123 Flash Chat > Chat Rooms > Specialty Live Chats > Message History
DateTimeFromToMessage
2020-10-13 06:57:39 PM perrylori oha yes
2020-10-13 06:58:08 PM annettep FO800
2020-10-13 06:58:10 PM vjs313 hmm
2020-10-13 06:58:11 PM cchase when the resident is incapable of communicating his/her interests and past preferences
2020-10-13 06:58:11 PM jford124 same form just different section
2020-10-13 06:58:12 PM tinacognato F0800
2020-10-13 06:58:23 PM amiller20 yes
2020-10-13 06:58:29 PM perrylori yes different form
2020-10-13 06:58:43 PM yvettemlopez f0800
2020-10-13 06:59:10 PM wmcollins FO800
2020-10-13 06:59:16 PM cchase what is it important to ask if something is important - somewhat important or not important at all?
2020-10-13 06:59:27 PM perrylori point cliick care has them to choose from
2020-10-13 06:59:38 PM lisacomstock F0800
2020-10-13 06:59:45 PM perrylori time they like to go to bed
2020-10-13 06:59:49 PM cchase understood but why is it important?
2020-10-13 06:59:54 PM tinacognato shower or bath/
2020-10-13 07:00:00 PM perrylori do they like to pick their own clothes
2020-10-13 07:00:00 PM vzamora7871 Valerie- their preference
2020-10-13 07:00:02 PM yvettemlopez religion
2020-10-13 07:00:02 PM annettep Preferences need to show is the resident carring at all about it or not
2020-10-13 07:00:04 PM vzamora7871 their voice
2020-10-13 07:00:06 PM miguele neccesary
2020-10-13 07:00:07 PM chanelrheubottom what to wear
2020-10-13 07:00:09 PM perrylori shower or bath yes
2020-10-13 07:00:11 PM tinacognato Residents voice!
2020-10-13 07:00:17 PM judithdevin i know what they want like or dislike
2020-10-13 07:00:31 PM debbief82 It is very important to have good documentation.
2020-10-13 07:00:33 PM cchase good "residents voice"
2020-10-13 07:00:34 PM yvettemlopez all of the above?
2020-10-13 07:00:36 PM lisacomstock Its their mpreference
2020-10-13 07:00:38 PM shedenaalexander Resident voice is resident choice
2020-10-13 07:00:41 PM perrylori all about their daily living routine
2020-10-13 07:00:43 PM cchase : Family member interviews do not always provide an accurate account of their loved ones status. Families may have trouble with objectivity and recognizing subtle changes over time or may even deny the affects of the natural aging progression.
2020-10-13 07:00:50 PM tinacognato Residents rights
2020-10-13 07:01:01 PM sarahwms care continuity...
2020-10-13 07:01:05 PM yvettemlopez very true
2020-10-13 07:01:08 PM annettep Yes, seee that a lot
2020-10-13 07:01:09 PM lisacomstock residents voice!
2020-10-13 07:01:18 PM perrylori i have experienced this with family
2020-10-13 07:01:22 PM melissabarrett yes it happens all the time
2020-10-13 07:01:27 PM judithdevin good poimt
2020-10-13 07:01:28 PM tinacognato the family can however give you information like...hobbies, musical preference
2020-10-13 07:01:31 PM perrylori denial with the family
2020-10-13 07:01:33 PM vjs313 right
2020-10-13 07:01:38 PM lisacomstock seen that lot sometimes no reality
2020-10-13 07:01:47 PM cchase what is the Resident Assessment Instrument (RAI)
2020-10-13 07:01:49 PM perrylori exactly
2020-10-13 07:01:49 PM juliecormier enter the chat room
2020-10-13 07:02:00 PM miguele Yes, some family members have been apart from parents from lot period of times, they musn't seen the changes that they went through
2020-10-13 07:02:06 PM amiller20 from what they like to eat
2020-10-13 07:02:09 PM tinacognato most families are in denial and going through the emotions of the grieving
2020-10-13 07:02:12 PM amiller20 allergies
2020-10-13 07:02:18 PM vzamora7871 Valerie- no clue
2020-10-13 07:02:24 PM diamondreed ??
