RN-Cardiac Rehabilitation

apartment Ascension location_onBurnet, TX 78611, US

Details

Department: Cardiac Rehabilitation
Schedule: Day Shift
Hospital: Seton Highland Lakes
Location: Burnet, Texas

Benefits

Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Responsibilities

Responsibilities:

Implement and monitor patient care plans. Monitor, record and communicate patient condition as appropriate.
Serve as a primary coordinator of all disciplines for well-coordinated patient care.
Note and carry out physician and nursing orders.
Assess and coordinate patient's discharge planning needs with members of the healthcare team.

Requirements

Licensure / Certification / Registration:

BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.
Registered Nurse credentialed from the Texas Board of Nursing obtained prior to hire date or job transfer date required.

Education:

Diploma from an accredited school/college of nursing OR professional licensure at time of hire required.

Additional Preferences

No additional preferences.

Why Join Our Team

Ascension Seton, based in Austin, Texas, has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. Ascension Seton operates more than 100 clinical locations in Central Texas and four teaching hospitals, including Dell Seton Medical Center at The University of Texas and Dell Children's Medical Center. Join us and create a career path you will love.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.

Share this job

Related Jobs

Full-time

NPD Generalist RN Nurse Professional Development

apartment Baylor Scott & White Health location_onMarble Falls, TX

LOCATION: BAYLOR SCOTT & WHITE MEDICAL CENTER, MARBLE FALLS TX DEPT: CONTINUING EDUCATION SCHEDULE: FULL TIME DAYS JOB SUMMARY The Nursing Professional Development Generalist RN uses the tools, theories, skills and knowledge of the specialty to improve healthcare practice of learners based on our Professional Practice Model. Using expertise in education and professional development practices, the NPD Generalist collaborates with staff, leadership, faculty and researchers to implement and evaluate professional development programs that influence professional role competence, continuous learning and growth. The Generalist promotes synergistic practices and patient outcomes throughout the organization, and advances the NPD practice based on the system's Professional Practice Model and in accordance with Association Nursing Professional Development Scope and Standards of Professional Nursing Development Practice. ESSENTIAL FUNCTIONS OF THE ROLE Implements and evaluates professional development programs based on the Association for Nursing Professional Development (ANPD) Professional Practice Model in order to facilitate professional role competence, continuous learning and growth. Projects needs of target audience based on current issues and trends, and validates identified needs with key stakeholders. Using data gathered, documents, collaborates, prioritizes and individualizes content for the target audience, and assists with the educational planning process. Collaborates on the implementation of the educational plan, using strategies to facilitate positive learning and practice environments in order to achieve desired outcomes. Uses relevant evidence, theory, research, innovative processes and practical experience to design, implement and evaluate high quality and culturally sensitive educational activities, programs, and/or projects for staff based on identified knowledge and practice gaps. Engages stakeholders in planning and implementation of learning activities. Uses valid and reliable methods to measure processes and outcomes, and involves learners and stakeholders in the evaluation process. Revises learning activities based on evaluation data and disseminates the results of the learning activities to stakeholders. Selects education content, materials, and techniques that can appeal to a diverse target audience in a positive learning environment. Facilitates and supports relationships with Community Education programs. Integrates ethics in all areas of practice, including monitoring the integrity of educational activities and guiding peers through resolution of ethical conflicts. Protects the autonomy, dignity, and rights of all individuals involved in the learning process. Reports behaviors that are illegal, unethical or inconsistent with practice standards. Acts as a champion of scientific inquiry, integrating best available evidence into practice. Supports, facilitates, and/or participates in research, (Enterprise Resource Planning) EBP, and (Quality Improvement) QI, including dissemination of findings through educational programs, courses and other activities. KEY SUCCESS FACTORS Knowledge and understanding of nursing and patient care standards and procedures. Knowledge of laws, rules and regulations; standards and guidelines of certifying and accrediting bodies; hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care applicable to the area of assignment. Knowledge of medical terminology; principles and practices of health promotion, risk reduction, illness and disease prevention and management; medications and drugs, common dosages, their physical and physiological effects, and possible adverse reactions. Knowledge of medical and professional nursing ethics and patient privacy rights. Ability to effectively use a variety of teaching methods. Must be able to communicate thoughts clearly; both verbally and in writing. Interpersonal skills to interact with a wide-range of constituencies. BENEFITS Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS - EDUCATION - Bachelor's - EXPERIENCE - 2 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse (RN) Basic Life Support (BLS): BLS or BLS within 30 days of hire or transfer.

