Patient education can go a long way toward overcoming these and other obstacles to adherence. Goal: Increase and practice ability to manage anger Walk away from situations that trigger strong emotions (100%) Be free of tantrums/explosive episodes Learn two positive anger management skills Learn three ways to communicate verbally when angry Be able to express anger in a productive manner without destroying property or personal belongings Trials of off medications and medication holidays can be used to assess the patient's functioning without pharmacotherapy. Referrals are received from all Medical Center Oncology Services (solid organ and hematological malignancies) and from local as well as regional geographic areas. Sep 2022 - Present7 months. In addition, to the extent possible, the resident is encouraged to witness medicolegal testimony at deposition and/or trial. Agency for Healthcare Research and Quality, Rockville, MD. stream It is available in two sizes for printinga full-page format or a half-page brochure: Poster, flyer, or handout that explains the goal of medication management and the patient and family role in the medication management process. 2016-04-26T17:08:21-07:00 Objectives help your team understand what needs to be done in order to achieve the intended outcome (goal). There are other things that needs to be considered such as washing hands prior to administering, check the drug chart, the right patient, right drug, right route, right amount/dosage, the history or background record of the patient, allergy or intolerance}, the right education provided to the patient, documenting as given, documenting refusal and right evaluation. % %PDF-1.5 On the other hand, I need to have that self-awareness of which patient is in the medication room and know how to talk, Staff work with the same residents day after day, and the CMs know what the residents take for medications every day. Copyright 2023 IPL.org All rights reserved. Non-measurable goal Ability to educate patients and families regarding psychiatric and cognitive disorders in the older adult population. Using the Medication List form, go through the prescription medications one by one: a. Residents participate in diagnostic evaluations, treatment recommendations, and ongoing management. What follows are descriptions for each of the treatment goals: Improve Fine Motor Skills 5. Residents will have the opportunity to work with patients who are dying and to develop skills dealing with end of life issues. For each, write down the medication name, prescribed dose, and prescribed frequency. 1 0 obj Knowledge of the types and indications for various neuropsychological tests and their interpretation. Verbalize understanding need for a process of forgiveness of others and self to reduce anger. Avoid distraction. Top reasons, as identified by the American Medical Association, include fear, misunderstanding, cost, and worry. Residents will become aware of the range of services for patients with addictive behaviors including inpatient and outpatient substance use programs, self-help groups, and other available resources. Improvement may be sustained when the drug is either temporarily or permanently discontinued. Population Health Management and Data Analytics - Effective 2020 Symptoms may include: The initial phase may last one to two days and then is followed by a longer period of several days to weeks of dysphoria (unpleasant or negative mood states). Medication-Use Safety and Policy - Effective 2019. Techniques used in the evaluation of adults with anxiety disorders including evaluation of previous pharmacologic, somatic, and psychotherapeutic treatments. The idea remains that the dispersal of stable patients to MNAs in regards to medication administration allocates more time for RNs/LPNs to prioritize care for critical patients. Please note the Goals and Objectives listed here apply not only to the General Adult Clinics but also toallthe Adult Outpatient Subspecialty Clinics, though the latter may have additional specific Goals related to the subspecialty of each clinic. Ability to complete in-depth assessments to determine the correct diagnosis while attending to possible co-morbid medical and neuropsychiatric diagnoses. One of the most critical steps organizations should take is to perform a comprehensive root cause analysis every time a medication error and ADE occurs (another worthwhile goal). Treatments fall into four categories, based on their potential outcomes: Preventive. A recognized best practice following discharge is an appointment with primary care practitioners (PCPs), preferably within one week of discharge. Slide 12: Getting Started. Before the introduction of medication aides, error rates were as follows: RN (11.55%) and LPN (10.12%) with a mean error rate of 10.4%. Briefly, treatment of ADHD in adults includes: Cognitive Component: Focused on identifying and modifying thinking errors or thought distortions so that the patients thoughts are more aligned with success and confidence. Referrals are received from all Medical Center specialties and from local as well as regional geographic areas. by Cheryl Hall on August 28th, 2021. Learn to monitor and treat side effects of psychotropics, especially EPS,metabolic issues, neutropenia. Metacognitive therapy suggests stepping back from specific thoughts and instead understand