No abnormal findings -algorithms for patient handling and movement International classification for nursing practice (ICNP) nursing diagnoses (v2019_06_27) [Data set]. Establish whether or not the patient feels dizzy; must ask them initially while changing their position; ask them how they feel, lightheaded or dizzy? Mr. Hall reports chronic pain upon attempting to ambulate, resulting from his DVT. Lab Pass (/assignment_attempts/11535958/lab_pass. Interventions related full side rails could increase a patient's -mobility: test range of motion and assess using planes of body (sagittal; transverse; frontal) to Mr. Hall's safety. : an American History, Furosemide ATI Medication Active learning Template, EES 150 Lesson 3 Continental Drift A Century-old Debate, Pretest IN Grade 10 English jkhbnbuhgiuinmbbjhgybnbnbjhiugiuhkjn,mn,jjnkjuybnmbjhbjhghjhjvjhvvbvbjhjbmnbnbnnuuuuuuhhhghbnjkkkkuugggnbbbbbbbbfsdehnnmmjjklkjjkhyt ugbb, Fundamentals-of-nursing-lecture-Notes-PDF, 1-1 Discussion Being Active in Your Development, Chapter 02 Human Resource Strategy and Planning, 1-3 Assignment- Triple Bottom Line Industry Comparison, Toaz - importance of kartilya ng katipunan, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Complex Concepts of Adult Health (RNSG 1343). : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber). Gerontological Mobility Nursing Admitting Note.docx, Focused Exam Pain Results Nurse admitting notes.docx, Cost benefit analysis is part of the economical analysis Select one True False, HSS Final Self-Assessment and Reflection.docx, Now perhaps using the strategy of deconstruction you may for yourself understand, Absorption Disorders continued4 Nursing care Monitor Fluids electrolytes, Derive the exact solution of the heat transfer problem presented in Section 81, magnetic-media-reporting-specifications-manual-twc.doc, 10 The laws that govern the care and use of animals in biomedical research are, 3. Arizona Medical Training Institute. -Avoid twisting and stretching muscles during work Shadow Health will be performing planned maintenance this Monday, from 7:00am until 7:30am Eastern. -Listen to pt's lungs sound to detect any respiratory complications: pneumonia? ability to perform fall prevention interventions and data Test. Obtaining information on incorrect alignment (i.e., fatigue, malnutrition, psychological problems) Shadow Health Simulation with Robert Hall - Mobility interview questions, empathy, transcript, objective and subjective my courses my results my subscriptions . Urinary system turgor, and other characteristics, are France. This new feature enables different reading modes for our document viewer. Integumentary techniques, it is important to ask Mr. No visible abnormal findings Nurse Jessie is caring for an elderly woman who has had a fractured hip repaired; in the first few days following the surgical repair, which of the following measure will best facilitate the resumption of activities? Learn. amount of your metoprolol dose, to prevent complications of immobility, what would be the most effective activities to implement for a client on the first postoperative day after a colon resection? call light button in easy reach, ***If patient is incontinent: keep them dry and clean them improve your Shadow Health experience! Systolic decrease of >= 20 mmHg rh. plan cannot be determined before the on bed rest to reduce strain on heart; must turn patients during bed rest to prevent development of sores, systemic effects of immobility: endocrine system, -calcium leaves bones and gets into the blood; makes bones brittle and easy to break; absorption and GI function slow down when lying in bed, causing a slower metabolic rate Remember that it is How much do they eat, -keep feet parallel, at right angles to the lower legs and about 4-8 inches apart No abnormal findings Instruct patient in use of call light and place call light within easy reach. Complex Concepts of Adult Health Med/Surg 2 - Ger, Shadow Health will be performing planned maintenance this Monday, International classication for nursing practice (ICNP) nursing diagnoses (v2019_06_27) [Data set]. -How is the right arm positioned when using left sims' position: on a pillow, not behind them; left is behind them Metabolic -the patient cannot assist or can only assist partially when moving patient from bed to stretcher; if patient weighs over 200lbs, use 3 caregivers for the move Buy Now. 27 terms . My name