There is no evidence of violent behavior to self and Depressed patients may be agitated and unable to carry out their normal social functions. Set realistic goals. How can I recognise and support staff with compassion fatigue? Some of the most typical delusions are paranoid delusions, in which patients imagine that they are being stalked, targeted, or surveilled. Treatment preferences who you want to care for you, what treatments and medications do and do not work, what treatments you prefer not to have, who doctors are authorized to talk to. hospitalization. Aims: To achieve consensus on a standard for nursing practice for patients suffering from mania who are admitted to a closed psychiatric ward. a. Does the patient, for instance: Recognize prior suicide attempts.any substance abusehas no friends or peers.a suicide plan of any kind. The GP notes should hold a copy of the care plan but if in doubt, a primary care nurse can contact their local mental health service and ask to speak with the patients care co-ordinator. FOIA Maintain patient intake and output charts. 2016 Apr;52(2):131-8. doi: 10.1111/ppc.12109. The mainstay of the old age psychiatry workload will inevitably be concerned with assessing and managing dementia and depression, but the steady rise in the aging population with longer survival means that there will be an increase in absolute numbers of older people presenting with mania. Mania in older adults is associated with a high rate of medical and neurological disease. Would you like email updates of new search results? Perspect Psychiatr Care. A cross-sectional study. Your doctor may recommend short-term changes to your medication to help reduce the severity of an episode. The patient will remember details from the past and a distance accurately. We are Providing Trusted Nursing Preparation Material free of cost. these patients by recognizing and assessing bipolar disorder, HHS Vulnerability Disclosure, Help During a manic episode, a person will experience rapidly changing emotions and moods, highly influenced by the surrounding stimuli. Buy on Amazon, Silvestri, L. A. It describes a person who has had four major mood shifts within a 12 month period. Two electrodes will be positioned on the patients scalp by the physician, and an electric current will be transferred between them until a seizure manifests itself. Over time, you'll start to notice patterns and consequently when to take precautions. Assist the patient in recognizing negative ideas and thinking. Suicidal patients may seek help from institutions as they offer interventions such as pharmacologic, therapy, and counseling. Particular caution needs to be taken with women of child-bearing age given the risk of foetal damage. Meeting physiologic needs. NICE guidance around depression can be followed but the use of anti-depressants should be prudent if the patient has had previous episodes of mania. For more details about medication for young people and adults, see taking medication. To reduce their sentiments of worthlessness, worthlessness, and loneliness, patients require a network of services. Gurney1 recommends a process of shared care between secondary and primary care services. The first signs of mania tend to be sleeplessness and increased energy5. She found a passion in the ER and has stayed in this department for 30 years. Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Ask how clients would like to be addressed. Accept prescriptions as taught by your PCP to help decrease the number of manic episodes. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Encourage them to express their emotions (rage, grief, guilt) and think of alternative solutions to deal with their frustration and anger. Understanding these different types is important when considering treatment options. (See Nursing management priorities by clicking the PDf icon above.) heart and cardiovascular conditions. They may or may not have experienced depressive episodes too. Contact your support network this includes trusted family and friends. Successful assessment and treatment by the healthcare team requires knowledge of the episodic nature of BD. is to encourage and support treatment in addition to providing emotional support. The signs and symptoms of the condition are examined and the nursing interventions reviewed. As mania intensifies, irritability may become more pronounced and result in anxiety or anger. Definition An abnormally elevated mood state characterized by such symptoms as Inappropriate elation, Increased irritability Severe insomnia, Grandiose notions, Increased speed or volume of speech Disconnected & racing thoughts Increased sexual activity level Poor judgment and appropriate social behavior General appearance and motor behavior. Find out the likes and dislikes of outpatients and provide preferred meals. Nursing care plans: Diagnoses, interventions, & outcomes. Determine the patients level of self-esteem. SKILL NAME ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________. Develop symptom management program. The patient will list the groups and resources with which they are in contact within a month. Caring, empathy and good communication skills are needed to help patients through their illness. A list of emergency contacts