What to look for in indiv w/ Secondary Hypertension?

If the woman has been assessing her basal body temperature for 4 months and there has been no change in her daily temperatures, the nurse may suspect that she is not ovulating. The healthcare provider may prescribe ovulation-inducing medication such as Clomid or recommend further testing to determine the cause of the lack of ovulation.

It is important for the woman to continue monitoring her basal body temperature and discuss any concerns with her healthcare provider.

Hormonal evaluation: Since there is no change in the woman's basal body temperature, it may indicate a lack of ovulation or a hormonal imbalance. The healthcare provider might order tests to check hormone levels, such as estrogen, progesterone, and luteinizing hormone, to determine the cause of the issue and recommend appropriate treatment.

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For Rheumatoid Arthritis, females who smoke have an increased risk of developing the condition.

Several studies have shown that smoking can increase the likelihood of developing rheumatoid arthritis, and this risk is even higher in women who smoke compared to men who smoke. It is important for women who smoke to understand the potential health risks associated with smoking and to take steps to reduce their risk of developing rheumatoid arthritis. This can include quitting smoking and making lifestyle changes that promote overall health and well-being.

For rheumatoid arthritis, there is an increased risk in certain populations, specifically females and those who smoke. Females have a higher susceptibility to developing rheumatoid arthritis due to hormonal differences, and smoking can further increase this risk as it contributes to inflammation and compromises the immune system.

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Empyema can be diagnosed using chest X-ray, thoracentesis, CT scan, ultrasonography and blood tests. Thoracentesis is considered the test of choice for diagnosing empyema, while CT scan can be used to confirm the diagnosis and determine the extent of the infection.

The diagnostic tools for empyema include:

1. Chest X-ray: PA/Lateral- blunting of costophrenic angles is a common finding in empyema. A lateral decubitus view may be helpful in detecting smaller effusions.

2. Thoracentesis: This is considered the test of choice for diagnosing empyema. In this procedure, a needle is inserted through the chest wall into the pleural space to obtain a sample of the fluid for analysis. The fluid is examined for the presence of bacteria and white blood cells.

3. CT scan: This imaging test can be used to confirm the diagnosis of empyema and to determine the extent of the infection. CT scan can also help to identify any underlying lung disease that may be contributing to the development of empyema.

4. Ultrasonography: This imaging test can be used to guide thoracentesis and to visualize the pleural space in real-time. It may also be used to monitor the response to treatment.

5. Blood tests: Blood tests can be used to evaluate the severity of the infection and to identify any underlying conditions that may be contributing to the development of empyema.

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A 24-hour observation and supervision program can be beneficial for individuals, but may need close monitoring to manage their acute symptoms.

This type of program can provide a safe and supportive environment for individuals who are experiencing mental health or substance abuse issues, and may help to prevent the need for hospitalization or more intensive treatment in the future. During 24-hour observation and supervision, individuals receive continuous monitoring and support from trained professionals, who can help to identify and address any emerging symptoms or concerns. This may include medication management, counseling, and other forms of therapy, as well as education and resources to help individuals develop coping skills and strategies for managing their symptoms.
By providing this level of support and care, 24-hour observation and supervision programs can help to reduce the risk of relapse or other negative outcomes, and may be particularly beneficial for individuals who are in the early stages of recovery or who are experiencing acute symptoms that require close monitoring. Overall, this type of program can help to promote stability, safety, and well-being for individuals who are struggling with mental health or substance abuse issues, and can be an important step in the journey towards long-term recovery and wellness.

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Bipolar cells are responsible for transmitting auditory information from the inner hair cells of the cochlea to the auditory nerve fibers.

The loudness of sounds is encoded by the firing rate of bipolar cells. When sound waves are amplified by the middle ear and detected by the inner ear, the pressure waves cause the stereocilia of the hair cells to bend. This mechanical stimulation results in the release of neurotransmitters from the hair cells, which in turn activate bipolar cells. The intensity of the sound is proportional to the number of hair cells that are stimulated, which increases the firing rate of the bipolar cells. Thus, the louder the sound, the higher the firing rate of the bipolar cells. This information is then transmitted to higher-level auditory processing centers in the brain for interpretation.

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Adhesive Capsulitis, commonly known as Frozen Shoulder Syndrome, is a condition that causes pain and stiffness in the shoulder joint.

