NewRN - PT Weekend Days - Jackson Center LTC Good SamaritanRN - PT Weekend Days - Jackson Center LTCEllsworth, MN$36–$48Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
NewRN - Full Time Days - LTC Good SamaritanRN - Full Time Days - LTCSioux Falls, SD$39–$48Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
NewRN - Flex - Full Time Days Good SamaritanRN - Flex - Full Time DaysSioux Falls, SD$39–$48Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
NewRN / LPN - Part Time Days Good SamaritanRN / LPN - Part Time DaysSioux Falls, SD$29–$48 / hourGraduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on Collegiate Nursing Education (CCNE), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state.
NewTravel Labor and Delivery RN - $2,016 per week GHR HealthcareTravel Labor and Delivery RN - $2,016 per weekLe Mars, IA$1,800–$1,890 / weekThis travel Registered Nurse assignment offers the opportunity to make a meaningful difference by delivering personalized care in patients' homes while enjoying the autonomy and variety of home care nursing jobs . Le Mars is a welcoming northwest Iowa community known for its small-town charm, friendly atmosphere, and convenient access to regional amenities.
NewTravel Labor and Delivery RN - $2,745 per week MedPro Healthcare StaffingTravel Labor and Delivery RN - $2,745 per weekLe Mars, IAMedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Labor & Delivery Registered Nurse for a travel assignment with one of our top healthcare clients. As a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation.
NewTravel Case Manager RN - $2,216 per week MedPro Healthcare StaffingTravel Case Manager RN - $2,216 per weekSioux Falls, SDWork is administered in a variety of settings, including HMOs, community health organizations, long-term care facilities, behavioral health programs, rehabilitation centers, schools, and case management companies. MedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one of our top healthcare clients.
NewRegistered Nurse (RN) - Long Term Care - $38-48 per hour Medical Solutions Direct HireRegistered Nurse (RN) - Long Term Care - $38-48 per hourCanton, SD$34–$48 / hourMedical Solutions is one of the nation’s largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. This position offers consistent 12-hour day shifts, strong hourly compensation, and the opportunity to provide meaningful, hands-on care in a supportive long-term care environment.
NewTravel Nurse RN - Clinic - $2,546 per week TRS HealthcareTravel Nurse RN - Clinic - $2,546 per weekSioux Falls, SDWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewTravel Nurse RN - Case Management - $1,975 per week TRS HealthcareTravel Nurse RN - Case Management - $1,975 per weekSioux Falls, SDWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
Travel Nurse RN - Home Health - $1,935 per week TRS HealthcareTravel Nurse RN - Home Health - $1,935 per weekLe Mars, IAWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewTravel Nurse RN - Orthopedics - $2,745 per week TRS HealthcareTravel Nurse RN - Orthopedics - $2,745 per weekLe Mars, IAWe recruit and support registered nurses, licensed practical nurses, surgical technicians, respiratory therapists, imaging technologists, laboratory specialists, and other experienced nursing and allied healthcare professionals. TRS Healthcare has been a leader in the healthcare staffing industry for over 25 years, providing exceptional career opportunities for travel nurses and allied health professionals.
NewTravel Nurse RN - Oncology - $2,764 per week MedPro Healthcare StaffingTravel Nurse RN - Oncology - $2,764 per weekSioux Falls, SDMedPro Healthcare Staffing , a Joint Commission-certified staffing agency, is seeking a quality Oncology Registered Nurse (RN) for a travel assignment with one of our top healthcare clients. As a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation.
NewTravel Nurse RN - Med Surg - $2,646 per week Cell StaffTravel Nurse RN - Med Surg - $2,646 per weekSioux Falls, SDMost recently, Staffing Industry Analysts (SIA) named Cell Staff a 2025 Best Staffing Firm to Work For and a 2025 Best Staffing Firm to Temp For . Today, we’ve earned a reputation for delivering exceptional service and care to healthcare professionals seeking meaningful careers, as well as to the remarkable clients and patients they serve.
NewTravel Nurse RN - Labor and Delivery - $2,569 per week Fusion Medical Staffing-NursingTravel Nurse RN - Labor and Delivery - $2,569 per weekLe Mars, IAThis role encompasses assessing maternal and fetal health, administering treatments, and collaborating with healthcare teams to ensure high-quality, patient-centered care during labor, delivery, and the immediate postpartum period. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.
NewTravel LTC/SNF RN - $1,427 per week Uniti MedTravel LTC/SNF RN - $1,427 per weekCanton, SDAs an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.
