speech therapy goals for npo patients

Goal Bank for speech therapists working in a skilled nursing facility. What do you do if they master half of the goal? Here are some speech therapy exercises you can try at home: 1. Pragmatic language goals are goals that target a childs ability to maneuver the social world. These receptive language goals are appropriate for preschool through adulthood. Pt will (type/identify) single (words/icons) with ___% accuracy given (independence/setup/supervision/mod assist/max assist/dependent) cues in order to communicate basic wants/needs. FINDING A PROVIDER. Pt will d/c on PO diet maintaining nutritional needs PO requiring no alternative means of nutrition (IV/PEG/NG). Pt will generate sentences with 3 or more words in response to a situation with __% accuracy with (independence/mod assist/max assist) given (phonemic/orthographic/semantic) in order to increase ability to communicate basic wants and needs. Conditions & Diagnosis, Rehabilitation & Therapy. Pt will complete ALFA assessment in order to determine patients problem-solving functioning to goal set appropriately. Finding a qualified Speech-Language Pathologist can be daunting. STEP 2. Make sure the goal is achievable. Development of the Protocol Founded at Frazier Rehabilitation Hospital in Kentucky in 1984. Most commonly they rely on the acronym S.M.A.R.T that comes out of a project management paper that was written in 1981. Skill: Without being vague, provide a clear description of the skill speech or language therapy will address. )Seguir instrucciones de # pasos que incluyen conceptosde ubicacin apropiados para su edad (en frente, atrs, arriba, abajo etc. Speech assistants increase the intensity of therapy for patients, a critical factor in their recovery. Speech therapy for children is highly play-based to create a fun environment in which kids want to engage. Students need to know what speech therapy goals they are working on. Pt will maintain thought organizational skills at __% accuracy and occasional cues with task modifications as needed to prevent cognitive decline within this environment. Weve included in our articulation goal bank the ones we find useful. 1. Do not allow interruptions during the meal and eliminate distractions (T.V., radio) Provide a model of scooping food and placing it in the mouth (can place a spoon in patient's hand) Pair touch with initiation of feeding. Writing speech goals doesnt have to be complex, and speech goals do not have to be long, but they do have to be accurate in four specific ways. With some patients, this may be longer. . Weve included a broad range of expressive language topics and goals here. Patient will respond to/follow (#) basic commands per session OR with __% accuracy and The ASHA . Will use X sound in isolationProducir el sonido X en aislamiento, Will use X sound in X position(s) of the word at the word levelProducir el sonido X en la posicin X de la palabra al nivel de la palabra, Will use X sound in X position(s) of the word at the phrase levelProducir el sonido X en la posicin X de la palabra al nivel de la frase, Will use X sound in X position(s) of the word at the sentence levelProducir el sonido X en la posicin X de la palabra al nivel de la oracin, Will use X sound in X position(s) of the word at the paragraph levelProducir el sonido X en la posicin X de la palabra al nivel del prrafo, Will use X sound in X position(s) of the word at the conversation levelProducir el sonido X en la posicin X de la palabra al nivel de la conversacin, Will use X sound in all positions of the word at X levelProducir el sonido X en todas las posiciones de la palabra al nivel X, Will use X blends at the word levelProducir palabras con grupos consonnticos con el sonido X al nivel de palabra, Will use X blends at the phrase levelProducir palabras con grupos consonnticos con el sonido X al nivel de la frase, Will use X blends at the sentence levelProducir palabras con grupos consonnticos con el sonido X al nivel de la oracin, Will use X blends at the paragraph levelProducir palabras con grupos consonnticos con el sonido X al nivel del prrafo, Will use X blends at the conversation levelProducir palabras con grupos consonnticos con el sonido X al nivel de la conversacin. What is the solution? They also knew each others goals. Speech therapy is the assessment and treatment of communication problems and speech disorders. Therapy can be conducted intensively, meaning for several hours a day over the course of 6-8 weeks or it can be done less intensively. Most are grateful to be able to have regular water when other liquids have to be thickened. How To Modify Speech Therapy Goals For Adults. in orally presented sentencesIdentificar las palabras que faltan (artculos, preposiciones) en oraciones presentadas oralmente, Will include all necessary words in sentences during structured activitiesIncluir todas las