This website uses cookies to improve your experience. PROCESS /;/metadata PROCESS 2010-08-10T09:50:13+01:00 ucXlyGcjI9S+i4MQxwEB/CKRWVtrsVdirsVdir83xnauhXDCheMLFcMKF4wsVwwoVFxYlWTFiVdO xmp.iid:FE7F11740720681192B0C0F1A0445ADC Introduction. You also have the option to opt-out of these cookies. qHveFDIvWrhhQvGFiuGFC8YWK4YUKi4sSrJixKunXCwKJjwNZY75mufUvlhB2hXf/Wbc/hTMfKd3 zVotSvZbtmjtrSKQxcWklahrRAdowzfRmTpO0MmafBQppzaGGIcVl87LpMP87fhm08ENJ1BVV0iH Version 2.0 Page 1 of 28 Printed on 13/11/2020 at 8:35 AM Dementia Care Critical Element Pathway Form CMS 20133 (5/2017) Page 1 . Hx8fHx8fHx8fHx8fHx8f/8AAEQgBAACwAwERAAIRAQMRAf/EAaIAAAAHAQEBAQEAAAAAAAAAAAQF The Ministry of Health has led a national project in partnership with DHBs, non-governmental organisations, people with dementia, and other groups across the country to create a national framework to guide the development of these pathways. 1ub2R1dnd4eXp7fH1+f3OEhYaHiImKi4yNjo+DlJWWl5iZmpucnZ6fkqOkpaanqKmqq6ytrq+v/a The pathway is highly adaptable to incorporate local care needs and guidelines as well as to capture updates in care practices. O5LMaknOyAp0JaGFC4YWK8YULlxQVVcWJVl6YsCrphYFEJiwKJjwNZRMeLAoqPFrKLixayio8Wso In this paper we provide an overview of the role of technology in dementia care, treatment and support by … saved A similar tool for GP mental health care support has previously been implemented in the Grampians region and was found to be an important resource for accessing mental health information for GPs and allied health professionals. AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAARY3BydAAAAVAAAAAz The Dementia Care Pathway - Response Last week the National Collaborating Centre for Mental Health ( NCCMH ) published The Dementia Care Pathway , guidance which outlines the dementia care pathway and associated benchmarks to support improvements in the delivery and quality of care and support, for people living with dementia and their families . xayi4sWsoqPFrKLixaimOn/71w/8ZF/WMhPkWMfqHvfVecQ+luxV2KuxV2KuxV8R/nr5k/T/AOZ+ Moving at any stage in life can be disruptive and stressful. xmp.iid:FC7F11740720681197A5831672D7EC1A 2010-08-11T09:14:37+01:00 AAAAAAAAABZJRUMgaHR0cDovL3d3dy5pZWMuY2gAAAAAAAAAAAAAABZJRUMgaHR0cDovL3d3dy5p JV064WBRMeBrKKixayi4sWsoyLFqKMixaijIsWsvbvyJ0j09O1DVnG88i28JP8sY5OR8y4+7Of7Z AQBIAAAAAQAB/+IMWElDQ19QUk9GSUxFAAEBAAAMSExpbm8CEAAAbW50clJHQiBYWVogB84AAgAJ Adobe InDesign 6.0 The National Institute for Clinical Excellence (NICE) pathway covers diagnosis and managing dementia, and supporting people living with dementia and their family carers. BTlCOX85vDn5OjY6dDqyOu87LTtrO6o76DwnPGU8pDzjPSI9YT2hPeA+ID5gPqA+4D8hP2E/oj/i saved Our friendly and experienced team is here to help you and your family make sense of the options available to you. xmp.iid:0980117407206811A6C18712394CA2F1 AAAAAAAAAAAAAFhZWiAAAAAAAADzUQABAAAAARbMWFlaIAAAAAAAAAAAAAAAAAAAAABYWVogAAAA As an example, the pre-eminent body in the UK working on clinical guidelines and standardised practices for medical professionals is the National Institute for Health and Care xmp.iid:98558A15482068118C75C000CC816CB1 False / AAAAAAAuSUVDIDYxOTY2LTIuMSBEZWZhdWx0IFJHQiBjb2xvdXIgc3BhY2UgLSBzUkdCAAAAAAAA The Dementia Care Pathway: full implementation guidance, published by the National Collaborating Centre for Mental Health (NCCMH), sets out key commissioning and service development considerations in the delivery and quality of care and support for people living with dementia and their families and carers. 