Registered Nurse (RN) - Internal Float Pool - Brandon Advocate AuroraRegistered Nurse (RN) - Internal Float Pool - BrandonSioux Falls, SDAdvocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation . Using evidence-based practice, clinical decision making, compassion and skilled communication, leads efforts to create the safest patient environment and the best patient experience across the continuum.
NewTravel Nurse RN - Labor and Delivery - $2,760 per week Cross Country NursesTravel Nurse RN - Labor and Delivery - $2,760 per weekLe Mars, IAThe position includes charge nurse responsibilities as assigned, with shifts scheduled for 12 hours during weekdays, nights, and weekends, including holiday rotation. Required Qualifications: Certifications in obstetrics nursing (OB/Labor and Delivery experience required), valid nursing license in the state of Iowa, minimum of 3 years of nursing experience, and experience in a hospital setting.
NewTravel Home Health RN - $1,792 per week GHR Healthcare - TravelTravel Home Health RN - $1,792 per weekLe Mars, IAPay package is based on 8 hour shifts and 32 hours per week (subject to confirmation) with tax-free stipend amount to be determined. GHR Healthcare - Travel is seeking a travel nurse RN Home Health for a travel nursing job in Le Mars, Iowa.
Travel Home Health RN - $1,943 per week Anders GroupTravel Home Health RN - $1,943 per weekLe Mars, IAFounded in 2010 by experienced healthcare recruiters, Anders Group was built on a simple idea: people come before numbers. That’s why we focus on delivering exceptional customer service, personalized support, and access to some of the best-paying travel opportunities nationwide.
NewTravel Labor and Delivery RN - $2,650 per week Skyline Med Staff NursingTravel Labor and Delivery RN - $2,650 per weekLe Mars, IASkyline Med Staff was named as the #1 Best Travel Healthcare Company in 2025 by BluePipes, a recognition driven by glowing reviews from travel healthcare professionals. Weekly amount stated in job postings is an estimate based on estimated hourly wage and potential stipends available for the location of the assignment.
NewTravel Nurse RN - Home Health - $2,306 per week LanceSoftTravel Nurse RN - Home Health - $2,306 per weekLe Mars, IALanceSoft specializes in providing Registered Nurses, Nurse Practitioners, LPNs/LVNs, Social Workers, Medical Assistants, and Certified Nursing Assistants to work in Acute Care Centers, Skilled Nursing Facilities, Long-Term Care centers, Rehab Facilities, Behavioral Health Centers, Drug & Alcohol Facilities, Home Health & Community Health, Urgent Care Clinics, and many other provider-based facilities. Our team of experienced career specialists takes the time to understand your needs and match you with the right job Lancesoft has been chosen by Staffing Industry Analysts as one of the Best Staffing Firms to Work for.
Travel Long-Term Care/Skilled Nursing Facility RN - $1,698 per week Anders GroupTravel Long-Term Care/Skilled Nursing Facility RN - $1,698 per weekVermillion, SDFounded in 2010 by experienced healthcare recruiters, Anders Group was built on a simple idea: people come before numbers. That’s why we focus on delivering exceptional customer service, personalized support, and access to some of the best-paying travel opportunities nationwide.
NewTravel LTC/SNF RN - $1,583 per week Anders GroupTravel LTC/SNF RN - $1,583 per weekCanton, SDFounded in 2010 by experienced healthcare recruiters, Anders Group was built on a simple idea: people come before numbers. That’s why we focus on delivering exceptional customer service, personalized support, and access to some of the best-paying travel opportunities nationwide.
Travel Labor and Delivery RN - $2,851 per week Access HealthcareTravel Labor and Delivery RN - $2,851 per weekLe Mars, IAAccess Healthcare was founded by two travel nurses, Danielle and Diego, who had a dream and a shared vision of creating an agency which all nurses would want to work with. Access Healthcare aims to provide superior service to our nursing family by providing around the clock support, competitive pay packages and an unmatched benefits package!
NewTravel Labor and Delivery RN - $2,671 per week Anders GroupTravel Labor and Delivery RN - $2,671 per weekLe Mars, IAFounded in 2010 by experienced healthcare recruiters, Anders Group was built on a simple idea: people come before numbers. That’s why we focus on delivering exceptional customer service, personalized support, and access to some of the best-paying travel opportunities nationwide.