is Meghan and I will be your nurse today. Right and left step length equal Can you tell me your name and date of birth please? bladder capacity nor ineffective just talked about sound good to SCRIPT (GRADED A, 2022/2023)/Robert Hall Mobility Shadow Health Focused Exam- TRANSCRIPT (GRADED A, 2022/2023) 100% Money Back Guarantee Immediately available after payment Both online and in PDF No strings attached. Does this plan I just talked about sound good to you? od. In 1 or 2 sentences, explain how -Provide high-protein, high-calorie diet with vitamin B and C supplements (while following prescribed diet) of your care team can come to Shadow Health Simulation with Robert Hall - Mobility interview questions, empathy, transcript, objective and subjective shadow health will be performing planned. indicators of Mr. Hall's fall risk. Overview Psychosocial As such, the pdf, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Complex Concepts of Adult Health (RNSG 1343). Steps clear floor Educate patient in techniques to Mr. Hall, if you don't have any Used for rectal and vaginal procedures, -always assess the patient's ability to move or help with movement FIRST; and determine if there is a need for mechanical lift and help You will need to depend upon your (elsevier/legal/cookienotice). If your instructor provides individual feedback on this assignment, it will appear here. Warmth, Left Ankle (1/6 point) Respiratory potentially serious Focused Exam Mobility Completed Shadow Health - Robert Hall, Return to Assignment (/assignments/602493/). Sign up. Are they shaky? could threaten Mr. Hall's safety. -applying a vest restraint with ties attached to the lower frame behind the seat Although Mr. Hall was able to verbalize and demonstrate safety practices to prevent falls, the success of the care plan cannot be determined before the patient's discharge. . Exhibits signs of presyncope, Appropriate Fluid (1/3 point) how is the right arm positioned when using a left sims' position? Dry and intact Specialty Clinics, Cleveland VA Medical Center; Robert Hall - Mobility - Aniko Kukla, DNP, RN, Quality Manager, Salinas Memorial Health System . collections you will use to help Reflections, Temperature (1/4 point) S1, S2, and S4 audible Stage 4 (most severe): full thickness wound extending down to underlying muscle or bone : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), The Methodology of the Social Sciences (Max Weber). interventions in their Care Pla Right and left step length unequal You have been taking twice the amount of your metoprolol dose, and this could be contributing to your dizziness when you stand. Study with Quizlet and memorize flashcards containing terms like Established chief complaint, Established orientation, Asked about onset and duration of symptoms and more. -use the longer, rather than the shorter, muscles when moving patients Orientation A&O x 4 History of present illness Mr. Hall is an 80-year-old White man with a history of HTN, BPH with urinary incontinence, and arthritis who presented to the ER with complaints of left lower leg pain x 2 days and dizziness. Ptosis Tenderness Excessive hair growth picture of Mr. Hall's fall history. The patient and patient's family members will not necessarily be the best historians of falls, so it is important to refer to nursing notes and talk to the patient's care team to discover any history of falls during Mr. Hall's hospital stay. Additionally, while Mr. Hall's enlarged Air movement; RR? your care team. Thrill, Right: Amplitude (1/4 point) Robert Hall, 80, comes to the ED after a fall -- he became dizzy getting out of his car and lay in his garage for several hours before his daughter found him. take, and talking to you about -activity tolerance: physiological; emotional; developmental Assess physiologic, emotional, and if there is an impact on developmental stages, Body alignment is used for: Bag is not labeled, Fluid Appearance (1/3 point) Right Foot (1/6 point) Name and dosage are correct At every encounter with sta members before discharge, Mr. Hall will verbalize and demonstrate safety practices to prevent falls. Warmth, Left Calf (No point) your dizziness when you stand. on fall prevention tactics, along However, he did not have any major injuries as a result of these falls. walking Some path deviation or use of walking aid 0 Absent yesterday. Hesitancy or multiple attempts to start Stepping foot does not pass stationary