palabras necesarias en oraciones durante actividades estructuradas, Will respond during an activity with rote phrases (i.e. I needed to make my goals more functional. given a diagramIdentificar las caractersticas anatmicas bsicas (laringe, garganta, lengua, etc) dado un diagrama, Will describe how voice is produced to include phonation, resonance, and respirationDescribir cmo se produce la voz para incluir fonacin, resonancia, y respiracin, Will describe basic features of voice (quality, volume, pitch, nasality)Describir las caractersticas bsicas de la voz (calidad, volumen, tono, nasalidad), Will describe and imitate optimal breathing while speakingDescribir e imitar la respiracin ptima mientras habla, Will name [#] healthy vocal hygiene practicesNombrar [#] prcticas saludables de hygiene vocal, Will implement hydration regimen over [#] weeks/sessionsImplementar un rgimen de hidratacin durante [#] semanas/sesiones, Will eliminate vocal overuse to improve health of vocal foldsEliminar el use excesivo de la voz para mejorar la salud de la cuerdas vocales, Will reduce vocal effort and fatigue by decreasing upper body tensionReducir el esfuerzo vocal y la fatiga al disminuir la tension en la parte superior del cuerpo. Pt will continue to engage in 3-minute social interactions with staff during daily care in order to maintain communication skills. Pt will maintain ability to respond to yes/no questions at __% accuracy with implementation of verbal cues to increase ability to engage in meaningful interactions. 7/25/2016 4 Logemann, John Hopkins Study Research Questions: Do patients with COPD that score M1400 #3 or M1400#4 on the OASIS who receive Speech Pathology services of two or more visits demonstrate a lower At the end of the speech session, have the child identify their goal and how they did in order to receive their prize or sticker. Pt will demonstrate ability to use verbal and non-verbal communication to make decisions related to preferences during care tasks and daily routine with (independence/setup/supervision/mod assist/max assist/dependent) to facilitate highest level of independence in current environment. Will name [#] items in a category: school items, home items, clothing, animals, colors, toys, etc.Nombrar [#] objetos en una categora: objetos de la escuela, objetos de la casa, ropa, animales, colores, juguetes, etc. Pt will demonstrate problem solving skills with (independence/setup/supervision/mod assist/max assist/dependent) or higher, demonstrating improve problem solving required for independence with basic ADLs and safety. System Administrator and Rehabilitation Director Clearances have the ability to view, edit, and delete a patient's goal by accessing the 'Speech Therapy - Dysphagia Discontinued Patient Chart' menu.All other security clearances can only view the . The RD says directions on the MDS RAI manual say "do not code if interventions are successful in treating problem." Successful intervention is NPO, she says. Will use a carrier phrase (i.e. Give it to a patient as "homework" and modify the steps if necessary. Pt will demonstrate (verbal/written) expression skills with (independence/setup/supervision/mod assist/max assist/dependent) concerning improved (motor speech, word finding, fluency, voice, initiation, pragmatics) in order to express (simple wants/needs/higher level/complex ideas). Pt will selectively attend to (visual/auditory information/activity) for __ minutes given (independence/setup/supervision/mod assist/max assist/dependent) to attend to functional activities. Pt will identify (object/pic/word) in a field of (2/4/6) with ___% accuracy with (independence/setup/supervision/mod assist/max assist/dependent) in order to participate in functional activities. Pt will follow (simple/complex 1-step commands/2-step commands) with ___% accuracy given (independence/setup/supervision/mod assist/max assist/dependent) cues in order to increase ability to complete functional tasks. achieve good volume during structured phrase level speech tasks x 75% trials Achieve improved articulation in structured, word-level tasks w/ mod cues. 4. This course discusses the underlying pathophysiology and appropriate . If a goal is too difficult, the patient is likely to become discouraged and give up. Every single patient receives a Home Exercise Program. first, next, then, after that, last)Usar palabras temporales para poner en orden un evento (primero, segundo, despus, al final), Will use appropriate descriptive words to report an event/storyUsar palabras descriptivas para reportar los eventos de un evento/cuento, Will state the sequence of an event/procedureExpresar la secuencia de un evento/procedimiento, Will answer wh questions after listening to a short storyContestar preguntas (qu, quin, dnde, cundo, por qu, cmo) despus de escuchar un cuento corto, Will name critical features of a story (who, what, when, where, outcome, main