robert sturgess swift river

No weight bearing today. He is a local TV news reporter that was filming an event at the county fair when there was an explosion. Fall Risk Increased acuity Suprapubic Insertion site: WNL S/S Infection : ____________________ Richard Dominec, A 47-year-old married father of three children has been admitted for an emergent appendectomy in the evening as soon as there is space available in the OR. Localizes pain = 5 Imbalanced Nutrition True John Duncan No Known allergies (NKA). Verbal response Oriented converses = 5 Mr. Gonzales H/H is 12.7/38. Ms. Cumble is in bed and appears comfortable and requests assistance from you to get out of bed to go to the bathroom. Pupils PERRLA, eyes clear. Scenario 2 Mr. Dominec leaves the room and you discharge him and escort him and his partner to the car. Skin cool to touch and appears pale. Wash and glove hands Virginia Smith, 57-year-old who has elected to have a total mastectomy based on consultation with her surgeon, a total mastectomy removes all breast tissue but leaves all or most of axillary lymph nodes and chest muscles intact. Impaired comfort: True -Ensure IV is patent, Lithia Monson Mr. Greer is on the floor still but is awake and oriented and is complaining of back pain below his right scapula. Remain with patient Health Change Increased acuity Neuro- confusion to time and place, but oriented to self, speech clear, poor historian, did not recognize son today which is new for her; Neuro assessment and vital signs q1 hr. Deficient Knowledge False Impaired Mobility False Encourage Mr. Dominec to discuss with his partner his best treatment options. Assist physician in physical exam of patient Scenario 4 You enter his room and recognize that Mr. Thomason appears to be talking to himself and appears confused. Scenario 5 Administer antipyretic meds Mrs. Smith's surgery has now ended. -Complete incident report. Decisional Conflict True Emergency intubation and assisted breathing is provided for Mr. Thomason Combien gagne t il d argent ? Vital signs -Temp 97.2, BP 96/74, P 82, RR 20, SaO2 97%. Impaired Skin Integrity, Risk for True Color:__________ Listen to patient concerns Notify doctor Document results Prior to changing shift, you enter the patient's room to complete a full assessment, and Ms. Monson is now crying asking to for someone to take her home! Grieving: False -Begin q15 minute neuro checks Pain Level Increased acuity VS: BP 158/90, HR 89, R 18, T 97.8 F. Infection, Risk for False except 115 pulse, which is normal for him. Assess toe movement and capillary refilling RUE: ______________ LUE: ______________ Esteem Deficient knowledge: True Compromised Family Coping False He has partial thickness burns to his left arm and the left side of his face. Escort patient In the interim, start an IV and start infusing Ringers Lactate. Skin warm and pale. Vital signs- Temp 98.7, BP 114/67, P 115, RR 20, SaO2 98%. 4Inform his partner that everything is being done to keep him comfortable. Students also viewed Culture Concept notebook Development concept notebook Elimination concept notebook Gas Exchange concept notebook -Check on patient/sitter hourly Therapeutic Communication Noncompliance: False -If cardiac is suspected call the provider and the rapid response team. Provide emotional support. Ambulates with minimal assistance. Constipation, risk for: True Incomprehensible Dr. Levine, Marcella Como, 38 yr-old, Sexual Trauma Victim (Rape), unknown assailant. Scenario 4 Assess pain Filmotka filmu Najvyia ponuka (2013). Linen Change Safety- -Assess for fall risk Upon entering the room, you find Mr. Sturgess is quiet, appears tense and rigid but states, Acute Confusion False Scenario 5 Cardiovascular Assessment -Check patency of Foley catheter, urine color, and ensure it is secure to the patient's leg -Assess patient's understanding of the teaching and discuss home support, os de la main et de la ceinture pelvienne, Julie S Snyder, Linda Lilley, Shelly Collins. RLE: ______________ LLE: ______________, Casts/Splits: ____________________________, Motor response Verbal command = 6 Rich Dad, Poor Dad (Robert T. Kiyosaki) The Methodology of the Social Sciences (Max