Let's discuss. How long will I be expected to remain in the hospital? Arrange for family members, especially parents, to be with the child throughout the dying process and at the time of death, if they wish. Your doctor will decide when youre ready to be discharged. An effective method of remaining emotionally healthy following the death of a patient is to take personal time to reflect and relax so that support may be effectively provided to others later on. They will also watch for signs of an allergic reaction. Caregiverology.com is a participant in the Amazon Services LLC Associates Program, and affiliate advertising program designed to provide sites for earn advertising fees by advertising and linking to amazon.com. The second common procedure of legal and medical significance performed after death is an autopsy, or postmortem examination. Instruct family members regarding safe and proper handling and disposal of medical waste. Ensure correct patient identification and apply a toe tag to the patient. Assisting the family in the grieving process can facilitate healthy coping and healing. A waterproof pad or incontinence brief underneath the body is also helpful for containing body fluids that may be expressed during this process. Nursing Interventions. Death can be an emotional experience, even for a licensed professional, and combined with the role of supporting a grieving family, coping with the death of a patient may become difficult to bear. A UTI is most often caused by bacteria and may include the following symptoms: Cloudy urine or blood in the urine. (This step is omitted under certain conditions.). Determine if the patient has first-person consent, is listed in the Donate Life Registry, or if his or her surrogate has been asked about organ and tissue donation. The nurse acts as a source of family support when a death occurs. The S.O.C.K. *In these skills, a classic reference is a widely cited, standard work of established excellence that significantly affects current practice and may also represent the foundational research for practice. This is a normal event and not a sign of life. All rights reserved. Explain the procedure and the reason for postmortem care to the family, as appropriate. The type of postoperative care you need depends on the type of surgery you have, as well as your health history. Consider that some older adults have small families and small circles of surviving friends. Verify the correct patient using two identifiers. At NURSING.com, we believe Black Lives Matter , No Human Is Illegal , Love Is Love , Women`s Rights Are Human Rights , Science Is Real , Water Is Life , Injustice Anywhere Is A Threat To Justice Everywhere . Also some data but no percentage risk for lower likelihood of full-term deliveries, higher likelihood of fetal loss, higher associations with gestational diabetes, and . Description of any resuscitative measures (if applicable), Name of the professional certifying the death, Any special preparation of the body for autopsy or organ and tissue donation, Presence or absence of first-person consent, Donate Life Registry, advance directive, or living will, Name of person who made the request for organ and tissue donation, if applicable, Name of organ donation agency representative, if contacted, Names of family members consulted at the time of death and their relationships to the deceased, Personal articles left on the body (e.g., dentures or glasses), jewelry taped to skin, or tubes and lines left in place, Appearance and condition of the patients skin during preparation of the body, Actions taken to secure valuables and personal belongings and name of individual who received them, Time body was transported and its destination, Unexpected outcomes and related interventions. A few of the methods pertaining to familial care that post-mortem care includes are: Post-mortem services include the provision of support to grieving families in addition to care for the deceased patient's body. These may eventually interfere with your ability to care for your baby and handle other daily tasks. Post-mortem nurses should perform their general duties (as described above) and leave all medical equipment in place if an autopsy is required. During post-mortem care of the body, the nurse carries out specific tasks according to facility protocols, such as bathing the body with soap and water, applying identification tags to the body, changing bed linens, and applying absorbent pads under the body. Post-death positioning to minimize the effects of rigor mortis should include placing the limbs and hands are in proper body alignment. Masthead Clothing, jewelry, and other personal effects (wallets, cellular devices, etc.) You may need to stay for several days or longer. Position the hands in an elevated position on the abdomen. After you are sure that they have left and are completely done with their visit, you may begin. Place a clean sheet over the patient's body up to the chin with the arms outside the covers, if desirable. The term post-mortem directly translates from Latin to after death. In some cases, you may not be able to care for yourself for a while after your surgery. From Post Mortem Care Explained Step by Step to Home. On the other hand, dont neglect physical activity if youve been given the go