Care Plan Implementing For The Care of a Patient With Bipolar Disorder-Nursing Care Plan Sample

QUESTION

 

  1. While utilizing the care plan template provided, write a care plan you will implement for the care of a patient with bipolar disorder 
  2. While utilizing the care plan template provided, write a care plan you will implement for the care of a patient with schizophrenia

 

  1. while utilizing the care plan template provided, write a care plan you will implement for the care of a patient with anorexia nervosa; binge eating and purging type

 

Care-Plan-Template

 

Nursing Care Plan Form

Student Name: Date:

Patient Identifier: Patient Medical Diagnosis:

Nursing Diagnosis (use PES/PE format):

Assessment Data

(Include at least three-five subjective and/or objective pieces of data that lead to the nursing diagnosis)

Goals & Outcome

(Two statements are required for each nursing diagnosis. Must be Patient and/or family focused; measurable; time-specific; and reasonable.)

Nursing Interventions

(List at least three nursing or collaborative interventions with rationale for each goal & outcome.)

Rationale

(Provide reason why intervention is indicated/therapeutic; provide references.)

Outcome Evaluation & Replanning

(Was goal met? How would you revise the plan of care according to the patient’s response to current plan ?)

1.

2.

3.

Statement #1

Statement #2

1.

2.

3.

1.

2.

3.

1.

2.

3.

1.

2.

3.

Outcome #1

Outcome #2

 

 

ANSWER

 

Table of Contents

1. A care plan implementing the care of a patient with bipolar disorder 

Assessment Data 

Goals & Outcome 

Nursing Interventions 

Rationale 

Reference list 

1. A care plan implementing the care of a patient with bipolar disorder

Assessment Data

(subjective and/or objective pieces of data that lead to the nursing diagnosis)

Goals & Outcome

(Focusing to the patient and his family.)

Nursing Interventions

(Three nursing or collaborative interventions with rationale for each goal & outcome.)

Rationale

(why intervention is indicated/therapeutic)

Outcome Evaluation & Replanning

  1. The individual with bipolar disorder have lacking in energy level, loss of appetite

 

 

 

2. The mania phase of bipolar disorder includes sudden happiness, delusion

 

 

 

3. Being easily irritated or distracted shows critical symptom of bipolar disorder.

4. Significant loss of weight or gaining of weight along with critical changes in appetite.

Statement 1

  1. To reduce the level of anxiety and problems related to memorizing capacity and hopelessness.

  2. Development of interest for regular activities focusing on the development mood and behaviors.

 

 

 

 

 

 

 

 

Statement 2

  1. Providing healthy company to the patients.

  2. Providing adequate diet and development of appetite

Statement 3

  1. Reducing restlessness and diminishing the rate of risky behaviour such as having impulsive sex.

  2. Development of concentration power and increase the need of sleep among the severely affected individuals.

  1. Maintenance of effective communication with the patient which can greatly help to reduce the critical problems of them (Bos-Touwen, De Wit & Schuurmans (2015).

  2. Frequent interaction with the patients can help to develop their mental condition. A number of depressions and mania generated within the patient of bipolar disorder can be minimized by making a healthy relationship with them.

  3. Providing cluster care to the patients affected to this particular disorder will be helpful to minimize the excessiveness of various mania within an affected person (Welton & Harper, 2016)

  4. Maintenance of healthy relationship with the patient

  5. Providing necessary instruments to reduce the level of depression will be helpful

  6. Analysis of their personal problems in an effective manner appears as helpful to apply the most appropriate ways to treat the affected persons.

 

  1. Maintenance of effective communication with the patient will be helpful for reducing the level of anxiety (Bos-Touwen et al. 2015).

2. Proper interaction with the patient can be advantageous for developing their interest for various regular works.

3. Cluster care treatment will be helpful for allowing the patient to take rest for longer.

 

 

  1. Maintenance of healthy relationship with the patient can be advantageous in order to reduce their level of anxiety (Cha et al. 2016).

  2. Providing necessary instruments can help to develop their interest for regular work

  3. In the view of Hibar, D. P., Westlye et al. (2016), analysis of personal problems can make the patient able to reduce their restlessness (Eddy et al. 2017).