Weber) Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.) . Observe closely first hour -Provide a diversional activity to pass the time while waiting on the HCP and inform wife that the HCP will be coming soon Radial: ____ + Bilateral Other: _____________ RLE: Non-pitting Pitting ___ + Scenario 3 Excess Fluid Volume, Risk for False Contact charge nurse. Severe pain (10/10) medicated q 30 minutes x4 with IV Morphine 2mg with little relief. Widespread Color Change: N/A pallor cyanosis jaundice erythema Psychological Needs Normal acuity Health Change Increased acuity Put the patient on O2 NC and Fentanyl 25mcg IVP for pain. 20ga. Waist belt restraint PRN; family sitter at bedside, assist with bath. Constipation False Fall, Risk for True Strict I&O, regular diet, intake 50%. Mr. Duncan's wife meets you in hall asking what she could bring her husband to eat from home. Diet as tolerated. Bladder distention Pelvic pain Low back/flank pain Auscultate peripheral pulses and ROM. Patient and family upset regarding dx. The oncologist is insistent that the treatment begin immediately. Gastrointestinal Assessment Non-significant past medical Hx. Awaiting transport. In reassessing Ms. Monson, her vital signs are: BP -106/82, Temp-98.2, P-106, RR-18, SaO2-88. He is emotionally distraught, and is insisting that he be allowed to report what is going on from the ED. An abc-phase-sequence three-phase balanced wye-connected source supplies power to a balanced wye-connected load. Scenario 4 156 terms. Acute Pain True Blood Glucose 185, 4 units of insulin sliding scale for coverage. Psychological Needs: Increased acuity The patient was placed on 2 L O2 NC, EKG monitoring to include a 12 lead, Pulse Oximeter. Ruth Cummings Trustee Vice Chair Audit Chair . Failure to Thrive False. If family/visitors come, will need education to airborne precautions. Sit at an eye level. Bleeding, Risk for False Ask patient to explain to you what procedure she was expecting to have this morning. Scenario 3 #ozerysnackingrounds I am so excited to be partnering with Ozery Family Bakery today. Upon assessment, you determined that she is confused to person, time, and place but is easily directable. Taking HIV Meds prophylaxis. Fall, risk for: True Contact dietary consult Apply restraint Vital sign assessments He replies, "six times in the past four hours". Communication/Speech: Clear Non-verbal Slurred Aphasia Other Impaired Skin Integrity, Risk for False Pulse Esteem Surrounding skin: Moist/Intact Red/Erythema Irritation Urinary Catheter: N/A Indwelling Short-term Indwelling Long-term Date of Insertion:________ Size: _____F Opening Title Production company Cast and crew Genre J A N U A R Y 2: The Killing of John Lennon: IFC First Take: Andrew Piddington (director/screenplay); Jonas Ball, Krisha Fairchild, Gunter Stern, Gail Kay Bell, Mie Omori, Robert C. Kirk: Crime, Drama: 4: One Missed Call: Warner Bros. Pictures / Alcon Entertainment / Kadokawa Pictures: Eric Valette (director); Andrew Klavan (screenplay . Tube Feeding: Type:_________________________ Amount/Rate: ________________________ Bolus/Infusion Fall, risk for True A GI cocktail was administered, and the patient stated that it decreased his pain to a 6/10. The surgeon has just visited with Mr. Greer 2-days post op and has informed him that the lymph node biopsies have confirmed that the cancer has metastasized, and he will need further treatment. Hopelessness True Scenario 1 Background Robert Sturgess the client was admitted with Metastatic cancer of Colon, with history of diabetes. Lithia Monson, 93 years old, c/o head injury, r/o subdural hematoma. -Use therapeutic communication/active listening Course Hero is not sponsored or endorsed by any college or university. Physiological- You enter room one hour after the physician has left the patient. Skin integrity at risk True Scenario 3 Electrolyte Imbalance True Tear, Ecchymosis, Contusions, Bruising Anxiety True Employ therapeutic communication: present reality Impaired skin integrity: False, Anxiety: True Vital signs taken by automatic B/P Cuff q 15 minutes Senario 4 Skin warm and dry, all vital signs in WNL except 115 pulse, which is normal for him. Needs frequent reminding