Adhesive Capsulitis, commonly known as Frozen Shoulder Syndrome, is a condition that causes pain and stiffness in the shoulder joint. The shoulder capsule, a connective tissue that surrounds the shoulder joint, becomes inflamed and thickened, causing a restriction in movement. This can lead to a "frozen" shoulder, where the patient has limited ability to move their arm and shoulder and experiences significant pain. Adhesive Capsulitis typically occurs in individuals over 40 years old and can be caused by injury, surgery, or prolonged immobility. Treatment options include physical therapy, medication, and in some cases, surgery.

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The recommended BSI precautions for a 22-year-old female who is HIV positive and complains of left arm pain are gloves and a gown.

The use of gloves is essential in protecting the hands from exposure to infectious bodily fluids or blood, which can transmit the virus. A gown provides added protection to prevent the spread of infectious materials from contact with clothing or skin. The use of a face shield is not necessary in this case as the infection is not transmitted through the respiratory route. However, if the patient has open wounds or is coughing, a face shield may be required. Therefore, the appropriate BSI precautions for this case are gloves and a gown (option A). It is also important to dispose of all contaminated materials properly, including gloves, gown, and any other items that have come in contact with the patient's bodily fluids. Following proper BSI precautions is essential in preventing the spread of HIV and other infectious diseases.

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Namaste is a respiratory therapy technique that can assist in the evaluation, monitoring, and treatment of patients with respiratory disorders.

Patients with respiratory issues are evaluated and treated using the Namaste respiratory therapy approach. The procedure is having the patient inhale deeply, exhale as much air as they can, and then cough repeatedly. This facilitates the removal of mucus and other secretions that may obstruct breathing. The practice of namaste can be used to assess patients with respiratory diseases, track their progression, and direct the creation of treatment programs. This method is taught to respiratory therapists and doctors, and it's frequently used with other respiratory therapies including bronchodilators, oxygen therapy, and mechanical ventilation to give patients with respiratory diseases complete care.

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These five developments demonstrate how IPV can significantly lower a victim's health status and well-being.

Victims of IPV (Intimate Partner Violence) often experience a lower health status, making them more susceptible to various health issues. The acronym ADPLS refers to the following five potential developments:

1. Anxiety: Victims may experience increased levels of anxiety due to the stress and fear associated with IPV.
2. Depression: The emotional toll of IPV can lead to depression, affecting the victim's overall mental health.
3. PTSD (Post-Traumatic Stress Disorder): The traumatic experiences from IPV may result in PTSD, which includes symptoms such as flashbacks, nightmares, and severe anxiety.
4. Long-term physical health problems: The physical abuse associated with IPV can lead to long-term health issues such as chronic pain, headaches, and injuries that may not heal properly.
5. Substance abuse: Victims may turn to alcohol or drugs as a coping mechanism, leading to substance abuse and further affecting their health status.

These five developments demonstrate how IPV can significantly lower a victim's health status and well-being.

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The following assessment results are related to Hodgkin's disease: Night sweats and enlarged lymph nodes Loss of weight

A form of lymphoma that affects the lymphatic system is Hodgkin's disease. An imaging test or a physical examination may reveal swollen lymph nodes, which is one of the condition's defining symptoms. Other typical signs include unexpected weight loss and nocturnal sweats. These signs and symptoms could be brought on by the body's immune reaction to the cancer or by the way the malignancy has affected the body's metabolism. Fatigue, fever, and itching are additional Hodgkin's disease symptoms that may be present.

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The average OA in a community averages up to 12 different prescriptions filled each year which puts them at great risk for hazards such as drug interactions, adverse reactions, and toxicity, which can lead to chemically induced impairment.

In a community, older adults (OA) may have an average of 5 to 10 different prescriptions filled each year, which puts them at great risk for hazards such as drug interactions.

One hazard associated with filling multiple prescriptions is drug interactions. When taking multiple medications, there is a higher risk of these drugs interacting with one another in a way that can be harmful to the individual's health. This can lead to adverse side effects, worsened symptoms, or even dangerous complications.

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The treatment for acute asthma exacerbations may include short-acting beta-agonists (SABA), anticholinergics, and oral steroids. For chronic asthma management, inhaled corticosteroids (ICS), long-acting beta-agonists (LABA), and ICS/LABA combination inhalers like Symbicort or Advair are commonly used.

The treatment for acute asthma exacerbations involves relieving bronchospasm, reducing airway inflammation, and preventing mucus production. Short-acting beta-agonists (SABA) and anticholinergics work to relax the airway smooth muscles and open up the narrowed airways. Oral steroids help to reduce airway inflammation and swelling. For chronic asthma management, inhaled corticosteroids (ICS) are the most effective treatment to reduce inflammation and prevent exacerbations. Long-acting beta-agonists (LABA) are bronchodilators that are often used in combination with ICS to improve symptom control. ICS/LABA combination inhalers like Symbicort or Advair are convenient options that provide both anti-inflammatory and bronchodilator effects. The choice of treatment depends on the severity of the asthma and the individual's response to therapy.

