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Use of the EMPOWER brochure to deprescribe sedative

Deprescribing benzodiazepines and Z-drugs in community-dwelling adults: a scoping review. Use of the EMPOWER brochure to deprescribe sedative-hypnotic drugs in older... Use of the EMPOWER brochure to deprescribe sedative-hypnotic drugs in older adults with mild cognitive impairmen Deprescribing Infographics align with each of the Bruyère evidence-based deprescribing guidelines, algorithms and patient pamphlets. They can be used as posters or handouts to encourage patients to talk to their health care providers about potential for deprescribing. Proton pump inhibitor deprescribing infographic

EMPOWER Brochure 3. Counselling 4. Discharge - Continuity of Care Every 2 Weeks P S A D . Tannenbaum C, et al., 2014. Brochure available at Benzodiazepines and other psychoactive medications at admission. Outcome Measure: % Deprescribed Benzodiazepine Dose Deprescribed Patient Discharged (n=5 The patient education material selected for this study was the EMPOWER brochure,10 11 which has been previously validated for use with community-dwelling seniors for engaging and enabling patients in the shared decision-making process of benzodiazepine deprescribing. The EMPOWER brochure is a 12-page colour brochure that uses a combination of. benzodiazepine and Z-drugs) as first line therapy for insomnia. The EMPOWER brochure changes knowledge and beliefs 0 10 20 30 40 50 60 Improved knowledge Change in beliefs Change in both Perceived increased risk))----. To reduce the benzodiazepine dose in 10% of patients aged 65 and older, over 6 months, from 4 community family physician's offices by utilizing patient educatio

Successful de-prescribing of benzodiazepines and other sedative hypnotics (BSH) medications in the community setting has been demonstrated by Dr. Cara Tannenbaum in Montreal.1 The EMPOWER Cluster Randomized Trial engaged patients at their pharmacy when they were renewing these medications. In the intervention group, a simple patien Compared to individuals with normal cognition, MCI had no effect on the acquisition of new knowledge, change in beliefs about benzodiazepines or elicitation of cognitive dissonance.The EMPOWER brochure is effective for reducing benzodiazepines in community-dwelling older adults with mild cognitive impairment.Our ClinicalTrials.gov identifier is. Reduction of inappropriate benzodiazepine prescriptions among older adults through direct patient education: the EMPOWER cluster randomized trial JAMA Intern Med. 2014 Jun;174(6):890-8. doi: 10.1001/jamainternmed.2014.949. Authors Cara Tannenbaum. Conclusions The EMPOWER brochure is effective for reducing benzodiazepines in community-dwelling older adults with mild cognitive impairment. Trial registrationOur ClinicalTrials.gov identifier is.

(PDF) Use of the EMPOWER brochure to deprescribe sedative

Provision of a patient-empowerment education booklet (EMPOWER brochure) - based on the constructivist learning theory aiming to cause cognitive dissonance. A patient-centered approach and collaborative pharmacist-led medication review with GPs. Primary Outcome Benzodiazepine deprescription Benzodiazepine deprescriptio VA clinicians continue to prescribe benzodiazepines to some PTSD patients who may be seen as high risk—such as older Veterans or those on other sedative medications—presumably for symptomatic control of insomnia and anxiety due to the rapid short-term relief offered by benzodiazepines an EMPOWER educational brochure at least an hour prior to their encounter, ensuring they had suf-ficient time to read it. In the other group, patients received the educational brochure immediately after their appointment. The EMPOWER brochure was specific to either PPIs or benzodiazepines, and included information on the benefits, harms an Benzodiazepines are also commonly used to treat insomnia. The benzodiazepines with FDA approval for the treatment of insomnia include estazolam, flurazepam, quazepam, temazepam, and triazolam. The mechanism of action of benzodiazepines is through the modulation of gamma-aminobutyric acid (EMPOWER) brochure,.

