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[(rehabilitation)-262.6(may)-254.4(decrease)-256.4(psychosocial)-262.8(morbidity)-260.7(in)-253.5(severe)]TJ
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[(COPD)-277.9(patients)-288.1(in)-278.8(addition)-284.8(to)-281.4(conrming)-283.6(the)-282(positive)-285.5(impact)]TJ
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T*
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[(found)-485.2(that)-490.7(home-based)-492.8(pulmonary)-488.8(rehabilitation)-490.2(in)]TJ
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[(severe)-299.6(COPD)-296.8(patients)-300.8(led)-297.3(to)-294.1(improvements)-306.4(in)-297.8(exercise)-297.5(toler-)]TJ
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T*
[(Freimark)-535.5(et)-544.1(al.s)]TJ
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(33)Tj
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[(study)-541.7(involving)-538.2(CHF)-542(patients)-541.1(demon-)]TJ
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[(strated)-517.5(improvement)-520(in)-519.1(the)-515.9(functional)-523.5(and)-518.1(hemodynamic)]TJ
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[(parameters)-487.8(following)-493.9(a)-486.4(hospital-based)-498.7(supervised)-493.7(exercise)]TJ
T*
[(and)-277.8(rehabilitation)-287.9(program.)]TJ
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0 -3.054 TD
[(Planning)-335.5(Rehabilitation)]TJ
/F5 1 Tf
1.1128 -1.8336 TD
[(Ideally,)-284.5(the)-294.6(rehabilitation)-294.2(plan)-292.3(should)-287.3(be)-288.8(developed)-292.3(by)-293.4(an)]TJ
-1.1128 -1.2266 TD
[(interdisciplinary)-515.6(team)-509.6(led)-512.3(by)-508.3(a)-511.7(physiatrist)-513.2(experienced)-512.5(in)]TJ
0 -1.2203 TD
[(hospice)-353(and)-347.3(palliative)-350.7(medicine)-345.2(and)-353.7(comprised)-350.9(of)-344.7(members)]TJ
T*
[(from)-235.5(physical)-237.6(therapy,)-240.3(occupational)-238.1(therapy,)-240.3(speech)-239.1(therapy,)]TJ
0 -1.2266 TD
[(psychology,)-441.6(nursing,)-438.3(nutrition,)-439.8(respiratory)-439(therapy,)-442.6(recrea-)]TJ
0 -1.2203 TD
[(tional)-335.7(therapy,)-341.5(and)-334.7(case)-341.4(management.)]TJ
6.7246 0 0 5.9768 462.7841 521.5179 Tm
(34)Tj
8.9663 0 0 8.9663 472.5353 517.5494 Tm
[(The)-335.1(plan)-342.9(should)-337.8(be)]TJ
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[(individualized)-321.9(and)-322(based)-318(on)-322.3(the)-319.9(patients)-321.7(overall)-320.5(prognosis,)]TJ
T*
[(potential)-457.5(to)-452.2(regain)-454(function,)-460.2(and)-448.5(desire)-457.3(and)-454.8(motivation)-457.4(to)]TJ
0 -1.2266 TD
[(participate)-281.5(in)-285.1(the)-282(program.)]TJ
1.1128 -1.2203 TD
[(Rehabilitation)-240.9(can)-242.5(be)-244.6(provided)-242.6(in)-240.9(the)-244(inpatient,)-246.1(outpatient,)]TJ
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0 -1.2266 TD
[(for)-301.1(patients)-307.1(who)-305(have)-307(the)-300.9(potential)-312.1(for)-301.1(signicant)-306.4(functional)]TJ
0 -1.2203 TD
[(improvement,)-238.4(and)-233.5(are)-234.1(able)-235(to)-237.2(tolerate)-241.2(at)-233.9(least)-238.7(3)-233.5(hours)-237.2(of)-230.9(daily)]TJ
T*
[(therapy)-344.9(ve)-345.1(times)-344.2(per)-349.7(week.)]TJ
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(35,36)Tj
8.9663 0 0 8.9663 443.7353 429.9023 Tm
[(In)-346.9(contrast,)-345.9(subacute)-349(inpa-)]TJ
-14.8209 -1.2266 TD
[(tient)-463(rehabilitation)-464.9(offers)-467.2(coordinated)-467.3(interdisciplinary)-465(ser-)]TJ
0 -1.2203 TD
[(vices)-390.5(to)-388.9(patients)-395.6(with)-394.7(less)-391.8(intense)-391.3(rehabilitation)-395.4(needs)-393.2(who)]TJ
T*
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0 -1.2266 TD
