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The percutaneous approach would include all except:
Noise
Unwanted or disruptive sound that can interfere with communication, harm hearing, and adversely affect health or quality of life.
Distorts
Alters the shape, form, or sound of something in a way that is usually undesirable or misleading.
Rapport
A harmonious, positive relationship.
Body Language
non-verbal communication through physical behaviors such as gestures, postures, and facial expressions.
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