2020-10-13 07:02:29 PM judithdevin no ide
2020-10-13 07:02:35 PM melissabarrett ??
2020-10-13 07:02:37 PM judithdevin idea
2020-10-13 07:02:41 PM annettep specific forms with specific questions
2020-10-13 07:03:09 PM karenb left the chat room
2020-10-13 07:03:10 PM cchase This document is required for all nursing home residents and it must be completed within 14 days of the resident’s admission date to qualify for federal or state reimbursement. This is a comprehensive assessment and is the first step towards the Comprehensive Care Plan development.
2020-10-13 07:03:12 PM yvettemlopez comprehensive
2020-10-13 07:03:13 PM perrylori point click care has all the forms for us
2020-10-13 07:03:18 PM tinacognato forms and specifics..yes sorry. im always thinking beyond that! focus Tina
2020-10-13 07:03:38 PM amiller20 I dont know
2020-10-13 07:03:54 PM vzamora7871 Valerie- i've never even seen this document
2020-10-13 07:04:02 PM vjs313 What about assisted living
2020-10-13 07:04:04 PM cchase The coordination of the RAI completion is typically assigned to a Registered Nurse (RN) in the role of Resident Assessment Coordinator (RAC).
2020-10-13 07:04:06 PM sarahwms me either Valerie
2020-10-13 07:04:27 PM sarahwms but my community is private pay, so we don't even use MDS
2020-10-13 07:04:32 PM vzamora7871 Valerie- oh ok ok so it's not in the mds module?
2020-10-13 07:04:33 PM perrylori yes our rn does the rai
2020-10-13 07:04:54 PM judithdevin sounds like our mds nurse
2020-10-13 07:04:56 PM perrylori she works with us in activities
2020-10-13 07:05:05 PM cchase you do not complete that form but should know about it
2020-10-13 07:05:11 PM perrylori thats what she is mds nurse
2020-10-13 07:05:11 PM sarahwms absolutely
2020-10-13 07:05:15 PM yvettemlopez got it
2020-10-13 07:05:21 PM perrylori yes
2020-10-13 07:05:23 PM vzamora7871 Valerie- oh ok got it
2020-10-13 07:05:26 PM chanelrheubottom our floor nurse manger dose that
2020-10-13 07:05:28 PM debbief82 it can also show if a resident is starting to get depressed based on their new answers
2020-10-13 07:05:30 PM amiller20 ok
2020-10-13 07:05:36 PM vjs313 Got it
2020-10-13 07:05:36 PM cchase what is a CAT ??
2020-10-13 07:05:43 PM perrylori hmm
2020-10-13 07:05:44 PM yvettemlopez ?
2020-10-13 07:05:48 PM karenb enter the chat room
2020-10-13 07:05:56 PM vzamora7871 Valerie- an animal
2020-10-13 07:05:59 PM melissabarrett don't know
2020-10-13 07:06:00 PM annettep ???
2020-10-13 07:06:06 PM shedenaalexander ?
2020-10-13 07:06:06 PM judithdevin ?
2020-10-13 07:06:10 PM tinacognato lol
2020-10-13 07:06:12 PM josephoh79 ?
2020-10-13 07:06:14 PM chanelrheubottom dont know
2020-10-13 07:06:17 PM perrylori read a little on it
2020-10-13 07:06:19 PM cchase Care Area Trigger (CAT):Completion of a comprehensive MDS coded entries may identify potential triggers within the Care Area Assessment (CAA) to reveal specific areas in need of further review.
2020-10-13 07:06:27 PM perrylori oh ya the triggers
2020-10-13 07:06:30 PM juliecormier Our community is also private pay.
2020-10-13 07:06:46 PM perrylori yup
2020-10-13 07:06:50 PM vjs313 copy
2020-10-13 07:06:54 PM jford124 are those v tags on the mds?
