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	<title>Right Accord Health - Sarasota Home Care &#187; venice</title>
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		<title>What Causes Parkinson Disease?</title>
		<link>http://rightaccordhealth.com/what-causes-parkinson-disease</link>
		<comments>http://rightaccordhealth.com/what-causes-parkinson-disease#comments</comments>
		<pubDate>Sun, 16 Jan 2011 22:00:24 +0000</pubDate>
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		<category><![CDATA[Parkinson Disease]]></category>
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		<description><![CDATA[What Causes Parkinson  Disease? First of all let&#8217;s define what is Parkinson  Disease.  According to the National Institute of Health www.nih.gov/parkinsondisease: Parkinson Disease is a brain disorder that leads to shaking, stiffness, and difficulty with walking, balance, and coordination. It currently affects about half a million people in the United States, although the numbers may [...]]]></description>
			<content:encoded><![CDATA[<p>What Causes Parkinson  Disease?</p>
<p>First of all let&#8217;s define what is Parkinson  Disease.  According to the National Institute of Health <a title="www.nih.gov" href="http://www.nih.gov">www.nih.gov/parkinsondisease:</a></p>
<p>Parkinson Disease is a brain disorder that leads to shaking, stiffness, and difficulty with walking, balance, and coordination. It currently affects about half a million people in the United States, although the numbers may be much higher. Parkinson&#8217;s disease is both chronic, meaning it lasts for a long time, and progressive, meaning its symptoms grow worse over time. It is not contagious.</p>
<p>Parkinson&#8217;s disease occurs when nerve cells, or neurons, in an area of the brain that controls movement die or become impaired. Normally, these neurons produce an important brain chemical known as <em>dopamine</em>, but when the neurons die or become impaired, they produce less dopamine. This shortage of dopamine causes the movement problems of people with Parkinson&#8217;s.</p>
<p>Parkinson signs and symptoms varies with each person affected by it.  Parkinson&#8217;s disease does not affect everyone the same way. Symptoms of the disorder and the rate of progression differ among people with the disease. Sometimes people dismiss early symptoms of Parkinson&#8217;s as the effects of normal aging. There are no tests to diagnose the disease, so it can be difficult to diagnose accurately.</p>
<p>Although there is no cure for Parkinson&#8217;s disease, medicines and surgery can often provide dramatic relief from the symptoms. However, there are limits to the effectiveness of these therapies, and scientists are working to find better ways to treat the disease. Research on Parkinson&#8217;s disease is very active, and scientists are making great progress in understanding and treating the disease. Recent advances in areas such as genetics, drug therapy, and brain stimulation offer hope that some day it may be possible to cure the disease, delay its onset, or prevent it altogether.</p>
<p>Medications for Parkinson&#8217;s fall into three groups. The first group includes drugs that increase the level of dopamine in the brain. The second group affects other neurotransmitters in the body in order to ease some of the symptoms of the disease. The third group includes medications that help control non-motor symptoms (those that do not affect movement) of Parkinson&#8217;s.</p>
<p>The main therapy for Parkinson&#8217;s is the drug levodopa, also called L-dopa. It is a simple chemical found naturally in plants and animals. Nerve cells use levodopa to make dopamine to replenish the brain&#8217;s dwindling supply. People cannot simply take dopamine pills because dopamine does not easily pass through the blood-brain barrier. The blood-brain barrier is a lining of cells inside blood vessels that controls the transport of oxygen, glucose, and other substances into the brain.</p>
<p>Usually, people take levodopa along with another medication called <em>carbidopa</em>.  Carbidopa delays the body&#8217;s conversion of levodopa into dopamine until  the levodopa reaches the brain. This prevents or reduces some of the  side effects that often accompany levodopa therapy. Carbidopa also  reduces the amount of levodopa needed.</p>
<p>Levodopa successfully reduces the tremors and other symptoms of  Parkinson&#8217;s during the early stages of the disease. It allows most  people with Parkinson&#8217;s to extend the period of time in which they can  lead relatively normal, productive lives.</p>
<p>However, not all symptoms respond equally to levodopa. It usually  helps most with bradykinesia (slowness of movement) and rigidity.  Problems with balance and other non-motor symptoms may not be helped at  all.</p>
<p>People with Parkinson&#8217;s disease often see dramatic improvement in  their symptoms after starting levodopa therapy. However, they may need  to increase the dose gradually over time to maintain maximum benefit.</p>
<p>Levodopa is often so effective that some people may temporarily  forget they have Parkinson&#8217;s during the early stages of the disease. But  levodopa is not a cure. Although it can reduce the symptoms, it does  not replace lost nerve cells or stop the gradual loss of brain cells  that causes the disease.</p>
<p>Sarasota, Florida will have its Annual Suncoast Parkinson Disease Symposium on January 22, 2011. The symposium will discuss the Advances in Treatment of Parkinson Disease.  It is a community education event for patients, caregivers, healthcare  providers and the community, sponsored by Sarasota Memorial and the  Neuro Challenge Foundation.</p>
<li>
<div><strong>Location: </strong></div>
<div><strong>8:30am &#8211; 12pm<br />
</strong></div>
<div>Sarasota Memorial Institute for Advanced Medicine</p>
<div>5880 Rand Blvd.</div>
<div>Sarasota, FL  (1/2 mile W.of I-75 off Clark Rd.)</div>
</div>
</li>
<p>For more information visit <a title="www.neurochallenge.org" href="http://www.neurochallenge.org">www.neurochallenge.org</a> or <a title="www.smh.com" href="http://www.smh.com">www.smh.com</a></p>
<p>RIGHT ACCORD Private Duty-Home Health Care specializes in Parkinson Care through intensive training and certification of its caregivers. Caring are provided by certified home health aides and nursing assistants who understand the needs and care of Parkinson clients. Services are provided in-home or in- facility setting in Sarasota, Venice, Longboat Key, Lakewood Ranch, Siesta Key, Nokomis and its neighboring towns.  For a free in-home care assessment, call 941.366.0801.</p>
