The subject is fluent in the language as designated by the institution at which he would be enrolled. For participation in the patient-reported outcomes and qualitative interviews, subjects must be fluent in English Fluent in and able to read English Fluent in English Fluent in English Not fluent in English, Spanish and/or Chinese PATIENT INCLUSION: Fluent in English CAREGIVER INCLUSION: Fluent in English Fluent in English Fluent English speakers Non-fluent English speakers PHASE I AIM 1: Fluent in English PHASE I AIM 3.1: Fluent in English PHASE I AIM 3.2: Fluent in English PHASE II AIM 2: Fluent in English Fluent in reading, comprehension and communication in the English language; (persons who are unable to meet this requirement are excluded from the current proposal) Patients fluent in English, conscious, coherent, and alert or have an adult caregiver present that is fluent in English will be identified for the TEPID research project Are fluent in English Individuals who do not have a high school education or are not fluent in English Fluent in English, Spanish, or Mandarin Fluent in English Fluent in English; Fluent in English or Spanish Fluent in English LHW: are fluent in a Filipino language (Tagalog or Ilocano), Hmong, Korean, or English Self-identified African-Americans who are literate and fluent in English Fluent in English Fluent in English (PCS study) PHASE I: Are fluent in Spanish PHASE II: Are fluent in either English or Spanish