2020-10-13 07:06:59 PM cchase the IDT team will decide if a triggered code item should be included in the care plan
2020-10-13 07:07:02 PM kathrynlsvec then triggers should be documented in the care plan
2020-10-13 07:07:07 PM yvettemlopez ok
2020-10-13 07:07:14 PM perrylori ok
2020-10-13 07:07:17 PM chanelrheubottom ok
2020-10-13 07:07:28 PM cchase Care Area Assessment (CAA’s): This is a set of decision making tools that helps the IDT team determine if a specific, standardized intervention should be used. There are some 20 Care Area Assessments in the general list Note: this list provides the most common interventions (not all).
2020-10-13 07:07:29 PM judithdevin ok
2020-10-13 07:07:31 PM annettep goctha
2020-10-13 07:07:31 PM lisacomstock care area triggers
2020-10-13 07:08:00 PM perrylori yup read up on that in section 7
2020-10-13 07:08:08 PM yvettemlopez check
2020-10-13 07:08:12 PM lisacomstock when filling out the F-section you run into triggers sometimes
2020-10-13 07:08:13 PM cchase ok - so now we have enough information to think about creating the care plan
2020-10-13 07:08:24 PM cchase correct lisa
2020-10-13 07:08:27 PM perrylori yes in F you do
2020-10-13 07:08:28 PM juliecormier Ok
2020-10-13 07:08:37 PM melissabarrett ok
2020-10-13 07:08:41 PM vzamora7871 Valerie- yes
2020-10-13 07:08:43 PM shedenaalexander ok
2020-10-13 07:08:43 PM miguele ok'
2020-10-13 07:08:43 PM cchase what is a baseline care plan??
2020-10-13 07:08:44 PM diamondreed ok
2020-10-13 07:09:01 PM lisacomstock he first care plan
2020-10-13 07:09:02 PM perrylori when the first come in with in 24 hours
2020-10-13 07:09:14 PM yvettemlopez first 24 hrs
2020-10-13 07:09:22 PM juliecormier basic info
2020-10-13 07:09:23 PM diamondreed the plan during arrival
2020-10-13 07:09:28 PM perrylori for immediate attention
2020-10-13 07:09:30 PM melissabarrett the first one
2020-10-13 07:09:34 PM annettep initial to start with
2020-10-13 07:09:36 PM lisacomstock minimal data
2020-10-13 07:09:39 PM chanelrheubottom has to be done in 24hour
2020-10-13 07:09:42 PM tinacognato minimum care plan
2020-10-13 07:09:52 PM cchase good - some states it's 24 hrs. others it's 48 hrs.
2020-10-13 07:09:55 PM tinacognato first 24 hours
2020-10-13 07:09:56 PM cchase This is an “transitional” care plan providing for the resident’s immediate needs upon admission to the senior care facility and must be completed within 48 hours of the resident’s admission.
2020-10-13 07:10:06 PM juliecormier left the chat room
2020-10-13 07:10:07 PM shedenaalexander instructions needed in case you run into trigger
2020-10-13 07:10:07 PM juliecormier enter the chat room
2020-10-13 07:10:30 PM sarahwms initial care plan to help determine if a resident improves or declines
2020-10-13 07:10:44 PM tinacognato F655
2020-10-13 07:10:57 PM cchase when is the comprehensive care plan due?
2020-10-13 07:11:08 PM perrylori within 14 days
2020-10-13 07:11:12 PM jford124 14 days
2020-10-13 07:11:14 PM chanelrheubottom 14vdays
2020-10-13 07:11:16 PM judithdevin 2 weeks
2020-10-13 07:11:16 PM yvettemlopez 14 days i belivw
2020-10-13 07:11:21 PM lisacomstock 30 days?
2020-10-13 07:11:22 PM annettep 2 weeks
2020-10-13 07:11:22 PM wmcollins 14 days
2020-10-13 07:11:23 PM miguele 14 days
2020-10-13 07:11:25 PM sarahwms 21 days
2020-10-13 07:11:30 PM cchase The Comprehensive Care Plan must be prepared within 21 days (Medicare) or 30 days (Medicaid) after the RAP is signed off. This document is a compilation of resident
2020-10-13 07:11:45 PM cchase remember that folks
2020-10-13 07:11:53 PM judithdevin ok
2020-10-13 07:11:55 PM yvettemlopez ok 21 /30
2020-10-13 07:12:06 PM cchase you will see that question again
2020-10-13 07:12:21 PM debbief82 left the chat room
2020-10-13 07:12:26 PM vjs313 Okay
2020-10-13 07:12:39 PM judithdevin making note
2020-10-13 07:12:40 PM cchase what are care plan smart goals?