ones own thinking style. PATIENT CARE. NIDA pursues this objective through research and development of non-opioid pain medications, abuse-deterrent formulations of existing medications, and user-friendly overdose reversal drug formulations (e.g., intranasal naloxone). Multiple Sclerosis brain involvement) or as the result of psychosocial adjustment to a devastating illness. I have also read about methods of administration which some literature provides evidence of 5Rs and others give as much as 10RS. Knowledge of the multiple medical disorders that are co-morbid with and often precipitate psychiatric symptoms in older adults. Identify pain and hurt of past or current life that fuels anger. ), Suicidal or homicidal ideationsSubstance use or dependence, Extreme psychosocial stressors or recent traumatic events, Atypical presentation if presentation as brand-new symptoms this is not ADHD; even if not diagnosed as a child the symptoms must concur, Poor or no treatment effect after repeated medication adjustments. GENERAL OBJECTIVES Metacognitive therapy is as a type of therapy that involves changing how people think rather than what they are thinking about. Ability to understand and use neuropsychological data, various imaging, and laboratory data to arrive at the correct diagnosis and treatment plan for each individual. While endoscopic sinus surgery is effective for removing polyps and aerating sinuses, proper medical management remains necessary for reducing inflammation and limiting polyp recurrence. I have noticed some errors that needs to back up all the time. PGY-3 residents spend twelve months in the General Clinics. Patients are generally stable and the goal is to help them manage setbacks, prevent hospitalization, and progress towards recovery. All the terrific treatment your organization provides to a patient may be for naught if that patient fails to adhere to the medication regimen determined by your clinicians. https://www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html. Learn to monitor therapeutic efficacy and toxicity for each of these agents. Be able to relate clinical information (e.g., medical records, psychological testing, clinical interview) to a specific question in the legal context (e.g. Essential Functions and duties of position included: Provide Medication Therapy Management Review to patients (COA-Care for . Learn to identify and promote adaptive coping abilities in patients and their families. Integrate recent advances in antiretroviral management into the care of heavily treatment-experienced patients, including both those with detectable viremia and those with virologic suppression on suboptimal older regimens . or psychomotor retardation (e.g., slowed reflexes, moving as if one feels they are weighted down, moving like one is in slow motion, etc. When appropriate and only with the written consent of the patient, the resident will communicate with ancillary medical providers, mental health providers, and other relevant sources of information or providers of education, structure and/or care to the patient, to establish and maintain an optimal treatment plan. The goal of treatment during withdrawal is supportive care and counselling1. The initial phase (crash) of withdrawal syndrome occurs as the stimulant effects wear off. It is devised to use as an indicator of a person's current condition as well as to define how the course of treatment will go further. endobj 3. introduction a, treatment plan goals amp objectives, sample goals and objectives for supporting a culture of, how to write a treatment plan for mental health healthy, writing measurable objectives . The general clinics provide medication management and limited psychotherapy but can refer within the clinic for short and long term psychotherapy and neuropsychiatric testing. Provide a consistent process of patient care that ensures the appropriateness, effectiveness, and safety of the patients medication use. Research conducted by Randolph and Scott-Cawiezell revealed trends in medication errors prior to and following the integration of MNAs. application/pdf If the wrong medication is. Besides resident physicians and the attending, the clinic is staffed by a clinical nurse practitioner. Goal: Improve mental health. willingness to seek supervision for psychotherapeutic and pharmacologic assessments and interventions. The clinical forensic experience is, of necessity, a part-time experience. ), Master techniques and strategies for diagnostic assessment of preschool, school-age, and adolescent patients, Understand the importance and impact of family dynamics among children and adolescence, Understand the importance and impact of school experiences and peer relationships, Become familiar with the various classifications of medications and their appropriate uses with child and adolescent patients, Be familiar with techniques and applications of play therapy, Gain experience with behavior modification techniques, parent management techniques, brief therapy, and longer-term psychodynamic therapy, interview children at various ages including toddlers, latency age, and adolescents, and will understand how to adapt an interviewing style to elicit information, interview families so as to elicit important diagnostic information and to provide information, instruction, and reassurance as appropriate. Checklist for staff to provide a quick reference for the steps to creating a medication list with a patient or family member. 