due to determination to do things herself without assistance. Swift River Medical-Surgical. He does not have an IV nor is he on oxygen. Mr. Sturgess is uncomfortable with experiencing urinary frequency that keeps him from resting. Evaluate understanding The charge nurse asks you to assume the patient's nursing care. Tubes: None Salem Sump Nasoduodenal PEG J-Tube pH: ______ Scenario 3 NG tube to low suction possibly D/C'd today after Dr. Levine rounds. She is also to receive radiation, chemotherapy, and hormone therapy post operatively. Scenario 4 Vital signs -BP 124/82, Temp 98.2, P 84, RR 22, SaO2 96%. Palliative care. He requests no visitors at this time, but later asks for his family to be called to discuss a plan of care. You also notice the patient is more difficult to orient. Scenario 3 Present health assessment including B/P and LOC and dressing. ExplanationAnxiety/ fear True He is experiencing new onset of shortness of breath and has a nasal cannula with 2L of Oxygen in place. Scenario 1 Senario 4 Now, meeting the CDC definition, he has full blown AIDS but is asymptomatic at this time. Educate patient Impaired Home Maintenance Management False Cross), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. 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Document results and findings Scenario 4 Your Swift River Virtual Clinicals account has been linked to your ATI Student account. Acute pain: True Scenario 1 Scenario 5 Acute Pain True Pregnancy and labor and delivery are not typically associated with the concept of cellular regulation, Patient: Donald Lyles,52-year old male, was admitted yesterday evening for stabilization of his uncontrolled type II diabetes. Your notice Mr. Thomason is lying supine, appears slightly cyanotic in his lips, is exhibiting more effort to breathe, and is increasingly restless. Alert and cooperative. Mr. Dominec is waiting for his partner to arrive to take him home and you notice he has a dry unproductive cough and trouble splinting with a pillow at his operative site. Remain with patient Scenario 4 Amount: _______ Scenario 5 Document results/findings Scenario 2 Mr. Sturgess is now declining, and family members are requesting to remain in room past normal visiting hours. Patient, and family upset regarding dx. Esteem Adjust crutches Pulse Ox: ___________ % on ____________FiO2; Room Air; Delivery Device Pain Level Normal acuity Gown and mask Shock False Tap patient and ask, "Are you okay?" -Start IV It is determined that Mr. Sturgess could achieve better pain control with a PCA pump. Lithia Monson Students will prioritize medical surgical . Bleeding, Risk for False He has a history of hypertension and is not compliant with medication. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Today, clubs like Hamburg City Beach Club, Lago Bay, Hamburg del Mar and StrandPauli provide a relaxed summer atmosphere with a view over the Elbe. Hypothermia False Scenario 1 You return to the break room on your floor. She has just been transported from recovery. Scenario 5 Vital Signs: B: 160/92, P: 96, R: 22, SpO2: 98, T: 98.9F, 37.1C. Offer assistance Request time she can arrive and staff to help with transfer Scenario 2 Educate caller regarding HIPAA No known allergies (NKA). Dr. Sangerstien, Viola Cumble, 92yr-old, second day post-op hip repair, Allergic to Penicillin. Allow husband to come into recovery for a quick one-minute visit. Notify doctor and charge nurse Acute Confusion True Assess Odor: __________, No You are the now the Surgical ICU nurse assigned to her. Peripheral Neurovascular Dysfunction True. Robert Sturgess - Swift River Swift River University Nightingale College Course Concepts of Nursing I (BSN 246) Academic year2022/2023 Helpful? This shop has been compensated by Inmar Intelligence and its advertiser. Place call light and check bed for safety Abdomen: Flat Rounded Scaphoid Distended Palpation: Soft Taut Rigid Explain reason for assessment and procedure Next time we'll spend our 60 on some food and nice beers. Scenario 4 IV Fluids: INT lock IV Fluids ______________@ _____________ mL/hr Date on tubing: Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Chronic Pain, Risk for constipation, impaired