 

Outcome 1

  • When it is seen that the mental development of the patient is occuring in a right manner, then further planning on the development of his interest needs to be done by the health care professionals.

  • Future planning for treating the bipolar disorder affected people includes immense focus on the ways for reducing their level of depression.

  • Development of interest for regular activities, development of energy, decision making skills and development of concentration are some of the important criteria that are needed to be given critical importance for overall growth of the patient’s mental condition (Cha et al. 2016).

Outcome 2

  • It has been seen that maintenance of healthy relationship with the patient is helpful to minimize their doubts regarding the life style. As stated by Garber et al. (2016), it helps to plan for reducing the depression among the patient affected with bipolar disorder.

  • Ir has been seen that proper development of mental condition of the affected person helps to develop the suicidal tendency among them.

  • In words of Garber, Kohn & Redgrave (2016), substance abuse treatment and various types of behavioral therapy appears as essential for treating the patients after efficient diagnosis of the diseases.

Table 1: Care plan for the patient of bipolar disorder

(Source: Influenced by Grunze, 2015)

Reference list

Bos-Touwen, I., Dijkkamp, E., Kars, M., Trappenburg, J., De Wit, N., & Schuurmans, M. (2015). Potential for self-management in chronic care: Nurses’ assessments of patients. Nursing research64(4), 282-290. Retrieved on 28/1/2019. Retrieved from https://www.researchgate.net/profile/Marijke_Kars/publication/279628954_Potential_for_Self-Management_in_Chronic_Care/links/5abcb293a6fdcccda6568861/Potential-for-Self-Management-in-Chronic-Care.pdf

Cha, J., Ide, J. S., Bowman, F. D., Simpson, H. B., Posner, J., & Steinglass, J. E. (2016). Abnormal reward circuitry in anorexia nervosa: a longitudinal, multimodal MRI study. Human brain mapping37(11), 3835-3846. Retrieved on 28/1/2019. Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1002/hbm.23279

Eddy, K. T., Tabri, N., Thomas, J. J., Murray, H. B., Keshaviah, A., Hastings, E., … & Franko, D. L. (2017). Recovery From Anorexia Nervosa and Bulimia Nervosa at 22-Year Follow-Up. The Journal of clinical psychiatry78(2), 184-189. Retrieved on 28/1/2019. Retrieved from https://europepmc.org/abstract/med/28002660

Garber, A. K., Sawyer, S. M., Golden, N. H., Guarda, A. S., Katzman, D. K., Kohn, M. R., … & Redgrave, G. W. (2016). A systematic review of approaches to refeeding in patients with anorexia nervosa. International Journal of Eating Disorders49(3), 293-310. Retrieved on 28/1/2019. Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1002/eat.22482

Grunze, H. (2015). Bipolar disorder. In Neurobiology of Brain Disorders (pp. 655-673). Retrieved on 28/1/2019. Retrieved from http://www.controversiasbarcelona.com/2018/Vieta2016.pdf

Hibar, D. P., Westlye, L. T., van Erp, T. G., Rasmussen, J., Leonardo, C. D., Faskowitz, J., … & Dale, A. M. (2016). Subcortical volumetric abnormalities in bipolar disorder. Molecular psychiatry21(12), 17-31. Retrieved on 28/1/2019. Retrieved from https://www.nature.com/articles/mp2015227

Page-Cutrara, K. (2015). Prebriefing in nursing simulation: A concept analysis. Clinical Simulation in Nursing11(7), 335-340. Retrieved on 28/1/2019. Retrieved from https://www.sciencedirect.com/science/article/pii/S1876139915000407

Rogers, M., & Wattis, J. (2015). Spirituality in nursing practice. Nursing Standard29(39), 51-57. Retrieved on 28/1/2019. Retrieved from http://eprints.hud.ac.uk/id/eprint/24730/1/SpiritualityinNursingFebruary2015.pdf

Vancampfort, D., Stubbs, B., Mitchell, A. J., De Hert, M., Wampers, M., Ward, P. B., … & Correll, C. U. (2015). Risk of metabolic syndrome and its components in people with schizophrenia and related psychotic disorders, bipolar disorder and major depressive disorder: a systematic review and metaanalysis. World Psychiatry14(3), 339-347. Retrieved on 28/1/2019. Retrieved from https://onlinelibrary.wiley.com/doi/pdf/10.1002/wps.20252