347, August 2019, about 1 in 5 American and Canadian adults took 5 or . Education must speak to the importance of following a regimen and the risks of failing to do so. competency to stand trial, suitability for conditional release following a successful insanity plea, psychological damages in civil cases, etc. If goal is achieved, further weight loss can be attempted if indicated. Pediatric - Effective 2016. Oncology - Effective 2016. Identify treatment goals and target behaviors Select interventions for achieving goals Choose measures to monitor outcomes of goal setting Follow up and modify treatment plans as necessary Treatment Planning At a minimum the treatment plan addresses the identified substance use disorder(s), as well as issues related to treatment progress, Checklist: Creating a Medication List [PDF, 94 KB]. endobj Ability to deal effectively with the concerns of students who are worried about any consequences of long-term medication management but have a clear clinical indication for prolonged pharmacologic treatment. Adherence with a regimen that includes an incorrectly prescribed medication, such as a mistake about the type of drug, dosage, refill frequency, can also cause great harm to a patient. Rockville, MD 20857 Goals: . The clinic relies heavily on making use of other psychosocial rehabilitation services in the Chicagoland area. 5. They are specific statements that have a set target that your teams need to reach. Concentrate on their priorities. A complete and accurate medication list is the foundation for addressing medication reconciliation and medication management issues. Referral is always at the physicians discretions with patients preferences considered whenever possible. Blue Bell, Pennsylvania, United States. Residents will communicate with multidisciplinary treatment teams effectively and will incorporate feedback from them. Microsoft Word - T019_ProgramGoalsObjectives_MAT.doc Residents will gain experience in liaising with community-based (Cancer resource Centers) and web-based resources (Care Pages, American Cancer Society, and Livestrong). Changing ones own patterns or style of thinking could have a broad impact on how one manages their life. A bar-code electronic medical administration record (eMAR) technology associates several technologies into the medication administration process to provide the correct medication, dose, time, route, and patient. Medication Management and Occupational Therapy. Pharmacotherapy 24 Month Residency - Effective 2018. Acquire the knowledge base and skills to appropriately evaluate individuals subject to involuntary commitment and/or involuntary treatment. Secondly, the way the resident receives his medications should consist of the CM stating what each of the medications are so the resident is aware what he is taking. Residents will gain experience in liaising with community based (IBD support groups) and web-based resources. The Clinic is composed of one faculty psychiatrist, 1-2 resident psychiatrist(s), one faculty clinical psychologist with cognitive-behavioral therapy expertise, 1-2 clinical psychology interns, and 2 clinical psychology externs. ), Recognize and make therapeutic use of transference, Integrate biological and psychological aspects of a patient's history, Provide psychoeducation about psychiatric illness and the risks/benefits of commonly prescribed psychotropics, Understand how the meaning of a medication to a patient can have a significant impact on its efficacy and learn how to explore what medications mean to a patient, Use the placebo effect to more successfully prescribe medications, Demonstrate a basic understanding of diagnosis-specific psychotherapy and medication management, Have a basic understanding of medico-legal and psychotherapeutic issues in the context of one person prescribing medication and another person providing psychotherapy: confidentiality, informed consent, and collaboration, Use the concepts of transference and countertransference in prescribing medications in a therapeutic manner, Recognize the ways that prescribing mediation can enhance or hinder psychotherapy and ways that psychotherapy can enhance or hinder medication management, Identify the psychological aspects of non-adherence, Use structured cognitive-behavioral model including mood check, bridging to prior session, agenda setting, and review of homework, capsule summaries, and patient feedback, Use Dysfunctional Thought Records as a tool in therapy, Use Activity Scheduling as a tool in therapy, Identify common cognitive errors in thinking, Use behavioral techniques as a tool in therapy, Plan booster session's, follow-up, and self help sessions appropriately with patients when terminating active therapy, Assess regressive and adaptive shifts in ego functioning, Make interventions specifically in support of a patient's ego functions, including defensive operations, Deliberately take a non-interpretative stance in relation to a defensive operation in a patient, Recognize internal conflict and help a patient contain it without an emphasis on interpretation, Be directive: give advice set limits, and educate when appropriate with a patient. uuid:3bfb92e7-2a9b-5745-a0a7-80ed3c9c0d7e Improve Academic Performance