nutrition, anxie, 4 units on insulin sliding scale for coverage, Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Give Me Liberty! Neuro WNL alert and cooperative. Read PT report Fall, Risk for False -Medicate for pain Today's incentive spirometry Tidal Volume is 1250ml, improvement over yesterday's 900ml. Skin Color: Consistent with ethnicity pinkish-tan light-tan dark-tan light-brown dark-brown Mr. Mancia is holding Catholic Rosary in hand and is crying as you enter the room. Teach patient about safety when getting out of bed Infection, Risk for True Use therapeutic communication/Active Listening What is the ratio of Fe\mathrm{Fe}Fe (II) atoms to Fe(III) atoms in this compound? Vital assessment Sleep Deprivation False Encourage to ambulate with assistance to void if needed Cough: Mr. Richardson is now vomiting and shows no relief 45 minutes after receiving pain medication. Psychological Needs Normal acuity Fall, Risk for True Monitor and evaluate fluid intake PT to educate patient Vital signs -Temp 98.6, BP 114/62, P 100, RR 20, SaO2 94%. Seek clarification Scenario 3 Administer protocol antidiarrheal medication Provide a few chairs if possible for her family to also be comfortable Scenario 2 Impaired mobility: False Scenario 3 Compromised Family Coping: False Tom Richardson, 46yr-old. Mr. Richardson is requesting assistance to ambulate to bathroom. Physiological 45 terms. Head/Face: Symmetric Asymmetric Drooping As you enter the room, Mr. Duncan is refusing to eat foods from bland diet. Evaluate learning Document pt's statements. Scenario 1 Our Swift River Simulations are designed to help students and practicing nurses master their skills of Prioritization, Delegation, and Sequential thinkingwithout the requirement of being onsiteor even having to download software. Perform circulatory evaluation c/o headache- medicated with Lortab 5mg PO at 0900, takes Lomotil 10ml PRN q 4 hours last dose at 0834. The patient states that the symptoms occurred in the middle of the night and woke him from his sleep. -Ensure there is suction in the room, and check Mr. Dominec has a male partner and has been married for the past ten years and share their three children to the marriage. He tells the nurse he has called his wife and wants to be discharged now. Clear liquid diet. There is an initial triage provider written set of orders at her bedside for a STAT Chest X-ray, IV with NS, O2 NC, and STAT CBC and Chemistry. If the source voltage for the a phase is Van=12080V\mathbf{V}_{a n}=120 \angle{ 80^{\circ}} \mathrm{V}Van=12080V, and the line impedance is zero, find the phase currents in the wye-connected source. The charge nurse tells you to get the Mr. Burgundy to the hallway because six more patients are inbound, and we need to clear out our trauma-bays. -Notify HCP of fall, complete incident report Temperature spiked during the night to 102.4, BP now 146/94 which is slightly elevated, respirations at 30 bpm and slightly labored, heart rate 102 versus 84 from last night shift. The patient tells the nurse that yesterday he was, "concerned about having an erection, and now they want to cut off my testicels". Check surgical consent for correct procedure and make sure operative site in marked. Verify Call Light/Bed Safety precautions Ineffective Coping False Sa fortune s lve 1 900,00 euros mensuels IV D5 1/2 NS with 20 KCL @ 125 ml/hr in left forearm. Lithia Monson 2. Bleeding, Risk for True Iron forms a sulfide with the approximate formula Fe7S8\mathrm{Fe}_7 \mathrm{~S}_8Fe7S8. -Explain to the patient that he is now considered stable, you are taking him to the hallway, and he will be admitted to an impatient room within a few hours Scenario 4 Assess intake and output and possible reasoning Temp 98, BP 114/67, P 115, RR 20, SaO2 98%. -Explain to the patient that he has a procedure, and he cannot eat. Why is cysteine such an important amino acid for defining the tertiary structure of some proteins? Educational Needs Increased acuity Educate patient regarding condition Document results Stay with patient for surgeon's arrival to explain intended surgical procedure Mr. Sturgess does not have a living will or durable power of care completed. -Ensure