Benzodiazepines are recognised as being potentially inappropriate medications for seniors due to their considerable side-effect profile, yet they are commonly prescribed and infrequently discontinued (deprescribed). The study's primary objective was the deprescription or the dose reduction of benzod benzodiazepine, due to the limited time frame for this project, achieving a dosage reduction with a view to complete withdrawal of the medication is a more achievable outcome rather than medication withdrawal. Four Components of the change intervention: 1.Structured medication review 2.Patient education material - EMPOWER Brochure

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Our primary objective is to facilitate the deprescription of benzodiazepine and non-benzodiazepine sedative hypnotics (sedatives) using a combination of physician education sessions and an updated patient educational pamphlet based on Tannenbaum's EMPOWER study conducted in a community-based setting (Tannenbaum 2014) Our primary objective is to facilitate the deprescription of benzodiazepine and non-benzodiazepine sedative hypnotics (sedatives) using a combination of physician education sessions and an updated patient educational pamphlet based on Tannenbaum's EMPOWER study conducted in a community-based setting

Millones de productos. Envío gratis con Amazon Prime. Compara precios benzodiazepines? EMPOWER Brochure about deprescribing (or gradually stopping) benzodiazepines brochure.pdf Sleep and relaxation activities mysleepwell.ca This brochure is adapted from the Canadian Coalition for Seniors on Benzodiazepine Receptor Agonist Use Disorder Among Older Adults. Disclaimer: This brochure is intended for.

In the EMPOWER trial, when provided with evidence-based information about harm in the form of a mailed educational brochure, 27% of chronic BZD users discontinued their use within six months 13. The EMPOWER brochure consists of an eight-page BZD deprescribing tool embedded with program theories which participants received by mail The EMPOWER brochure includes a sample tapering protocol that can be used to assist patients in discontinuing benzodiazepine therapy. The direct-to-consumer approach in this study led to 27% of the intervention group discontinuing their benzodiazepine at the 6-month follow-up, compared with 5% of the control group Patients: EMPOWER brochure appreciated; counselling deemed to be beneficial and built bonding and trust between patients and MDs. Family physicians: A physician reported that they liked the EMPOWER brochure and requested access to the booklet for their patients. Outcome Measure Percent of Benzodiazepine Dose Deprescribe This brochure is adapted from the Canadian Coalition for Seniors' Mental Health (CCSMH) Canadian Guideline on Benzodiazepine Receptor Agonist Use Disorder Among Older Adults. Disclaimer: This brochure is intended for information purposes only. It is not intended to offer medical advice or be interpreted or used as a standard of medical practice

benzodiazepines. The primary outcome measure was the number of eligible patients who had benzodiazepine deprescribing initiated. A patient education intervention comprising a structured medication review, written patient education (the Eliminating Medications Through Patient Ownership of End Results (EMPOWER) brochure Is a Benzodiazepine or Z-Drug still needed for sleep? Deprescribing Pamphlet [PDF - 1.1 MB] Empower brochure information about sleeping aids. Brochure [PDF - 6.2 MB] How to get a good nights sleep without sleep aids. Sleep Brochure [PDF - 6 MB] How to reduce sleeping medication safely. Fact Sheet [PDF - 270 KB

Deprescribing Information Pamphlets - Deprescribing

benzodiazepines and sedative hypnotics 2. List high risk medications that are potentially harmful EMPOWER Brochure Direct to consumer deprescribing Canadian pharmacy displays 66% of patients interested in deprescribing 25% patients will discontinue in 6 month Naloxone Safety & Survival Brochure What are opioids Opioids are chemicals that act in the brain to relieve pain, often used to suppress cough, treat addiction, and provide comfort. After prolonged use of opioids, increasing amounts are needed for the same effects. Opioids are often misused resulting in danger. Common opioids include

Deprescribing Pamphlets align with each of the Bruyère evidence-based deprescribing guidelines and algorithms to provide lay-level information to help patients and caregivers have conversations with their prescribers about safe deprescribing.. Proton pump inhibitor deprescribing guideline information pamphlet; Benzodiazepine and Z-Drug deprescribing guideline information pamphle Patient handouts on medications. These brochures empower people to take charge of their medications. Did you know that over 25% of community-dwelling people who read the brochure on sedative-hypnotics stopped their medications with the help of their family doctor? Antipsychotic medication. Gabapentinoids (gabapentin and pregabalin) medications