[(serve)-312.4(as)-317(a)-309.3(transitional)-319.3(program)-316.8(before)-318(discharge)-312.2(from)-317.6(medi-)]TJ
0 -1.2203 TD
[(cal)-495.5(and)-499.1(surgical)-500.5(units)-503.2(and)-499.1(for)-497.1(respite)-500.4(or)-503(palliative)-502.5(care.)]TJ
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(37)Tj
8.9663 0 0 8.9663 310.8472 364.1385 Tm
[(Outpatient)-645.8(rehabilitation)-648.3(offers)-644.2(comprehensive)-646(interdisci-)]TJ
T*
[(plinary)-326.3(or)-319.6(single)-325.9(rehabilitation)-332.2(services)-329.1(for)-320.1(patients)-332.4(living)-322.6(in)]TJ
0 -1.2266 TD
[(the)-307.3(community.)-304.1(Most)-306.9(home)-307.1(care)-302.9(agencies)-308.4(can)-305.7(provide)-309.2(phys-)]TJ
0 -1.2203 TD
[(ical)-537(therapy,)-537.5(occupational)-541.6(therapy,)-537.5(speech)-536.3(therapy,)-543.8(social)]TJ
T*
[(work,)-297(and)-290.4(skilled)-297.4(nursing)-302.6(care)-296.6(to)-294.1(homebound)-296.8(patients.)-303.7(Hos-)]TJ
0 -1.2266 TD
[(pice)-642.7(programs)-647(may)-640.1(provide)-650.6(physical,)-645.2(occupational,)-645.7(and)]TJ
0 -1.2203 TD
[(speech-language)-603.4(therapy)-597.8(in)-601.3(the)-598.1(inpatient)-603.6(as)-595.2(well)-596.6(as)-601.5(the)]TJ
T*
[(home)-281.8(environment.)]TJ
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[(Discharge)-304.3(planning)-313.4(is)-302(an)-306.4(integral)-312.6(component)-308.1(of)-306.7(any)-304.5(reha-)]TJ
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[(bilitation)-455.1(program)-455.9(across)-460.1(various)-458.9(settings.)-460.3(It)-451.5(is)-460.1(a)-454.8(dynamic)]TJ
T*
[(interdisciplinary)-332.3(process)-335.4(that)-332.6(should)-331.5(take)-326.8(into)-332.6(consideration)]TJ
T*
[(the)-313.6(patients)-321.6(progress)-316(toward)-311.6(meeting)-319(the)-313.6(preestablished)-319.4(re-)]TJ
0 -1.2266 TD
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T*
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[(Rehabilitation)-525.4(services)-531.5(in)-525.4(the)-522.2(inpatient,)-530.6(outpatient,)-528.3(and)]TJ
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[(home)-300.8(settings)-305.7(are)-297.3(covered)-303.5(by)-299.7(Medicare,)-304.7(Medicaid,)-304.3(and)-296.8(most)]TJ
T*
[(private)-284.4(insurance)-284.3(companies)-286.8(according)-281.5(to)-287.8(their)-286.2(specic)-279.6(crite-)]TJ
0 -1.2266 TD
[(ria)-566.5(for)-566.7(reimbursement.)-570(Patients)-566.4(enrolled)-566.8(in)-569.7(the)-566.5(Medicare)]TJ
0 -1.2203 TD
[(hospice)-315(benet)-308.3(are)-316.3(eligible)-307.3(to)-313.1(receive)-313.8(physical,)-316.4(occupational,)]TJ
T*
[(and)-290.4(speech-language)-299.9(therapy)-294.3(as)-291.7(well)-286.8(as)-291.7(adaptive)-292.6(equipment)]TJ
0 -1.2266 TD
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(38)Tj
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1.1128 -1.8336 TD
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[(tion)-313.7(planning)-313.4(and)-309.4(should)-312.5(include)-317.5(information)-315.3(on)-309.7(disease)-312(lo-)]TJ
T*
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0 -1.2267 TD
[(expectancy,)-644.9(comorbidities,)-645.4(pain)-646.4(and)-644.5(nonpain)-643.3(symptoms,)]TJ
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0 -1.2266 TD
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0 -1.2203 TD
[(physical)-319.8(examination)-325.6(with)-318.8(special)-318.3(attention)-323.7(to)-319.4(the)-319.9(neurolog-)]TJ
T*
[(ical)-334.7(and)-334.7(musculoskeletal)-335.9(systems)-335.1(is)-333.6(essential)-335.3(in)-335.7(determining)]TJ
0 -1.2266 TD
[(motor)-478.5(strength,)-478.5(joint)-470.4(exibility,)-480.3(gait)-469.5(pattern,)-476.6(and)-480.1(fall)-468.6(risk.)]TJ