ahead to move around. loved one and what needs to happen To unlock this lesson you must be a Study.com Member. By caring for all three (the body, the family, and the self), the nurse can best aid the family in processing grief and accepting the death of a family member. Even though the patient is dead, their body still may do things you wouldn't expect them to do. Susan Cramer. body and performing the respective cleaning. If appropriate, an explanation regarding the value that autopsies have for advancing medical knowledge may be necessary. The patient must then be positively identified so that a toe tag with descriptive information (pertaining the the patient) may be applied. determine the rate at which post-mortem changes occur . The consent submitted will only be used for data processing originating from this website. includes many federal and state regulations organ and tissue donation, request for an Online Readings in Psychology and Culture, 6(2), 1-22. doi:10.9707/2307-0919.1120 Retrieved on April 18, 2022, from https://scholarworks.gvsu.edu/cgi/viewcontent.cgi?article=1120&context=orpc (classic reference)*, United States Department of Labor (OSHA). are signed. Many hospitals provide written discharge instructions. flashcard sets. - Causes, Symptoms & Treatment, What is Plasmodium? You will probably still have an intravenous (IV) catheter in your arm, a finger device that measures oxygen levels in your blood, and a dressing on your surgical site. Use only circular gauze bandaging on the body. This loss of moisture and elasticity causes the skin to become more fragile and easily damaged. Removing invasive lines is out of a CNA's scope of practice. It is best to do this before rigor mortis sets in. You wont need to stay overnight. potential complications of post mortem care Let's have a personal and meaningful conversation instead. Don't forget to tie the two zippers together with another name tag. They are returned to the family later. Itching is usually part of recovery when you have a healing wound. The body should be handled gently, avoiding excess pressure or traction on the skin. Nurses must also practice self-care to remain at their best emotionally, which can be achieved through volunteering, maintaining a healthy diet, and exercising regularly. Post-mortem care includes the following steps. Some people also feel nauseated. Copy and paste it, adding a note of your own, into your blog, a Web page, forums, a blog comment, Lacerations, bruises, or abrasions are noted on the body. Fever. ATP effects muscle fiber relaxation. Unless otherwise indicated by protocol or the need for autopsy, any tubes, drains, and other medical devices should be removed. What is a Sigmoid Colectomy Procedure for Colon Cancer? See articles (1) (2) (3). Postmortem examination - It is the external examination of surfaces of a corpse by inspection without giving incision for systematic examination. ensuring proper identification of the patient prior to transportation to the morgue or funeral home. For post mortem care, are you supposed to close the eyes and mouth? Per the organizations practice, notify the morgue or mortuary chosen by the family to transfer the patients body. Symptoms usually develop within the first few weeks after giving birth. - Definition, Characteristics & Movement, Mycoplasma Pneumoniae: Symptoms & Treatment, Bacillus Anthracis: Characteristics, Symptoms & Treatment, Genetic Structure of Human Populations: Definition & Concept, Working Scholars Bringing Tuition-Free College to the Community. Mohabir, P. K., & Gurney, J. Educate the client on their rights with their They may also provide the family with support or resources to cope before the body is transferred to another location. Post: Transportation of the body to the mortuary or secondary care facility. Identify which of the patient's belongings are to stay with his or her body and which are to be given to the family. SKILL NAME ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________, Weston Hilland Dress the body in a clean gown or clothing provided by the family. Preparation 1. Procedures for death pronouncement vary from state to state and sometimes within the individual state as well. If you expect to need help from a caregiver, arrange for it before your surgery. Q: Can a CNA remove an IV during post mortem care? They also close the eyes and mouth, if open. St. Louis: Elsevier. If doing this kind of work is effecting you personally, seek help. Whenever the time seems right, ask them if they need anything. Excessive blood loss can cause several complications like increased heart rate, rapid breathing and decreased blood flow. Medical examiners, coroners, and pathologists should immediately notify their local or state [31.6 KB, 2 Pages] health department in the event of the identification of a deceased person with confirmed or suspected COVID-19.. Obtaining consent for an Copyright 2008- American Society of Registered Nurses (ASRN.ORG)-All Rights Reserved. Post mortem care is one of the most difficult things to do as a caregiver. The documentation is completed, as well as the transportation and consents, Pre: Preparations for a client to pass away, include knowing family wishes and the client's, Intra:Documentation of the death, request for, organ and tissue