Use of the EMPOWER (Eliminating Medications Through Patient Ownership of End Results) brochure for benzodiazepines and Z-drugs led to deprescribing in 27% of the intervention group participants, compared to only 5% in the control group. 54 A before-after study of a patient decision aid for PPIs led to improved patient knowledge, realistic. For example, in a trial of older adults, the EMPOWER brochure, a PEM designed to induce cognitive dissonance about sedative-hypnotic use and provide user-friendly guidance on how to deprescribe, led to a 27 percent reduction in use of benzodiazepines and non-benzodiazepine benzodiazepine receptor agonists

Tannenbaum C, et al. Reduction of inappropriate benzodiazepine prescriptions among older adults through direct patient education: the EMPOWER cluster randomized trial. JAMA Intern Med 2014;174(6):890-898 The EMPOWER brochure. Beyond Benzodiazepines: Helping People Recover from Benzodiazepine Dependence & Withdrawal. Pharmacist's Toolkit: Benzodiazepine Taper . Management Strategies. Hopefully it's fairly clear by now that tapering benzodiazepines and discontinuing them prior to PAP is ideal, although this is perhaps unrealistic in all cases

Deprescribing benzodiazepines among hospitalised older

The primary objective of the EMPOWER trial is to evaluate the effectiveness of a new knowledge transfer tool on a community-based sample of chronic benzodiazepine users, as measured by the rate of benzodiazepine discon-tinuation at 6 months with 1-year follow-up, to determine whether change rates are sustained over the long-term Benzodiazepine use began in the 1960s and peaked in the seventies.4 Increasing use is being Engage Patients Provide letter/brochure suggesting methods of tapering. Set up follow-up schedule with health professionals. Empower patients to take control over their treatment. Connect to Resources Refer patients to additional agencies/support. Martin P, Tannenbaum C. Use of the EMPOWER brochure to deprescribe sedative-hypnotic drugs in older adults with mild cognitive impairment. BMC Geriatr. 2017 Jan 31;17(1):37. doi: 10.1186/s12877-017-0432-5

Four New Cigna Brochures | Empower Brokerage

Reduction of inappropriate benzodiazepine prescriptions

Pharmacist interventions to deprescribe opioids and

  1. The EMPOWER trial mailed 148 chronic benzodiazepine consumers aged 65-95 an 8-page education brochure on the risks of taking sedative-hypnotics along with a picture of a 20-week tapering protocol. After 6 months, 27% of individuals who received this intervention had discontinued their benzodiazepines and an additional 11% had reduced their dose
  2. The EMPOWER intervention involved an eight-page brochure, written at a low-literacy level in large font. In addition to risks and harms, the brochure suggested alternative drugs and offered a.
  3. 1. Describe the risks and side effects of benzodiazepine (and Z-drugs) use in older patients 2. Explore techniques for de-prescribing that can be used effectively in a busy family practice setting 3. Explore various treatment modalities as alternatives to benzodiazepine (and Z-drugs) use in older patient
  4. In the other group, patients received the educational brochure immediately after their appointment. The EMPOWER brochure was specific to either PPIs or benzodiazepines, and included information on the benefits, harms and alternatives for each medication, along with clear instructions relating to how to deprescribe
  5. Opioid Safety - Clinical Tools . This section provides links to a variety of clinical tools develop by the VA National - Academic Detailing Service (ADS) for both providers and patients. It is updated regularly as new tools are developed and become available

Benzodiazepine use in older adults: dangers, management, and alternative therapies. Mayo Clinic Proceedings, 91 (11), 1632-1639. doi: 10.1016/j.mayocp.2016.07.024 [Google Scholar] Martin P. & Tannenbaum C. (2017). Use of the EMPOWER brochure to deprescribe sedative-hypnotic drugs in older adults with mild cognitive impairment Direct patient education also successfully diminished benzodiazepine prescriptions in Quebec, Canada, during the EMPOWER randomized trial, where community-dwelling chronic benzodiazepine users received a direct-to-patient education brochure by mail, describing the harms of sedative-hypnotics 10 Benzodiazepine derivatives 12.9% 6.1% Canadian Institute for Health Information. Drug Use Among Seniors in Canada 2016, (2018) Problems with polypharmacy More medication leads to ④Use the EMPOWER brochure:. Deprescribing (or tapering) benzodiazepines is an important clinical skill. While there may be some indication for long-term use of benzodiazepines for certain individuals, most individuals on benzodiazepines do not need to be on it long-term! When tapering benzodiazepines, consider the duration of treatment, the dose, and the half-life of the benzodiazepine