0 -1.2203 TD
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T*
[(pice)-282.3(and)-284.1(palliative)-281.2(care)-277.6(patients)-288.1(as)-279(follows:)]TJ
1.1128 -1.2266 TD
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[(\))-430.4(i)0(s)-434.8(a)-429.5(functional)-435(as-)]TJ
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T*
[(100-point)-339.3(scale)-338.7(of)-338.4(general)-340.1(function)-343.5(corresponding)-342.7(to)-338.4(the)-338.9(pa-)]TJ
T*
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0 -1.2266 TD
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[(It)-419.9(is)-422.2(also)-424.4(used)-429.2(for)-421.3(prognostication)-434.4(in)]TJ
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[(hospice)-283.4(and)-284.1(palliative)-281.2(care.)]TJ
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2.0044 0 TD
[(Palliative)-363.9(Performance)-358.5(Scale)]TJ
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11.9124 0 TD
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[(\))-360.9(i)0(s)-358.9(a)0(n)-357(observer-rated)]TJ
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T*
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0 -1.2266 TD
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0 -1.2203 TD
[(of)-281.4(cancer)-280.3(patients.)]TJ
6.7246 0 0 5.9768 133.3417 521.5179 Tm
(41)Tj
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(The)Tj
/F9 1 Tf
1.9791 0 TD
[(Eastern)-338.1(Cooperative)-340.7(Oncologic)-333.8(Scale)]TJ
/F5 1 Tf
15.2445 0 TD
(\()Tj
/F9 1 Tf
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(ECOG)Tj
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2.7568 0 TD
[(\))-335.6(developed)]TJ
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[(for)-358(cancer)-356.1(patients)-357.7(is)-352.6(utilized)-356.3(for)-351.7(prognostication)-364.8(in)-354.7(hospice)]TJ
0 -1.2266 TD
[(and)-397.9(palliative)-401.3(care.)-394.3(This)-396.9(is)-396.9(a)-397.9(5-point)-403.5(scale)-395.6(that)-395.9(assesses)-404.2(the)]TJ
0 -1.2203 TD
[(patients)-397.5(ability)-386.1(to)-395.3(walk,)-391.4(care)-385.1(for)-396(self,)-387.5(and)-391.6(the)-395.8(need)-391.9(for)-389.6(de-)]TJ
T*
[(pendence)-288.3(on)-278(others.)]TJ
6.7246 0 0 5.9768 141.1086 466.7527 Tm
(42)Tj
8.9663 0 0 8.9663 72 451.7857 Tm
(The)Tj
/F9 1 Tf
1.8842 0 TD
[(Edmonton)-239.4(Functional)-246.8(Assessment)-240.9(Tool)]TJ
/F5 1 Tf
15.9148 0 TD
(\()Tj
/F9 1 Tf
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(EFAT)Tj
/F5 1 Tf
2.4786 0 TD
[(\))-240.7(consisting)]TJ
-21.7129 -1.2203 TD
[(of)-294.1(two)-295.7(parts)-300.5(is)-295.7(designed)-296.7(and)-290.4(validated)-297.7(for)-294.8(the)-300.9(palliative)-293.8(care)]TJ
T*
(population.)Tj
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[(43)-9.1(45)]TJ
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[(The)-221.3(rst)-226.8(part)-223.3(includes)-224(10)-226.6(items)-224.1(scored)-228.3(on)-221.1(a)-227.1(4)0(-)]TJ
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[(point)-188.6(rating)-189.1(scale)-180.6(\(0)-189.7(to)-186.6(4\).)-186.3(These)-184.5(items)-186.1(include)-191(communication,)]TJ
0 -1.2203 TD
[(mental)-345.8(status,)-348.8(pain,)-339.5(respiratory)-350.5(function,)-346.4(sitting)-345.9(or)-344.9(standing)]TJ
T*
[(balance,)-385.5(mobility,)-383.6(walking)-380.8(or)-382.8(wheelchair)-381.5(locomotion,)-388.5(ADL,)]TJ
0 -1.2266 TD
[(fatigue,)-379.3(and)-372.6(motivation.)-378.1(The)-379.3(second)-376.4(part)-375.1(is)-377.9(a)-372.6(single)-376.5(overall)]TJ
0 -1.2203 TD
[(rating)-473.6(of)-471.1(the)-471.6(patients)-473.4(functional)-473(status)-472.3(on)-474.1(a)-467.4(4-point)-473.1(scale)]TJ