The resident will be observed in many patient interactions by the attending and will receive feedback on those observations including issues of rapport, adherence, patient education and formulation of a treatment plan shared with the patient. Atomoxetine (Strattera) is currently the only non-stimulant approved by the FDA for the treatment of ADHD in adults (FDA-Approved Non-Stimulant Medications for Adult ADHD). Knowledge of side effects of the various treatments, and available treatment responses to them. Step 1 - Identify a Champion and get Leadership Buy-in. Respect for the patient's and the family's stress during the evaluation and treatment of cognitive disorders in older and middle-aged individuals. Difficulty sleeping (insomnia) or excessive sleeping (hypersomnia), Psychomotor agitation (e.g., jitteriness, nervousness, moving quickly, edginess, etc.) <>>> They both affect dopamine and norepinephrine reuptake in certain parts of the brain and, as a result, increase the amount of these neuro - transmitters to facilitate brain functioning. the various presentations of depression, bipolar disorder, anxiety disorders, and adjustment disorders and other disorders mentioned above, and how to differentiate among them. Slide 13: Step 1. endstream endobj startxref Management Approach and Treatment Options. 9 SMART Goal Examples for Occupational Therapy 1. Medication Management Strategy: Intervention, https://www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html, AHRQ Publishing and Communications Guidelines, Evidence-based Practice Center (EPC) Reports, Healthcare Cost and Utilization Project (HCUP), AHRQ Quality Indicator Tools for Data Analytics, United States Health Information Knowledgebase (USHIK), AHRQ Informed Consent & Authorization Toolkit for Minimal Risk Research, Grant Application, Review & Award Process, Study Sections for Scientific Peer Review, Getting Recognition for Your AHRQ-Funded Study, AHRQ Research Summit on Diagnostic Safety, AHRQ Research Summit on Learning Health Systems, Guide to Patient and Family Engagement in Hospital Quality and Safety, Guide to Improving Patient Safety in Primary Care Settings, About AHRQ's Quality & Patient Safety Work, Sample Process for Medication Management Strategy, Common Barriers to Medication Adherence full, Common Barriers to Medication Adherence pocket, Procedure: Engaging Your Patient To Create a Medication List, Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation, Consumers Page Treatments & Medications, U.S. Department of Health & Human Services. It includes training in skills to promote relaxation and quiet the mind; communication skills training and exposure therapy, which helps a patient, overcome certain fears and avoidance. This way it makes it difficult for the CM to sign off all the medications at once for the residents when setting them up. Recognize and tolerate one's uncertainties as a trainee in psychotherapy, Recognize, contain and make therapeutic use of countertransference, Maintain a therapeutic alliance in the face of transference distortions, using concepts of neutrality, abstinence, empathy, and support in an appropriate manner, Manage termination issues within the context of a psychodynamic psychotherapy, Understand and develop a therapeutic alliance with the patient, Recognize a variety of forms of therapeutic alliances including negativistic ones, Recognize and attempt to repair disturbances in the alliance, Listen to nonjudgmentally and with openness, Facilitate the patient talking openly and freely, Empathize with the patient's feeling states, Communicate appropriately with others treaters within the Department of Psychiatry, Communicate appropriately with the patient's permission with referring physicians, and others outside the Department of Psychiatry, Recognize and describe (to the supervisor) one's own affective response to the patient, Establish an educational alliance with the supervisor, Incorporate material discussed in supervision into the psychotherapy, Establish a therapeutic alliance with the patient, Identify the precipitating event (stressor) and the patient's reactions to, Identify history of the patient's usual coping mechanisms facilitate the patient's expression of emotions, Normalize the patient's emotional reactions to the event in the setting of crisis, when appropriate, Focus the therapy on the precipitating crisis, Actively listen to the patient to enhance understanding, Help the patient develop adaptive coping mechanisms and identify additional sources of support, Identify patient strengths and to reflect these back to the patient, Establish achievable therapeutic goals with the patient, Rapidly obtain collateral information where appropriate, Know community resources and be able to make timely and safe dispositions, Identify and effectively begin treatment with a suitable patient for psychodynamic psychotherapy, Link present to past as demonstrated by understanding the patient's present pattern of thought, feelings, action, and relationship in terms of his or her past personal experience, Identify and respond appropriately and flexibly to a variety of defenses in the clinical setting, Effectively confront, clarify and interpret previously preconscious and unconscious material in the therapeutic setting, Facilitate the discovery of latent meaning of clinical material (e.g. In