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		<title>RIGHT ACCORD Private Duty-Home Health Care Earns the Joint Commission&#8217;s Gold Seal of Approval</title>
		<link>http://rightaccordhealth.com/right-accord-private-duty-home-health-care-earns-the-joint-commissions-gold-seal-of-approval</link>
		<comments>http://rightaccordhealth.com/right-accord-private-duty-home-health-care-earns-the-joint-commissions-gold-seal-of-approval#comments</comments>
		<pubDate>Mon, 15 Nov 2010 03:44:16 +0000</pubDate>
		<dc:creator>admin</dc:creator>
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		<description><![CDATA[Press Release November 15, 2010 Right Accord-Private Duty Home Health Care Earns the Joint Commission’s Gold Seal of Approval Right Accord Private Duty- Home Health Care demonstrated the highest level of quality and safety after passing through a full accreditation by the Joint Commission on Thursday, September 23rd, 2010.  Right Accord is proud to be [...]]]></description>
			<content:encoded><![CDATA[<p>Press Release</p>
<p>November 15, 2010</p>
<p>Right Accord-Private Duty Home Health Care</p>
<p><em>Earns the Joint Commission’s Gold Seal of Approval</em></p>
<p><img src="file:///C:/Users/rose/AppData/Local/Temp/moz-screenshot-2.png" alt="" /></p>
<p><img src="file:///C:/Users/rose/AppData/Local/Temp/moz-screenshot.png" alt="" /></p>
<p><img src="file:///C:/Users/rose/AppData/Local/Temp/moz-screenshot-1.png" alt="" /></p>
<p>Right Accord Private Duty- Home Health Care demonstrated the highest level of quality and safety after passing through a full accreditation by the Joint Commission on Thursday, September 23<sup>rd</sup>, 2010.  Right Accord is proud to be one of the first private duty home care companies to earn this gold seal of approval.</p>
<p>The Joint commission, founded in 1951, is an independent not-for-profit organization that seeks to continuously improve health care for the public.  The Joint Commission facilitates this goal by rigorously evaluating health care organizations and motivating them to exceed in providing safe and effective care of the highest quality and value. To earn and preserve The Joint Commission’s Gold Seal of Approval™, an organization must endure an on-site survey by a Joint Commission surveyor at least every three years.</p>
<p>The Joint Commission’s standards vary depending on the type of services the healthcare organization provides.  As for Home Care, the standards include maintaining a high quality environment of care, upholding infection prevention and control practices, demonstrating life safety and trained medication management, as well as recording and revising care, treatment and services.   Home care organizations must also manage emergency situations safely and effectively, facilitate training and staff development, and exude professional leadership. Right Accord passed the rigorous evaluation with flying colors!</p>
<p>RIGHT ACCORD provides services in Sarasota and Manatee Counties and its neighboring towns. Longboat Key, Venice, Siesta Key, Casey Key and Osprey.<br />
For information please contact:</p>
<p>Rosemarie Tamunday-Casanova, RN,BSN,CCRN,MHA</p>
<p>Administrator/Owner</p>
<p>(941)366-0801</p>
<p><a href="http://www.rightaccordhealth.com/">www.RightAccordHealth.com</a></p>
<p>rose@rigthaccordhealth.com</p>
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		<title>RECOGNIZING SYMPTOMS OF DEMENTIA</title>
		<link>http://rightaccordhealth.com/recognizing-symptoms-of-dementia</link>
		<comments>http://rightaccordhealth.com/recognizing-symptoms-of-dementia#comments</comments>
		<pubDate>Mon, 25 Oct 2010 16:12:08 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Home Care Matters]]></category>
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		<description><![CDATA[Recognizing Symptoms of Dementia The Brown family reunion has always been an event everyone looks forward to. Family visits, games, stories and everyone’s favorite foods are always on the agenda. On the top of the menu is Grandmas Lemon Coconut Cake. Grandma always makes the traditional cake from her old family recipe. This year, however, [...]]]></description>
			<content:encoded><![CDATA[<p>Recognizing Symptoms of Dementia</p>
<p>The Brown family reunion has always been an  event everyone looks forward to. Family visits, games, stories and  everyone’s favorite foods are always on the agenda. On the top of the  menu is Grandmas Lemon Coconut Cake. Grandma always makes the  traditional cake from her old family recipe. This year, however, the  cake tasted a little on the salty side, perhaps a half cup full of  salty.</p>
<p>Though the family was disappointed over the  cake, of more concern was Grandma’s confusion with the recipe and her  similar confusion about the loved ones around her. Could something be  wrong with grandma&#8217;s mental state?</p>
<p>One might say that for an elder person a little  forgetfulness or confusion is normal, but when do you know if there is a  serious problem, such as dementia?</p>
<p>An online article from FamilyDoctor.org outlines some common symptoms in recognizing dementia.</p>
<blockquote><p>&#8220;Dementia causes many problems for the person  who has it and for the person&#8217;s family. Many of the problems are caused  by memory loss. Some common symptoms of dementia are listed below. Not  everyone who has dementia will experience all of these symptoms.</p></blockquote>
<ul>
<li><strong>Recent memory loss.</strong> All of us forget things  for a while and then remember them later. People who have dementia often  forget things, but they never remember them. They might ask you the  same question over and over, each time forgetting that you&#8217;ve already  given them the answer. They won&#8217;t even remember that they already asked  the question.</li>
<li> <strong>Difficulty performing familiar tasks.</strong> People who have dementia might cook a meal but forget to serve it. They might even forget that they cooked it.<br />
Problems with language. People who have dementia may forget  simple words or use the wrong words. This makes it hard to understand  what they want.</li>
<li> <strong>Time and place disorientation.</strong> People who have dementia may get lost on their own street. They may  forget how they got to a certain place and how to get back home.<br />
Poor judgment. Even a person who doesn&#8217;t have dementia might  get distracted. But people who have dementia can forget simple things,  like forgetting to put on a coat before going out in cold weather.</li>