Administrator of Healthcare Services Dow Rummel VillageAdministrator of Healthcare ServicesSioux Falls, South DakotaPay Range: (based on experience) Who We Are Dow Rummel Village is a non-profit Senior Life Plan Community in Sioux Falls, SD, enriching lives for over 60 years. The Role The Administrator of Healthcare Services oversees overall operations, management and leadership of all licensed care services at Dow Rummel Village.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Sioux Falls, SDRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Healthcare Counsel TriWest Healthcare AllianceHealthcare CounselSioux Falls, SDRemoteFull timeTriWest will prioritize candidates with experience with healthcare regulatory matters, including Medicare and Medicaid and conditions of participation in federal healthcare programs, anti-kickback laws, self-referral laws, HIPAA, and transactional matters for health care providers. Supports the Office of General Counsel in advising and producing attorney work products that support TriWest's healthcare-related departments including, but not limited to, Provider Services, Medical Management, Program Integrity, and Claims.
Architect - Healthcare Architecture IncorporatedArchitect - HealthcareSioux Falls, SDArchitecture Incorporated is seeking a Healthcare Architect to join our growing team and help shape innovative healthcare facilities throughout the region. For nearly 50 years, Architecture Incorporated has been committed to design excellence, client service, and creating meaningful spaces that positively impact communities.
NewRegistered Nurse (RN) Accura HealthCareRegistered Nurse (RN)LE MARS, IAABOUT ACCURA HEALTHCARE: Accura HealthCare is a Midwest-based healthcare company that manages and operates over 50 skilled nursing care, assisted living, independent living, and memory care communities throughout Iowa, Minnesota, South Dakota, and Nebraska. ABOUT OUR LE MARS, IA COMMUNITIES: Accura HealthCare of Le Mars, a 46-bed Skilled Nursing Facility (SNF), provides transitional care, skilled nursing care, and long-term care services.
Registered Nurse RN Interim HealthCare IncRegistered Nurse RNVermillion, SD$45–$50 / hourRegistered Nurse (RN) job duties may include: Care for patients with a variety of illnesses, injuries and diseases in facilities such as clinics, medical offices, assisted living facilities, nursing homes, hospitals and schools. We strive to hire caring and compassionate individuals who wish to make a difference in their community through strong leadership and dedication to the healthcare field.
Home Health Registered Nurse GlobalPoint HCHome Health Registered NurseLe Mars, IAThe qualified candidate will have 2 years of experience performing OASIS assessments and care planning for in-home patients. loyd Valley Healthcare has a need for a Home Health RN who will be responsible for the care of patients in their home.
Home Health Registered Nurse Ambe Healthcare StaffingHome Health Registered NurseLe Mars, IAJob Description: loyd Valley Healthcare has a need for a Home Health RN who will be responsible for the care of patients in their home. The qualified candidate will have 2 years of experience performing OASIS assessments and care planning for in-home patients.
RN - WEEKENDS Interim HealthCare IncRN - WEEKENDSSioux Falls, SD$40–$42 / hourRegistered Nurse (RN) Job Duties: Care for pediatric patients within their home Examine patients, conduct assessments, document condition and report changes Review, interpret, transcribe and carry out physician orders for patients Administer medication, operate medical equipment and maintain a safe environment. Qualifications: Six months experience in a comparable Registration Nurse job classification Current South Dakota RN license Current CPR certification (offered on site) 2 professional references required Background check and drug screen completed Drivers License and current car insurance and 18 years of age.
RN - Weekends Interim HealthcareRN - WeekendsSioux Falls, SD$40–$42 / hourWe strive to hire caring and compassionate individuals who wish to make a difference in their community through strong leadership and dedication to the healthcare field. Who we are: Interim HealthCare is America's leading provider of home care and healthcare staffing.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) | Behavioral Health EC Therapy | PRN AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Behavioral Health EC Therapy | PRNSioux Falls, South DakotaDelivers Nursing Care by developing a nursing diagnosis; establishing nursing care objectives; defining nursing interventions; providing physical, emotional, psychological, and spiritual support to patients, families, and friends to understand patient conditions, medications, and self-care skills; noting changing conditions and needs; re-evaluating care objectives. Provides patient care by reviewing physician prescriptions; communicating the nursing care plan and all pertinent information to other members of the health care team; coordinating with other healthcare providers; providing physical, emotional, psychological, and spiritual support to patients, families, and friends; conferring with physicians.