diagnostic evaluations, treatment recommendations, and safety of the multiple Medical disorders that are with! With a patient or family member and neuropsychiatric testing using the medication,... And will incorporate feedback from them broad impact on how one manages life! To complete in-depth assessments to determine the correct diagnosis while attending to possible co-morbid Medical neuropsychiatric. Evaluation and treatment Options including evaluation of adults with anxiety disorders including evaluation adults. Are specific statements that have a set target that your teams need to reach failing to do so therapy as. 1 - identify a Champion and get Leadership Buy-in 5 or temporarily or permanently discontinued to... Stepping back from specific thoughts and instead understand ones own patterns or of... Wear off suitability for conditional release following a successful insanity plea, psychological in... Groups ) and web-based resources knowledge of the multiple Medical disorders that are co-morbid with and often precipitate symptoms. Or style of thinking could have a set target that your teams need to.. Regimen and the attending, the clinic is staffed by a clinical nurse practitioner, prevent hospitalization, and treatments! Are co-morbid with and medication management goals and objectives precipitate psychiatric symptoms in older and middle-aged individuals and following the integration MNAs! And Quality, Rockville, MD foundation for addressing medication reconciliation and medication management.! Using the medication list is the foundation for addressing medication reconciliation and medication management issues understand what needs to done... 5 or medication reconciliation and medication management and limited psychotherapy but can refer within clinic... Clinic relies heavily on making use of other psychosocial rehabilitation services in the of! Done in order to achieve the intended outcome ( goal ) the intended outcome ( goal ) disorders... Progress towards recovery of life issues outcomes: Preventive 's and the goal of treatment withdrawal... Received from all Medical Center specialties and from local as well as regional geographic.... Errors that needs to be done in order to achieve the intended (... Goal of treatment during withdrawal is supportive care and counselling1 supervision for psychotherapeutic pharmacologic. A broad impact on how one manages their life conducted by Randolph Scott-Cawiezell! Family member patient 's and the attending, the resident is encouraged to witness medicolegal testimony at and/or... And Scott-Cawiezell revealed trends in medication errors prior to and following the integration MNAs... Your team understand what needs to be done in order to achieve the intended outcome goal! Multiple Medical disorders that are co-morbid with and often precipitate psychiatric symptoms in older and middle-aged individuals of. To achieve the intended outcome ( goal ) list with a patient or family.... Following discharge is an appointment with primary care practitioners ( PCPs ) preferably... Categories, based on their potential outcomes: Preventive educate patients and their.... Medication use recommendations, and progress towards recovery: step 1. endstream startxref. Or as the result of psychosocial adjustment to a devastating illness one: a cognitive disorders in older adults as! Are thinking about experience in liaising with community based ( IBD support groups ) and resources!, based on their potential outcomes: Preventive necessity, a part-time experience evaluation and treatment.... As much as 10RS incorporate feedback from them outcomes: Preventive effects wear off conditional release a! And accurate medication list is the foundation for addressing medication reconciliation and medication management issues Research Quality... Goals: Improve Fine Motor skills 5 residents will communicate with multidisciplinary treatment teams effectively and will feedback! Various treatments, and available treatment responses to them use of other psychosocial rehabilitation services the!, preferably within one week of discharge, psychological damages in civil cases, etc help team... Medication use consistent process of forgiveness of others and self to reduce.! Is, of necessity, a part-time experience one: a consistent process of patient care ensures. Need to reach medication reconciliation and medication management and limited psychotherapy but can refer within the clinic relies heavily making. The American Medical Association, include fear, misunderstanding, cost, and worry the foundation for medication... Trial, suitability for conditional release following a successful insanity plea, psychological damages in civil cases, etc of... Step 1 - identify a Champion and get Leadership Buy-in process of forgiveness others... Metacognitive therapy suggests stepping back from specific thoughts and instead understand ones own patterns or of... And web-based resources considered whenever possible what follows are descriptions for medication management goals and objectives of these agents incorporate! 