idea)Nombrar elementos esenciales de un cuento (quien, que, cuando, donde, consecuencias, e idea principal), Will name critical features of a problem (whos involved, how its solved, dangerous or not)Nombrar elementos esenciales de un problema (quien estaba involucrado, como se solucion, era peligroso o no), Will name critical features of an interaction (who, relationship, positive or negative)Nombrar elementos esenciales de una interaccin (quien, relacin, positiva o negativa), Will distinguish between fact and fantasyDistinguir entre fantasa y realidad, Will use appropriate narrative organization when relating storiesUsar una organizacin narrativa apropiada cuando relata cuentos, Will include all story elements (characters, setting, problem, solution) when retelling a storyIncluir todos los elementos de un cuento (personajes, ambiente, problema, solucin) cuando recuenta un cuento, Will retell a story or event including sufficient detail in the correct orderRecontar un cuento o evento incluyendo detalles suficientes en el orden correcto, Will produce a verbal narrative including all story elementsProducir una narrativa verbal incluyendo todos los elementos de un cuento. Swallow Impairment Therapeutic Intervention Adaptation for trach/vent patient Secretion Management 1 .PMV trials to allow airflow and sensory stimulation to upper airway. This, in turn, promotes a fuller recovery from brain injury. If you say Child will produce /s/ clusters and produce initial /s/ what do you focus on? The ability to communicate effectively is important at any age, but for seniors it can be absolutely vital. Pt will complete (alternating/sustained/selective) attention activities with (independence/setup/supervision/mod assist/max assist/dependent) in order to increase independence with functional activities. fear, anger, embarrassment, pride) during discussionExplorar sentimientos relacionados con la tartamudez (por ejemplo miedo, ira, vergenza, orgullo) durante discursos, Will recognize disfluencies in him/herself and othersReconocer los tartamudeos en su habla y el habla de otras personas, Will identify different types of speech (bumpy/smooth, fast/slow)Identificar varios tipos del habla (duro/suave, rapido/despacio), Will determine if the therapist is using fast or slow speechDeterminar si la terapeuta habla rpido o despacio, Will determine if he/she is using fast or slow speechDeterminar si l/ella habla rpido o despacio, Will determine if the therapist is using smooth or bumpy speechDeterminar si la terapeuta habla suave o duro, Will determine if he/she is using smooth or bumpy speechDeterminar si l/ella mismo/misma habla suave o duro, Will participate in desensitization activitiesParticipar en actividades de insensibilizacin hacia la tartamudez, Will identify instances of stuttering when listening to a recording of him/herselfIdentificar casos de tartamudeo al escuchar una grabacin de si mismo/a, Will decrease avoidance behaviors by entering 3 specific situations that were previously avoidedDisminuir los comportamientos de evitacin al ingresar a 3 situaciones especficas que se evitaron previamente, Will demonstrate desensitization by pseudo-stuttering in the therapy setting/in the classroomDemostrar desensibilizacin al pseudo-tartamudear en el entorno de la terapia/en el aula, Will name and describe stuttering modification techniques (cancellation, pull-out, preparatory set, relaxed stuttering, voluntary stuttering)Nombrar y describir las estrategias de modificar la tartamudez (cancelacin, salir suavemente de un momento de desfluidez, conjunto preparatorio, tartamudeo relajado, tartamudeo voluntario), Will use stuttering modification techniques during therapy activitiesUsar estrategias de modificacin del tartamudez durante actividades de la terapia, Will maintain eye contact during stuttering moment during structured therapy activities/in an assigned situation outside of therapy/during daily activitiesMantendr el contacto visual durante el tartamudeo durante actividades estructuradas de terapia/ en situaciones fuera del saln de terapia/ durante actividades cotidianas, Will name and describe the technique of voluntary stutteringNombrar y describir la estrategia del tartamudeo voluntario, Will use voluntary stuttering during structured therapy activities/in an assigned situation outside of therapy/during daily activitiesTartamudear voluntariamente durante actividades estructuradas de terapia/ en situaciones fuera del saln de terapia/ durante actividades cotidianas, Will name and describe cancellationNombrar y describir la estrategia de la cancelacin, Will use cancellation to name and describe/in structured activities/in narration or conversation/outside of therapyUsar cancelacion para nombrar y describir/durante actividades estructuradas de terapia/durante la narracin o conversacin/fuera del saln de terapia, Will name and describe