T*
[(\(0)-278.2(to)-281.4(4\).)]TJ
1.1128 -1.2203 TD
(The)Tj
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2.0866 0 TD
[(Katz)-439.5(Activities)-445.3(of)-443.8(Daily)-446.6(Living)]TJ
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(46,47)Tj
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[(was)-438.7(originally)-446.6(de-)]TJ
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[(veloped)-308.4(for)-307.4(the)-307.3(chronically)-307.9(ill)-301.4(and)-309.4(the)-307.3(aged,)-300.6(but)-309.7(is)-302(also)-304.3(com-)]TJ
0 -1.2203 TD
[(monly)-454.3(used)-448.2(to)-452.2(assess)-453.6(the)-452.7(functional)-454(status)-453.4(of)-452.2(hospice)-447.8(and)]TJ
T*
[(palliative)-477.2(care)-473.6(patients.)-474.4(It)-476.8(consists)-475(of)-477.5(six)-474.9(domains)-472.7(that)-471.7(in-)]TJ
0 -1.2266 TD
[(clude)-506.6(bathing,)-502.6(dressing,)-507.3(toileting,)-505.5(transferring,)-514.6(continence,)]TJ
0 -1.2203 TD
[(and)-549.7(feeding.)-555(Each)-549(category)-555.2(is)-548.6(rated)-553.7(as)-550.9(dependent)-558.1(\(0\))-550.5(or)]TJ
T*
[(independent)-286.8(\(1\).)]TJ
1.1128 -1.2266 TD
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1.9475 0 TD
[(Lawton)-307.9(Instrumental)-310.2(Activities)-306.2(of)-311(Daily)-301.1(Living)]TJ
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(4849)Tj
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T*
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1.9032 0 TD
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T*
[(ing,)-330.4(dressing,)-330.3(personal)-334.9(hygiene,)-331.7(bowel)-334.7(control,)-332(bladder)-330.2(con-)]TJ
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[(trol,)-541.5(wheelchair)-545.9(transfer)-543.9(to)-547(and)-537(from)-545.3(bed,)-541.4(toilet)-541.8(transfer,)]TJ
0 -1.2203 TD
[(bathtub)-526.2(transfer,)-534.2(walking)-526.3(on)-524.6(level)-526.1(or)-528.3(being)-527.8(propelled)-528.2(by)]TJ
T*
[(wheelchair,)-283.2(and)-284.1(ascending)-283.3(and)-277.8(descending)-286.7(stairs.)]TJ
1.1128 -1.2266 TD
(The)Tj
/F9 1 Tf
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[(Functional)-487(Independence)-487.9(Measure)]TJ
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1.8147 0 TD
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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T*
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[(pain)-317.6(control,)-319.3(provision)-317.3(of)-313.1(adaptive)-317.9(and)-309.4(assistive)-321.5(equipment,)]TJ
T*
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T*
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T*
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T*
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T*
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T*
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[(55.)-504(Tinetti)-584.4(ME:)-579(Performance-oriented)-586.8(assessment)-587.3(of)-576.4(mobility)]TJ
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1.754 -1.2318 TD
[(falls)-335.6(predictor)-335.6(post)-330.6(hip)-334.8(fracture)-337.1(surgery.)-335.6(Phys)-330.7(Ther)-334.3(2007;87:)]TJ
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1.754 -1.2385 TD
(48:783785.)Tj
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1.754 -1.2385 TD
[(therapy)-370.5(in)-358.8(hospice:)-371.9(Patient)-369.7(empowerment.)-366.2(Am)-370.1(J)-360.9(Hosp)-366.2(Pal-)]TJ
T*
[(liat)-336.6(Care)-335.7(2001;18:397402.)]TJ
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[(60.)-504(Ebel)-364.5(S,)-361.4(Langer)-366.8(K:)-364.3(The)-364.4(role)-366.9(of)-362.2(the)-365.3(physical)-371.5(therapist)-365.4(in)-365.5(hos-)]TJ