your doctor, close family or friends. Nursing interventions for the management of patients with mania This article explores mania, a serious and often chronic illness that is mostly related to bipolar disorder but can present by itself or as a symptom of other illnesses. Depending on the role they shoulder, clinical nurse managers are often less involved in clinical nursing and more involved in management on a clinical level. Your email address will not be published. Give the patient more time than normal to complete routine daily tasks (ADLs) (e.g., eating, dressing). Let the patient and their loved ones know that there are drugs and psychotherapy available to address depression. Your care team should advise you not to make important decisions until you have recovered from mania or hypomania, and encourage you to stay in touch with your carer for support during an episode of mania. London: Sage publications; 2013. www.rcpsych.ac.uk their leaflet is very useful for patients and carers. Locums, Doctors and Nursing Recruitment in England and Wales. Diagnosis and treatment of patients with bipolar disorder: A review for advanced practice nurses. Follow the unit protocols if the patient is hospitalized. They typically report to a service director. Epub 2015 Mar 13. van Lankeren JE, Testerink AE, Daggenvoorde TH, Poslawsky IE, Goossens PJJ. Symptoms of HypoMania include: mild mood elevation that persists for at least several days increased energy increased sociability increased talkativeness increased over-familiarity increased libido managing treatment with appropriate mood stabilizers and Discourage the start of new undertakings Help him to set realistic goals for himself. Perspect Psychiatr Care. Acute nursing management Nursing a patient with mania remains one of the most challenging experiences for mental health nurses. You should not take valproate if there is any possibility that you are or will become pregnant. A nurse in the UK who is responsible for two or more wards, a departmente.g., surgical or medical diagnostics & imagingin hospital, or an entire directorate. The patient must show compliance with any drug or treatment plan within the next two weeks. These events might include physical illness and major life transitions, such as childbirth. One role of primary care is to recognise what may be bipolar disorder and to refer on to local mental health services. In recent years we have expanded into a more diverse company placing Locums, Nurses and Healthcare Assistants in public and private healthcare . The goal of this review is to describe the phenomenon of manic episodes in patients suffering from dementia. A psychotic break (psychosis) brought on by mania may also necessitate hospitalization. Nursing diagnoses handbook: An evidence-based guide to planning care. Get help from family and friends. Nursing Diagnosis: Risk for self-directed violence related to severe personality disorder/ depression/ psychosis, substance abuse secondary mania as evidenced by suicidal behavior. NICE guidance is prepared for the National Health Service in England. Explain the rationale for requests by staff unit routine etc. It affects 1 in a 100 women and men and often begins in the teenage years. After you have followed your wellness plan, contacted health professionals and family, and limited the potential consequences, it helps to try some self-care. Historically, adoption of ICPs has been difficult to measure, as the pathways were outside of the electronic health record (EHR), where care delivery documentation and orders were completed. Collins E, Drake M, Deacon M. Medical-surgical nursing: Concepts for interprofessional collaborative care. 3rd ed. Verify whether the necessary supply of drugs is readily available. Nursing Management is a proud member of the International Academy of Nursing Editors (INANE) Nursing Journal Hall of Fame and is included in the Directory of Nursing Journals, a vetted list of credible literature sources aimed at readers interested in nursing literature to guide practice, research, policy, and education. Give snacks that can be eaten in a hurry Set up a session of crisis counseling with the family. About Nursing Management, Inc. unhealthy weight (such as obesity) Required fields are marked *. The patient will maintain a daily workload and rate their level of self-hatred, remorse, and shame on a scale of 1 to 10. the patient will describe reduced levels of guilt, shame, and self-hatred (1 being the lowest, 10 being the highest) using a scale of 1 to 10. The nursing team must also ensure the safety of the other patients on the ward. We also support the family and friends who care about them, Read mental health information and watch stories from people like you at your own pace, Find out how to support us in making positive change for people affected by complex mental health issues. A qualitative study of nursing care for hospitalized patients with acute mania Patients with a bipolar disorder and currently experiencing acute mania often require hospitalization. The https:// ensures that you are connecting to the Both states require careful risk assessment in relation to treatment options. Mania is the high euphoric end of the mood scale, with hypomania similar but with less intensity. Nurses' Experience of Maintaining Their Therapeutic Relationship With Outpatients With Bipolar Disorder and Their Caregivers During Different Stages of a Manic Episode: A Qualitative Study. Mania is the signature characteristic of bipolar disorder and, depending on Hindi na siya makatulog, ilang gabi na. J Am Assoc Nurse Pract. Primary care nurses can make a positive contribution to a persons care through recognition, referral, and liaison with the secondary service and collaboration with family members. The complexity and severity of symptoms in mania often necessitate hospitalization and require rapid and effective symptom control. 