you already know at Northeast Rehabilitation Hospital Network. CentralScheduling@northeastrehab.com Gamzeh and Glatzer also own more than a dozen elder care facilities in Pennsylvania through their company Priority Healthcare Group, which has been criticized for low staffing levels and poor care. Northeast Rehabilitation Hospital Network provides inpatient and outpatient rehabilitation care for disabling injuries or illnesses. Learn more in our Cookie Policy. Also includes results of consumer complaint investigations. Please visit us at www.NortheastRehab.com for more information about our network of services. Bridget Pearson, RN - Unit 100, Salem, NH They really cared about us and did everything they could to help us transition back into society, leaving us with massive amounts of hope and an opportunity for a second chance at life. The more consistent you are with your home exercises will help you achieve maximum results. Call: (603) 681-3500 Nashua, NH 03063. Certified rehab registered nurses on staff. External link for Northeast Rehabilitation Hospital Network, The Pain Management Clinic at Northeast Rehabilitation Hospital is the first in New Hampshire to offer the Intracept Procedure, an innovative approach to provide relief for patients suffering from a distinct type of chronic low back pain (CLBP) called vertebrogenic pain. Residential treatment is available at Spring Hill Recovery Center or Bedrock Recovery Center. Among them was Burlington Health & Rehab. They approach each day with an unwavering commitment to provide each patient with the care they need to rebuild their life. In preparation for the winter storm expected to start Thursday, January 4, 2018 please read the following notice: Outpatient: Due to the predicted snow storm tomorrow January 4th all of Northeast Rehabs Outpatient Clinics (including Pain Clinics) will be closed for the day. Our physicianspromote a healthy, healing environment where patient-family centered care and evidence based practice makes Northeast Rehabilitation Hospital Network the best place for patients and families. Discover strategies and options to leverage your policy for financial stability. Was told I needed to attend a meeting with my work associate. *References herein to the consolidated "company" and "its" assets and activities, as well as the use of the terms "we," "us," "its", "our" and similar verbiage, are not meant to imply that The Ensign Group, Inc. has direct operating assets, employees or revenue, or that any of the affiliated entities, including facilities, or the Service Center are operated or managed . Where passion and care live. But Monica Hutt, commissioner of the Department of Disabilities, Aging and Independent Living, said the state would thoroughly review the application. Northeast Rehabilitation Hospital Network was founded in 1984 and is owned by physicians. A government-assigned rating based on results of state health inspections. Custom Care Plan NY 12449. A large fire at the Harborside Inn in New Shoreham on Block Island burned through the early morning hours Saturday . Thirty-nine residents tested positive during an outbreak this spring and 11 died. If you are returning home from a hospital or other health facility, well visit you within 24-48 hours of discharge. We believe in the importance of continued education and supporting your career aspirations. Experienced and friendly staff ready to help, Product support that will save you time and money in the long run. (WESH, LAURO SOTO, CNN) ORLANDO, Fla. (WESH) - It's a miracle . We take great pride in offering personal service with prompt response time. When expanded it provides a list of search options that will switch the search inputs to match the current selection. Our day treatment or partial hospitalization program (PHP) is an effective outpatient option following the completion of our residential program. 256-235-8900. The most recent inspection reports are below. Youll also stay connected to our treatment program for life. For questions or to make a referral, Call: (603) 681-3500. Understand the intricacies of asset reduction to qualify for Medicaid coverage. Thank you for having us as a guest, Amy. https://lnkd.in/exXpE3BR 98.0% of residents received the annual influenza vaccination. 2.6% of residents who fell, resulting in a major injury such as a bone fracture or dislocation. The professionalism and the compassion the staff offers is like no other., COVID-19 Mental Health And Addiction Resources, Complete Guide For People Facing Drug Charges, Resources For Minorities Experiencing Treatment Disparities, Substance Abuse Resources For People With Disabilities, Drug Abuse Resources For College Students, Eye Movement Desensitization & Reprocessing (EMDR). Theyve worked hard to build collaborative, supportive teams where colleagues feel connected. Many of our RNs also pursue additional education to become a Certified Rehabilitation Registered Nurse (CRRNs). 570.344.3788. Thursday 7:30 am 4:00 pm The facilities will be renamed as part of the sale: The Bennington facility will become Southern Vermont Nursing and Rehabilitation; Burlington will be renamed Queen City Nursing and Rehabilitation; the St. Johnsbury facility will be called North East Vermont Nursing and Rehabilitation; the others will be called Berlin Meadows Nursing and Rehabilitation and Springfield Rivers Nursing and Rehabilitation. 2023 Ark National Holdings, LLC1-855-490-1392500 Victory Rd, 3rd Floor, Quincy, MA 02171, Such a great program. If you or someone you know are looking for your next opportunity, we are hiring for LNA, LPN and RN positions across our four inpatient acute rehabilitation hospitals (located in Salem, Manchester, Nashua and Portsmouth, NH). Inpatient We take great pride in offering personal service with prompt response time. Our physicians promote a healthy, healing environment where patient-family centered care and evidence based practice makes Northeast Rehabilitation Hospital Network the best place for patients and families. I feel 100% better. Clean facility. Educate employees on patient family centered concepts and hold them accountable to do what is best for patients and families.

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