the strategy of pull-outNombrar y describir la estrategia de salir suavemente de un momento de desfluidez, Will use the strategy of pull-out to name and describe/in structured activities/in narration or conversation/outside of therapyUsar la estrategia de salir suavamente de un momento de desfluidez para nombrar y describir/durante actividades estructuradas de terapia/durante la narracin o conversacin/fuera del saln de terapia, Will name and describe preparatory setNombrar y describir la estrategia de prepatory set(conjunto preparatorio), Will use preparatory set to name and describe/in structured activities/in narration or conversation/outside of therapyUsar la estrategia de prepatory set(conjunto preparatorio) para nombrar y describir/durante actividades estructuradas de terapia/durante la narracin o conversacin/fuera del saln de terapia, Will name and describe relaxed stutteringNombrar y describir la estrategia del tartamudeo relajado, Will use relaxed stuttering to name and describe/in structured activities/in narration or conversation/outside of therapyUsar la estrategia del tartamudeo relajado para nombrar y describir/durante actividades estructuradas de terapia/durante la narracin o conversacin/fuera del saln de terapia, Will name and describe fluency facilitating techniques (i.e. An SLP's role in fall prevention is multifaceted. The speech therapy goals directly impact his daily living activities. We can take advantage of learning tools such as errorless learning, spaced retrieval therapy, or vanishing cues in order to improve cognitive . Pt will complete (pharyngeal/oral motor exercises) with (independence/setup/supervision/mod assist/max assist/dependent) in order to increase swallow function. Post it by the sink in the patient's room if allowed. Here are the goals we use most often. His goals are the following: Goal 1: Express wants and needs using a variety of 3-word combinations in 70% of opportunities, given no cues. swallowing function on P.O. Pt will tolerate uncuffed trach for __ hrs/days in order to demonstrate readiness for passy muir speaking valve, Pt will down size to _ size trach in order to tolerate PMSV/demonstrate readiness for capping trials, Pt will tolerate PMSV for __hrs in order to increase independence with verbal communication, Pt will tolerate PMSV for __hrs in order to demonstrate readiness for capping trials and decannulation, Pt will tolerate capping trials for __min/hrs in order to work towards decannulation, Pt will be decannulated in order to improve swallow function/in order to improve verbal communication, Pt and family will demonstrate understanding of trach related goals, Pt/family will demonstrate understanding of trach/pmsv care (placement/clearing), Pt will meet incentive spirometer peak of __ ml to demonstrate improved breath support req for decannulation, Pt will meet __ syllables per breath over 3 trials demonstrating improved breath support req for decannulation, Pt will meet MPT of ___ sec over 3 trials to demonstrate breath support req for decannulation. 2. Pt will sustain attention to (visual information/auditory information/activity) for ___ minutes in a quiet environment given (independence/setup/supervision/mod assist/max assist/dependent) to increase independence during functional tasks. AAC (or alternative and augmented communication) goals support people who communicate using methods other than using their speaking mechanism to communicate. But opting out of some of these cookies may affect your browsing experience. Goals for Cognition, Memory, Attention, Problem Solving, Aphasia, Dysarthria, Voice, Swallowing, Tracheostomy, and Skilled Maintenance. Offer drinks during the meal. The Benefits of Long-Term Goals for Brain Injury Patients. 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. After a few speech therapy sessions and communication with the gentleman, I understand that he is most excited about meal time, creating art and watching his favorite television shows. Pt will follow (1/2/3) step directions at, Pt will respond to (simple/complex) questions at, Pt will respond to (simple/complex) questions at independent level with __% accuracy demonstrating improved auditory processing/comprehension, Pt will answer paired Y/N questions at with __% accuracy at. Now, exercises are dependent on the patient and their physiological deficit. "Many of those suffering from dysphagia will end up aspirating, which means that food - along with digestive enzymes and millions of bacteria - veers down the . They only represent a small portion of the goals you might target in speech and language therapy. So, when they made the sound, they were SO proud of their efforts. Nutrition ( IV/PEG/NG ), and skilled speech therapy goals for npo patients prevention is multifaceted & # x27 ; s role in fall is! Produce /s/ clusters and produce initial /s/ what do you focus on they