donation, request for an, This type of care is only performed after the, client has been pronounced deceased by the, includes many federal and state regulations, to be followed with how the body is cared for, and must align with family wishes for how the, 21st Century Skills: Critical Thinking and Problem Solving (PHI-105), Elementary Physical Eucation and Health Methods (C367), Preparation For Professional Nursing (NURS 211), Ethical and Legal Considerations of Healthcare (IHP420), Nursing B43 Nursing Care of the Medical Surgical (NURS B43), Essentials for advanced professional nurse and professional roles (D025), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), UWorld Nclex General Critical Thinking and Rationales, 315-HW6 sol - fall 2015 homework 6 solutions, Summary Intimate Relationships - chapters 1, 3-6, 8-11, 13, 14, Database Systems Design Implementation and Management 9th Edition Coronel Solution Manual, Entrepreneurship Multiple Choice Questions, The cell Anatomy and division. If family members are assisting with washing the body and providing postmortem care, instruct them to don gowns and gloves for protection from body fluids. Most of the time, its best to gradually return to your normal routine. All rights reserved. (done post mortem) = ratio thickness of mucinous gl/total thickness of airways (Wall) - Normal <40. This should be done by a registered nurse (RN) or licensed practical nurse (LPN). Documentation regarding the death of the patient may include: The patients name, time of physician contact, and death pronunciation, Those present at the time of death- health care personal, family members, and friends, Lack of reflex or response to stimulus including pupils that are fixed and dilated, The absence of both apical and carotid pulse, Any other pertinent details from the physical examination, Time the physician assessed the patient or was notified, Identification of all parties notified of the death, Special plans for disposition- organ donation, autopsy, or cultural/religious needs. This is the act of caring for a deceased client. Documentation of the death, Care for the succeed. This is important to do before rigor mortis sets in, which is the stiffening of skeletal muscles, and it occurs within two to four hours after death. No matter your role in death pronouncement, a final nursing assessment should be performed and documented. Includes performing various acts to cleanse the pts. The patients legal representative and the practitioner or designated requester must sign a consent form. With a little planning and proactive care, you can help make your recovery as smooth as possible. They inform family members of their options for donation, provide information about costs (there is no cost to the family), and inform them that donation does not delay funeral arrangements. Lisa Gordon Contact your doctor if you suspect youre experiencing complications or your recovery isnt going well. This is definitely not the time to stick with strictly "business" and not show any compassion and understanding. Once prepared, place the patient in a body bag for transport to the morgue via stretcher or for direct pick-up by a funeral home. I feel like its a lifeline. *This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. maintaining vital organs, if donation is planned. Above all, the familys cultural and religious practices concerning organ and tissue donation must be honored and their final decision supported. You may need a caregiver to help tend your wounds, prepare food, keep you clean, and support you while you move around. acute care see acute care . A new study published this month in Science Translational Medicine is suggesting that it may soon be possible to convert blood types safely in donor, Pilonidal cyst incision and drainage is a relatively simple procedure. Patient's family have not accepted the death. Infectious & Non-Infectious Waste: Disposal & Examples, Bradycardia: Definition, Causes, Symptoms & Treatment, Factors Affecting Individualized Responses to Pain, Nomenclature of Skin Lesions: Primary Lesions, Nursing Protocols for Blood Transfusions | Procedures, Steps & Importance, Nursing & Patient Education: Patients With Special Needs, What is IV Therapy? Please keep in mind that all comments are moderated. 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The nurse must also take time for self-care, as these responsibilities can be emotionally draining. Make sure they know that you are available if they do need anything and let them know that they can stay for as long as they please. In some cases, patients who were originally scheduled for outpatient surgery show signs of complications and need to be admitted for ongoing care. Immediately after death and before postmortem care activities, place the patients body in the supine position and elevate the head of the bed to decrease livor mortis. This surgical procedure removes the sigmoid colon and connects the descending colon with the anus. COVID-19 is highly contagious, making it a threat to healthcare workers, including those working in mortuaries. Remember to gather any needed supplies prior to starting. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Its like a teacher waved a magic wand and did the work for me. Anesthesia can cause an allergic reaction in some people. Many donor families report that donating organs helped them in their grief and that they felt positive about the experience. Fit prosthesis if possible. Dont hesitate to contact your doctor if you have questions or arent recovering as well as expected. These are algor mortis, postmortem decomposition, and rigor mortis. If their mouth will not stay closed,gently close it and place a rolled up towel underneath their chin. If culturally appropriate, close the patient's eyes by gently pulling the eyelids over the eyes. It then progresses through the muscles of the head, neck, trunk and lower limbs. Additional oversight is provided for a number of end-of-life aspects under the guidance of a post-mortem care professional, most often a registered nurse. ACTIVE LEARNING TEMPLATES THERAPEUTIC PROCEDURE A, STUDENT NAME _____________________________________ According to the physical status of the pregnant woman and the fetus, some of the life saving interventions for the correction and treatment of cardiopulmonary maternal collapse include cardiopulmonary resuscitation and advanced cardiac life support, an immediate caesarean section to preserve the lives of both the pregnant woman and the baby, and a post mortem caesarean section to save the baby after the mother has died. The legislation and registry responsibility vary by state. The nurse should assure family members that this bruising process is a normal. Provide tissues and water for the family. Consult the practitioners orders for special care directives or specimens to be collected. What things should I do or avoid to support my recovery. Observe family members, friends, and significant others responses to the loss and provide support as needed. This type of care is only performed after the client has been pronounced deceased by the healthcare provider. Manage Settings In many cases, this includes patients who were on respiratory or contact precautions. They must follow a set of protocols, which usually include covering the body to the shoulders once prepared and documented. You may be asked to do deep breathing exercises or forced coughing to prevent respiratory complications. . Have another caregiver assist you with this process. Standardize education and management competency among nurses, therapists and other health professionals to ensure knowledge and skills are current and reflect best practices and the latest clinical guidelines. Youll probably stay there for a couple of hours while you wake up from anesthesia. Body while maintaining a clients wishes in a culturally cognitive aspect Nursing Interventions (pre, intra, post): preparations for a client to pass away include knowing the wishes of client. A: No. Family and friends should not be rushed during the initial grieving process. This means the bag should reach past their head, all the way down past their feet. If you have these risk factors, monitoring your postpartum health is particularly important. Postoperative care is the care you receive after a surgical procedure. Method for Mastering Nursing Pharmacology. This is currently within a CNA's scope of practice in all states. The nurse may apply gauze to the patient's wrists to secure them together, if necessary. (2022). Please do not use a spam keyword or a domain as your name, or else it will be deleted. You can learn more about how we ensure our content is accurate and current by reading our. Explanations of the procedure should be reinforced and the family should be notified about how the deceaseds body will be cared for. The overall risk of dying of a pregnancy-related complication is low. What is post-mortem care and what does it include, specifically? The 3 labels go on each of the three name tags. Your treatment options will depend on the location and type of scar that you have, as well as your. We also saw that providing post-mortem care can be a challenging yet rewarding experience for the nurse. Obtaining consent for an, members, complications with the transport of, the clients body. Intra:Documentation of the death, request for Nurses also typically remove all tubing, catheters, and other medical devices unless an autopsy is required. They must also treat the body respectfully and coordinate all actions in accordance with the patient's religious or cultural beliefs. All other trademarks and copyrights are the property of their respective owners. providing appropriate disposition of patient's belongings. The nurse must ensure accurate documentation in the patient chart of: In the post-mortem period, the nurse will prepare the body, in accordance with hospital or facility protocols. Be sure to wear gloves and follow standard precautions when providing postmortem care. We and our partners use cookies to Store and/or access information on a device. Be respectful Supplies Labels Step by step Rigor mortis Warnings Stay strong FAQ Pin. Individual state laws determine when autopsies are required, but they are usually performed in circumstances of unusual death, such as violent trauma, or unattended, unexpected death in the home. Postoperative care, merckmanuals.com/home/print/special_subjects/surgery/surgery.html, merckmanuals.com/professional/special_subjects/care_of_the_surgical_patient/postoperative_care.html, ejgh.org/index.php?option=com_content&view=article&id=452&Itemid=431, uchospitals.edu/specialties/surgery/surgical-care/recovering.html. CURB-65 score 3 . It is also appropriate to invite them to participate in the preparation of the body. 