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more intense aside the complex care his and using words is really important as well so patient consent were so again they if they feel like they're or for not smoking is having a soda you can negotiate with them that it go you know four hours without a cigarette soon you can negotiate with everyone vision they're going to identify with their leaders are have negotiated for she n tourist point really calls discussions involve are perhaps best done by what I as allied health so medical assistants nurses me workers folks that know why this works like fish interviewing all say things like that that doesn't have to be done by us that were Evanescence do that I'm and since the start with something and then changes and try to improve it four timesaver a so here the process is really different in all max is the first yes with the health risks of issues that here your I matter get while addressing these ways so can you really hear the hart billings each he's our own are extremely variable and get some are better