Objective To determine the prevalence of benzodiazepine use in adults aged 65 and older at two West Virginia academic medical centers as phase one of a benzodiazepine deprescribing strategy. Design Cross-sectional Setting Two academic hospitals in West Virginia with 107,504 hospitalized adults age 65 and older from the years 2010 to 2018 with information on admission medication use Benzodiazepine Use . ADVERSE DRUG REACTION BULLETIN, JUNE 1986 No 118. ADVERSE EFFECTS OF PROLONGED BENZODIAZEPINE USE by Dr Heather Ashton MA, DM, FRCP, Honorary Consultant in Clinical Pharmacology, Newcastle Health Authority; Senior Lecturer in Psychopharmacology, University of Newcastle upon Tyne. Benzodiazepines are safe and effective drugs for short-term administration NADH - nicotinamide adenine dinucleotide reduced • The reduced form of NAD+ a coenzyme found in all living cells • Synthesized in the body from vitamin B3 (niacin, or nicotinamide EMPOWER brochure inviting them to taper with an online calculator to reduce opioid dose •Quebec primary care deprescribing project -Whiteboard educational videos on deprescribing and EMPOWER brochures on benzodiazepines and PPIs will be available via the electronic medical recor

Understanding Benzodiazepine and Non-benzodiazepine

  1. Many older adults are prescribed opioids and benzodiazepines (BZDs), despite increased susceptibility to adverse events. Challenges of deprescribing include fragmented care and lack of knowledge or time. Pharmacists are well-positioned to overcome these challenges and facilitate deprescribing of these medications.We sought to evaluate interventions utilizing pharmacists to deprescribe opioids.
  2. ating Medications Through Patient Ownership of End Results (EMPOWER) 261 outpatients prescribed BZDs were mailed a brochure about the discontinuation of BZD therapy. Of this number 64% (n.
  3. We strive to empower consumers and professionals to achieve their potential and to provide leadership to, and be the model for, disciplines that relate to hearing rehabilitation. We promote hearing conservation and provide public education about hearing. Ototoxic Drugs: Bibliography D E S I G N: T R I B I C H D E S I G N A S S O C I A T E S, I.

Benzodiazepines are some of the most widely prescribed medications in America. Ativan is the name brand for the prescription benzodiazepine medication, lorazepam. It comes in tablet or liquid form, and is primarily used to treat short-term anxiety, although it is sometimes used as an anti-convulsion medication or for sedation prior to surgery Closely related so-called Z-drugs (zopiclone, eszopiclone, zolpidem, and zaleplon) are also used in the treatment of insomnia. For the purpose of this review, the term Benzodiazepine Receptor Agonist (BZRA) is used as a combined term for benzodiazepines and Z-drugs. The sedative effect of BZRA decreases within days to weeks [1,2,3] Treatment of older patients with benzodiazepines and Z-drugs (BZRA) is associated with an increased risk of side effects. However, this treatment is still used among these patients. Deprescribing can be a tool to reduce inappropriate medication. This review aims to identify and compare barriers and facilitators of stakeholders involved in BZRA deprescribing in older patients and uncover. reduce benzodiazepine use among elderly citizens of Quebec by leveraging a direct-to-consumer approach (Tannenbaum et al, 2014). Two hundred sixty-one patients using long-term benzodiazepines were recruited through pharmacies, and randomized to receive a simple 10-page brochure that described the potential risk