2020-10-13 07:12:40 PM annettep 3 weeks or 30 days
2020-10-13 07:13:01 PM tinacognato left the chat room
2020-10-13 07:13:19 PM judithdevin until next idt
2020-10-13 07:13:27 PM sarahwms Specific, Measurable, Achievable,
2020-10-13 07:13:28 PM tinacognato enter the chat room
2020-10-13 07:13:30 PM juliecormier left the chat room
2020-10-13 07:13:31 PM annettep sounds like qutomatice goals based on care plan needs
2020-10-13 07:13:36 PM lisacomstock I studied right up to SMART today!
2020-10-13 07:13:37 PM yvettemlopez set goals that you want to achieve?
2020-10-13 07:13:37 PM sarahwms Relevant, Time
2020-10-13 07:14:05 PM cchase your care plan MUST follow smart goals
2020-10-13 07:14:09 PM jacquelinediego not sure
2020-10-13 07:14:11 PM juliecormier enter the chat room
2020-10-13 07:14:20 PM cchase  S –pecific (simple, sensible, significant). M – easurable (meaningful, motivating). A – achievable (attainable, manageable). R – elevant (reasonable, realistic and results-based). T – ime (time sensitive and limited).
2020-10-13 07:14:41 PM chanelrheubottom when i study it today it was very helpful
2020-10-13 07:14:56 PM judithdevin got it
2020-10-13 07:14:58 PM cchase Specific: Vague, ambiguous, and generalized goals tend to lend themselves to misinterpretation
2020-10-13 07:15:16 PM cchase Measurable: Incorporate predetermined precise quantities, amounts, dates, and so on to turn your goals into stepping stones that lead you to take the first step, then to the next step in the correct order and sequence.
2020-10-13 07:15:31 PM cchase Achievable: Goals should be challenging, but it’s important to verify that they are not beyond reach
2020-10-13 07:15:54 PM cchase goals that cannot be achieved should never be written
2020-10-13 07:16:09 PM cchase surveyors will take note for that
2020-10-13 07:16:26 PM vzamora7871 Valerie- we went over this earlier in the course, its kinda familiar
2020-10-13 07:16:34 PM perrylori goals that are acceptable and achievable ae perfect
2020-10-13 07:16:40 PM cchase Relevant: Next on the list when mapping out SMART goals is relevancy.
2020-10-13 07:17:01 PM vjs313 ok
2020-10-13 07:17:02 PM cchase . Goals must align with the focus and specific “roadmap” direction of the care plan and have applicability towards what the professional and the resident wants to achieve.
2020-10-13 07:17:03 PM annettep not a random
2020-10-13 07:17:32 PM cchase Time: Creating a target time line for each goal and expected milestone will provide timely reminders to evaluate whether care plan delivery methods were instrumental in providing the “roadmap” to successfully achieve desired goals.
2020-10-13 07:17:54 PM jacquelinediego ok i will have to kep tht in mind
2020-10-13 07:18:02 PM amiller20 ok
2020-10-13 07:18:03 PM yvettemlopez check
2020-10-13 07:18:06 PM cchase what do you use to record that status of care plan goals??
2020-10-13 07:18:08 PM shedenaalexander SMART
2020-10-13 07:18:08 PM judithdevin ok
2020-10-13 07:18:34 PM perrylori i will try to keep that in mind. never put the goal higher than they can achieve.
2020-10-13 07:18:43 PM kathrynlsvec quarterly assessment
2020-10-13 07:18:48 PM annettep assessments'
2020-10-13 07:18:50 PM sarahwms MDS?