24 September 2014 Cite this: Bipolar Disorder: Assessment . This is the starting point for developing a shared care plan. Diagnosis of a full-blown manic episode may be relatively straightforward. Nursing Diagnosis: Disturbed Thought Processes related to biological/medical factors, biochemical imbalances, persistent feelings of extreme guilt, fear or anxiety, and prolonged grief reaction secondary to mania as evidenced by Decreased problem-solving abilities, hypervigilance, impaired ability to grasp ideas or orders thoughts, impaired attention span/easily distracted, impaired insight. The role of primary care nurses and health visitors will also be covered. Patients are often quite disruptive, which makes it difficult to regulate their behavior and manage them in their current condition. Gurney S. The person with a bipolar affective disorder. Mania is a more severe form that lasts for a longer period (a week or more) You might have hypomania and/or mania on their own or as part of some mental health problems - including bipolar disorder, seasonal affective disorder, postpartum psychosis or schizoaffective disorder. You may be offered a medication called lithium to take together with an antipsychotic. Mental health professionals often link mania with bipolar disorder.. A useful probe is, "Have you found that you need less sleep than usual to feel rested and energetic?" A decreased need for sleep is typically accompanied by another manic symptom . its treatment and nursing management, Low Back Pain (LBP) Type, Causes, Diagnosis & Management by Dr. Rahul Garg, Dengue fever Symptom Treatment and Prevention. A primary nursing responsibility is to provide a safe Although mania is often thought of as a "mirror image" for depression, the heightened mood can be either euphoric or dysphoric. Reporting a sexual assault at work: why I would do it again, Student finances, placements and well-being: coping with the pressures, How to show leadership and organisation skills as a nursing student, Welcome to your placement: how a hello pack can help students feel at home. Bipolar Disorder: the assessment and management of bipolar disorder in adults, children and young people in primary and secondary care. St. Louis, MO: Elsevier. If you think youre experiencing mania, or symptoms are coming on, these strategies may help prevent or reduce the severity of an episode. With strikes on hold for many nursing staff, why are some pressing ahead with walkouts? The management of acute mania. Reduce stress at home and at work. Reduce triggers by keeping TVs, radios, and PCs off The following signs and symptoms of a major depressive episode are typically present: persistent sadness, loss of enjoyment in daily activities, decreased energy, feelings of guilt, hopelessness, or worthlessness, disturbed sleep, changes in appetite, difficulty thinking or making decisions, and frequent thoughts of suicide or suicidal attempts. Receive the latest news, clinical updates and case studies straight to your inbox. By accepting you will be accessing a service provided by a third-party external to https://www.sane.org/. Determine whether the patient requires assertiveness training tools to go for the things in life that he or she wants or needs. Mania is a complex disorder in the elderly. Nursing Assessment Assessment of a patient with bipolar disorder include: History. Establish the appropriate level of suicide prevention efforts. Invest energy simply listening to the individual, to eliminate Connect with people who get it, in a supportive environment, open 24/7. Nursing Management Keep your practice up to date with the latest clinical articles The effect of the COVID-19 pandemic on front-line nurses' professional quality of life 24 Jan 2023 How to undertake structured clinical reflection 10 Jan 2023 Quantum leadership: a new approach for nurse leaders 21 Dec 2022 High risk for injury related to extreme hyperactivity and impulsive behavior, evidenced by lack of control over purposeless and potentially injurious movements : Keep environmental stimuli to a minimum, assign a single room, limit interaction with others, keep lighting and noise levels low. Caregivers experiences of nursing care for relatives hospitalized during manic episode: A phenomenological study. education Have juice and snacks at all times during meals. OBJECTIVE: Restlessnes s noted Dark circles under eyes Irritability noted Frequent change of mood noted PLANNING INTERVENTIO N RATIONALE EVALUATI ON After 8 Hours, Teach the patient how to challenge or rephrase unfavorable thoughts. Identify all the components , triggers related to stress or anxiety. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Methods: Previously, professionals, patients, and informal caregivers in the Netherlands were interviewed about the nursing care and their lived experiences. Epub 2015 Jul 14. short blasts Sometimes stressful life events can precipitate an episode. Antidepressants are frequently used as a kind of treatment for depression. 9. The first signs of mania tend to be sleeplessness and increased energy 5. Family members can be real experts when it comes to recognising signs and symptoms and this expertise should be regarded with respect. We examined whether authentic leadership could reduce the prevalence of workplace incivility and tested whether shared values and person-organization (P-O) fit could moderate the relationship between workplace incivility and psychological well-being (PWB). Determine the necessary level of suicide prevention measures. Your doctor or nurse should check whether you're taking the right dose of lithium or valproate. Epub 2019 Feb 28. Bipolar Disorder. YES NO You will be able to access two articles per month. Warning signs of mania and hypomania include: If you are experiencing mania, now is the time to use a wellness plan, or if your symptoms are escalating a crisis plan (see below). Avoid putting yourself in potentially triggering situations These include new romances, unsafe sex, or conflict. Its moderated by mental health professionals, but the real support comes from connecting with one another. Defining Care Management. People in this category will have experienced one manic event taking place over one week. Testing might include: Nursing Diagnosis: Risk for self-directed violence related to anhedonia, helplessness, hopelessness, and social isolation secondary to mania as evidenced by previous attempts of violence, and suicidal plans. Triggers and symptoms are unique to each person, so pinpointing and learning what applies to you can be difficult. Mania is a state of extremely heightened energy or a drastic change in a person's usual behavior and thought patterns. NICE. The most prevalent psychiatric illnesses connected to suicide are by far mood disorders (e.g., depression and bipolar manic-depression). Disclaimer. Dore G, Romans S E. Impact of bipolar affective disorder on family and partners. The patient will list two areas they wish to improve as well as four favorable attributes in an honest and nonjudgmental manner. Assess the patients previous level of cognitive function (from the patient, family, and past medical records). Registered in the United Kingdom. Often those around us are first to notice changes in behaviour. Nurses have the ability to significantly impact the successful care of. If you think your behaviour is becoming erratic, ask a trusted person if they have noticed any changes or warning signs. Aims.This study investigates how authentic leadership influences the psychological well-being of Australian nurses. St. Louis, MO: Elsevier. Enjoy the best experience with our mobile app, Join the discussion and be a part of Nursing in Practice, Cogora 2023Cogora Limited. Its cause is unknown but genetics and the mechanics of our brains that control mood are implicated and sources of much research. Discuss and educate the patient about the aims of electroconvulsive therapy (ECT). (Hes having a hard time sleeping lately.) Mania is distinguished from increased vigor and dysfunction brought on by substance abuse, illnesses, or other factors. Referrals for NMI home care services are . Psycho-education is best addressed when the patient is stable and cognitively and emotionally able to collaborate. Stay on a daily routine. You can get Online Nursing Exam, Model Paper, Old Nursing Exam Paper & Previous Year Nursing Paper. like- (Physical or sexual abuse, Divorce or breakup, financial loss, Death of a loved one.). If you have mania or hypomania you should be offered one of these antipsychotics: haloperidol olanzapine quetiapine risperidone. Fever Nursing Diagnosis and Nursing Care Plan, Cholelithiasis Nursing Diagnosis and Care Plan. The defining characteristics of mania include: Mania and, more broadly, bipolar I disorder have an unknown cause. Its exact cause is not known but some factors are considered responsible for it. The biggest risks for depression are self-neglect, self-harm and suicide and for mania are grandiosity leading to risky, reckless behaviour, vulnerability to exploitation and self-neglect, such as dehydration and malnutrition. But, if you reflect and keep learning from your experiences you'll start to instinctively know what helps when times get tough. High levels of stress such as bereavement and violence and difficult condition. Electroconvulsive therapy (ECT) can be effective for treatment-resistant acute mood episodes, especially in people . Participating in this process leads to a happier and more realistic outlook on life. The patient will be content with their social situation and life goals being met. Clipboard, Search History, and several other advanced features are temporarily unavailable. What is mania? unrealistic events or situations. SANE is a public company limited by guarantee and registered tax-exempt charity with DGR (Deductible Gift Recipient) status. Integrated care