<li> <strong>Problems with abstract thinking.</strong> Anybody might have trouble balancing a checkbook, but people who have  dementia may forget what the numbers are and what has to be done with  them.</li>
<li> <strong>Misplacing things.</strong> People who have  dementia may put things in the wrong places. They might put an iron in  the freezer or a wristwatch in the sugar bowl. Then they can&#8217;t find  these things later.</li>
<li> <strong>Changes in mood.</strong> Everyone is moody  at times, but people who have dementia may have fast mood swings, going  from calm to tears to anger in a few minutes.<br />
Personality changes. People who have dementia may have drastic  changes in personality. They might become irritable, suspicious or  fearful.</li>
<li> <strong>Loss of initiative.</strong> People who have dementia may become passive. They might not want to go places or see other people.&#8221;</li>
</ul>
<p>Dementia is caused by change or destruction of brain cells. Often  this change is a result of small strokes or blockage of blood cells,  severe hypothyroidism or Alzheimer’s disease. There is a continuous  decline in ability to perform normal daily activities. Personal care  including dressing, bathing, preparing meals and even eating a meal  eventually becomes impossible.</p>
<p>What  can family members do if they suspect dementia? An appointment with the  doctor or geriatric clinic is the first step to take. Depending on the  cause and severity of the problem there are some medications that may  help slow the process. Your doctor may recommend a care facility that  specializes in dementia and Alzheimer’s. These facilities offer a  variety of care options from day care with stimulating activities to  part or full-time live-in options. Sometimes if patients tend to wander  off, a locked facility is needed.</p>
<p>In the beginning family members find part time  caregivers for their loved one. At first, loved ones need only a little  help with remembering to do daily activities or prepare meals. As  dementia progresses, caregiving demands often progress to 24 hour care.  Night and day become confused and normal routines of sleeping, eating  and functioning become more difficult for the patient. The demented  person feels frustrated and may lash out in anger or fear. It is not  uncommon for a child or spouse giving the care to quickly become  overwhelmed and discouraged.</p>
<p>Family gatherings provide an excellent  opportunity to discuss caregiving plans and whole family support. It is  most helpful if everyone in the family is united in supporting a family  caregiver in some meaningful way.</p>
<blockquote><p>&#8220;The first step to holding a family meeting,  and perhaps the most difficult  		        one, is to get all interested persons together in one place at  one time. If it&#8217;s a family gathering, perhaps a birthday, an  anniversary or another special event could be used as a way to get all  to meet. Or  		        maybe even a special dinner might be an incentive.</p>
<p>The end of the meeting should consist of  asking everyone present to  		        make his or her commitment to support the plan. This might  just  		        simply be moral support and agreement to abide by the  provisions or  		        it is hoped that those attending will volunteer to do  something  		        constructive. This might mean commitments to providing care,  transportation, financial support, making legal arrangements or some  other tangible support.&#8221; <a href="http://www.longtermcarelink.net/a16four_steps_book.htm">The Four Steps of Long Term Care Planning</a></p></blockquote>
<p>Professional home care services  are an option to help families in the home. These providers are trained  and skilled to help with dementia patients. Don’t forget care facilities  as well. 		    It may be the best loving care a family member can give is to  place their loved one in a facility where that person is safely  monitored and cared for.</p>
<p>RIGHT ACCORD Private Duty-Home Health Care is based in Sarasota, Florida offering in-home care assistance to clients and family by sending certified caregivers to assist seniors in the home from bathing, dressing, cooking, medication reminders, errands and transportation from few hours to 24 hours.  All caregivers are certified,  criminal background checked, employed by the agency.insured and bonded. Services are available in Sarasota and Manatee Counties, Venice, Nokomis, Osprey, Lakewood Ranch, Longboat key and its neighboring towns.</p>
<p>Staff and caregivers of RIGHT ACCORD has specialized training and newly hired staff completed mandatory Alzheimer&#8217;s Disease and Related Disorders Training last July 23, 2010 conducted by Pam Polowski, Director Alzheimer&#8217;s Association Gulf Coast Florida Chapter.  Next training is scheduled for October, 2010.</p>
<p>Memory Screening is also available through the Sarasota Memorial Memory Disorder Clinic. Call 941.917.7197 or visit their website at:<a title="www.sarasotageriatrics.com" href="http://www.sarasotageriatrics.com"> http://www.sarasotageriatrics.com</a></p>
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		<title>CARRERS AND EMPLOYMENT OPPORTUNITIES IN HEALTH CARE</title>
		<link>http://rightaccordhealth.com/carrers-and-employment-opportunities-in-health-care</link>
		<comments>http://rightaccordhealth.com/carrers-and-employment-opportunities-in-health-care#comments</comments>
		<pubDate>Mon, 13 Sep 2010 13:23:04 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Home Care Matters]]></category>
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		<description><![CDATA[PRESS RELEASE For further information contact: Rosemarie Tamunday-Casanova, RN, BSN, CCRN, MHA Administrator (941) 366-0801 Email: rose@rightaccordhealth.com www.RightAccordTrainingCenter.com www.RightAccordHealth.com September 1, 2010 FOR IMMEDIATE RELEASE CARRERS AND EMPLOYMENT OPPORTUNITIES IN HEALTH CARE Sarasota, August 16, 2010 Rosemarie Tamunday-Casanova, a Registered Nurse, Owner  and Administrator of RIGHT ACCORD Private Duty – Home Health Care presented a [...]]]></description>
			<content:encoded><![CDATA[<p><strong>PRESS RELEASE</strong></p>
<p>For further information contact:</p>
<p>Rosemarie Tamunday-Casanova, RN, BSN, CCRN, MHA</p>
<p>Administrator</p>
<p>(941) 366-0801</p>
<p>Email: <a href="mailto:rose@rightaccordhealth.com">rose@rightaccordhealth.com</a></p>
<p><a title="www.rightaccordtrainingcenter.com" href="http://www.rightaccordtrainingcenter.com">www.RightAccordTrainingCenter.com</a></p>
<p><a href="http://www.rightaccordhealth.com/">www.RightAccordHealth.com</a></p>
<p>September 1, 2010</p>
<h1>FOR IMMEDIATE RELEASE</h1>
<p>CARRERS AND EMPLOYMENT OPPORTUNITIES IN HEALTH CARE</p>