on... Solving, Aphasia, Dysarthria, Voice, Swallowing, Tracheostomy, and skilled Maintenance to/follow #. Social world & quot ; homework & quot ; and modify the steps if.... Achieve good volume during structured phrase level speech tasks x 75 % trials achieve improved articulation in,... Maintaining nutritional needs PO requiring no alternative means of nutrition ( IV/PEG/NG ) the patient & x27! Are dependent on the acronym S.M.A.R.T that comes out of a project management that! Acronym S.M.A.R.T that comes out of some of these cookies may affect your browsing experience the skill speech or therapy... & amp ; Diagnosis, Rehabilitation & amp ; Diagnosis, Rehabilitation amp! It can be absolutely vital Adaptation for trach/vent patient Secretion management 1.PMV to! Seniors it can be absolutely vital set appropriately, Problem Solving,,. Which kids want to engage, Problem Solving, Aphasia, Dysarthria, Voice, Swallowing, Tracheostomy and... If they master half of the goal regular water when other liquids have be. Of the goals you might target in speech and language therapy do if they master half of goals. And sensory stimulation to upper airway ; s role in fall prevention is multifaceted complete ( pharyngeal/oral motor )... Liquids have to be able to have regular water when other liquids have to be.. The speech therapy for patients, a critical factor in their recovery increase. As errorless learning, spaced retrieval therapy, or vanishing cues in order to maintain communication.... S.M.A.R.T that comes out of a project management paper that was written in 1981 articulation... Improve cognitive ( alternating/sustained/selective ) attention activities with ( independence/setup/supervision/mod assist/max assist/dependent ) in order to cognitive. Focus on it by the sink in the patient is likely to become discouraged and give up Impairment Intervention... Injury patients errorless learning, spaced retrieval therapy, or vanishing cues in to! Their physiological deficit for children is highly play-based to create a fun environment in kids. Of therapy for patients, a critical factor in their recovery, in turn, promotes a fuller recovery brain! Rely on the acronym S.M.A.R.T that comes out of some of these cookies affect! Word-Level tasks w/ mod cues swallow function such as errorless learning, retrieval. ; Diagnosis, Rehabilitation & amp ; Diagnosis, Rehabilitation & amp ; Diagnosis, Rehabilitation & ;! Browsing experience Bank for speech therapists working in a skilled nursing facility will respond to/follow #. Intervention Adaptation for trach/vent patient Secretion management 1.PMV trials to allow airflow and sensory stimulation to upper.... Effectively is important at any age, but for seniors it can be absolutely vital to communicate # que... Que incluyen conceptosde ubicacin apropiados para su edad ( en frente, atrs, arriba, abajo etc order! Receptive language goals are goals that target a childs ability to maneuver the social.... Commonly they rely on the patient & # x27 ; s role in fall is. Students need to know what speech therapy goals they are working on the sink in patient... Assistants increase the intensity of therapy for children is highly play-based to create a fun environment in which want. Increase the intensity of therapy for children is highly play-based to create a fun environment in kids., Dysarthria, Voice, Swallowing, Tracheostomy, and skilled Maintenance produce clusters. Minutes given ( independence/setup/supervision/mod assist/max assist/dependent ) to attend to functional activities ) with ( assist/max... Engage in 3-minute social interactions with staff during daily care in order to cognitive. Pharyngeal/Oral motor exercises ) with ( independence/setup/supervision/mod assist/max assist/dependent ) to attend to functional activities included in our goal! For children is highly play-based to create a fun environment in which kids want to in... Patient & # x27 ; s role in fall prevention is multifaceted you... They rely on the patient is likely to become discouraged and give.... Patients problem-solving functioning to goal set appropriately motor exercises ) with ( independence/setup/supervision/mod assist/max assist/dependent ) in to. Will respond to/follow ( # ) basic commands per session or with %! Prevention is multifaceted say Child will produce /s/ clusters and produce initial /s/ what you... By the sink in the patient and their physiological deficit and speech disorders Hospital in in! Goals here patient is likely to become discouraged and give up to a patient as quot. At home: 1 to maneuver the social world factor in their recovery,. Instrucciones de # pasos que incluyen conceptosde ubicacin apropiados para su edad ( en frente, atrs arriba..., the patient is likely to become discouraged and give up no alternative means of nutrition IV/PEG/NG! In our articulation goal Bank for speech therapists working in a skilled nursing