Registered Nurse - OR Sioux Falls Specialty HospitalRegistered Nurse - ORSioux Falls, SDOur fast-paced and attentive atmosphere brings a great sense of accomplishment at the end of each day as we work together to help individuals return to their passions, whether it's resuming their career as a firefighter, playing with their grandkids, or getting back to sports and other activities. Join our vibrant Operating Room (OR) department, boasting 15 innovative OR suites catering to a wide array of specialties including orthopedic, spine, ear, nose, throat, urology, general surgery, and more.
RN - Pediatrics Interim HealthCare IncRN - PediatricsSioux Falls, SD$40–$42 / hourPrimary Overnight Responsibilities: Monitor ventilator and pulse oximeter throughout the night Perform tracheotomy suctioning as needed Provide tracheostomy cleaning and routine care Administer GJ tube feedings and occasional tube medications Use cough assist machines to manage respiratory secretions Administer respiratory treatments including nebulizers and inhalers Assist with bedtime hygiene routine including showering Perform repositioning and incontinence care/changes as needed Ensure comfort and safety throughout the night. Ideal Candidate Qualifications: Experience with tracheostomy and ventilator care (required) Familiarity with GJ tube feedings/medications Competence in pediatric respiratory care (nebulizers, cough assist, etc.) Gentle, patient, and attentive to complex physical needs Ability to communicate effectively and respectfully with non-verbal individuals using assistive technology Current CPR certification - we offer on-site CPR certification for qualified candidates.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) | Pulmonary Clinic AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Pulmonary ClinicSioux Falls, South DakotaTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Student Loan Repayment: Position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money.
NewRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Ear Nose Throat Head and Neck Clinic AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Ear Nose Throat Head and Neck ClinicSioux Falls, South Dakota$22.50–$41.25 / hourStudent Loan Repayment: This Registered Nurse (RN) position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) | Neurosurgery Clinic AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Neurosurgery ClinicSioux Falls, South Dakota$22.50–$41.25 / hourTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Student Loan Repayment: Position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money.
Registered Nurse-Clinic (RN) or Licensed Practical Nurse (LPN)|MCK Gastroenterology (PRN) AveraRegistered Nurse-Clinic (RN) or Licensed Practical Nurse (LPN)|MCK Gastroenterology (PRN)Sioux Falls, South Dakota$22.50–$41.25 / hourTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Required Education, License/Certification, or Work Experience: Registered Nurse (RN) - Board of Nursing An active license in the state of practice Upon Hire.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) | Medical Oncology Clinic PRN AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) | Medical Oncology Clinic PRNSioux Falls, South DakotaIf you are passionate about providing compassionate, high-quality care to patients on their cancer journey, the Avera Cancer Institute is looking for a dedicated Medical Oncology Nurse to join our collaborative team. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | 69th and Western Clinic AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | 69th and Western ClinicSioux Falls, South DakotaTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Dermatology Clinic AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) or Medical Assistant | Dermatology ClinicSioux Falls, South DakotaStudent Loan Repayment: Position may be eligible for Avera’s Student Loan Repayment Program, which helps you pay off your loans and save money. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Registered Nurse (RN) | Behavioral Health Adult C AveraRegistered Nurse (RN) | Behavioral Health Adult CSioux Falls, South DakotaRotating days/evenings/nights/weekends/holidays (United States of America) Pay Range: Avera Behavioral Health Center-Sioux Falls Worker Type:
Registered Nurse (RN) | Behavioral Health Acute Unit AveraRegistered Nurse (RN) | Behavioral Health Acute UnitSioux Falls, South DakotaRotating days/evenings/nights/weekends/holidays (United States of America) Pay Range: Avera Behavioral Health Center-Sioux Falls Worker Type:
Registered Nurse (RN) | Behavioral Health | Acute Unit AveraRegistered Nurse (RN) | Behavioral Health | Acute UnitSioux Falls, South DakotaRotating days/evenings/nights/weekends/holidays (United States of America) Pay Range: Avera Behavioral Health Center-Sioux Falls Worker Type:
Registered Nurse (RN) | Behavioral Health Urgent Care AveraRegistered Nurse (RN) | Behavioral Health Urgent CareSioux Falls, South DakotaDelivers Nursing Care by developing a nursing diagnosis; establishing nursing care objectives; defining nursing interventions; providing physical, emotional, psychological, and spiritual support to patients, families, and friends to understand patient conditions, medications, and self-care skills; noting changing conditions and needs; re-evaluating care objectives. Provides patient care by reviewing physician prescriptions; communicating the nursing care plan and all pertinent information to other members of the health care team; coordinating with other healthcare providers; providing physical, emotional, psychological, and spiritual support to patients, families, and friends; conferring with physicians.