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[(61.)-504(Charlton)-276.5(JE)-279.1(\(ed\):)]TJ
/F9 1 Tf
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(Pain)Tj
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[(62.)-504(OSullivan)-473.8(SB,)-467.1(Schmitz)-463(TJ:)-470.9(Physical)-471.9(rehabilitation:)-473(Assess-)]TJ
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1.754 -1.2318 TD
[(N)-630.8(\(eds\):)]TJ
/F9 1 Tf
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[(Physical)-638.2(Medicine)-639.9(and)-633.3(Rehabilitation:)-641.3(Principle)-636(&)]TJ
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[(Practice,)-772.8(4th)-773.5(ed)]TJ
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[(.)-774.3(Philadelphia:)-778.2(Lippincott)-776.4(Williams)-771.4(and)]TJ
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[(64.)-504(Bach)-692.1(JR:)-696.8(Rehabilitation)-696.4(of)-696.9(the)-693.3(patient)-697.8(with)-696.7(respiratory)]TJ
1.754 -1.2318 TD
[(dysfunction.)-429.4(In:)-418.3(DeLisa)-422.2(J,)-425.5(Gans)-423.2(B,)-418(Walsh)-424.4(N)-423.2(\(eds)]TJ
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22.1129 0 TD
[(\):)-425.5(Physical)]TJ
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[(Medicine)-767.1(and)-760.5(Rehabilitation)-770.8(Principle)-769.9(&)-763.1(Practice,)-766.1(4th)-760.1(ed.)]TJ
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1.754 -1.2385 TD
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[(66.)-504(Pearson)-541.9(E,)-538.5(Todd)-539.2(JG,)-542.5(Futcher)-540.6(JM:)-539.6(How)-542.2(can)-539.6(occupational)]TJ
1.754 -1.2318 TD
[(therapists)-337.7(measure)-332(outcomes)-332.7(in)-332(palliative)-336.2(care)]TJ
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(?)Tj
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[(Palliat)-335(Med)]TJ
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[(67.)-504(Pollens)-349.4(R:)-349.3(Role)-347(of)-348.8(speech-language)-358.2(pathologist)-354.5(in)-352.1(palliative)]TJ
1.754 -1.2385 TD
[(hospice)-340.7(care.)-330(J)-334.1(Palliat)-341.7(Med)-334.2(2004;7:694702.)]TJ
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[(68.)-504(Goldsmith)-382.5(T:)-371.2(Ethical)-377.2(issues)-382.5(facing)-375.4(the)-378.7(speech-language)-385(pa-)]TJ
1.754 -1.2385 TD
[(thologist)-429.9(in)-425.7(the)-432.2(acute)-424.9(care)-426(setting.)-432.2(ASHA)-425.2(Division)-433.4(2)-423.9(Neu-)]TJ
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[(rophysiology)-961.5(and)-961.8(Neurogenic)-959.9(Speech)-965.6(and)-955.1(Language)]TJ
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[(69.)-504(American)-733.1(Speech-Language-Hearing)-742.3(Association:)-738.5(Guide-)]TJ
1.754 -1.2385 TD
[(lines)-566.2(for)-566.3(the)-566.1(delivery)-563.2(of)-563(speech-language)-572.4(pathology)-567.1(and)]TJ
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[(Address)-339.4(correspondence)-340.1(to:)]TJ
/F9 1 Tf
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[(Marcos)-338.9(L.)-329.8(Montagnini,)-339.8(M.D.,)-331.4(FACP)]TJ
2.7505 -1.2203 TD
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2.8643 -1.2266 TD
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[(VA)-334.4(Ann)-334.1(Arbor)-335.9(GRECC)-334.7(\(11-G\))]TJ
5.8613 -1.2203 TD
[(2215)-333.2(Fuller)-336.5(Road)]TJ
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(E-mail:)Tj
/F5 1 Tf
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(mmontag@umich.edu)Tj
/F4 1 Tf
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(648)Tj
41.7944 0 TD
[(JAVIER)-338.2(AND)-330.9(MONTAGNINI)]TJ
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