A realist evaluation of patients' decisions to deprescribe

CPNP 2021 Scientific Poster Session Abstracts. Below is a complete list of the posters that will be presented at CPNP 2021. There will be two different poster sessions, and award finalists will present their posters on the same day as their platform presentation. Click on the column headings to sort the table below, or click on a keyword next. Points essentiels Toutes les benzodiazepines et les medicaments apparentes possedent des effets pharmacodynamiques soumis a tolerance. Cette tolerance pharmacologique aux benzodiazepines peut se manifester rapidement, entre une semaine et un mois, et concerne en particulier les proprietes hypnotiques et anxiolytiques. Des etudes anciennes ont montre une reelle mais faible efficacite a court. Moreover, overdose deaths related to benzodiazepines increased from 1,135 in 1999 to 11,537 in 2017. While many people can and do take benzodiazepines as prescribed, these medications have numerous risks. Likewise, the benzodiazepine withdrawal process can be fatal. Let's get into what you need to know Your Health, is Your Wealth! Check Out Our Brochure HERE Professional Concierge Nursing Professional Concierge Nursing is an innovative Nurse Practitioner led practice using cutting edge technology to give you convenient care and common services needed for employment and school. Our Mission and Values is committed to holistic care. We are triunal beings - spirit, [ While benzodiazepines have long been understood to carry a risk of serious side effects for older patients, including a higher risk for falls and worsening cognitive impairment, up to half of doctors continue to prescribe them to patients over 65, citing patient dependence and benefit as justification for their actions, Dr. Tannenbaum and her.

Conclusions: The EMPOWER brochure is effective for reducing benzodiazepines in community-dwelling older adults with mild cognitive impairment.Department of Applied Social Sciences201805 bcrcpublished_fin • Benzodiazepines • SSRIs • Alcohol Empower and educate the support people to provide 24 hour care. 8/30/2019 14 THE NAS TRAINING PLAN 4) Ongoing support after discharge 3) Teach the Happiest Baby on the Block -Swaddling -Side lying -Swaying -Shushing -Suckin informed and to empower you with the skills and knowledge needed to actively participate in your care. benzodiazepines (midazolam/ Versed), opioids (Fentanyl), and other agents (Propofol).13 The information provided in this brochure is chosen from recent article

2021Partnership working, we will empower and support individuals, families The Orkney Alcohol and Drugs Partnership is a multi agency organisation incorporating over 30 members, including NHS Orkney, issues around use of Benzodiazepines, physical and mental effects both short and long term, on users Reading for Next Time: A randomized study of 303 long-term users of benzodiazepines (BZDs) showed that an interventional group who received a Reading for Next Time deprescribing brochure that described the risks of BZD use was significantly more likely to discontinue BZDs (number needed to treat, 4) than a control group (15) Waters Brochure: Empower 2 Software, ref: 720001527EN. Title: Toxicology Screening by UPLC/PDA in Combination with an Extensive Compound Library Author: Camille Chatenay Subject: This application shows that toxicology screening is greatly improved by transferring a traditional HPLC/UV method to UPLC/UV. The UPLC/UV screening method can be. Empower Brochure. Staff Resources. ELL/Academic Intervention SAD27. Power School. School Board. Schools Athletics. Welcome to MSAD#27. Empower Brochure. VURSC Empower.pdf. Regional Photo Page banners are courtesy of Paul Cyr Photography. Page updated. Report abuse.

Benzodiazepine Mis(use) in Hospital — The Intern at Wor

VALTOCO is a prescription medicine used for the short-term treatment of seizure clusters (also known as episodes of frequent seizure activity or acute repetitive seizures) in patients 6 years of age and older. VALTOCO is a federally controlled substance (CIV) because it can be abused or lead to dependence Empower your recovery Call us today on 0121 753 4448 Or visit livingstonehouse.org.uk Livingstone House is a registered charity, widely respected in the community and proud to work with Benzodiazepines Stimulants Symptomatic relief from legal highs and cannabis withdrawals from alcohol, benzodiazepines, opiates/opioids, and other intoxicating substances. We do not offer detox as a separate, stand-alone service. Medically Supervised Detox encompasses the following essentials: Patients are admitted to this important, medically monitored, rigorous level of care after completing treatment in ou

Taking the message to the rural patient: evidence-based

Acute Pain is pain that usually starts suddenly and has a known cause, like an injury or surgery. It normally gets better as your body heals and lasts less than three months. For this type of pain, opioid prescriptions should only be for the expected duration of pain severe enough to need opioids. Three days or less is often enough; more than. Some of the signs that indicate the dangers of benzo use are in play include: Behavioral changes such as altered sleep or eating patterns or a change in friends. Physical changes such as stomach ailments, headaches, or dizziness. Going to more than one doctor in an attempt to obtain prescriptions. Hiding drug use from others medications (e.g., benzodiazepines, opioids, SSRIs), and illicit substances in utero may exhibit signs of physiologic withdrawal from these substances. • NAS is an expectedand treatablecondition that often follows prenatal exposure to opioids. • Neonatal opioid withdrawal syndrome (NOWS) is a subset o Benzodiazepines in Clinical Practice Contains monographs of medications, arranged by family groupings. Intended for health professionals and patients. Entries give such information as chemistry, brand names, pharmacology, and dosages. Miscellaneous indexes. Indications, general indexes. The Benzodiazepines Psychiatric Annals Page 3/1