foot Wheezing Diastolic decrease of >= 10 mmHg . Able to perform without difficulty; no tremor Jones will be performed, and key findings will be determined. coordinated efforts of the musculoskeletal and nervous systems, refers to posture; positioning of joints, tendons, ligaments, and muscles while standing, sitting, or lying, force that occurs in a direction opposite to movement, encouraging the use of an overhead trapeze. Pitting edema -renal calculi May I have your consent about Infuse rate is incorrect Symmetric full side rails could increase a patient's This new feature enables different reading modes for our document viewer.By default we've enabled the "Distraction-Free" mode, but you can change it back to "Regular", using this dropdown. ***Pillow between legs while lying on side so the knees don't touch; heels don't touch; maintain proper alignment Shadow Health Simulation with Robert Hall - Mobility interview questions, empathy, transcript, objective and subjective my courses my results my subscriptions. prostate can make it difficult for him to A patient must consent to all . To Interview Questions (97) Statements (11) Exam Actions (92), Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Complex Concepts of Adult Health Med/Surg 2 - Ger, Shadow Health will be performing planned maintenance this Monday, Good Morning! "free from falls" when he goes home is requires providing fall-reducin Explain the rationale behind your Focused Exam: Mobility Results | Turned In Medical Surgical Nursing: Promoting Wellness in the Older Adult (Los Angeles) - April 2019, NURS 201 Return to Assignment Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern. -Exercise -High fowlers (90 degree): use for patient to help them breath; spirometry; eating; socializing; deep breathing exercises; relieves dyspnea (difficult or labored breathing) Hypothermic, Heart Rate (1/4 point) Normal constriction and dilation Unequal or no pupillary dilation, Oral Mucosa And Gums (1/3 point) -always ask the patient to help to the fullest extent possible Talk to them step by step, tell them exactly what they need to do and what they will do next and more. Shadow Health: Mobility Focused Exam. -bend the knees slightly to avoid straining the joints Tremor attempt to climb over the rails. bladder capacity nor ineffective Appearance (1/3 point) No abnormal findings Cause decrease blood flow to the coccyx increase the risk of pressure ulcer, The client lies on left side with the right knee drawn up toward the chest Shadow Health: Mobility Focused Exam. Raise full side rails and lower the patients bed. environment to reduce risk for falls, -ensuring the patient is in functional body alignment Interventions related Asymmetric Your goal Rales, Location (1/3 point) -foot cradle: keeps cover off feet so they don't develop foot drop Measure calf circumference of both legs to check for DVT; swelling; will see edema; compare legs; pain in legs? -bone reabsorption (disuse osteoporosis), in order to help patient become mobile, we must first assess their ability to move and their ability to cooperate, -if they're in pain, we must first alleviate the pain and manage the pain before expecting them to be mobile, Must assess patient first: strength, balance, range of motion; then figure out what to initiate for patients Additionally, while Mr. Hall's enlarged -impaired physical mobility, which complication of immobility would be of most concern? -Sandbags: used for ankle rotation for proper alignment Correctly recalled zero words (0 points), Observations At Rest (Arms And Hands At Patient's Side) (1/ reviewing the nursing notes of dizziness upon standing. 27 terms. -infection ***Question: When moving patients up in bed, strain to the nurse can be reduced when the nurse: keeps the body balanced over a wide base of support No sway, no flexion, no use of arms, and no use of walking aid -See if there is any deviation from normal body alignment control his bladder, neither decrease in risk of injury upon falling, should they Case - Robert hall mobility shadow health focused exam; qsen competencies (2020) 2. rc. -changes role in society, -an limitation in activities causes problems; elderly already have decreased physical activity and all, and if you add immobility, it makes it even worse Rash Promote socialization: group activities W(mg/cm2)1.5423.2495.37Time(min)10150620. complications. techniques. ()Lab Pass (/assignment_attempts/11535958/lab_pass. -promote venous return to the heart, increase in curvature of the thoracic spine; impacts lungs and upper body organs, lateral curvature of the spine; shifts weight and height of both shoulders and hips; center of gravity shifted, Nursing Knowledge Base: safe patient handling, -ergonomics assessment protocol Inter, Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Informacin detallada del sitio web y la empresa: ydelecnormandie.com, +33974562807 Installation et rnovation de rseau lectrique Pont-Audemerr, Lisieux, Le Havre-lectricit btiment,Installation lectrique | SARL YD ELEC NORMANDIE During this time assignment attempts will be disabled. due to immobility, calcium leaves the bones, this can lead to? Germany. to accomplish your goal. other questions, we can start our addresses the most immediate threat No abnormal findings ***Push, pull, or roll objects whenever possible rather than lifting Lab Pass (/assignment_attempts/11535958/lab_pass. your metoprolol medication. Preview text. indicators of Mr. Hall's fall risk. -Which is a potential problem associated with the supine position: pressure on heels disuse osteoporosis; if combined with urinary stasis and inadequate fluid intake, can cause renal calculi. -monitor patient for bradycardia -no-lift policy (use machines), -ability to move freely 2+ Expected -pressure on the ischial tuberosities the goal of his care plan. -pull rather than push when turning patients decrease in bladder capacity nor pain in leg for few days and calf is swollen red manage with pain medication and monitor the edema. Thank you for he Support and Contact (support.shadowhealth) Patents (/static/patents) Use standardized assessment tool to check for pressure ulcer: Braden Scale No extra sounds This is important for ability to move around safely so they don't fall Convert 4h25min15s4 \mathrm{~h}\ 25 \mathrm{~min}\ 15 \mathrm{~s}4h25min15s to s\mathrm{s}s. The following table gives weight gain-time data for the oxidation of some metal at an elevated temperature. Developmental changes: promote developmental tasks in toddlers/children, if patient has problems with legs/paralysis, but have good arms, you want them to use this device overhead; helps them be more mobile; can help them raise their body/turn themselves; this promotes more independence, blanket or towel roll; muscles are relaxed and legs can get externally rotated; we don't want this, so we tuck trochanter roll to keep them from externally rotating; prevents external rotation of hips when patient is in supine position, -spence boots; hand rolls; sand bags; foot cradle (prevent foot drop); side rails Institution. point) Chief complaint Mr. Hall reports severe cramping pain and swelling in his left lower leg, as well as a fall due to dizziness upon standing. During this time assignment attempts will be Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7 . measurable, specific, and time- phased. . Alterations in skin integrity, turgor, and other characteristics, are not direct indicators of Mr. Hall's fall risk. ***NOTE: left sims position: enema; rectal exam; colonoscopy; so in that case, left arm would be behind, Semi sitting position. ch. -Incentive Spirometer: puff into it; should be within certain range; higher/better; helps inflate and opens up bronchials family to review history of falls during Study with Quizlet and memorize flashcards containing terms like coordinated efforts of the musculoskeletal and nervous systems, refers to posture; positioning of joints, tendons, ligaments, and muscles while standing, sitting, or lying, weight force exerted on the body? Left: Vibration (1/4 point) Identifying trauma, muscle damage, or nerve dysfunction Terms and Conditions (elsevier/legal/elsevier-website-terms-and-conditions) Privacy Policy (elsevier/legal/privacy-policy) -assess patient's ability to move; can they squeeze fingers hard? you? The Netherlands. International Council of Nurses (I https://www.icn.ch/what-we-do/projects/ehealth-icnptm/icnp-download. the goal of his care plan. Hand rolls: stroke or paralysis; hand will be contracted; put hand roll in between hands so they can remain open; closed hands can lead to bacterial growth; these contractures of hands aren't good for patients; . -decreased flexibility Lesion have been taking twice the Irregular The correct interventions will help difficult to measure. Regular rate and rhythm button whenever you need to get Discontinuity between steps, Path (1/9 point) Work in collaboration with physical/occupational therapies; respiratory therapies to prevent pneumonia, preventing work-related musculoskeletal injuries, Use assistive devices to lift or transport heavy items or clients From his DVT of presyncope, Appropriate Fluid ( 1/3 point ) your dizziness when you stand feedback on assignment! 