Welton, J. M., & Harper, E. M. (2016). Measuring nursing care value. Nursing Economics34(1), 7-14. Retrieved on 28/1/2019. Retrieved from http://www.nursingeconomics.net/ce/2018/article340107.pdf

Wolff, J. L., Darer, J. D., Berger, A., Clarke, D., Green, J. A., Stametz, R. A., … & Walker, J. (2017). Inviting patients and care partners to read doctors’ notes: OpenNotes and shared access to electronic medical records. Journal of the American Medical Informatics Association24(e1), 166-172. Retrieved on 28/1/2019. Retrieved from https://academic.oup.com/jamia/article/24/e1/e166/2631495

Zipfel, S., Giel, K. E., Bulik, C. M., Hay, P., & Schmidt, U. (2015). Anorexia nervosa: aetiology, assessment, and treatment. The Lancet Psychiatry2(12), 1099-1111. Retrieved on 28/1/2019. Retrieved from http://www.wpanet.org/uploads/Sections/Eating_Disorders/Lancet_Psychiatry_AN.pdf

Table of Contents

2. A care plan implementing the care of a patient with schizophrenia 

Assessment Data 

Goals & Outcome 

Nursing Interventions 

Rationale

Reference list 

2. A care plan implementing the care of a patient with schizophrenia

Assessment Data

(subjective and/or objective pieces of data that lead to the nursing diagnosis)

Goals & Outcome

(Focusing to the patient and his family.)

Nursing Interventions

(Three nursing or collaborative interventions with rationale for each goal & outcome.)

Rationale

(why intervention is indicated/therapeutic)

Outcome Evaluation & Replanning

  1. The critical types of hallucinations are seen in schizophrenic patient. The hallucinations may be of any type but most common is hearing voices.

  2. The people affected with schizophrenia have various disorganized behavior including childlike silliness and unpredictable agitation.

  3. They have reduced ability to function normally.

  4. Lack of emotions along with unchanged facial conditions is regarded as some of the critical features of schizophrenia.

Statement 1

 

  1. Making the patients eager to interact with friends and family

  2. Reducing stress among the patient for minimizing trouble sleeping

  3. Reducing negative behavior regarding any kind of real life consequences.

Statement 2

  1. Providing effective company to the patient can be helpful to minimize the rate of abnormal behavior.

  2. Motivating the affected people to reduce their depression

Statement 3

  1. Effective communication and interactive session are helpful for developing the patient’s mental condition.

  2. Minimization of the rate of false beliefs such as a major catastrophe is about to occur.

  1. Promoting self care abilities among the patient is helpful to develop their own mental health (Page-Cutrara, 2015).

  2. Frequent interaction with the patients can help to develop their mental condition.

  3. Influencing the patients for taking adequate diet for proper growth of the nerve cells in brain.

 

 

  1. Providing cluster care to the patients

  2. Analysis of their personal problems in an effective manner.

  3. Maintenance of healthy relationship with the patient (Roger & Wattis, 2015).

  4. Various types of psychiatric evaluation along with regular diagnosis of mental condition are essential for understanding the actual mental state of the patient.

 

 

 

  1. Development of self management ability is helpful for making healthy relationship with friends and family.

  2. In taking of adequate diet is helpful for development of the activities of nerve cells which are greatly damaged in these diseases (Vancampfort et al. 2015).

  3. Moral motivation is helpful for the patient to develop their mental consciousness.

  4. In the view of Roger & Wattis, (2015), cluster care treatment will be helpful for allowing the patient to take rest for longer.

  5. Maintenance of healthy relationship with the patient can be advantageous in order to reduce their level of anxiety (Cha et al. 2016).

  6. Maintenance of healthy relationship with the patient will be helpful for reducing the confused thoughts among them and, in turn, it helps to reduce the level of distraction within an affected people.

 

Outcome 1

  1. It has been seen that development of self managing ability in patients appears as helpful for proper growth of their mental condition.

  2. The further planning for reducing doubt among the patient can be performed in n effective manner.

  3. A number of testing and screenings are helpful for ruling out the conditions of a large number of patients affected to mental schizophrenia.