2010-08-05T17:17:12+01:00 hYFEJiwKJjwNZRMeLAoqPFrKLixayio8WsouLFqKY6f/AL1w/wDGRf1jIT5FjH6h731XnEPpbsVd BQYECAMDbQEAAhEDBCESMUEFURNhIgZxgZEyobHwFMHR4SNCFVJicvEzJDRDghaSUyWiY7LCB3PS Dementia Care Pathway, with the intention of designing a service which provides: We emphasise that the Dementia Care Pathway is about providing care to those people living in the community, suspected of, or suffering from dementia, and supporting their families. The Dementia Care Pathway includes the following components: Pathway Navigator: This technologically integrated decision tree, tiered by patient symptom severity is designed to guide non-specialist through the best consensus practices for screening, assessment, diagnosis, and care of dementia patients and patients at risk for dementia (includes . The high-quality care provided by our carers has seen a 66% reduction in the use of antipsychotic medications compared with the average care home. 1,2 "Integrated care pathways (ICPs) are instruments designed to map out the direction of clinical and administrative activities for all care professionals working with a diagnostic specific group." 3 Individuals with dementia and their family members . Care pathways in dementia can refer to a patient's route into services and choices of support and treatment. xmp.iid:66ADBFCE202068119109E373956F73D0 nMD1JT8w8hU/LOp7LxcOEH+du6bWzufueXjNi4a5cUFVXFiVZemLAq6YWBRCYsCiY8DWUTHiwKKj Making the decision to move a family member to memory care is never easy, but the safety and socialization of a special care neighborhood like Pathway Memory Support® at Johnson Christian Village can provide the person with dementia with a supportive environment, rich in activities and engagement delivered by a well-trained and caring staff. 2010-08-05T17:17:16+01:00 xmp.iid:E09DDEB11D20681192B0C0F1A0445ADC saved We know receiving care in the comfort, safety and familiarity of your own home has far reaching benefits in improving overall health and well-being for a person living with dementia. saved The Well Pathway for Dementia (as featured in the 2020 Challenge on Dementia Implementation Plan) Response to Alzheimer's Society from Simon Stevens. 2010-08-05T15:30:13+01:00 But opting out of some of these cookies may affect your browsing experience. Dementia Care Pathway for Adult In Patients Note: This document is electronically controlled. 2010-08-05T15:34:08+01:00 ZHTD0uIIJoMJChgZhJRFRqS0VtNVKBry4/PE1OT0ZXWFlaW1xdXl9WZ2hpamtsbW5vY3R1dnd4eX It shows that the impact of dementia can be very different depending on your stage of life and that because of this, services must be tailored to meet those needs. 2010-08-05T17:17:40+01:00 x+oe99V5xD6W7FXYq7FXYq7FXYq7FXhv/OVvmP6p5V0zQY2pLqdyZ5gP982w6H5ySKfozcdj4rmZ 2010-08-02T10:09:06+01:00 Adobe InDesign 6.0 ! HPUdHh1HHXAdmR3DHeweFh5AHmoelB6+HukfEx8+H2kflB+/H+ogFSBBIGwgmCDEIPAhHCFIIXUh care for people with dementia and carers "l am treated with dignity & respect" "l get treatment and support, which are best for my dementia and my life" STANDARDS: Liaison(2), Advocates(3) . Adobe InDesign 6.0 Call us on 0800 1234 567. xmp.iid:A0558A15482068118C75C000CC816CB1 care pathway in early dementia has to consider the wide variation in the needs and preferences of people who are developing dementia. 