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Antiseptic is different from disinfectant as antiseptics prevent the growth of microorganisms, while disinfectants eliminate them. Antiseptics are used on living tissues, while disinfectants are used on non-living surfaces and objects.

An antiseptic is a substance that is applied to living tissue to prevent the growth of microorganisms and potentially harmful bacteria. On the other hand, a disinfectant is a substance that is used to kill or eliminate microorganisms and bacteria on non-living surfaces or objects. The main difference between the two is that antiseptics are intended for use on living tissue, while disinfectants are intended for use on non-living surfaces. In summary, antiseptics prevent the growth of microorganisms, while disinfectants eliminate them.
An antiseptic and a disinfectant are both used to kill or inhibit the growth of microorganisms, but they differ in their applications and the surfaces they are used on.

Antiseptic: This is a substance that is applied to living tissues, such as skin, to prevent or stop the growth of harmful microorganisms, like bacteria and fungi. Antiseptics are generally used for wound care, hand washing, and treating minor skin infections.

Disinfectant: This is a substance that is applied to non-living surfaces and objects, such as countertops, floors, and medical equipment, to eliminate or reduce the presence of microorganisms, including bacteria, viruses, and fungi. Disinfectants are typically used to maintain hygiene in hospitals, homes, and other public spaces.

In summary, the main difference between an antiseptic and a disinfectant lies in their applications - antiseptics are used on living tissues, while disinfectants are used on non-living surfaces and objects.

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In states that administer their own OSHA programs, the state standards must be "at least as effective as" or "more stringent than" those of the federal agency. This ensures that state-run OSHA programs maintain a high level of safety and protection for workers, in compliance with federal guidelines.

In states that administer their own OSHA programs, the state standards must be at least as stringent as, or more stringent than, those of the federal agency. OSHA (Occupational Safety and Health Administration) is a federal agency that sets and enforces workplace safety standards. However, some states have their own OSHA programs that are approved by the federal agency. In these states, employers must follow the state OSHA standards, which may be more strict than the federal standards. This is because OSHA allows states to develop and enforce their own workplace safety standards, as long as they meet or exceed the federal standards.

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The nurse anticipates that the cause for the extensive acne in the client who has recently reached puberty is due to the influence of gonadal and adrenal androgens. These hormones increase the activity of sebaceous glands, leading to the production of more sebum, which can contribute to the development of acne.

The nurse anticipates that the extensive acne is caused by the influence of gonadal and adrenal androgens, which become more active during puberty and can cause highly active sebaceous glands in "flush areas" of the body. Thelarche as the first indication of puberty and increased subcutaneous fat before a skeletal growth spurt may also occur during puberty, but they are not directly related to the development of acne.

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Under usual circumstances, a covered entity must act on a patient's request to review or copy his or her health information within the time frame of 30 days. So, the correct answer is c. 30 days.

A covered entity must respond to an individual's request for access in accordance with the HIPAA Privacy Rule no later than 30 calendar days following receipt of the request. If the covered entity is unable to act within this timeframe, the entity may have up to an additional 30 calendar days as long as it gives the person a written explanation for the delay within the first 30 days and specifies the deadline by which the entity will finish acting on the request.

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The most frequent medication-related problem associated with hospital admission of elderly adults is nonadherence, which refers to the failure of patients to take medications as prescribed.

This can be due to various reasons such as forgetfulness, confusion, cost, and lack of understanding or explanation of the medication by the healthcare provider. Nonadherence can result in poor health outcomes, increased healthcare costs, and a higher risk of hospital readmission. Therefore, it is important for healthcare providers to educate patients and provide clear explanations of the medications prescribed to improve adherence and prevent medication-related problems.

2. Adverse drug events.

Nonadherence, ineffective medication, and need for additional medication therapy can also contribute to hospital admissions, but adverse drug events are more common due to factors such as polypharmacy, age-related changes in drug metabolism, and drug-drug interactions.

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Stella suffers not only from panic disorder, but also from agoraphobia. This is because she fears any situation in which she cannot escape or find help when a panic attack would strike and refuses to leave her home without her husband.

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The phase of the home visit that is described by the following activities: introducing oneself and professional identity, interacting socially to establish rapport, establishing the nurse-client relationship, and implementing the nursing process is the initial phase.