Outcome 2

  1. It has been seen that maintaining healthy relationship with the patient helps to motivate them for thinking constructively.

  2. Development of effective thinking capacity will be helpful for reducing the suicidal tendency among them.

  3. Routine physical exam helps to figure out the actual problems related to any type of mental complications. Thereby, the patient is subjected to various medications as per the severity of their mental conditions.

Table 2: Care plan for schizophrenia

(Source: Influenced by Hibar et al. 2016)

Reference list

Bos-Touwen, I., Dijkkamp, E., Kars, M., Trappenburg, J., De Wit, N., & Schuurmans, M. (2015). Potential for self-management in chronic care: Nurses’ assessments of patients. Nursing research64(4), 282-290. Retrieved on 28/1/2019. Retrieved from https://www.researchgate.net/profile/Marijke_Kars/publication/279628954_Potential_for_Self-Management_in_Chronic_Care/links/5abcb293a6fdcccda6568861/Potential-for-Self-Management-in-Chronic-Care.pdf

Cha, J., Ide, J. S., Bowman, F. D., Simpson, H. B., Posner, J., & Steinglass, J. E. (2016). Abnormal reward circuitry in anorexia nervosa: a longitudinal, multimodal MRI study. Human brain mapping37(11), 3835-3846. Retrieved on 28/1/2019. Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1002/hbm.23279

Eddy, K. T., Tabri, N., Thomas, J. J., Murray, H. B., Keshaviah, A., Hastings, E., … & Franko, D. L. (2017). Recovery From Anorexia Nervosa and Bulimia Nervosa at 22-Year Follow-Up. The Journal of clinical psychiatry78(2), 184-189. Retrieved on 28/1/2019. Retrieved from https://europepmc.org/abstract/med/28002660

Garber, A. K., Sawyer, S. M., Golden, N. H., Guarda, A. S., Katzman, D. K., Kohn, M. R., … & Redgrave, G. W. (2016). A systematic review of approaches to refeeding in patients with anorexia nervosa. International Journal of Eating Disorders49(3), 293-310. Retrieved on 28/1/2019. Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1002/eat.22482

Grunze, H. (2015). Bipolar disorder. In Neurobiology of Brain Disorders (pp. 655-673). Retrieved on 28/1/2019. Retrieved from http://www.controversiasbarcelona.com/2018/Vieta2016.pdf

Hibar, D. P., Westlye, L. T., van Erp, T. G., Rasmussen, J., Leonardo, C. D., Faskowitz, J., … & Dale, A. M. (2016). Subcortical volumetric abnormalities in bipolar disorder. Molecular psychiatry21(12), 17-31. Retrieved on 28/1/2019. Retrieved from https://www.nature.com/articles/mp2015227

Page-Cutrara, K. (2015). Prebriefing in nursing simulation: A concept analysis. Clinical Simulation in Nursing11(7), 335-340. Retrieved on 28/1/2019. Retrieved from https://www.sciencedirect.com/science/article/pii/S1876139915000407

Rogers, M., & Wattis, J. (2015). Spirituality in nursing practice. Nursing Standard29(39), 51-57. Retrieved on 28/1/2019. Retrieved from http://eprints.hud.ac.uk/id/eprint/24730/1/SpiritualityinNursingFebruary2015.pdf

Vancampfort, D., Stubbs, B., Mitchell, A. J., De Hert, M., Wampers, M., Ward, P. B., … & Correll, C. U. (2015). Risk of metabolic syndrome and its components in people with schizophrenia and related psychotic disorders, bipolar disorder and major depressive disorder: a systematic review and metaanalysis. World Psychiatry14(3), 339-347. Retrieved on 28/1/2019. Retrieved from https://onlinelibrary.wiley.com/doi/pdf/10.1002/wps.20252

Welton, J. M., & Harper, E. M. (2016). Measuring nursing care value. Nursing Economics34(1), 7-14. Retrieved on 28/1/2019. Retrieved from http://www.nursingeconomics.net/ce/2018/article340107.pdf

Wolff, J. L., Darer, J. D., Berger, A., Clarke, D., Green, J. A., Stametz, R. A., … & Walker, J. (2017). Inviting patients and care partners to read doctors’ notes: OpenNotes and shared access to electronic medical records. Journal of the American Medical Informatics Association24(e1), 166-172. Retrieved on 28/1/2019. Retrieved from https://academic.oup.com/jamia/article/24/e1/e166/2631495