176 1 Demographic changes in the coming decades and the increasingly aging population will lead to a substantial growth in the number of people affected and in the scale of the challenge . ! Ex4sCio8WsouLFrKKjxayi4sWopjp/8AvXD/AMZF/WMhPkWMfqHvfVecQ+luxV2KuxV2KvkH/nJ/ saved This document produced by NHS Bristol outlines the care pathway for people with dementia and their families and carers living in Bristol. FxYtRTHT/wDeuH/jIv6xkJ8ixj9Q97woZF61cMKF4wsVwwoXjCxXDChUXFiVZMWJV064WBRKEAEk mPA1lFRYtZRcWLWUZFi1FGRYtRZN5G0f9MeadM08ryjlmVph4xR/HJ/winMfVZfDxSl5N2jw+Jmj 2010-08-05T12:09:29+01:00 endstream endobj 981 0 obj <>stream uLFqKY6f/vXD/wAZF/WMhPkWMfqHvfVecQ+luxV2KuxV2KuxV87/APOW/mTjbaH5bibeRn1C6X2U saved RYx+oe99V5xD6W7FXYq7FXYq7FWF/nL5k/w9+WuuXyPwuJYDaWprRvVuT6QK+6hy/wBGZWixceWI Dementia describes a collection of symptoms that are caused by disorders affecting the brain. Osm5yjjKt8s2y7bMNcy1zTXNtc42zrbPN8+40DnQutE80b7SP9LB00TTxtRJ1MvVTtXR1lXW2Ndc AAwDAQACEQMRAD8A4QM7V0K4YULxhYrhhQvGFiuGFCouLEqyYsSrp1wsCiY8DWUVFi1lFxYtZRkW xayi4sWsoqPFrKLixaimOn/71w/8ZF/WMhPkWMfqHvfVecQ+luxV2KuxV2KuxV2KoXVtSttL0q81 Adobe InDesign 6.0 ExExEU8RbRGMEaoRyRHoEgcSJhJFEmQShBKjEsMS4xMDEyMTQxNjE4MTpBPFE+UUBhQnFEkUahSL O5PG2sYJLiY+CRIXb8BkoRMiAOqJSoW/P3VNRudT1O71K6blc3s0lxO3i8rF26+5ztYREQAOjz0j The young onset dementia pathway brings together the experience of people affected by young onset dementia and the people who work with and support them. The Dementia Care Pathway: full implementation guidance, published by the National Collaborating Centre for Mental Health (NCCMH), sets out key commissioning and service development considerations in the delivery and quality of care and support for people living with dementia and their families and carers. The master copy of the latest approved version is maintained by the owner department. o8WsouLFrKKjxayi4sWopjp/+9cP/GRf1jIT5FjH6h731XnEPpbsVdirsVeaf85EeZBon5W6kiNx The pathway in Leeds This document is a PDF optimised for viewing on a computer or tablet using Adobe Reader. 100.000000 Our professional carers are trained in the SPECAL approach to dementia care and our management team complete a higher-level dementia care training programme. 2010-08-02T09:58:45+01:00 Dementia - timely diagnosis, care planning, and support for well-being. xmp.iid:69108BD51020681192B0C0F1A0445ADC Adobe InDesign 6.0 Hi1lFxYtRTHT/wDeuH/jIv6xkJ8ixj9Q976rziH0t2KuxV2KuxV2KuxV8sf85W+ZPrnm3TdBiesW 4FgvWH1Yy1kaWWlZuFoHWlZaplr1W0VblVvlXDVchlzWXSddeF3JXhpebF69Xw9fYV+zYAVgV2Cq c7syAw5DLJttt1+568Pzz/Kw9Nb/AOnW7/6o5pv5Mz/zftH63e/yjg/nfYf1Lx+d/wCV56a1/wBO Default Swatch Group /;/metadata FK0UzhTwFRIVNBVWFXgVmxW9FeAWAxYmFkkWbBaPFrIW1hb6Fx0XQRdlF4kXrhfSF/cYGxhAGGUY xmp.iid:6B108BD51020681192B0C0F1A0445ADC / 2010-08-10T09:50:13+01:00 JugnGCdJJ3onqyfcKA0oPyhxKKIo1CkGKTgpaymdKdAqAio1KmgqmyrPKwIrNitpK50r0SwFLDks Adobe InDesign 6.0 dementia care pathways to better support people with dementia and maximise their independence and wellbeing. 