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Pacific Lutheran University student nurse Kelsey Carlson 25 (R), talks with patient Elaine Streich 63, (L) at a local coffee shop as part of Carlson home care assignment.. Gilbert W. Arias ©2010.

Pacific Lutheran University student nurse Leo Rivas talks with patient Trevor Modeste, at Modeste home in Spanaway WA as part of Rivas home care assignment.. Gilbert W. Arias ©2010.

Pacific Lutheran University student nurse Leo Rivas talks with patient Trevor Modeste, at Modeste home in Spanaway WA as part of Rivas home care assignment.. Gilbert W. Arias ©2010.

Pacific Lutheran University student nurse Leo Rivas talks with patient Trevor Modeste, at Modeste home in Spanaway WA as part of Rivas home care assignment.. Gilbert W. Arias ©2010.

Pacific Lutheran University student nurse Leo Rivas talks with patient Trevor Modeste, at Modeste home in Spanaway WA as part of Rivas home care assignment.. Gilbert W. Arias ©2010.

Pacific Lutheran University student nurse Leo Rivas talks with patient Trevor Modeste, at Modeste home in Spanaway WA as part of Rivas home care assignment.. Gilbert W. Arias ©2010.

Pacific Lutheran University student nurse Leo Rivas talks with patient Trevor Modeste, at Modeste home in Spanaway WA as part of Rivas home care assignment.. Gilbert W. Arias ©2010.

Pacific Lutheran University student nurse Leo Rivas talks with patient Trevor Modeste, at Modeste home in Spanaway WA as part of Rivas home care assignment.. Gilbert W. Arias ©2010.

Pacific Lutheran University student nurse Leo Rivas talks with patient Trevor Modeste, at Modeste home in Spanaway WA as part of Rivas home care assignment.. Gilbert W. Arias ©2010.

Pacific Lutheran University student nurse Leo Rivas talks with patient Trevor Modeste, at Modeste home in Spanaway WA as part of Rivas home care assignment.. Gilbert W. Arias ©2010.