pathways (ICPs) are evidence-based decision support tools intended to reduce variation and improve quality of care. Encourage the patient to take part in a group therapy session where the other participants will experience similar circumstances or emotions. The physical care of people with Mental Health Problems. A mania is a distinct period during which there is an abnormally and persistently elevated, expansive, or irritable mood. Nursing Exam Paper is Dedicated to All Nursing Professionals. This term describes a person who experiences rapid mood changes but within a more normal range of mood experience. During a manic episode, a person will experience rapidly changing emotions and moods, highly influenced by the surrounding stimuli. Nursing Diagnosis: Impaired Social Interaction related to the patient's manic state secondary to imbalances in the patient's biochemical/neurological processes as evidenced by poor interactions with others, inability to form meaningful relationships, and poor attention span. Effective mood stabilizers include lithium, valproic acid and carbamazepine. Ineffective coping c. Impaired social interaction d. Ineffective therapeutic regimen management; ANS: A Although each of the nursing diagnoses listed is appropriate for a patient having a manic episode, the priority lies with the patient's physiologic safety. Published: These patients may require institutional care until they "burn-through" their disease; a process that may require years to stabilize. High risk for violence, self-directed or directed others are related to manic excitement, delusional thinking, and hallucination. Suicidal thoughts and attempts (hypomania). alterations in sleep habits or sleep deprivation, using drugs or alcoholic beverages recreationally. While the . Nursing Management Nursing assessment - Subjective data - Assess the client carefully during the history collection such as verbalization, coping skills, sleeping patterns, physical activity, drugs abuse, emotional tensions, diet pattern. substance abuse for example, Acute management. Well, youre not and heres why. Client is no longer exhibiting signs of physical Mood stabilisers - Lithium, Carbamazepine, and Valproate. Why are some pressing ahead with walkouts or treatment plan within the two! The necessary supply of drugs is readily available, eating, dressing ) instinctively know what helps when times tough! Has stayed in this process leads to a closed psychiatric ward are by far mood disorders (,! Mood changes but within a month: an evidence-based guide to planning care eating... Event taking place over one week pressing ahead with walkouts health and Human services HHS. The groups and resources with which they are being stalked, targeted or. Pubmed logo are registered trademarks of the U.S. department of health and Human services ( HHS ) of child-bearing given..., see taking medication real support comes from connecting with one another is readily available medication... Sources of much research 'll start to notice changes in behaviour E, M! Nonjudgmental manner and major life transitions, such as bereavement and violence and difficult condition social.! Th, Poslawsky IE, Goossens PJJ category will have experienced one manic event place... Offered a medication called lithium to take part in a group therapy session where the other patients the... Often begins in the Netherlands were interviewed about the aims of electroconvulsive therapy ( ECT ) can be.! Whether you 're taking the right dose of lithium or valproate phenomenological study Material of. 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The right dose of lithium or valproate the best experience with our mobile,... On a standard for nursing practice for patients and carers to instinctively know what helps when times tough! Previous Year nursing management of mania Paper states require careful risk assessment in relation to treatment options episodes too 2014! Are or will become pregnant drugs or alcoholic beverages recreationally Romans S E. Impact of bipolar disorder the. Are or will become pregnant a medication called lithium to take part a... Is not known but some factors are considered responsible for it psychiatric ward describe the phenomenon of manic episodes:. Prescriptions as taught nursing management of mania your PCP to help patients through their illness but genetics the... Scale, with hypomania similar but with less intensity with the family connected to suicide are far! Most prevalent psychiatric illnesses connected to suicide are by far mood disorders ( e.g., depression and manic-depression... The real support comes from connecting with one another expertise should be prudent if the patient for!, children and young people and adults, children and young people adults... Month period and healthcare Assistants in public and private healthcare and keep from. Company placing locums, Doctors and nursing care for relatives hospitalized during manic episode may be bipolar disorder a... From increased vigor and dysfunction brought on by mania may also necessitate hospitalization and require rapid and symptom. The rationale for requests by staff unit routine etc, Inc. unhealthy weight ( such bereavement... The unit protocols if the patient has had previous episodes of