there is a full O2 tank on the gurney, place patient on Nasal Cannula Water/Flush: His children are visiting, and they are very supportive. -Reassess patient's physical status prior to leaving him in the hallway Scenario 1 Verify call light/bed safety precautions You call his doctor to inform him the family has arrived. The client is onDemerol 25mgSlow Intravenous Push (SIVP) for pain. -Assess the patient's anxiety level while using therapeutic communication to decrease patients' stress. -Elevate head of bed and place the patient on Pulse oximetry. DSD (dry sterile dressing), forehead laceration clean and dry intact. Educate patient Scenario 4 Strict I&O, regular diet, intake 50%. This will treat any cancer that may have metastasized to the bone. Temperature is 98.3, HR is 87, RR is16, BP is 121/74, PaO2 is 98%. Demerol 25mg SIVP for pain, patient reports 7/10 on pain scale. Verify call light/ bed safety precautions Deficient Fluid Volume False Scenario 1 Wash hands Deficient Knowledge False Mr. Mancia's vital signs upon assessment are Temp 101.2, P 94, RR 20, BP 122/82, SaO2-91%. Sa fortune s lve 2 000,00 euros mensuels Bed Bath: Assist or Total When you arrive to room 4, you are told to assume the care for the patient and get ready to transport them to the floor ASAP. Acute Pain True Evaluate understanding After 24 hours, Ms. Gestalt fever and chills have subsided but now states she is feeling like her cast is too tight. No response = 1, Mobility: Fall Risk Increased acuity Three hours later, Ms. Getts is unsteady when standing by her bedside. However, these abnormal cells do not have the capability to spread to other parts of the body. Impaired Skin Integrity, False school system of the host country and may not know how to choose the programme, Question 34 Correct Mark 100 out of 100 Flag question Question text hr tag, efefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefefef, arbitrary parameters a b will be a complete solution of 38 The main problem then, Reduces costs of providing on site office space To individual Makes more time, METHYLXANTHINE DRUGS-Chemistry FinalsExam PrepNotes.docx, 237 Mitzel Corporation has provided its contribution format income statement for, looks like a lack of focus B In short what is stimulating to one person may be, MAN4162 - Verbal and Nonverbal Communication COPY.docx, Recall that in the Black Scholes model the stock price follows the SDE dS t S, make SOAPE and SBAR Ramona Stukes Room301 Ramona Stukes,69 yr-old, third day post-op cholecystectomy. Scenario 1 Ann Rails Mrs. Stukes is a failed laparoscopic cholecystectomy that resulted in a bowel resection with a temporary ileostomy in place. Offer masks to visitors Use therapeutic communication/active listening He was initially sedated with versed 2mg, and Fentanyl 100 mg by the EGD nurse, but the patient was not tolerating the procedure, so anesthesia was called to administer propofol. Safety Procedure is canceled for the day and rescheduled later allowing for new consent. Escort patient to vehicle Senario 5 No known allergies (NKA). You explain that his condition has worsened and now he has been taken to ICU. Apply fall risk bracelet Impaired Gas Exchange False Last pain medicine 2hrs ago at 1300(Demerol 50mg/ Zofran 4mg IV). They feel that you should share with them if he was a "real AIDS" patient or not. His coughing, to clear his airway, appears ineffective. The patient has sustained an injury to her head, that is bandaged, and is bleeding from a wound to her right arm and chest area. Scenario 3 Scenario 4 Disturbed Body Image True Wash and glove hands Reassure patient and help explain any new orders from physician to patient Continue.Robert Sturgess Room 305 Robert Sturgess, 81 years old, Dx- Metastatic CA of Colon, Hx of diabetes. Respirations His orthostasis is normalized after a second liter of NS was administered. Teach Cameron. Allow for non-compliance of request Scenario 2 Arthur Thomason, 56-year-old MVA victim, fourth day post op with a splenectomy and femur repair. Dr. Small at bedside with patient and family. Increased fall risk. Senario 1 You enter patient's room. Renal diet. He has a history of well controlled GERD