Zipfel, S., Giel, K. E., Bulik, C. M., Hay, P., & Schmidt, U. (2015). Anorexia nervosa: aetiology, assessment, and treatment. The Lancet Psychiatry2(12), 1099-1111. Retrieved on 28/1/2019. Retrieved from http://www.wpanet.org/uploads/Sections/Eating_Disorders/Lancet_Psychiatry_AN.pdf

Table of Contents

3. A care plan implementing the care of a patient with anorexia nervosa; binge eating and purging type 

Assessment Data 

Goals & Outcome 

Nursing Interventions 

Rationale 

Reference list 

3. A care plan implementing the care of a patient with anorexia nervosa; binge eating and purging type

Assessment Data

(subjective and/or objective pieces of data that lead to the nursing diagnosis)

Goals & Outcome

(Focusing to the patient and his family.)

Nursing Interventions

(Three nursing or collaborative interventions with rationale for each goal & outcome.)

Rationale

(why intervention is indicated/therapeutic)

Outcome Evaluation & Replanning

  1. Extreme loss of body weight with thin appearance is denoted as the critical symptoms of anorexia nervosa which needs acute nursing care.

  2. Swelling of arms or legs and low blood pressure along with intolerance of cold are some critical features of this disorder.

  3. Excessive growth of fine hair covering the body

  4. Refusal to eat, obsession with body size and shape, weighing food, making excuses for not eating are the key characteristics which are needed to be taken essential nursing care.

Statement 1

  1. To make the patient understand about the bad effects of skipping meals

  2. Reducing the level of excessive exercise

Statement 2

  1. Stopping the affected people from complaining about being fat.

  2. Developing the intake of medications which help to put on weight

Statement 3

  1. Developing the willingness to eat healthy foods in the patient

  2. Providing proper help to develop the emotional sense of the affected people

  1. Analysis of their personal problems in an effective manner.

  2. Frequent interaction with the patient to know their changing preference of foods.

  3. Promoting self care abilities among the patient is helpful to make them able to take any type of healthy foods.

  4. Controlling pain of the affected people is the critical duty of the nurses. For this purpose, they can incorporate strategies to reduce the mental illness of the affected person (Zipfel et al. 2015).

  5. Analysis of patient health history is helpful for understanding their food preferences. As described by Wolff et al. (2017), when the nurse is able to understand the patient’s food habit, they can apply the most effective ways to develop their willingness for eating.

  6. Proper analytical skills and medical knowledges can help the nurses to understand the reason of reducing willingness to eat.

 

  1. Maintenance of healthy relationship with the patient can be advantageous in order to reduce their level of anxiety regarding food intake.

  2. As mentioned by Grunze (2015), analysis of changing food preferences of an affected individual helps to understand the health status and the development of willingness to intake adequate amount of food.

  3. Moral motivation is helpful for the patient to develop their mental consciousness.

  4. Pain controlling capacity of the nurses is helpful to know the emotional aspect or the reason behind their decreased interest to take food.

  5. Proper encouragement for in taking adequate diet is helpful for development of physical health condition along with gaining of weight.

  6. Analysis of health condition in an effective manner is helpful for setting an appropriate nutrition chart for the patient affected with anorexia nervosa.

Outcome 1

  • Maintaining effective relationship with the patient help to develop their eagerness to have healthy diet.

  • The nurses can make further plan to make mental condition of the affected person developed enough.

 

Outcome 2

  • The tendencies of suicide or isolation from any kind of social belongings are reduced among the patient.

  • Hence, further planning will be effective for saving the affected people from brain damage, heart attack and any kind of shut down of major body systems (Eddy, Hastings & Franko, 2017).

  • Proper medical care, maintenance of healthy diet and consulting with dietician can help to develop the physical condition of the patient further.