2010-07-30T15:34:05+01:00 3.1 Why the Dementia Care Pathway was developed 9 3.2 Who is this Dementia Care Pathway for? Early and timely intervention in dementia: Pre-assessment counselling. saved Looking for care? only!for!troubleshooting!purposes!if!a!diagnosis!is!unclear!or!more!imaging!information isrequired.!! This publication provides DHBs and the health and social support sectors with a guide for developing their dementia care pathways. x7LxcWYH+bu4usnUPe+PBnUOlXjChcuKCqrixKsvTFgVdMLAohMWBRMeBrKJjxYFFR4tZRcWLWUV c1JHQiBJRUM2MTk2Ni0yLjEAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA / The guidance outlines the pathway and associated benchmarks to support improvements in the delivery and quality of care and support, for people living with dementia and their families and carers. C/kY95b/AOhS/Jf/AFeNS++D/qnj/LGTuCPyEe8t/wDQpnkz/q8aj98H/VPH+WcncEfkI95bH/OJ Dementia causes complex cognitive and behavioural symptoms and is unpredictable. Adobe InDesign 6.0 Mpsy1DMNM0YzfzO4M/E0KzRlNJ402DUTNU01hzXCNf02NzZyNq426TckN2A3nDfXOBQ4UDiMOMg5 Palliative care is for anyone diagnosed with a life-limiting illness. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Download our Outstanding live-in care for early stage dementia brochure, Download our Outstanding live-in care for mid-stage dementia brochure, Download our Outstanding live-in care for late stage dementia brochure, Living well with dementia: a national dementia strategy, National Institute for Clinical Excellence (NICE) pathway, Measuring well being for people with dementia, Raising awareness and understanding of dementia, Obtaining an early diagnosis and support for those living with dementia and their families, Be accessible to anyone diagnosed with dementia regardless of age or background, Afford the person living with dementia due dignity and respect, acknowledging their individuality and abilities, Encourage the person living with dementia to retain their self-reliance, control and independence by nurturing their abilities and strengths, Enable dementia care providers to continue caring for as long as is practical, Tailor the care received to the individual as fully as possible to help the person with dementia enjoy the best quality of life, Be easily understood by a person living with dementia and their carers, Encompass the principles embodied in ‘Living well with dementia: a national strategy’. AAYAMQAAYWNzcE1TRlQAAAAASUVDIHNSR0IAAAAAAAAAAAAAAAAAAPbWAAEAAAAA0y1IUCAgAAAA 121 2010-08-05T15:34:28+01:00 2010-07-30T16:03:43+01:00 2010-08-11T09:31:53+01:00 This booklet tells you about our new Integrated Care Pathway to make our services more dementia friendly. As set out in the Prime Minister's Challenge on Dementia 2020 and the Five Year Forward View, good evidence-based dementia care is of prime importance in order to increase the number of people being diagnosed and starting treatment, and improve post-diagnostic support. saved / Posted on 23rd March 2021 18th August 2021 by Improvement Cymru. / 2010-08-02T10:16:06+01:00 R=0 G=159 B=218 / It does not stop there. / It sets the care you and your family can expect from diagnosis to end-of-life care. International exemplars were sought to compare/contrast dementia care with current practice in the United States (US). QK4k0GIjxEBghdnYuxqzEkn3OYjvKoUqLkgxKvHkg1lkWlRcLVT3f4j9PT8MujydfmNyTOPC4xRM / saved which follow a pathway approach to dementia care. 2010-08-05T17:18:23+01:00 Adobe InDesign 6.0 Registered office: 120 Leman Street, London, E1 8EU. eLAoqPFrKLixayio8WsouLFqKY6f/vXD/wAZF/WMhPkWMfqHveFDIvWrhhQvGFiuGFC8YWK4YUKi 4OZGlx8eSMfNrzT4YkvgsZ1zpVwwsVwwoXDFC4YWK8YULlxQVVcWJVl6YsCrphYFEJiwKJjwNZRM uLFqKY6f/vXD/wAZF/WMhPkWMfqHvfVecQ+luxV2KuxV2KvFv+cqvMn6P8iWuixtSbWroB18YLWk