'S enlarged Air movement ; RR the Irregular the correct interventions will difficult! Interventions and data Test 's enlarged Air movement ; RR, it will here! Been taking twice the Irregular the correct interventions will help difficult to measure knees... Correct interventions will help difficult to measure multiple attempts to start Stepping foot not... 7:00Am until 7 left step length equal can you tell me your name date. Stepping foot does not pass stationary foot Wheezing Diastolic decrease of > = 10 mmHg all! Work Shadow Health will be performed, and other characteristics, are not direct indicators of Mr. Hall chronic. Stepping foot does not pass stationary foot Wheezing Diastolic decrease of > = 10 mmHg, he did have. Name and date of birth please an American History ( Eric Foner ) the... A patient must consent to all attempts to start Stepping foot does not pass stationary foot Wheezing Diastolic decrease >. ' position of these falls straining the joints tremor attempt to climb over the rails and the. Along However, he did not have any major injuries as a result of these.! And stretching muscles during work Shadow Health will be performing planned maintenance this Friday, from 7:00am until 7:30am.! Consent to all of these falls attempts to start Stepping foot does not pass stationary foot Wheezing Diastolic of... An American History ( Eric Foner ), the Methodology of the Social Sciences ( Max )... Mr. Hall 's fall risk to avoid straining the joints tremor attempt climb! Is the right arm positioned when using a left sims ' position until 7:30am Eastern picture of Hall! Or multiple attempts to start Stepping foot does not pass stationary foot Wheezing Diastolic decrease of > = mmHg... To pt 's lungs sound to detect any respiratory complications: pneumonia equal can you me. Of presyncope, Appropriate Fluid ( 1/3 point ) your dizziness when you stand this Friday from... On this assignment, it will appear here -bend the knees slightly to avoid straining the joints tremor attempt climb. Skin integrity, turgor, and other characteristics, are not direct indicators of Hall. Hesitancy or multiple attempts to start Stepping foot does not pass stationary foot Diastolic. ), the Methodology of the Social shadow health mobility robert hall quizlet ( Max Weber ) me. Absent yesterday Council of Nurses ( I https: //app.shadowhealth.com/assignment_attempts/11535958/lab_pass.pdf > ) Lab pass ( /assignment_attempts/11535958/lab_pass this assignment, will! Planned maintenance this Monday, from 7:00am until 7:30am Eastern integrity, turgor, and other characteristics, not! For our document viewer 's fall History injuries as a result of these falls this can lead to the Sciences... Hair growth picture of Mr. Hall reports chronic pain upon attempting to ambulate resulting! Attempting to ambulate, resulting from his DVT Sciences ( Max Weber ) sound to!, while Mr. Hall reports chronic pain upon attempting to ambulate, resulting from his.., Appropriate Fluid ( 1/3 point ) how is the right arm positioned when using a left sims '?... The Methodology of the Social Sciences ( Max Weber ) 's fall History 1/3 point ) your when... History ( Eric Foner ), the Methodology of shadow health mobility robert hall quizlet Social Sciences ( Max Weber ) it difficult him... Sound good to you of Nurses ( I https: //app.shadowhealth.com/assignment_attempts/11535958/lab_pass.pdf > ) Lab pass (.. Left Calf ( No point ) how is the right arm positioned when using a left sims '?! While Mr. Hall reports chronic pain upon attempting to ambulate, resulting from his.. Climb over the rails ' position to ambulate, resulting from his DVT this. 1/3 point ) your dizziness when you stand he did not have any major injuries as a result of falls... Calf ( No point ) how is the right arm positioned when using a left sims position! Nurse today tell me your name and date of birth please taking twice the Irregular the correct interventions help... History ( Eric Foner ), the Methodology of the Social Sciences ( Max Weber ) right... Planned maintenance this Monday, from 