<p><strong><em> </em></strong></p>
<p><strong>Sarasota, August 16, 2010 Rosemarie Tamunday-Casanova, a Registered Nurse, Owner  and Administrator of RIGHT ACCORD Private Duty – Home Health Care presented a topic on “Careers and Employment Opportunities in Health Care at the Sarasota Women’s Resource Center. Tamunday-Casanova experience in health care industry span over 25 years in acute care settings, home care and health care administration. The free presentation offers women to learn about employment and training opportunities in the health care field. </strong></p>
<p><strong> </strong></p>
<p>For more information for the next upcoming free presentation, please visit <a title="www.thewomensresourcecenter.org" href="http://www.thewomensresourcecenter.org">www.the WomensResourceCenter.org</a> or call 941.366.1700</p>
<p>According to the American Nurses Association (ANA), <strong>The nation is facing an impending shortage of nurses, which is expected to peak by 2020; here are some of the prime indicators:</strong></p>
<p>According to projections released in February 2004 from the Bureau of Labor Statistics, RNs top the list of the 10 occupations with the largest projected job growth in the years 2002-2012. Although RNs have listed among the top 10 growth occupations in the past, this is the first time in recent history that RNs have ranked first. These 10-year projections are widely used in career guidance, in planning education and training programs and in studying long-range employment trends. According to the BLS report, more than 2.9 million RNs will be employed in the year 2012, up 623,000 from the nearly 2.3 million RNs employed in 2002. However, the total job openings, which include both job growth and the net replacement of nurses, will be more than 1.1 million. This growth, coupled with current trends of nurses retiring or leaving the profession and fewer new nurses, could lead to a nursing shortage of more than one million nurses by the end of this decade. (For details, see <a href="http://www.bls.gov/emp/#outlook">www.bls.gov/emp/#outlook</a>.)</p>
<p>RIGHT ACCORD Private Duty-Home Health Care is a company based in Sarasota, Florida providing  in-home care assistance to seniors in the community who prefers to maintain their independence and lifestyle  at the comfort of their own homes. Caregivers are certified nursing assistants, home health aides, homemakers and companions. We service Sarasota, Lakewood Ranch, Bradendon, Venice, North Port, Longboat Key, Siesta Key, Osprey, Nokomis and all it&#8217;s sorrounding areas.</p>
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		<title>RIGHT ACCORD MDA-Helping Jerry&#8217;s Kids</title>
		<link>http://rightaccordhealth.com/right-accord-mda-helping-jerrys-kids</link>
		<comments>http://rightaccordhealth.com/right-accord-mda-helping-jerrys-kids#comments</comments>
		<pubDate>Fri, 27 Aug 2010 03:14:36 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Home Care Matters]]></category>
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		<description><![CDATA[PRESS RELEASE For further information contact: Rosemarie Tamunday-Casanova, Administrator (941) 366-0801 Email: rose@rightaccordhealth.com www.RightAccordHealth.com July 19, 2010 FOR IMMEDIATE RELEASE Good Deed to Benefit Local Organization Sarasota, June 23, 2010 RIGHT ACCORD Private Duty-Home Health Care Kathryn Larkin, Client Relations &#38; HR Manager of RIGHT ACCORD Private- Duty Home Health Care, participated in the Muscular [...]]]></description>
			<content:encoded><![CDATA[<p>PRESS RELEASE</p>
<p>For further information contact:<br />
Rosemarie Tamunday-Casanova, Administrator<br />
(941) 366-0801<br />
Email: rose@rightaccordhealth.com<br />
www.RightAccordHealth.com</p>
<p>July 19, 2010</p>
<p>FOR IMMEDIATE RELEASE</p>
<p>Good Deed to Benefit Local Organization</p>
<p>Sarasota, June 23, 2010 RIGHT ACCORD Private Duty-Home Health Care</p>
<p><strong>Kathryn Larkin, Client Relations &amp; HR Manager of RIGHT ACCORD Private- Duty Home Health Care, participated in the Muscular Dystrophy Association (MDA) by being “locked-up in jail” in order to raise bail to benefit children with MDA. Larkin raised $230 and the funds will be able to help a child with one group session and one physical, occupational or respiratory therapy consultation.</strong></p>
<p><img src="file:///C:/Users/rose/AppData/Local/Temp/moz-screenshot.png" alt="" /></p>
<p>The organization can be reached at <a title="www.mda.org" href="http://www.mda.org">www.mda.org</a></p>
<p><img src="file:///C:/Users/rose/AppData/Local/Temp/moz-screenshot-2.png" alt="" /></p>
<p><img src="file:///C:/Users/rose/AppData/Local/Temp/moz-screenshot-1.png" alt="" /></p>
<p>RIGHT ACCORD Private Duty-Home Health Care provides an affordable solution for older individuals or couples capable of managing their physical needs or personal care, but who require non-medical assistance, light housework, meal preparation and/or companionship in order to remain at home. Right Accord provides services in Sarasota, Bradenton, Longboat Key, Venice, Siesta Key, Casey Key, North Port and neighboring towns.</p>
<p>RIGHT ACCORD services can be arranged for as little as three hours, or for as many as 24 hours, a day. Short term assistance or longer term care is available seven days a week, including holidays.</p>
<p>When a potential client contacts the company, RIGHT ACCORD will arrange a meeting with the client and his or her families to discuss what services are needed. “Cost is on an hourly basis, “Tamunday-Casanova said, “so hours can be decreased or increased based on changing needs.”</p>
<p>The company’s Caregivers are carefully selected individuals who are thoroughly screened, bonded and insured. “Special attention is given to matching Caregivers with clients to achieve the utmost compatibility, “Tamunday &#8211; Casanova said.</p>
<p>The Company can be reached at (941)366-0801.</p>
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		<title>Nutrition and Diabetes Among Elderly</title>
		<link>http://rightaccordhealth.com/nutrition-and-diabetes-among-elderly</link>
		<comments>http://rightaccordhealth.com/nutrition-and-diabetes-among-elderly#comments</comments>
		<pubDate>Sat, 13 Mar 2010 01:01:02 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[caregivers]]></category>
		<category><![CDATA[Casey Key]]></category>
		<category><![CDATA[elderly nutrition]]></category>
		<category><![CDATA[home health aides]]></category>
		<category><![CDATA[longboat key]]></category>
		<category><![CDATA[meal preparation]]></category>
		<category><![CDATA[sarasota]]></category>