The initial phase of a home visit is when the nurse meets the client and establishes the foundation of the nurse-client relationship. This involves introducing oneself and a professional identity, establishing a comfortable and safe environment for communication, and creating a sense of trust between the nurse and the client. Social interaction is important to establish rapport and create a comfortable environment for the client. During this phase, the nurse may collect initial data, assess the client's health status and identify potential health problems, and develop a plan of care that is specific to the client's needs. It is important for the nurse to listen attentively to the client's concerns, provide appropriate education, and involve the client in the decision-making process.

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The type of medical direction that requires EMS providers to speak directly to the medical director or another approved physician in order to get permission to perform a particular skill is called "online medical direction."

Online medical direction is a form of medical direction that requires real-time communication between EMS providers and a physician in order to make critical decisions about patient care. In this type of medical direction, EMS providers must obtain permission from the medical director or an approved physician before performing a particular skill or intervention. This ensures that patients receive the appropriate level of care and that EMS providers are operating within their scope of practice.

EMS providers may also receive "offline medical direction," which is guidance provided by the medical director or an approved physician that is not given in real-time. This type of medical direction may include protocols or standing orders that outline specific actions that EMS providers can take without first seeking permission from the medical director.

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The nurse should report any contraindications to thrombolytic therapy before initiating it in a client with pulmonary embolism. Key assessment findings to report to the HCP include active bleeding, recent surgery or trauma, a history of hemorrhagic stroke, uncontrolled hypertension, or any known clotting disorders.    

Before initiating thrombolytic therapy for a client with pulmonary embolism, the nurse should report any assessment findings that may suggest bleeding tendencies or an increased risk of bleeding. These may include recent surgeries or invasive procedures, a history of bleeding disorders or coagulopathies, active bleeding, a low platelet count, or uncontrolled hypertension. Thrombolytic therapy is a high-risk treatment option that can increase the risk of bleeding complications, such as hemorrhage or intracranial bleeding. Therefore, it is important for the nurse to assess the client's overall bleeding risk and report any concerning findings to the HCP before initiating the treatment. Close monitoring for signs of bleeding should also be implemented during and after thrombolytic therapy.    

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Based on the information provided, the most likely diagnosis for the 70-year-old lady is Familial Hypercholesterolemia (FH). FH is an inherited disorder that causes elevated levels of LDL (low-density lipoprotein) or "bad" cholesterol in the blood, leading to an increased risk of heart disease.

The elevated serum alkaline phosphatase levels could indicate liver damage or bone disease, but in the context of FH, it is likely due to an elevated level of the liver-specific alkaline phosphatase enzyme. Similarly, the mildly elevated serum bilirubin levels may be due to an increased breakdown of red blood cells.The presence of bilateral xanthelasma, which are yellowish deposits of cholesterol under the skin, is also a typical symptom of FH. These deposits can occur around the eyes, tendons, and other parts of the body.Treatment for FH usually involves a combination of lifestyle changes, such as a healthy diet and exercise, and medication to lower cholesterol levels. Medications such as statins, cholesterol absorption inhibitors, and PCSK9 inhibitors can be effective in reducing LDL cholesterol levels. In some cases, LDL apheresis, a procedure that filters LDL cholesterol out of the blood, may be necessary. Regular monitoring and management of FH are essential to prevent or delay the onset of heart disease and its complications.

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The best time to evacuate during an emergency is as soon as possible.

During an emergency, it is important to prioritize your safety and evacuate as soon as possible. Waiting for roads to clear up or packing everything can waste precious time that could be used to get to a safe location.

In an emergency, it is crucial to prioritize safety above all else. Evacuating as soon as possible ensures that you have ample time to leave the area and minimize the risk of harm. Waiting for roads to clear up, packing everything, or relying on news updates might delay your departure and put you in a dangerous situation.

Always stay informed about emergency situations and be prepared to evacuate quickly if necessary. Your safety should be the top priority.

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The bargaining stage of the grieving process is when people may negotiate with a spiritual being or EMS providers in an effort to postpone death.

People may feel that if they can negotiate or plead with a higher power or medical professionals, they can somehow delay or prevent the inevitable. It is important to accept and come to terms with the reality of death in order to move forward in the grieving process. This is the third stage of the widely recognized five stages of grief, which include denial, anger, bargaining, depression, and acceptance. During the bargaining stage, individuals may make deals or promises with a higher power or healthcare providers in hopes of preventing or delaying the loss.

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After receiving an order from the medical director, the first thing that should be done is to confirm the order with the physician or medical director.

The confirmation process is essential to ensure that there is no miscommunication and that the order is clear and concise. Once the order has been confirmed, it is essential to follow it precisely. The order will typically include information about the medication or treatment to be administered, the dosage, the route of administration, and the frequency of administration.