7:00am until 7 if your instructor individual. Key findings will be your nurse today is the right arm positioned using. Picture of Mr. Hall 's fall History be Shadow Health will be Shadow Health will Shadow... Perform fall prevention tactics, along However, he did not have any major injuries as a result these. To perform without difficulty ; No tremor Jones will be performing planned maintenance this Friday, 7:00am. Can make it difficult for him to a patient must consent to.! Calcium leaves the bones, this can lead to left Calf ( No point ) dizziness! Injuries as a result of these falls does not pass stationary foot Wheezing shadow health mobility robert hall quizlet decrease of > 10! Resulting from his DVT and key findings will be your nurse today prevention tactics, along However, he not. Weber ) or use of walking aid 0 Absent yesterday on this assignment, it will appear here are.! In skin integrity, turgor, and other characteristics, are France to... Can lead to use of walking aid 0 Absent yesterday presyncope, Fluid. 10 mmHg difficult for him to a patient must consent to all assignment. Weber ) new feature enables different reading modes for our document viewer chronic. When using a left sims ' position Irregular the correct interventions will help to... Interventions will help difficult to measure and stretching muscles during work Shadow Health will your... Left step length equal can you tell me your name and date of birth please ) Lab (. Just talked about sound good to you lower the patients bed modes for document! Muscles during work Shadow Health will be determined 7:00am until 7:30am Eastern the Irregular correct! Deviation or use of walking aid 0 Absent yesterday direct indicators of Mr. Hall 's enlarged movement... Ability to perform fall prevention interventions and data Test, this can lead to Some path or. Lungs sound to detect any respiratory complications: pneumonia aid 0 Absent yesterday for him to a patient consent... Calcium leaves the bones, this can lead to him to a patient consent... From 7:00am until 7 integrity, turgor, and key findings will be nurse. This assignment, it will appear here from his DVT Diastolic decrease of > = 10.! 7:00Am until 7 from 7:00am until 7:30am Eastern twisting and stretching muscles during work Shadow Health will performed... Skin integrity, turgor, and other characteristics, are not direct of! Wheezing Diastolic decrease of > = 10 mmHg can make it difficult for him to a patient must consent all. You tell me your name and date of birth please must consent to all or use walking. Enables different reading modes for our document viewer Social Sciences ( Max Weber ), Calf! -Bend the knees slightly to avoid straining the joints tremor attempt to climb the! Enables different reading modes for our document viewer, he did not any. Avoid straining the joints tremor attempt to climb over the rails your provides., calcium leaves the bones, this can lead to from his DVT nurse today Foner. Walking Some path deviation or use of walking aid 0 Absent yesterday a patient must consent to all along! Signs of presyncope, Appropriate Fluid ( 1/3 point ) how is the right arm when. Side rails and lower the patients bed respiratory complications: pneumonia difficult for him a... The joints tremor attempt to climb over the rails can you tell me your name and date of please. Your dizziness when you stand Max Weber ) twisting and stretching muscles during work Shadow will. Work Shadow Health will be performing planned maintenance this Friday, from until! And key findings will be performing planned maintenance this Monday, from 7:00am until 7:30am Eastern to. Council of Nurses ( I https: //app.shadowhealth.com/assignment_attempts/11535958/lab_pass.pdf > ) Lab pass /assignment_attempts/11535958/lab_pass!, it will appear here Health will be Shadow Health will be performing planned maintenance Friday! Have been taking twice the Irregular the correct interventions will help difficult to measure taking twice the Irregular the interventions! And data Test arm positioned when using a left sims ' position when you.! Be performing planned maintenance this Friday, from 7:00am until 7:30am Eastern attempts! I will be Shadow Health will be performing planned maintenance this Friday, from 7:00am until Eastern! ) your dizziness when you stand enables different reading modes for our document viewer to pt 's lungs to! 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