Contents Sign-and Symptoms of Dementia Regional Dementia Care Pathway Apps4dementia Improving Dementia Services in NI: Regional Strategy Dementia Learning and Development Framework Operational Guide for Staff on Relationships, Sexuality and Dementia Dementia . saved Adobe Illustrator CS4 ihivGNUY+hkgGUUZaxmRGbcZ3RoEGioaURp3Gp4axRrsGxQbOxtjG4obshvaHAIcKhxSHHscoxzM /metadata saved xmp.iid:098011740720681197A5921BC42E3C36 saved (6) BPSD — Behavioural and Psychological Symptoms of dementia This is the new Care Manager course which is approved by TQUK and has been designed for those who want to work in a management position within the health & social care sector specialising in adult dementia care. proof:pdf 2010-08-02T10:15:34+01:00 2010-08-05T15:31:07+01:00 Developed in partnership with David Troxel, MPH, co-creator of the life-affirming and acclaimed Best Friends™ Approach to Dementia Care, the Christian Horizons Pathway Memory Support® program responds to the experience of dementia by embracing contemporary best-practices along with enhanced staff training, creative approaches to care, and a focus on . Adobe InDesign 6.0 JPEG e34+Dndk4fE1Ee6O/wAv20+iM5R7h2KuxV2KuxV2KvzfGdq6FcMKF4wsVwwoXjCxXDChUXFiVZMW False created TQUK LEVEL 5 DIPLOMA IN LEADERSHIP AND MANAGEMENT FOR ADULT DEMENTIA CARE PATHWAY. y3KMO7d6T2fw1GU+/Z6nmleidirsVdirsVdir83xnauhXDCheMLFcMKF4wsVwwoVFxYlWTFiVdOu In 2009, the UK Government’s ‘Living well with dementia: a national dementia strategy’ provided a new strategic framework for making quality improvements in dementia services and addressing well publicised health inequalities. xmp.iid:FF7F11740720681192B0C0F1A0445ADC Y6OFRvvSpcg5RVlyQYFMtIi53IY9EFfp6ZZAbuLqJVFkKZc4BRMeBrKJjxYFFR4tZRcWLWUVHi1l 256 Currently, 5% of people over 65 years old have a diagnosis of dementia, rising to over 50% in those aged over 90 years. uNVKadD7iYky/wDJFHGZ3Z2PizDy3cfVTqB83xaM6l064YULhihcMLFeMKFy4oKquLEqy9MWBV0w Our care teams receive on-going coaching, mentoring and support based on latest thinking and research that ensure they have the knowledge, skills and aptitude to deliver positive dementia care. Yes 0 / / Adobe InDesign 6.0 T5NP3VAnUHFQu1EGUVBRm1HmUjFSfFLHUxNTX1OqU/ZUQlSPVNtVKFV1VcJWD1ZcVqlW91dEV5JX 2010-08-05T12:09:09+01:00 AwIGAQAHCAkKCwEAAgIDAQEBAQEAAAAAAAAAAQACAwQFBgcICQoLEAACAQMDAgQCBgcDBAIGAnMB Adobe InDesign 6.0 xmp.iid:FE7F1174072068118C75C000CC816CB1 Adobe InDesign 6.0 These cookies will be stored in your browser only with your consent. KAAtADIANwA7AEAARQBKAE8AVABZAF4AYwBoAG0AcgB3AHwAgQCGAIsAkACVAJoAnwCkAKkArgCy In the past 3 years CAMH has successfully setup an Integrated Care Pathway (ICP) program and developed and implemented 7 ICPs for specific conditions and patient groups including the first related to the diagnosis of 'Dementia - Agitation and Aggression'. 36 Family Guide to Memory Care. /pb6j98H/VPH+WcncPtR/JsO8rx/ziz5PH/S21D74P8Aqnj/ACzk7h9qP5Mh3liP5tfkn5S8neR7 297.000132 biyiLNctDC1BLXYtqy3hLhYuTC6CLrcu7i8kL1ovkS/HL/4wNTBsMKQw2zESMUoxgjG6MfIyKjJj / o8WsouLFqKY6f/vXD/xkX9YyE+RYx+oe99V5xD6W7FXYq7FXYq7FXYq7FXYq+cP+csvMZa70Ty5G 2010-08-02T12:33:12+01:00 / It sets out what good quality assessment, diagnosis and care looks like in relation to formal guidance, in addition to the views and expectations of people living with dementia and their carers. If this document is downloaded from a website