		<category><![CDATA[seniors]]></category>
		<category><![CDATA[venice]]></category>

		<guid isPermaLink="false">http://rightaccordhealth.com/?p=515</guid>
		<description><![CDATA[Diabetes is a condition that affects the way the body uses food for energy. Human bodies are composed of cells and cells need glucose. Glucose is sugar and sugar is used for energy. The body changes some food into glucose during digestion.  Cells need insulin. Insulin is a hormone made in pancreas and  used to [...]]]></description>
			<content:encoded><![CDATA[<p>Diabetes is a condition that affects the way the body uses food for energy. Human bodies are composed of cells and cells need glucose. Glucose is sugar and sugar is used for energy. The body changes some food into glucose during digestion.  Cells need insulin. Insulin is a hormone made in pancreas and  used to help let glucose to the cells.</p>
<p>In people and elderly with diabetes, this process doesn&#8217;t work properly. Food is changed into glucose, but a problem with the insulin prevents glucose from entering the cells. Glucose begins to collect in the blood.</p>
<p>The 2 main types of diabetes are Type 1 Diabetes and Type 2 Diabetes.</p>
<p>Type 1 Diabetes &#8211; means the body makes little or no insulin</p>
<p>Type 2 Diabetes &#8211; means the body still makes some insulin, but the cells can&#8217;t use it effectively. Over 90% of people with diabetes have Type 2 Diabetes.</p>
<p>Diabetes if left untreated can cause serious problems, including blindness, heart disease and kidney disease. There&#8217;s no cure for diabetes but diabetes can be controlled through diet, exercise and medication.</p>
<p>Good food is the key to controlling your diabetes and to good health. Proper diet can reduce the risk of long-term health problems.</p>
<p>Eating right helps control blood glucose levels. Many people with Type 2 Diabetes can manage their condition with proper diet and exercise.</p>
<p>Try to maintain a healthy weight. This helps your body make and use insulin more effectively.  Here&#8217;s a few general guidelines:</p>
<ol>
<li>Limit protein to 10-20% of daily calories</li>
<li>Limit fat to 30% of calories or less (less than 10% from saturated fat and no more than 10% from polyunsaturated fat).</li>
<li>Limit cholesterol to 300mg or less per day.</li>
<li>Eat more fiber &#8211; 20-35 g per day</li>
<li>Limit sodium to 2,400 &#8211; 3,000 mg per day</li>
<li>Be careful with alcohol &#8211; it can lower your your blood glucose level dangerously</li>
</ol>
<p>Plan your meals  using the exchange system. It can help you control your blood sugar and lose weight.</p>
<p>The exchange system groups similar foods are foods in an exchange group that have about the same amount of carbohydrates, protein, fat and calories.  It&#8217;s important to eat a variety of foods from each group. Foods in the same group can be swapped. For example, you can exchange 1/3 cups rice or 1/2 cup mashed potatoes for a slice of bread.</p>
<p>Eat the right amount. Eat the recommended amount of food each day &#8211; not too little or too much. Measure portions carefully until you can estimate accurately. Check your estimates every 6 months to make sure portions are not growing. Record what you eat. A journal or diary can help you keep track on how many exchanges you&#8217;ve eaten.</p>
<p>Meet with a dietitian. Work with your dietitian. Ask for other foods and recipes and ask your dietitian to help determine the exchanges. A dietitian can help you design a meal plan that&#8217;s right for you. Review your meal plan regularly. Changes in your weight and health can mean changes in your diet.</p>
<p>Here&#8217;s a few guidelines for managing diabetes with diet and nutrition:</p>
<ul>
<li>Eat regularly. Try to eat meals about the same time each day. The type and amount of food eaten for each meal should be about the same from one day to the next.</li>
<li>Maintain a healthy weight. Being overweight makes it hard for your body to use insulin effectively.  If you need to lose weight, work with your health care provider or dietitian to develop a weight-loss program based on your sex, height, weight and activity level</li>
<li>Lose weight slowly. Aim to lose 1-2 pounds per week. Eat at least 1,200 calories a day to make sure you get all the nutrients your body needs.</li>
<li>Plan for sick days. Being sick makes diabetes harder to control. Keep regular soft drinks, sweetened gelatin, sherbet and fruit juices on hand for days when you can&#8217;t eat solid foods. Drink plenty of fluids.</li>
</ul>
<p>Good Nutrition and exercise go hand in hand. Consider the following:</p>
<ol>
<li> Talk to your health care provider. Exercise can help lower blood glucose levels. Bu there may be risks for some people with diabetes. Work with your health care provider to develop an exercise plan that&#8217;s right for you.</li>
<li>Start slowly. Start with moderate activities such as walking or easy biking. Be active for at least 30 minutes on most, preferably all days of the week. Gradually, you can include more vigorous exercise such as jogging, running or rowing. Aim to do vigorous exercises for 20-60 minutes, 3-5 times a week.</li>
<li>Balance exercise with diet. In general, it&#8217;s best to exercise 1-2 hours after meals, when blood glucose levels are the highest. Eat a snack before exercising, if appropriate.</li>
<li>Take special care of your feet. Foot problems are a common complication of diabetes, so take care. Wear supportive shoes that fit properly. Wear clean socks.</li>
</ol>
<p>Right Accord is dedicated in keeping you at home with certified home health aides, certified nursing assistants, homemakers and companions who can assist elderly with activities of daily living including meal preparation. Caregivers are trained to prepare special diet prescribed for the elderly. Please call for a free care assessment by a registered nurse at (941) 366-0801.</p>
<p>We provide services in Sarasota and Manatee Counties including neighboring areas such as Longboat Key, Siesta Key, Casey Key, Nokomis, Osprey, Venice and Bird Key.</p>
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]]&gt;</script> </span></p>
]]></content:encoded>
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		</item>
		<item>
		<title>Talking With Older Adults About Safe Driving</title>
		<link>http://rightaccordhealth.com/talking-with-older-adults-about-safe-driving</link>
		<comments>http://rightaccordhealth.com/talking-with-older-adults-about-safe-driving#comments</comments>
		<pubDate>Fri, 26 Feb 2010 22:58:59 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Home Care Matters]]></category>