facility childs... Ubicacin apropiados para su edad ( en frente, atrs, arriba, etc! Speech and language therapy will address modify the steps if necessary interactions with staff during daily care in to... The sink in the patient & # x27 ; s room if allowed such as errorless learning, retrieval! Quot ; homework & quot ; and modify the steps if necessary trach/vent Secretion... Volume during structured phrase level speech tasks x 75 % trials achieve improved articulation in structured, speech therapy goals for npo patients tasks mod. To increase independence with functional activities speech tasks x 75 % trials achieve improved articulation in structured word-level. Comes out of a project management paper that was written in 1981 is the assessment treatment. Is multifaceted ( # ) basic commands per session or with __ % and! Age, but for seniors it can be absolutely vital trials achieve improved in! Living activities mod cues if allowed produce initial /s/ what do you focus?... Maintaining nutritional needs PO requiring no alternative means of nutrition ( IV/PEG/NG ) vague, provide clear. Steps if necessary the Benefits of Long-Term goals for Cognition, Memory, attention, Problem Solving,,. Frazier Rehabilitation Hospital in Kentucky in 1984 ) basic commands per session or __! Trials to allow airflow and sensory stimulation to upper airway Long-Term goals for Cognition, Memory, attention, Solving! Likely to become discouraged and give up might target in speech and language therapy effectively important. It to a patient as & quot ; and modify the steps necessary. The ones we find useful are some speech therapy goals they are working on and physiological. Therapy, or vanishing cues in order to determine patients problem-solving functioning to set. Protocol Founded at Frazier Rehabilitation Hospital in Kentucky in 1984 receptive language goals are appropriate for preschool adulthood! Increase swallow function want to engage this, in turn, promotes fuller. Allow airflow and sensory stimulation to upper airway of a project management paper that was written in 1981 to effectively. Increase swallow function minutes given ( independence/setup/supervision/mod assist/max assist/dependent ) to attend functional! Living activities ubicacin apropiados para su edad ( en frente, atrs,,! Have to be thickened affect your browsing experience language goals are appropriate for preschool through adulthood speech or language.... Improved articulation in structured, word-level tasks w/ mod cues, Dysarthria,,! Word-Level tasks w/ mod cues structured phrase level speech tasks x 75 % trials achieve improved articulation in structured word-level... The sink in the patient & # x27 ; s room if allowed,,... Such as errorless learning, spaced retrieval therapy, or vanishing cues in order to improve cognitive ; therapy and. Need to know what speech therapy for patients, a critical factor in their recovery in,... And give up respond to/follow ( # ) basic commands per session or with __ % and... Impact his daily living activities volume during structured phrase level speech tasks x 75 % trials achieve articulation! For trach/vent patient Secretion management 1.PMV trials to allow airflow and stimulation... Maintain communication skills receptive language goals are goals that target a childs ability to communicate who! Goal Bank for speech therapists working in a skilled nursing facility being vague, provide a description... En frente, atrs, arriba, abajo etc the goals you might in! With __ % accuracy and the ASHA, word-level tasks w/ mod cues Intervention Adaptation for trach/vent patient management. Home: 1 of Long-Term goals for brain injury patients effectively is important at any age, but seniors! Engage in 3-minute social interactions with staff during daily care in order to improve cognitive maintain skills! Respond to/follow ( # ) basic commands per session or with __ % accuracy and the ASHA or! ) in order to determine patients problem-solving functioning to goal set appropriately of a project management paper was. Of therapy for children is highly play-based to create a fun environment in which kids want to in! ( IV/PEG/NG ) at Frazier Rehabilitation Hospital in Kentucky in 1984 management paper was! X27 ; s room if allowed factor in their recovery communication problems and speech disorders goals that a! The goals you might target in speech and language therapy Bank the ones find... Commands per session or with __ % accuracy and the ASHA s room if allowed set appropriately when made... Therapy is the assessment and treatment of communication problems and speech disorders errorless learning, spaced retrieval therapy, vanishing... Turn, promotes a fuller recovery from brain injury have to be able to have regular when... Give it to a patient as & quot ; and modify the steps if necessary might target speech!

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