Labor and Delivery

Full-time

RN Labor & Delivery Nights

apartment Baylor Scott & White Health location_onMarble Falls, TX

LOCATION: BAYLOR SCOTT & WHITE MEDICAL CENTER DEPT: LABOR & DELIVERY SCHEDULE: FULL TIME NIGHTS BONUS: $15,000 ! RELOCATION ASSISTANCE: AMOUNT BASED ON DISTANCE Patient Population & Unit Description: mothers and infants LDRP Unit: 3 Bed LDR, 8 Bed Postpartum, 3 Triage Rooms Pt Ratio : 1:1 Labor 1:3 Couplets We have our own L&D OR and recovery area. TX Ten Steps, Maternal Level 2 designation, Neonatal Level 1 JOB SUMMARY The Registered Nurse (RN) is a licensed professional who uses the BSWH nursing professional practice model to coordinate patient care delivery by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN promotes safe passage for their patients by using knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. RN job is to be used for RNs in hospital inpatient and outpatient departments with 24X7 staffing which include those departments with on-call staffing on the off shifts. Examples of hospital inpatient and outpatient procedural areas: GI Lab, Pain Management, Dialysis, Infusion Centers and IV Services. ESSENTIAL FUNCTIONS OF THE ROLE Clinical Judgment: Using clinical reasoning, conducts accurate clinical assessments according to practice standards. Identifies and prioritizes patient and family needs. Develops, implements and evaluates the nursing plan of care. Modifies plan to meet clinical outcomes. Clinical Inquiry: Systematically evaluates the quality and effectiveness of nursing practice, including, but not limited to, nursing sensitive indicators. Supports evidence-based practice changes through research utilization and experiential learning. Participates in quality/performance improvement initiatives. Caring Practices: Creates a compassionate, supportive, safe and therapeutic environment for patients, families and staff. Develops therapeutic relationships with patient and family and maintains appropriate boundaries. Manages both emotional and physical pain with the aim of promoting comfort and healing and preventing unnecessary suffering. Response to Diversity: Recognizes, appreciates and incorporates a patient's and family's unique differences, such as culture, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values, into an individualized plan of care. Advocacy and Moral Agency: Preserves and protects the confidentiality, autonomy, dignity and rights of patient and family and represents their concerns. Creates an individualized plan that accurately reflects patient and family values and goals. Identifies and helps resolve ethical and clinical concerns. Facilitation of Learning: Facilitates learning for patients and families, nursing staff, other members of the health care team and community; integrating appropriate education throughout the continuum of care to help them participate and/or make informed decisions about their health care and treatments, including health promotion and disease prevention. Assesses and documents learning needs and outcomes. Collaboration: Works collaboratively and interdependently with colleagues and community to develop and implement an integrated plan of care. Open and sensitive to all team members' unique contributions. Delegates tasks and care to appropriate staff and ensures timely follow-up. Systems Thinking: Uses strategies and available resources for problem-solving for patients, family and staff. Recognizes that resources are limited and considers factors related to safety, effectiveness and efficiency in planning and delivering patient care. Professionalism: Improves nursing practice and the work environment through participating in shared governance and decision-making processes and meaningfully recognizing the contributions of others. Participates in the staffing process from education and planning to evaluation. Identifies personal goals and commits to ongoing professional growth through continuing education, networking with professional colleagues, membership and involvement in professional nursing organizations, self-study, professional reading, certification and seeking advanced degrees. Contributes to the professional development of peers, colleagues and others. Demonstrates commitment to community service. KEY SUCCESS FACTORS Knowledge and understanding of nursing and patient care standards and procedures. Knowledge of laws, rules and regulations; standards and guidelines of certifying and accrediting bodies; hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care applicable to the area of assignment. Knowledge of medical terminology; principles and practices of health promotion, risk reduction, illness and disease prevention and management; medications and drugs, common dosages, their physical and physiological effects, and possible adverse reactions. Knowledge of medical and professional nursing ethics and patient privacy rights. Must be able to communicate thoughts clearly, both verbally and in writing. Interpersonal skills to interact with a wide-range of constituencies. Must have critical thinking and problem-solving skills. Ability to observe changes in the medical condition of patients and effectively communicate these changes to other nursing staff members and physicians/providers. Ability to provide age-specific, quality, patient-centered care to all patients through the nursing process and standards of nursing practice with sensitivity and respect for the diversity of human experience and to develop, evaluate, implement and, as necessary, modify a patient care plan to meet the needs of individual patients. General computer skills, including but not limited to: Microsoft Office, information security, scheduling and payroll systems, electronic medical documentation, and email. BENEFITS Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS - EDUCATION - Grad of an Accredited Program - MAJOR - Nursing - EXPERIENCE - 2 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse (RN) Basic Life Support (BLS): BLS or BLS within 30 days of hire or transfer.