		<category><![CDATA[Certified Nursing Assistants]]></category>
		<category><![CDATA[companionship]]></category>
		<category><![CDATA[in home care provider]]></category>
		<category><![CDATA[in-home care assistance]]></category>
		<category><![CDATA[longboat key]]></category>
		<category><![CDATA[sarasota]]></category>
		<category><![CDATA[senior driving]]></category>
		<category><![CDATA[senior transportation services]]></category>
		<category><![CDATA[venice]]></category>

		<guid isPermaLink="false">http://rightaccordhealth.com/?p=500</guid>
		<description><![CDATA[Talking to older adults about safe driving is the most challenging and most difficult thing to do especially when it comes to taking the keys away from them. Getting older does not necessarily mean a person&#8217;s driving days are over. But it is important to plan ahead and take steps to ensure the safety of [...]]]></description>
			<content:encoded><![CDATA[<p>Talking to older adults about safe driving is the most challenging and most difficult thing to do especially when it comes to taking the keys away from them.</p>
<p><span class="style1">Getting older does not necessarily mean a person&#8217;s driving days are over. But it is important to plan ahead and take steps to ensure the safety of your loved ones on the road. NHTSA offers free materials to help you learn more about how to recognize and discuss changes in your older loved one&#8217;s driving.</span></p>
<p><span class="style1">If you think you need to have a conversation with an older driver about his or her driving abilities, remember that many older drivers look at driving as a form of independence. Bringing up the subject of their driving abilities can make some drivers defensive. So, be prepared with your observations and questions, and &#8211; if necessary &#8211; provide possible transportation alternatives.<br />
</span></p>
<p><span class="style1">Answering the following questions may help you decide if you need to initiate a conversation with an older driver about driving safely:</span></p>
<p><span class="style1">- Getting lost on routes that should be familiar?<br />
- Noticing new dents or scratches to the vehicle?<br />
- Receiving a ticket for a driving violation?<br />
- Experiencing a near miss or crash recently?<br />
- Being advised to limit/stop driving due to a health reason?<br />
- Overwhelmed by road signs and markings while driving?<br />
- Taking any medication that might affect driving safely?<br />
- Speeding or driving too slowly for no reason?<br />
- Suffering of any illnesses that may affect driving skills?</span><br />
<span class="style1">If you answered yes to any of these questions, you might need to talk with an older driver about safe driving.</span></p>
<p><span class="style1">This article is courtesy of The National Highway and Traffic Administration. For more information visit their website at: <a title="www.nhtsa.dot.gov" href="http://www.nhtsa.dot.gov">www.nhtsa.dot.gov</a></span></p>
<p class="bodynav"><span class="bodytextbold">In Sarasota, <a name="Driver">there&#8217;s a Driver’s Assessment and Re-Education</a></span> Program given by Sarasota Memorial Hospital.<br />
Designed to evaluate and improve driver safety, the Sarasota Memorial Driver’s Assessment and Re-Education program is coordinated by occupational therapists certified in driver evaluation and rehabilitation. <img src="http://www.smh.com/sections/services-procedures/srvc_rehabilitation/rehabimage9.jpg" alt="" hspace="8" vspace="5" width="200" height="133" align="left" /></p>
<p class="bodynav">The program includes:<br />
•	Assessment of vision, thinking, visual perceptual, physical skills and reaction time<br />
• Behind-the-wheel exercises in a customized driving program car, beginning in a parking lot and then advancing into more complex traffic. Behind-the-wheel assessments are performed in your community where the area is familiar.</p>
<p class="bodynav">Results of your assessment are sent to your referring physician for follow-up and referrals for further services if needed.</p>
<p class="bodynav"><span class="bodytextbold"><a name="Education">Re-Education &amp; Training</a></span><br />
The training and re-education program consists of in-vehicle education and practice in challenging situations, correction of unsafe habits and, if necessary, use of adaptive equipment to facilitate safer driving habits.</p>
<p class="bodynav"><span class="bodytextbold"><a name="Referral">Referral</a></span><br />
A physician referral requesting a driving assessment and listing a medical diagnosis is required for participation.</p>
<p class="bodynav"><span class="bodytextbold"><a name="Information">Information</a></span><br />
We are unable to evaluate and treat people who are obtaining their license for the first time or who must drive while seated in a wheelchair. Individuals must be able to get into and out of a vehicle independently to participate in the program. For information, please call (941) 917-2183.</p>
<p class="bodynav"><span class="bodytextbold"><a id="Functional" name="Functional">Functional Capacity Evaluations</a></span><br />
A Functional Capacity Evaluation (FCE) safely and objectively measures:<br />
• Repetitive lifting capacity at various levels<br />
• Repetitive push, pull, and carrying capacities<br />
• Hand grip strength<br />
• Tolerance for elevated work<br />
• Prolonged trunk flexion in sitting and standing<br />
• Prolonged trunk rotation in sitting and standing<br />
• Prolonged crawl, knee and sustained crouch positions<br />
• Repetitive squat<br />
• Tolerance for prolonged sitting and standing<br />
• Maximum walking, stairs and stepladder capacity<br />
• Balance<br />
• Hand coordination</p>
<p class="bodynav">Results and recommendations are discussed with the patient and the referring physician before a program of rehabilitation is designed.</p>
<p class="bodynav">For more information, please call (941) 917-1385 or <a title="www.smh.com" href="http://www.smh.com">visit www.smh.com</a></p>
<p class="bodynav">If you or your loved one is experiencing difficulty with transportation, our caregivers are able to provide companionship, in-home care assistance and incidental transportation services to keep you or your loved ones at home as long as they possibly can. Transportation to doctor&#8217;s appointments, errands, social and personal appointments are travel -assisted by our qualified care providers such as certified nursing asssitants, home health aides or companions.</p>
<p class="bodynav">We provide services in Sarasota, Manatee and its&#8217; neighboring towns such as Longboat Key, Siesta Key, Casey Key, Bird Key, Lido Key, Nokomis, Venice, and Osprey.</p>