with over-the-counter Tagamet (Cimetidine), and Tums. Check PRN pain order Upon entering room, you find Mr. Sturgess is quiet, appears tense and rigid but states, "I am feeling fine." Scenario 5 Safety Increased acuity, Physiological Document results Obtain translatorT Wash and glove hands Begin post op education for day one Toileting, Medications List/Times of Medications/Routes of medication, Neurological Assessment Scenario 1 Outline an experimental approach to demonstrate the average RNA chain growth rate during transcription of a cloned gene in vitro. Esteem Genitalia: WNL (skin intact, no lesions) Abnormalities Describe: __________________________ Educate patient Spiritual Distress False. Document results Cryotherapy, which uses an endoscope to apply a cold liquid or gas to abnormal cells in the esophagus. Anxiety True Scenario 3 -Restart the IV and draw CBC Educate patient Evaluate understanding Sa fortune s lve 2 216,00 euros mensuels Wash and glove hands : an American History, EMT Basic Final Exam Study Guide - Google Docs, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. Educate patient/family The 'Strandperle' (lit. Evaluate outcome of dietary plan Physical Mobility, Impaired True Combien gagne t il d argent ? Provide verbal report to team members who respond to rapid response -Start an IV Ineffective Renal Perfusion, Risk for True Several hours later, Mr. Duncan is now complaining of nausea. Pain Level Increased acuity He is complaining of pain in his left arm, and pain in his left chest when he tries to take a deep breath. Scenario 1 Full assessment Seek clarification Patient demonstrates urine strain procedure. Imbalanced Nutrition True 3. Acute Pain True Skin: Warm/dry Clammy/diaphoretic Skin Turgor: Brisk Tenting 3Check surgical consent for correct procedure and make sure operative site is marked. Two housekeepers, who were refusing to clean the room, are in the break room. Hopelessness False. Respiratory Rhythm: Regular Rhythmic Irregular Periods of Apnea Cheyne-Stokes -Ensure the bed is in lowest position, the side rails are up, the call light is in reach, and ask the patient if they need anything before you leave the room Continent: Yes No Occasional Incontinence Frequent Incontinence Brief The patient is asking you where her son is, the last place she saw him was right before the explosion. Assume that the oxidation state of sulfur is 2-22 and that iron atoms exist in both +2+2+2 and +3+3+3 oxidation states. Love and Belonging Students will assign correct nursing diagnosis for patients in a medical surgical virtual clinical environment. : an American History (Eric Foner), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. IV maintenance fluids with D5 1/2 NS with 20 KCL @ 125ml/hr in left forearm. Skin moist, respiratory bilateral wheezes and rhonchi. Crutches at bedside adjusted for height. Palliative care. All our products can be personalised to the highest standards to carry your message or logo. Mrs. Pittmon states she has had numbness for years but "now I can't . Give verbal report Scenario 5 Blood-tinged mucous, productive cough. Combien gagne t il d argent ? Scenario 3 Document results/findings It is now third day post-op, the order is for Ms. Cumble to stand by bedside on both legs for 5 minutes, three times a day. Mr. Thomason is anxious and is obviously worsened from the shift before in overall condition. Wound clean dry and intact. Document teaching moment. -Draw a repeat CBC per HCP order to determine current Hemoglobin status When she moves him to the hallway, Mr. Burgundy begins yelling at you "Do you know who I am, I demand a room! Peripheral Neurovascular Dysfunction False. Obtain recent chest X-ray reports and recent ABG's for physician to review Obtain Spanish signs & brochure Administer antipyretic medication He has not had his BP medication today. Failure to Thrive: True. His partner is at the bedside asking, "how much longer will he have to wait until taken to surgery?" -Place patient on 100% O2 Visual assess Assess for bowel sounds Use therapeutic communication/Active Listening Explain to her family and provide contact information.

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