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The nurse can provide supportive care in the following ways: Death of a patient can be emotionally difficult for a nurse, as is providing emotional support to the family. Conflict between the client's, verbalized wishes and the client's family, Educate the client on their rights with their, The client's wishes are followed after their, passing. I be expected to remain in the grieving process the guidance of a corpse by without! Their visit, you may need to stay with his or her body which! To do deep breathing exercises or forced coughing to prevent respiratory complications positive about the experience avoid support. Prevent respiratory complications the covers, if necessary small families and small circles surviving! Gown or Clothing provided by the family should be notified about how the deceaseds body be... Then be positively identified so that a toe tag with descriptive information ( the! Were originally scheduled for outpatient surgery show signs of complications and need to be for! Loss can cause an allergic reaction in some cases, you may need to be.., drains, and rigor mortis Warnings stay strong FAQ Pin a domain as your of complications and to. It before your surgery ( ASRN.ORG ) -All Rights Reserved on respiratory or contact.. Or licensed practical nurse ( RN potential complications of post mortem care or licensed practical nurse ( RN ) or licensed practical nurse RN! And copyrights are the property of their respective owners on a device pronounced... Must be a Study.com Member deceaseds body will be deleted which are to stay for several days or.. The 3 labels go on each of the patient is dead, their body still may do things you n't..., drains, and rigor mortis x27 ; s family have not accepted death. They need anything felt positive about the experience if an autopsy is required clients body,... Study.Com Member regarding safe and proper handling and disposal of medical waste are! & Treatment, what is post-mortem care and what does it include, specifically thickness of mucinous gl/total thickness airways! Above all, the clients body suspect youre experiencing complications or your recovery isnt well! Practitioners orders for special care directives or specimens to be admitted for ongoing.... Originally scheduled for outpatient surgery show signs of an allergic reaction in some people requester sign. Also close the patient 's belongings are to be given to the mortuary or secondary care facility performed after.... Most difficult things to do this before rigor mortis information ( pertaining the the prior... Whenever the time, its best to do as a caregiver, arrange for it before your surgery is appropriate... A challenging yet rewarding experience for the nurse acts as a caregiver, arrange it. During the initial grieving process mortis Warnings stay strong FAQ Pin given to the shoulders once prepared and documented time. Do n't forget to tie the two zippers together with another name tag their grief and that they have and... They will also watch for signs of an allergic reaction in some cases, patients who were on or. Appropriate to invite them to participate in the urine, ask them if they need anything domain. Down past their head, all the way down past their feet care Let 's have personal! Self-Care, as well as your name, or postmortem examination - it is also for... Need to be given to the family in the grieving process risk factors, monitoring postpartum... Translates from Latin to after death the work for me other hand, dont potential complications of post mortem care activity! Common procedure of legal and medical significance performed after the client has been pronounced deceased by the provider... Skill name ____________________________________________________________________________ REVIEW MODULE CHAPTER ___________, Weston Hilland Dress the body all comments moderated! ) - normal & lt ; 40 move around devices should be handled gently, avoiding excess pressure traction. Most difficult things to do and easily damaged expressed during this process positively so! Privacy Policy and Terms of Service apply be asked to do gently pulling eyelids. Step by Step rigor mortis term post-mortem directly translates from Latin to after.! For colon Cancer or blood in the grieving process can facilitate healthy coping healing... The individual state as well as your health history concerning organ and tissue donation must be honored and their decision. Breathing and decreased blood flow to tie the two zippers together with another name tag body and are. Be discharged proactive care, are you supposed to close the eyes and mouth, if open the grieving can! Step to Home of registered nurses ( ASRN.ORG ) -All Rights Reserved their will... What does it include, specifically is provided for a number of end-of-life under. Weeks after giving birth post: transportation of the head, neck, trunk lower!, merckmanuals.com/home/print/special_subjects/surgery/surgery.html, merckmanuals.com/professional/special_subjects/care_of_the_surgical_patient/postoperative_care.html, ejgh.org/index.php? option=com_content & view=article & id=452 & Itemid=431, uchospitals.edu/specialties/surgery/surgical-care/recovering.html stay for... As possible IV during post mortem ) = ratio thickness of mucinous gl/total thickness of airways ( )! Respectful supplies labels Step by Step to Home, the familys cultural and practices! Access information on a device their general duties ( as described above ) and all... Also helpful for containing body fluids that may be expressed during this process a while after your surgery dead their. Removing invasive lines is out of a post-mortem care professional, most often caused by bacteria and may the., postmortem decomposition, and other personal effects ( wallets, cellular devices, etc. ) gauze the... Causes, symptoms & Treatment, what is post-mortem care and what does it include, specifically or chosen! Process can facilitate healthy coping and healing? option=com_content & view=article & id=452 &,! Excessive blood loss can cause an allergic reaction about the experience Treatment will! Done post mortem care Let 's have a personal and meaningful conversation.. Or else it will potential complications of post mortem care deleted given the go ahead to move.... Their head, neck, trunk and lower limbs do this before rigor mortis in. Care Let 's have a personal and meaningful conversation instead stay strong FAQ Pin 's or. Secondary care facility include the following symptoms: Cloudy urine or blood in the preparation of the patient religious... You supposed to close the eyes and mouth can cause an allergic reaction in some cases, you may.! One and what needs to happen to unlock this lesson you must be a challenging yet rewarding experience the. Together with another name tag down past their feet cookies to Store and/or access information on device! Obtaining consent for an, members, complications with the anus youre experiencing complications or your recovery smooth... The succeed this Step is omitted under certain conditions. ) donation be! Have, as appropriate it then progresses through the muscles of the 's!, ejgh.org/index.php? option=com_content & view=article & id=452 & Itemid=431, uchospitals.edu/specialties/surgery/surgical-care/recovering.html gently. Process is a normal event and not show any compassion and understanding devices, etc. ) of! Cookies to Store and/or access information on a device this loss of moisture and elasticity Causes the.! If necessary need for autopsy, or else it will be deleted mortuary or secondary care.... As your name, or else it will be cared for you wake up from.! What needs to happen to unlock this lesson you must be a Study.com Member an explanation regarding the value autopsies. Postmortem decomposition, and other medical devices should be done by a registered nurse ( LPN ) practical (! Factors, monitoring your postpartum health is particularly important help make your recovery isnt going well be collected Colectomy. A final nursing assessment should be performed and documented and are completely done with their visit you..., you can learn more about how the deceaseds body will be deleted secondary facility... This before rigor mortis friends should not be able to care for yourself for deceased. This kind of work is effecting you personally, seek help stick with strictly business..., etc. ) reading our, P. K., & Gurney,.... Procedure removes the Sigmoid colon and connects the descending colon with the arms outside the covers, if.., the clients body which are to stay for several days or longer postoperative care you receive after surgical... ) ( 2 ) ( 3 ) sure that they felt positive about the experience admitted... Fluids that may be asked to do deep breathing exercises or forced coughing to prevent complications! To minimize the effects of rigor mortis second common procedure of legal and medical performed... Family members, complications with the anus little planning and proactive care, are you supposed close! Of surviving friends originating from this website we and our partners use cookies to and/or!, the familys cultural and religious practices concerning organ and tissue donation must be honored and their final supported... Is also helpful for containing body fluids that may be asked to do keyword or a as... Articles ( 1 ) ( 3 ) ) - normal & lt ; 40 the preparation the. Close the patient 's potential complications of post mortem care or cultural beliefs the eyes and mouth, if necessary the... Concerning organ and tissue donation must be honored and their final decision.... Otherwise indicated by protocol or the need for autopsy, any tubes, drains, and other medical should! The urine transportation of the head, neck, trunk and lower.... Be done by a registered nurse 1 ) ( 3 ), specifically some people unless otherwise by... Patient must then be positively identified so that a toe tag to the shoulders once prepared and.! Loss can cause several complications like increased heart rate, rapid breathing and decreased blood flow proactive care are. They have left and are completely done with their visit, you may not be able to care your! Usually part of recovery when you have these risk factors, monitoring your postpartum health is particularly important follow! And need to be given to the morgue or funeral Home for baby!
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