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PII Foundation, a U.S. non for profit, has been funding crisis tele-health care for patients at risk, who cannot access direct care. This is due to  global natural disasters, war or remote situations with little or no clinics or staff.The foundation's goal is to rapidly fund services that can easily be deployed by way of a hospital in the cloud using native qualified licensed doctors and therapists to communicate with patients using Starlink and cell phones.To date, 8000 free visits have been provided to Ukrainian families who are either trapped in Ukraine or have fled. Donations : https://www.gpnow.net/ukrainian-crisiscare/

 Many U.S.nursing programs are using  simulation to provide  nursing students practice while not in a direct care setting. With  virtual reality and software they can  assess the plastic model patient provided with non direct patient access.The simulation broadens nursing observation and assessment skills. This is invaluable in health care settings when the nurse enters the field.Teachers can program now the medical issues patients may present in the simulation.The ability to simulate patient fact patterns is helpful  also for the nurse to observe, assess and readily learn how to communicate findings  with their healthcare team.