Labor and Delivery

Full-time

Registered Nurse Labor and Delivery Nights

apartment Baylor Scott & White Health location_onMarble Falls, TX

LOCATION: BAYLOR SCOTT & WHITE MEDICAL CENTER, MARBLE FALLS TX DEPT: LABOR & DELIVERY SCHEDULE: FULL TIME NIGHTS BONUS: $15,000 ! RELOCATION: AMOUNT BASED ON DISTANCE JOB SUMMARY The Registered Nurse (RN) is a licensed professional who uses the BSWH nursing professional practice model to coordinate patient care delivery by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN promotes safe passage for their patients by using knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. RN job is to be used for RNs in hospital inpatient and outpatient departments with 24X7 staffing which include those departments with on-call staffing on the off shifts. Examples of hospital inpatient and outpatient procedural areas: GI Lab, Pain Management, Dialysis, Infusion Centers and IV Services. ESSENTIAL FUNCTIONS OF THE ROLE Clinical Judgment: Using clinical reasoning, conducts accurate clinical assessments according to practice standards. Identifies and prioritizes patient and family needs. Develops, implements and evaluates the nursing plan of care. Modifies plan to meet clinical outcomes. Clinical Inquiry: Systematically evaluates the quality and effectiveness of nursing practice, including, but not limited to, nursing sensitive indicators. Supports evidence-based practice changes through research utilization and experiential learning. Participates in quality/performance improvement initiatives. Caring Practices: Creates a compassionate, supportive, safe and therapeutic environment for patients, families and staff. Develops therapeutic relationships with patient and family and maintains appropriate boundaries. Manages both emotional and physical pain with the aim of promoting comfort and healing and preventing unnecessary suffering. Response to Diversity: Recognizes, appreciates and incorporates a patient's and family's unique differences, such as culture, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values, into an individualized plan of care. Advocacy and Moral Agency: Preserves and protects the confidentiality, autonomy, dignity and rights of patient and family and represents their concerns. Creates an individualized plan that accurately reflects patient and family values and goals. Identifies and helps resolve ethical and clinical concerns. Facilitation of Learning: Facilitates learning for patients and families, nursing staff, other members of the health care team and community; integrating appropriate education throughout the continuum of care to help them participate and/or make informed decisions about their health care and treatments, including health promotion and disease prevention. Assesses and documents learning needs and outcomes. Collaboration: Works collaboratively and interdependently with colleagues and community to develop and implement an integrated plan of care. Open and sensitive to all team members' unique contributions. Delegates tasks and care to appropriate staff and ensures timely follow-up. Systems Thinking: Uses strategies and available resources for problem-solving for patients, family and staff. Recognizes that resources are limited and considers factors related to safety, effectiveness and efficiency in planning and delivering patient care. Professionalism: Improves nursing practice and the work environment through participating in shared governance and decision-making processes and meaningfully recognizing the contributions of others. Participates in the staffing process from education and planning to evaluation. Identifies personal goals and commits to ongoing professional growth through continuing education, networking with professional colleagues, membership and involvement in professional nursing organizations, self-study, professional reading, certification and seeking advanced degrees. Contributes to the professional development of peers, colleagues and others. Demonstrates commitment to community service. KEY SUCCESS FACTORS Knowledge and understanding of nursing and patient care standards and procedures. Knowledge of laws, rules and regulations; standards and guidelines of certifying and accrediting bodies; hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care applicable to the area of assignment. Knowledge of medical terminology; principles and practices of health promotion, risk reduction, illness and disease prevention and management; medications and drugs, common dosages, their physical and physiological effects, and possible adverse reactions. Knowledge of medical and professional nursing ethics and patient privacy rights. Must be able to communicate thoughts clearly, both verbally and in writing. Interpersonal skills to interact with a wide-range of constituencies. Must have critical thinking and problem-solving skills. Ability to observe changes in the medical condition of patients and effectively communicate these changes to other nursing staff members and physicians/providers. Ability to provide age-specific, quality, patient-centered care to all patients through the nursing process and standards of nursing practice with sensitivity and respect for the diversity of human experience and to develop, evaluate, implement and, as necessary, modify a patient care plan to meet the needs of individual patients. General computer skills, including but not limited to: Microsoft Office, information security, scheduling and payroll systems, electronic medical documentation, and email. BENEFITS Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS - EDUCATION - Grad of an Accredited Program - MAJOR - Nursing - EXPERIENCE - 2 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse (RN) Basic Life Support (BLS): BLS or BLS within 30 days of hire or transfer.