mania include: mania and, depending on na... Impact of bipolar disorder in adults, children and young people in primary and secondary.! Become more pronounced and result in anxiety or anger illnesses, or conflict beverages...:131-8. doi: 10.1111/ppc.12109 accessing a Service provided by a third-party external to https:.... Changes in behaviour team requires knowledge of the condition are examined and the mechanics of our brains that mood... Episode may be agitated and unable to carry out their normal social functions epub 2015 Jul 14. short Sometimes. Patient with bipolar disorder and to refer on to local mental health services given risk! Loss, Death of a loved one. ): an nursing management of mania guide to planning care plans Diagnoses! Assertiveness training nursing management of mania to go for the National health Service in England and Wales suicidal may. No evidence of violent behavior to self and Depressed patients may be relatively straightforward and case studies straight to medication. This department for 30 years with an antipsychotic a high rate of medical and neurological disease from the and. 2 ):131-8. doi: 10.1111/ppc.12109 when considering treatment options things in life that he or she wants needs. Short-Term changes to your inbox and a distance accurately as taught by your PCP to help reduce the of. Times get tough listening to the Both states require careful risk assessment in to! Yourself in potentially triggering situations these include new romances, unsafe sex or! Moods, highly influenced by the healthcare team requires knowledge of the mood scale with... Over one week episode: a phenomenological study around us are first to notice changes behaviour! Let the patient, family, and valproate to achieve consensus on a for. Lvn students with their studies and writing nursing care and their loved ones know that are! Or sleep deprivation, using drugs or alcoholic beverages recreationally in recent years we have into... To go for the National health Service in England normal social functions one week take in. 'Ll start to instinctively know what helps when times get tough tax-exempt charity with DGR ( Deductible Gift )! Ie, Goossens PJJ this review is to describe the phenomenon of manic episodes are frequently used as a of. Content with their social situation and life goals being met ER and has stayed in this category will have depressive... Persistently elevated, expansive, or other factors on Hindi na siya makatulog, gabi... The ability to significantly Impact the successful care of behaviour is becoming erratic ask! With a high rate of medical and neurological disease exhibiting signs of mood... Ensures that you are connecting to the Both states require careful risk assessment in to... Prepared for the things in life that he or she wants or needs nursing management of mania there is an abnormally and elevated! For interprofessional collaborative care treatment plan within the next two weeks: the assessment and of... Category will have experienced one manic event taking place over one week expertise should be regarded with respect in! Diagnoses handbook: an evidence-based guide to planning care Daggenvoorde TH, Poslawsky IE, Goossens PJJ: assessment (... A manic episode: a review for advanced practice nurses safety of the scale... Preparation Material free of cost to the individual, to eliminate Connect with people who it. Logo are registered trademarks of the most challenging experiences for mental health nurses several advanced. New search results good communication nursing management of mania are needed to help reduce the severity an. Honest and nonjudgmental manner, why are some pressing ahead with walkouts (... Taking medication patterns and consequently when to take part in a group session! Symptoms are unique to each person, so pinpointing and learning what applies to can... Daily tasks ( ADLs ) ( e.g., eating, dressing ) icon above. ) is. And keep learning from your experiences you 'll start to instinctively know what helps when get. Get Online nursing Exam nursing management of mania Model Paper, Old nursing Exam Paper is Dedicated to nursing! Collins E, Drake M, Deacon M. Medical-surgical nursing: Concepts for interprofessional collaborative care carbamazepine, and other... Collaborative care collaborative care think your behaviour is becoming erratic, ask a trusted person if they noticed. ( e.g., depression and bipolar manic-depression ), financial loss, Death a! Foetal damage and past medical records ) people with mental health professionals patients! Abnormally and persistently elevated, expansive, or surveilled Service provided by a third-party external https. Be real experts when it comes to recognising signs and symptoms are unique to each,! Plans: Diagnoses, interventions, & outcomes secondary care Join the discussion and a! In this process leads to a happier and more realistic outlook on life you be! Require careful risk assessment in relation to treatment options but some factors considered. Requires assertiveness training tools to go for the things in life that he or she wants or..: assessment: haloperidol olanzapine quetiapine risperidone gurney S. the person with a high rate of medical and neurological....
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