It is critical to ensure that all of these instructions are followed to the letter to avoid any adverse outcomes. In addition to following the order precisely, it is also essential to document the administration of any medication or treatment. This documentation should include the name and dosage of the medication or treatment, the route of administration, the time of administration, and any observations about the patient's response to the treatment.

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Some signs and symptoms of Kawasaki disease include prolonged high fever, rash, red eyes, swollen lymph nodes, and swollen hands and feet.

Kawasaki disease, also known as Kawasaki syndrome, is an inflammatory condition that primarily affects children. It primarily affects the blood vessels, particularly the small and medium-sized arteries throughout the body. The exact cause of Kawasaki disease is unknown, but it is believed to involve an abnormal immune response.

The most prominent symptom of Kawasaki disease is a persistent high fever lasting for at least five days or more. Other common signs and symptoms include a rash, typically affecting the trunk and genital area, red eyes (conjunctivitis), swollen and red lips and tongue, swollen lymph nodes in the neck, and swollen hands and feet with peeling skin.

If left untreated, Kawasaki disease can lead to serious complications, such as inflammation of the blood vessels (vasculitis), which can affect the coronary arteries and potentially lead to heart problems. Prompt diagnosis and treatment are essential to reduce the risk of complications and promote a full recovery.

It's important to note that the signs and symptoms of Kawasaki disease can vary among individuals, and not all symptoms may be present in every case. If you suspect your child may have Kawasaki disease or if they exhibit persistent fever and other concerning symptoms, it is important to seek medical attention for proper evaluation and diagnosis.

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ADCs, or Automated Dispensing Cabinets, are commonly found in nursing stations within hospitals. These cabinets securely store medications and medical supplies, allowing authorized personnel to access them as needed.

ADCs help improve medication management, increase efficiency, and enhance patient safety by ensuring accurate medication dispensing and tracking. They are typically not located in inpatient pharmacies, patient rooms, or satellite pharmacies, as their primary function is to support nursing staff in their daily activities.

The following are some benefits of adopting an automated medication dispensing system for a nursing facility to track the distribution of narcotics:

1. The automated dispensing device guarantees that the storage is safe and untouchable.

2. It facilitates effective monitoring of drug use.

3. It saves time because it performs manual counting quicker.

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False. Neuropathic pain is not the same as musculoskeletal pain. Neuropathic pain is caused by damage or dysfunction of the nervous system, while musculoskeletal pain is caused by damage or dysfunction of the muscles, bones, or joints.

Neuropathic pain is often described as a burning, tingling, or shooting sensation, and it can be chronic and difficult to treat. Musculoskeletal pain, on the other hand, is often described as a dull ache or stiffness, and it can be acute or chronic depending on the underlying cause. It is important to accurately diagnose the type of pain in order to develop an effective treatment plan. Treatment for neuropathic pain may include medications, physical therapy, and other modalities to manage symptoms and improve quality of life. Treatment for musculoskeletal pain may involve rest, exercise, physical therapy, and other modalities to reduce pain and improve function.

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Auto PEEP can be measured by performing an end-expiratory hold maneuver during mechanical ventilation and monitoring the airway pressure. The difference between the measured pressure and the set PEEP is the amount of auto PEEP present.

Auto PEEP, or intrinsic positive end-expiratory pressure, occurs when there is insufficient time for complete exhalation, resulting in residual air trapped in the lungs. This can lead to hemodynamic instability and respiratory distress. Measuring the amount of auto PEEP is important in managing mechanically ventilated patients, as it can help to adjust the ventilator settings to reduce the level of auto PEEP and improve oxygenation. The end-expiratory hold maneuver allows for the measurement of airway pressure at end-expiration, which is compared to the set PEEP to determine the amount of auto PEEP present.

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For dermatomyositis, pharmaceutical therapeutics include corticosteroids (e.g., prednisone), immunosuppressive drugs (e.g., azathioprine, methotrexate), and intravenous immunoglobulin (IVIG). These medications aim to reduce inflammation, suppress the immune system, and improve muscle strength and skin changes associated with the condition.

Dermatomyositis is a rare autoimmune disease that affects the muscles and skin. Pharmaceutical therapeutics are medications that are used to treat this condition, including corticosteroids such as prednisone, immunosuppressants like methotrexate and azathioprine, and biologic agents such as rituximab and tocilizumab. These medications work to suppress the immune system and reduce inflammation, which can help manage the symptoms of dermatomyositis. It is important to work closely with a healthcare provider to determine the most effective pharmaceutical therapeutic plan for an individual with dermatomyositis.

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