 

 

 

 

 

Table 3: Care plan for the patient of anorexia nervosa

(Source: Influenced by Welton & Harper, 2016)

Reference list

Bos-Touwen, I., Dijkkamp, E., Kars, M., Trappenburg, J., De Wit, N., & Schuurmans, M. (2015). Potential for self-management in chronic care: Nurses’ assessments of patients. Nursing research64(4), 282-290. Retrieved on 28/1/2019. Retrieved from https://www.researchgate.net/profile/Marijke_Kars/publication/279628954_Potential_for_Self-Management_in_Chronic_Care/links/5abcb293a6fdcccda6568861/Potential-for-Self-Management-in-Chronic-Care.pdf

Cha, J., Ide, J. S., Bowman, F. D., Simpson, H. B., Posner, J., & Steinglass, J. E. (2016). Abnormal reward circuitry in anorexia nervosa: a longitudinal, multimodal MRI study. Human brain mapping37(11), 3835-3846. Retrieved on 28/1/2019. Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1002/hbm.23279

Eddy, K. T., Tabri, N., Thomas, J. J., Murray, H. B., Keshaviah, A., Hastings, E., … & Franko, D. L. (2017). Recovery From Anorexia Nervosa and Bulimia Nervosa at 22-Year Follow-Up. The Journal of clinical psychiatry78(2), 184-189. Retrieved on 28/1/2019. Retrieved from https://europepmc.org/abstract/med/28002660

Garber, A. K., Sawyer, S. M., Golden, N. H., Guarda, A. S., Katzman, D. K., Kohn, M. R., … & Redgrave, G. W. (2016). A systematic review of approaches to refeeding in patients with anorexia nervosa. International Journal of Eating Disorders49(3), 293-310. Retrieved on 28/1/2019. Retrieved from https://onlinelibrary.wiley.com/doi/abs/10.1002/eat.22482

Grunze, H. (2015). Bipolar disorder. In Neurobiology of Brain Disorders (pp. 655-673). Retrieved on 28/1/2019. Retrieved from http://www.controversiasbarcelona.com/2018/Vieta2016.pdf

Hibar, D. P., Westlye, L. T., van Erp, T. G., Rasmussen, J., Leonardo, C. D., Faskowitz, J., … & Dale, A. M. (2016). Subcortical volumetric abnormalities in bipolar disorder. Molecular psychiatry21(12), 17-31. Retrieved on 28/1/2019. Retrieved from https://www.nature.com/articles/mp2015227

Page-Cutrara, K. (2015). Prebriefing in nursing simulation: A concept analysis. Clinical Simulation in Nursing11(7), 335-340. Retrieved on 28/1/2019. Retrieved from https://www.sciencedirect.com/science/article/pii/S1876139915000407

Rogers, M., & Wattis, J. (2015). Spirituality in nursing practice. Nursing Standard29(39), 51-57. Retrieved on 28/1/2019. Retrieved from http://eprints.hud.ac.uk/id/eprint/24730/1/SpiritualityinNursingFebruary2015.pdf

Vancampfort, D., Stubbs, B., Mitchell, A. J., De Hert, M., Wampers, M., Ward, P. B., … & Correll, C. U. (2015). Risk of metabolic syndrome and its components in people with schizophrenia and related psychotic disorders, bipolar disorder and major depressive disorder: a systematic review and metaanalysis. World Psychiatry14(3), 339-347. Retrieved on 28/1/2019. Retrieved from https://onlinelibrary.wiley.com/doi/pdf/10.1002/wps.20252

Welton, J. M., & Harper, E. M. (2016). Measuring nursing care value. Nursing Economics34(1), 7-14. Retrieved on 28/1/2019. Retrieved from http://www.nursingeconomics.net/ce/2018/article340107.pdf

Wolff, J. L., Darer, J. D., Berger, A., Clarke, D., Green, J. A., Stametz, R. A., … & Walker, J. (2017). Inviting patients and care partners to read doctors’ notes: OpenNotes and shared access to electronic medical records. Journal of the American Medical Informatics Association24(e1), 166-172. Retrieved on 28/1/2019. Retrieved from https://academic.oup.com/jamia/article/24/e1/e166/2631495

Zipfel, S., Giel, K. E., Bulik, C. M., Hay, P., & Schmidt, U. (2015). Anorexia nervosa: aetiology, assessment, and treatment. The Lancet Psychiatry2(12), 1099-1111. Retrieved on 28/1/2019. Retrieved from http://www.wpanet.org/uploads/Sections/Eating_Disorders/Lancet_Psychiatry_AN.pdf

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