Currently, the biggest change lies in our understanding that the basis of the obesity problem is not what we thought. When I started my training in the early 1980s, I was taught that a gastric bypass was curative of morbid obesity. We had a woefully inadequate understanding of the problem.

“It has already changed the way I practice neurorehabilitation,” clinical instructor Evelyn Scarborough said. “It is the most realistic training for my patients and allows me to easily grade the difficulty of any activity for those who either need more of a challenge or who need more assistance.

People facing a fatal illness may find their situation made worse by their lack of control and the “poking and prodding” of treatment and testing despite certain knowledge of their advancing fate. The National Hospice and Palliative Care Organization statistics show that approximately 1.