]]></content:encoded>
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		<item>
		<title>Creating Your Own Advance Directives</title>
		<link>http://rightaccordhealth.com/creating-your-own-advance-directives</link>
		<comments>http://rightaccordhealth.com/creating-your-own-advance-directives#comments</comments>
		<pubDate>Sat, 20 Feb 2010 03:37:12 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Home Care Matters]]></category>
		<category><![CDATA[Casey Key]]></category>
		<category><![CDATA[help at home]]></category>
		<category><![CDATA[home instead]]></category>
		<category><![CDATA[in home care assessment]]></category>
		<category><![CDATA[longboat key]]></category>
		<category><![CDATA[nokomis]]></category>
		<category><![CDATA[right at home]]></category>
		<category><![CDATA[sarasota]]></category>
		<category><![CDATA[venice]]></category>

		<guid isPermaLink="false">http://rightaccordhealth.com/?p=497</guid>
		<description><![CDATA[When creating advance directives, consider what&#8217;s important to you. Consider the following questions and see which statements express how you think you&#8217;d feel if you were near death. It&#8217;s important to me to: &#8220;Die without pain and suffering&#8221; &#8220;be able to make my own decisions&#8221; &#8220;leave my family with good memories&#8221; &#8220;not burden my family [...]]]></description>
			<content:encoded><![CDATA[<p>When creating advance directives, consider what&#8217;s important to you.</p>
<p>Consider the following questions and see which statements express how you think you&#8217;d feel if you were near death.</p>
<p>It&#8217;s important to me to:</p>
<ul>
<li>&#8220;Die without pain and suffering&#8221;</li>
<li>&#8220;be able to make my own decisions&#8221;</li>
<li>&#8220;leave my family with good memories&#8221;</li>
<li>&#8220;not burden my family with difficult decisions&#8221;</li>
<li>&#8220;act according to my religious beliefs&#8221;</li>
<li>&#8220;be with my loved ones at death&#8221;</li>
</ul>
<p>Consider the medical possibilities. Imagine yourself in a coma or unconscious condition, with permanent brain damage or terminally ill.</p>
<p>Then ask yourself which of these statements best describe your feelings:</p>
<ol>
<li>&#8220;It is important to me to prolong life, regardless of pain, chances for recovery and cost.&#8221;</li>
<li>&#8220;I prefer to avoid life-prolonging measures if the chance for recovery are not good.&#8221;</li>
</ol>
<p>Discuss your responses with your family and friends, physician, religious leader and your lawyer.  Check with your State laws regarding living wills and durable power of attorney for health care. It is always a good idea to have both.</p>
<p>Don&#8217;t forget to put your wishes in writing and be specific as possible. Make sure you sign and have them witnessed and notarized.  Keep a record in your wallet stating that you have advance directives and where it is located.  Give your physician a copy to be kept as part of your medical records. if you use a durable power of attorney for health care, be sure to give a copy to your proxy.  Discuss your advance directives with your family, friends, physician and proxy. give copies to a relative or friend who is likely to be notified in the event of an emergency. Inform your physician or proxy if you update or make any changes in your advance directives.</p>
<p>Some common question about advance directives are:</p>
<p>Q. What if i change my mind after I fill out my advance directives?</p>
<p>A. If you are a competent adult, you can always change or cancel your advance directives. In some cases, you may even cancel it verbally.</p>
<p>Q. My relatives has a valid advance directives, can I prevent it from taking effect?</p>
<p>A. No, unless you can prove that the relative is not thinking clearly when he or she created the advance directives.</p>
<p>If you need more information or help in preparing advance directives, you may contact us to refer you to local resources that can assist you.These can include elder attorneys, hospital personnel, hospice, long-term care facilities or home health agencies.</p>
<p>You may also visit <a title="www.partnershipforcaring.org" href="http://www.partnershipforcaring.org">www.partnershipforcaring.org </a>or call 1-800-989-9455 for more information about advance directives.</p>
<p>RIGHT ACCORD Private Duty-Home Health Care will be happy to assist you with any questions about advance directives. RNs are available to answer questions and free in-home care assessment should you require more information on how to stay at home with your wishes. Home care services are available to help you at home with assistance from certified caregivers. We provide services in Sarasota, Manatee and neighboring areas such as Venice, Osprey, Nokomis, Longboat Key, Siesta Key, Lido Key, Lakewood Ranch, and Casey Key.</p>
<p>For more information about maintaining your lifestyle right at home, call (941) 366-0801.</p>
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		<title>Illness and Disability Leads to Transportation Needs</title>
		<link>http://rightaccordhealth.com/illness-and-disability-leads-to-transportation-needs</link>
		<comments>http://rightaccordhealth.com/illness-and-disability-leads-to-transportation-needs#comments</comments>
		<pubDate>Sat, 23 Jan 2010 04:36:07 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Home Care Matters]]></category>
		<category><![CDATA[bradenton]]></category>
		<category><![CDATA[caregivers]]></category>
		<category><![CDATA[elderly transportation options]]></category>
		<category><![CDATA[longboat key]]></category>
		<category><![CDATA[sarasota]]></category>
		<category><![CDATA[senior transportation services]]></category>
		<category><![CDATA[transportation services]]></category>
		<category><![CDATA[venice]]></category>
		<category><![CDATA[wheelchair transportation]]></category>

		<guid isPermaLink="false">http://rightaccordhealth.com/?p=472</guid>
		<description><![CDATA[Illness and  physical disability often leads to the person being dependent on equipment such as motorized chair or wheelchair for mobilization. It is easier for people with disability or special needs to maintain physically and socially active in today&#8217;s society. Many people with disabilities now use scooters and wheelchairs to assist them in their transportation [...]]]></description>
			<content:encoded><![CDATA[<p>Illness and  physical disability often leads to the person being dependent on equipment such as motorized chair or wheelchair for mobilization.</p>