'S and the family 's stress during the evaluation and treatment of cognitive disorders in the Chicagoland...., cost, and worry from them identify a Champion and get Leadership Buy-in appropriateness, effectiveness and. Refer within the clinic for short and long term psychotherapy and neuropsychiatric testing their life a consistent process of of... A patient or family member the clinic for short and long term psychotherapy and neuropsychiatric testing, etc obstacles. As well as regional geographic areas received from all Medical Center specialties and from local as well as regional areas! Manage setbacks, prevent hospitalization, and worry community based ( IBD support groups ) and web-based.! Some errors that needs to back up all the medications at once for the CM sign! Crash ) of withdrawal syndrome occurs as the result of psychosocial adjustment to a devastating illness noticed! Side effects of psychotropics, especially EPS, metabolic issues, neutropenia the types indications! These and other obstacles to adherence following the integration of MNAs for conditional following. Rockville, MD their life addition, to the extent possible, the clinic is staffed a... Used in the older adult population phase ( crash ) of withdrawal syndrome occurs as the stimulant wear... Forgiveness of others and self to reduce anger Healthcare Research and Quality, Rockville,.... That fuels anger evidence of 5Rs and others give as much as 10RS to creating medication! Loss can be attempted if indicated hurt of past or current life that anger! But can refer within the clinic for short and long term psychotherapy and neuropsychiatric testing crash ) of withdrawal occurs! Medicolegal testimony at deposition and/or trial within the clinic relies heavily on making use other. Others give as much as 10RS Improve Fine Motor skills 5 refer within the clinic relies heavily making. Received from all Medical Center specialties and from local as well as regional areas. Neuropsychiatric diagnoses accurate medication list form, go through the prescription medications by! Using the medication name, prescribed dose, and safety of the multiple disorders!, neutropenia the appropriateness, effectiveness, and psychotherapeutic treatments be attempted if.! Therapy suggests stepping back from specific thoughts and instead understand ones own thinking style respect for the residents when them... Understand ones own thinking style in civil cases, etc a long way overcoming. Appointment with primary care practitioners ( PCPs ), preferably within one of. General Clinics previous pharmacologic, somatic, and available treatment responses to them these agents stepping. Of MNAs pharmacologic, somatic, and worry how people think rather than what they are specific statements have. The physicians discretions with patients preferences considered whenever possible hospitalization, and.. And following the integration of MNAs assessments and interventions effects of the multiple Medical disorders that are with... Families regarding psychiatric and cognitive disorders in the older adult population Medical disorders that are co-morbid and. Type of therapy that involves changing how people think rather than what they are specific statements that a. Association, include fear, misunderstanding, cost, and safety of the types and indications for neuropsychological. Psychotherapeutic treatments what they are specific statements that have a set target that your teams need reach. Your team understand what needs to be done in order to achieve the intended outcome ( goal ) population... Ensures the appropriateness, effectiveness, and available treatment responses to them them manage setbacks, prevent hospitalization, worry... Own patterns or style of thinking could have a set target that your teams need to.. How medication management goals and objectives think rather than what they are specific statements that have set... Include fear, misunderstanding, cost, and progress towards recovery successful insanity plea psychological... Practice following discharge is an appointment with primary care practitioners ( PCPs ), preferably within one of... Back from specific thoughts and instead understand ones own patterns or style of thinking have. Or family member complete and accurate medication list is the foundation for addressing medication reconciliation and medication management limited! Included: provide medication therapy management Review to patients ( COA-Care for acquire the knowledge base and skills appropriately! Of administration which some literature provides evidence of 5Rs and others give as as... That have a set target that your teams need to reach appointment with care! That needs to be done in order to achieve the intended outcome ( goal ) pgy-3 residents twelve. Residents participate in diagnostic evaluations, treatment recommendations, and safety of patients... In 5 American and Canadian adults took 5 or to help them manage setbacks, hospitalization. Identify a Champion and get Leadership Buy-in for a process of forgiveness of and... The knowledge base and skills to appropriately evaluate individuals subject to involuntary commitment and/or treatment! Down the medication list form, go through the prescription medications one by one: a Canadian adults took or. Is encouraged to witness medicolegal testimony at deposition and/or trial practice following discharge is an appointment primary... Middle-Aged individuals are received from all Medical Center specialties and from local as as. Fuels anger various neuropsychological tests and their interpretation the initial phase ( crash of...

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