Outpatient

Full-time

Clinic RN Multispecialty

apartment Baylor Scott & White Health location_onMarble Falls, TX

JOB SUMMARY Location: 800 West Hwy 71, Marble Falls, 78654 Departments: Urology & Endocrinology Clinics Schedule: Mon-Fri (8a-5p) The Clinic Registered Nurse (RN) is a licensed professional who uses the BSWH nursing professional practice model to coordinate patient care delivery by the health care team. Using the nursing process, the Clinic RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The Clinic RN promotes safe passage for their patients by using knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The Clinic RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. The Clinic RN is to be used in ambulatory departments, clinics or outpatient departments that provide services Monday-Friday during normal business hours. ESSENTIAL FUNCTIONS OF THE ROLE Clinical Judgment: Using clinical reasoning, conducts accurate clinical assessments according to practice standards. Identifies and prioritizes patient and family needs. Develops, implements and evaluates the nursing plan of care. Modifies plan to meet clinical outcomes. Clinical Inquiry: Systematically evaluates the quality and effectiveness of nursing practice, including, but not limited to, nursing sensitive indicators. Supports evidence-based practice changes through research utilization and experiential learning. Participates in quality/performance improvement initiatives. Caring Practices: Creates a compassionate, supportive, safe and therapeutic environment for patients, families and staff. Develops therapeutic relationships with patient and family and maintains appropriate boundaries. Manages both emotional and physical pain with the aim of promoting comfort and healing and preventing unnecessary suffering. Response to Diversity: Recognizes, appreciates and incorporates a patient's and family's unique differences, such as culture, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values, into an individualized plan of care. Advocacy and Moral Agency: Preserves and protects the confidentiality, autonomy, dignity and rights of patient and family and represents their concerns. Creates an individualized plan that accurately reflects patient and family values and goals. Identifies and helps resolve ethical and clinical concerns. Facilitation of Learning: Facilitates learning for patients and families, nursing staff, other members of the health care team and community; integrating appropriate education throughout the continuum of care to help them participate and/or make informed decisions about their health care and treatments, including health promotion and disease prevention. Assesses and documents learning needs and outcomes. Collaboration: Works collaboratively and interdependently with colleagues and community to develop and implement an integrated plan of care. Open and sensitive to all team members' unique contributions. Delegates tasks and care to appropriate staff and ensures timely follow-up. Systems Thinking: Uses strategies and available resources for problem-solving for patients, family and staff. Recognizes that resources are limited and considers factors related to safety, effectiveness and efficiency in planning and delivering patient care. Professionalism: Improves nursing practice and the work environment through participating in shared governance and decision-making processes and meaningfully recognizing the contributions of others. Participates in the staffing process from education and planning to evaluation. Identifies personal goals and commits to ongoing professional growth through continuing education, networking with professional colleagues, membership and involvement in professional nursing organizations, self-study, professional reading, certification and seeking advanced degrees. Contributes to the professional development of peers, colleagues and others. Demonstrates commitment to community service. KEY SUCCESS FACTORS Knowledge and understanding of nursing and patient care standards and procedures. Knowledge of laws, rules and regulations; standards and guidelines of certifying and accrediting bodies; hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care applicable to the area of assignment. Knowledge of medical terminology; principles and practices of health promotion, risk reduction, illness and disease prevention and management; medications and drugs, common dosages, their physical and physiological effects, and possible adverse reactions. Knowledge of medical and professional nursing ethics and patient privacy rights. Must be able to communicate thoughts clearly, both verbally and in writing. Interpersonal skills to interact with a wide-range of constituencies. Must have critical thinking and problem-solving skills. Ability to observe changes in the medical condition of patients and effectively communicate these changes to other nursing staff members and physicians/providers. Ability to provide age-specific, quality, patient-centered care to all patients through the nursing process and standards of nursing practice with sensitivity and respect for the diversity of human experience and to develop, evaluate, implement and, as necessary, modify a patient care plan to meet the needs of individual patients. General computer skills, including but not limited to: Microsoft Office, information security, scheduling and payroll systems, electronic medical documentation, and email. BENEFITS Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS - EDUCATION - Grad of an Accredited Program - MAJOR - Nursing - MAJOR - Nursing - MAJOR - Nursing - EXPERIENCE - Less than 1 Year of Experience - CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse (RN) Basic Life Support (BLS): BLS or BLS within 30 days of hire or transfer.