Benzodiazepine deprescription strategies in chronic users

opioids, benzodiazepines, barbiturates, or carisoprodol, and document the occurrence. 10:30 - 11:30 AM Human Trafficking in Healthcare: Recognize, Respond, & Report (1 CE) Carrie Schirato, RN, MSN, FNP-C, ANCP--C This presentation is designed to educate, equip and empower the healthcare professional to recognize Background: The purpose of this tool is to provide an overview of how fall prevention care processes could occur at your hospital or hospital unit. Reference: Developed by Falls Toolkit Research Team. How to use this tool: Compare the master clinical pathway to your current activities and adapt your activities or the master clinical pathway as needed to suit your specific circumstances

Lorazepam is a benzodiazepine (ben-zoe-dye-AZE-eh-peen) It is thought that benzodiazepines work by enhancing the activity of certain neurotransmitters in the brain. Lorazepam is used to treat anxiety disorders. It is dangerous to purchase lorazepam on the Internet or outside the United States. The sale and distribution of medicines outside the. Introduction. According to the Centers for Disease Control and Prevention, there were 48,344 suicides in 2018 in the United States, or more than 132 suicides each day.In 2019, VA's National Veteran Suicide Prevention Annual Report estimated that 6,139 U.S. Veterans died by suicide in 2017, an average of 16.8 per day. In that year, the suicide rate for Veterans was 1.5 times the rate for non. Intensive Outpatient Treatment (also known as IOP for Intensive Outpatient Program) is a primary treatment program recommended in some circumstances by a clinical and medical assessment. IOP might be suggested for the individuals who don't require therapeutically regulated detox. IOP can likewise empower individuals in recuperation to. Importance High rates of inappropriate prescribing persist among older adults in many outpatient settings, increasing the risk of adverse drug events and drug-related hospitalizations.. Objective To compare the effectiveness of a consumer-targeted, pharmacist-led educational intervention vs usual care on discontinuation of inappropriate medication among community-dwelling older adults

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About Us - Deprescribing

Gateway — A Drug and Alcohol Treatment Program in Carbondale, IL. At Gateway in Carbondale, we use life-saving medicine to help people with addiction. Located in a secluded, wooded area, our drug and alcohol addiction rehabilitation center will give you space to recover. We consider our quiet, 14-acre campus key to patient success Contact Us. Address: St. Jude Laboratories LLC 9017 Mendenhall Ct, Suite D. Columbia, MD, 21045. Phone: (410) 862-8162 Fax Number: (410) 630-7474 Email: [email protected] [email protected benzodiazepines Promote neuroplasticity with SSRIs, SNRIs The effectiveness of CBT and meds Moving Beyond Diagnostic Categories to Focus on Anxiety Pathways Address anxiety as a component of many diagnoses Depression, substance abuse, etc. Amygdala and cortex-based techniques that can help in other disorder Prescription sleep medication was endorsed by 8.3% of the sample (benzodiazepines and z-drugs), and prescription pain medication by 5.0%, specifically for sleep. Of the full sample more than two-thirds endorsed any sleep difficulty and less than half had discussed ways to improve sleep with their physician

Use of Benzodiazepines for PTSD in Veterans Affairs - PTSD

In just three easy steps, you can become a Certified Clinical Anxiety Treatment Professional (CCATP). Step 1: Watch the online course. Step 2: Complete the CE test and instantly print your certificate of completion. Step 3: Submit your certificate of completion and application to Evergreen Certifications The National Institutes of Health (NIH) defines detox as a period of medical treatment that usually includes counseling, during which a person is helped to overcome physical and psychological dependence on alcohol. Alcohol detox is a serious and complicated process that requires the support and guidance of physicians or addiction specialists

Deprescribing conversations: a closer look at prescriber

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Deprescribing benzodiazepines : The Nurse Practitione

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