or printed, it becomes uncontrolled. You can find out more about the policy drivers and . The Care Pathway Model for Dementia (CARE-D) prescribes tailored care based on re- sults from psychosocial and neuropsychological assessments. Pathways also provides bereavement services and grief counseling to loved ones following the death of the patient. AAAUYlhZWgAAAkAAAAAUZG1uZAAAAlQAAABwZG1kZAAAAsQAAACIdnVlZAAAA0wAAACGdmlldwAA The NHS ‘well-pathway for dementia’ describes a framework of care and support that a person living with dementia requires at each stage of their journey from prevention to end-of-life, it focuses on ensuring the person is provided with the right information, care and support that means they live well. 9m32+/eK+Bn4qPk4+cf6V/rn+3f8B/yY/Sn9uv5L/tz/bf///+4ADkFkb2JlAGTAAAAAAf/bAIQA rsVdirsVY/8AmB5iHlzyVrOtV4yWdq7QE7fvnHCEfTIyjL9Ni8TJGPeWvNPhiS+C6kmpNSdyTnZv ZGVzYwAAAYQAAABsd3RwdAAAAfAAAAAUYmtwdAAAAgQAAAAUclhZWgAAAhgAAAAUZ1hZWgAAAiwA Dementia affects thinking, behaviour and the ability to perform everyday tasks (Alzheimer's Australia). The dementia care pathway strategy was backed by £150million in additional funding and outlined 17 recommendations that the government required the NHS, local bodies and other organisations concerned with dementia care to implement to improve their services. AAAAAAAuSUVDIDYxOTY2LTIuMSBEZWZhdWx0IFJHQiBjb2xvdXIgc3BhY2UgLSBzUkdCAAAAAAAA RGB We'll assume you're ok with this, but you can opt-out if you wish. xmp.iid:0A80117407206811A6C18712394CA2F1 The model sets out a range of targets and practice recommendations to advance the . dw+9wNfOogd75dGdE6lcuKCqrixKsvTFgVdMLAohMWBRMeBrKJjxYFFR4tZRcWLWUVHi1lFxYtRT Download The dementia care pathway: full implementation guidance | Appendices and helpful guidance. Dementia friendly wards zJ+lPzHOmxtWDRbaO3oDUetKPWkP3Oqn/VzpeysXDiv+cXVaydzrueRDNm4a4YoXDCxXjChcuKCq /metadata La6hrxavi7AAsHWw6rFgsdayS7LCszizrrQltJy1E7WKtgG2ebbwt2i34LhZuNG5SrnCuju6tbsu 2010-08-02T17:41:24+01:00 xmp.iid:DD9DDEB11D20681192B0C0F1A0445ADC lWxlmUHpNdEGhHtGiEfPOi7IxVAy7z9zqtdO5Adzw8Zt3AXjChcuKCqrixKsvTFgVdMLAohMWBRM JOT/AJpx4g1nR5e77npP5OefPIWlaxd6lq2piAxwiG1BguHq0jVZhwjanFVpv45r+0cWTJARgL33 4GVy1PorTOzxwEYiI6OinKySgRljBcMULhhYrxhQuXFBVVxYlWXpiwKumFgUQmLAomPA1lEx4sCi Unable to tolerate Identify It is mandatory to procure user consent prior to running these cookies on your website. This section of our website provides information and practical steps to help you and your family to live well with dementia. The Italian Ministry of Health produced the document "Guidance on Integrated Care pathway for People with Dementia" (GICPD) with the specific objective of providing a standardized framework for the definition, development, and . 2010-08-02T17:41:56+01:00 2010-08-11T09:31:53+01:00 c9/K+TuD3/5KPeW/+hSPJX/V41L74P8Aqnj/ACvk7gj8lHvLf/QpPkv/AKvGpffB/wBU8P8ALGTu QCNAZECmQOdBKUFqQaxB7kIwQnJCtUL3QzpDfUPARANER0SKRM5FEkVVRZpF3kYiRmdGq0bwRzVH In January 2016 Jeremy Hughes CBE (Chief Executive, Alzheimer's Society) wrote to Simon Stevens (CEO, NHS England) regarding its new campaign, Fix Dementia Care. All rights reserved. A Path Taken With Friends and Family. RGB QwAABDwAAAgMYlRSQwAABDwAAAgMdGV4dAAAAABDb3B5cmlnaHQgKGMpIDE5OTggSGV3bGV0dC1Q PLlxQVVcWJVl6YsCrphYFEJiwKJjwNZRMeLAoqPFrKLixayio8WsouLFqKY6f/vXD/xkX9YyE+RY
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