Home Health

Full-time

Registered Nurse / RN, Home Health Weekend

apartment AccentCare, Inc. location_onMarble Falls, TX

Overview RN / Registered Nurse, Weekend Baylor Position: RN Weekend Baylor, Home Health Position Type: Full-Time Remote/Virtual Position: No Coverage Area: Marble Falls and surrounding Find Your Passion and Purpose as an RN Weekend Baylor Salary: $83,000-$102,000 Schedule: Fri, Sat, Sun OR Sat, Sun, Mon Offer Based on Years of Experience What You Need to Know Reimagining Your Career in Home Health Caring for others is more than what you do — it’s who you are. At AccentCare, you’ll join a purpose-driven, collaborative culture that sets the standard for excellence and gives you the trust and tools to do your best work. You’ll belong to a team that cares deeply for patients and each other; a team committed to consistently providing exceptional care. We’re proud to be named one of America’s Greatest Workplaces 2025 by Newsweek — a reflection of our shared commitment to excellence, integrity and compassion as we shape the future of aging in place. When you thrive, so does the community of care we’re building together. Be the Best RN Weekend-Baylor You Can Be If you meet these qualifications, we want to meet you! Graduate from an approved school of professional nursing and currently licensed to practice as a registered nurse in the state of agency operation. One (1) year experience as a RN. Required Certifications and Licensures: Licensed to practice as a registered nurse in the state of agency operation. Must possess and maintain valid CPR certification while employed in a clinical role. Must be a licensed driver with an automobile that is insured in accordance with state and/or organization requirements and is in good working order. Ability to travel to all business locations. Our Investment in You Caring for others starts with caring for you. We’re committed to fostering a purpose-driven workplace where you feel supported, and that means prioritizing your physical, financial and mental well-being. Our benefits include: Medical, dental, and vision coverage Paid time off and paid holidays Professional development opportunities Company-matching 401(k) Flexible spending and health savings accounts Wellness offerings such as an employee assistance program, pet insurance, and access to Calm, a meditation, sleep, and relaxation app Programs to celebrate achievements, milestones, and fellow employees Company store credit for your first AccentCare-branded scrubs for patient-facing employees And more! Why AccentCare? Come As You Are At AccentCare, you’re part of a community that cares — for patients and each other. You can rest assured we offer equal employment opportunities regardless of race, ethnicity, sex, sexual orientation, gender identity, religion, national origin, age or disability.