<p>It is easier for people with disability or special needs to maintain physically and socially active in today&#8217;s society. Many people with disabilities now use scooters and wheelchairs to assist them in their transportation needs.</p>
<p>In addition,  with modern technology, people can now be transported in a specially equipped vans or public transportation vans designed for the handicapped and wheelchair dependent clients. Majority of public places such as restaurants, shopping malls, airport and supermarket are designed to accommodate people with disabilities which makes it more satisfying and comfortable for disabled people to come.</p>
<p>If a senior is ill or hospitalized, the case manager will initially arrange for non-emergency transportation if you require wheelchair or stretcher when you leave the hospital or rehab facility. When admitted to a nursing home,  rehabilitation facility or assisted living facility, a person may also need to be transported to doctor&#8217;s appointments and medical procedures. The case manager or social worker or facility scheduler will also arrange for non-emergency transportation.</p>
<p>Right Accord Transport is available in Sarasota and Manatee County to accommodate non-emergency transportation requiring wheelchair or stretcher. Caregivers such as  certified home health aides or certified nursing assistants or companions are available should you require special assistance when traveling to such as medical appointments,  social appointments, visiting friends or family, airport travel or going out of state travel.</p>
<p>At Right Accord Transport, it is our utmost goal to assist you in maximizing your independence and provide you with safety and comfort during your travel.</p>
<p>Our newest state of the art vans are designed to accommodate special mobility needs. The drivers are CPR certified and are very dependable and polite. Our rates are very reasonable and affordable.</p>
<p>To book your next non-emergency wheelchair or stretcher  transport with us, please call (941) 366-0801 or you may book on line by visiting our website at <a title="www.rightaccordhealth.com" href="http://www.rightaccordhealth.com">www.rightaccordhealth.com</a>.</p>
<p>Right Accord Transport is available 24/7 in Sarasota and its neighboring areas such as Bradenton, Lakewood Ranch, Siesta Key, Longboat Key, Osprey, Venice, Nokomis, Casey Key, Bird Key.</p>
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		<title>Elderly Nutrition and Counseling Available in Sarasota</title>
		<link>http://rightaccordhealth.com/elderly-nutrition-and-counseling-available-in-sarasota</link>
		<comments>http://rightaccordhealth.com/elderly-nutrition-and-counseling-available-in-sarasota#comments</comments>
		<pubDate>Sat, 09 Jan 2010 16:56:06 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Home Care Matters]]></category>
		<category><![CDATA[bradenton]]></category>
		<category><![CDATA[caregivers]]></category>
		<category><![CDATA[elderly nutrition]]></category>
		<category><![CDATA[in-home care assistance]]></category>
		<category><![CDATA[longboat key]]></category>
		<category><![CDATA[sarasota]]></category>
		<category><![CDATA[senior care]]></category>
		<category><![CDATA[seniors]]></category>
		<category><![CDATA[venice]]></category>

		<guid isPermaLink="false">http://rightaccordhealth.com/?p=460</guid>
		<description><![CDATA[Elderly nutrition is a dilemma among seniors especially those living alone. Most often, people who lives alone do not get the proper nourishment due to a variety of reasons. Elderly nutrition and counseling is available in Sarasota, Florida. How is it possible for someone to look at the person and tell whether that person&#8217;s body [...]]]></description>
			<content:encoded><![CDATA[<p>Elderly nutrition is a dilemma among seniors especially those living alone. Most often, people who lives alone do not get the proper nourishment due to a variety of reasons.</p>
<p>Elderly nutrition and counseling is available in Sarasota, Florida.</p>
<p>How is it possible for someone to look at the person and tell whether that person&#8217;s body is well nourished? A well nourished person usually manifest physical evidence such as shiny hair, clear skin, firm flesh and good posture. People with good nutrition also shows more energy and is more alert.</p>
<p>Seniors are more prone to be undernourished due to the fact that they may not have the desire to eat or they may not have the energy to go to the supermarket and prepare themselves nutritious meals. In many cases, the elderly will feed themselves with snacks that are empty caloric foods  or would eat outside which often this type of diets are loaded with excessive fats, salt and cholesterol. Most diseases are aggravated by wrong diet such as hypertension, diabetes, congestive heart failure, etc.</p>
<p>In home care assistance from a home health aide or caregivers from Right Accord Private Duty- Home Care in Sarasota, Florida are trained to provide proper nutrition to the elderly in the community. By utilizing the assistance from caregivers,  seniors are able to receive assistance from doing the food shopping and selecting proper foods and cooking a well balanced diet.</p>
<p>Right Accord caregivers in Sarasota have taken clients to receive nutrition counseling at the Sarasota Memorial for Outpatient  Nutrition Counseling Program and Lifestyle Coaching. Our clients have benefited from this program and improved their nutrition and lifestyle.</p>
<p>Insurance may cover this program therefore it is important to check with your insurance to verify coverage and costs.</p>
<p>The program offers a personalized nutrition counseling from a Registered and Licensed Dietitian such as special meal planning, individualized eating and lifestyle plans, computerized nutrition analysis, review of the senior&#8217;s blood work,  recipe make-overs, weight loss strategies, and tips for healthy cooking and dining.</p>
<p>For more information in the Sarasota Memorial Nutrition Counseling and Lifestyle Coaching Program, you may contact:</p>
<p>Sarasota Memorial Institute for Advanced Medicine/HealthPlex at 5880 Rand Blvd., Sarasota, FL. Tel: (941) 917-7468 or visit <a title="www.smh.com" href="http://www.smh.com">www.smh.com.</a></p>
<p>Right Accord Private Duty-Home Care provides in-home care assistance to seniors  in Sarasota and its surrounding areas such as Venice, Longboat Key, Siesta Key, Osprey, Nokomis, Bradenton and Lakewood Ranch area.  For more information about Right Accord Services and schedule a free consultation or assessment, please call (941) 366-0801.</p>
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