2020-10-13 07:18:59 PM yvettemlopez assessment
2020-10-13 07:19:04 PM judithdevin assesments quartely and anuanally
2020-10-13 07:19:06 PM cball97 Quarterly and annual assessments
2020-10-13 07:19:10 PM amiller20 assessment
2020-10-13 07:19:11 PM cchase progress notes = care plan status
2020-10-13 07:19:15 PM juliecormier Daily attendance I note how they are doing
2020-10-13 07:19:39 PM tinacognato progress notes can ba added at any time?
2020-10-13 07:19:41 PM perrylori mds and assements every months
2020-10-13 07:19:48 PM cchase progress notes must ALWAYS reference the status of the care plan goal
2020-10-13 07:19:56 PM amiller20 ok
2020-10-13 07:20:07 PM cchase yes - can be done anytime but always quarterly
2020-10-13 07:20:19 PM cchase annually
2020-10-13 07:20:32 PM juliecormier Does the progress notes need to be on a special form?
2020-10-13 07:20:33 PM perrylori or a significant change
2020-10-13 07:20:40 PM melissabarrett should you remind the resident of the goals or when they are met?
2020-10-13 07:20:40 PM yvettemlopez ok
2020-10-13 07:20:45 PM judithdevin of yes sig change
2020-10-13 07:20:45 PM cchase yes or significant change - good
2020-10-13 07:21:41 PM cchase you should always dicuss the goals with the resident - as the "residents voice " must be incorporated in the care plan goals
2020-10-13 07:21:55 PM melissabarrett ok
2020-10-13 07:21:56 PM perrylori yes exacltly
2020-10-13 07:22:01 PM yvettemlopez ok
2020-10-13 07:22:03 PM cchase see that came back again
2020-10-13 07:22:05 PM judithdevin correct
2020-10-13 07:22:13 PM melissabarrett yes
2020-10-13 07:22:15 PM annettep I knew that
2020-10-13 07:22:16 PM chanelrheubottom ok
2020-10-13 07:22:28 PM shedenaalexander ok
2020-10-13 07:22:31 PM juliecormier ok
2020-10-13 07:22:38 PM amiller20 ok
2020-10-13 07:22:39 PM cchase can you revise the care plan??
2020-10-13 07:22:44 PM judithdevin yes
2020-10-13 07:22:44 PM debbief82 enter the chat room
2020-10-13 07:22:45 PM karenb yes
2020-10-13 07:22:47 PM juliecormier yes
2020-10-13 07:22:47 PM amiller20 yes
2020-10-13 07:22:49 PM melissabarrett yes
2020-10-13 07:22:50 PM tinacognato sure
2020-10-13 07:22:50 PM miguele Yes, absolutely
2020-10-13 07:22:51 PM sarahwms yes
2020-10-13 07:22:51 PM yvettemlopez yea
2020-10-13 07:22:52 PM shedenaalexander yes
2020-10-13 07:22:53 PM chanelrheubottom yes
2020-10-13 07:22:54 PM annettep yes, things change
2020-10-13 07:22:56 PM perrylori always at any time
2020-10-13 07:23:00 PM cchase good
2020-10-13 07:23:02 PM cchase The care plan is a dynamic and useful tool for resident care. Once again the most impressive fact about this document is that it is considered a fluid record- in that once written it can and it will be revised to accurately reflect the changing needs of the resident.
2020-10-13 07:23:03 PM kathrynlsvec as needed, yes. as long as it is accurate.
2020-10-13 07:23:04 PM sarahwms minimum every 90 days
2020-10-13 07:23:33 PM vjs313 nice
2020-10-13 07:23:39 PM cchase how about when there is a significant change - do you change the care plan?
2020-10-13 07:23:42 PM melissabarrett the resident is always changing
2020-10-13 07:23:44 PM judithdevin yes
2020-10-13 07:23:47 PM cball97 Yes
2020-10-13 07:23:50 PM judithdevin revise
2020-10-13 07:23:50 PM amiller20 yes
2020-10-13 07:23:51 PM karenb yes
2020-10-13 07:23:51 PM yvettemlopez yes
2020-10-13 07:23:51 PM chanelrheubottom yes
2020-10-13 07:23:54 PM melissabarrett yes
2020-10-13 07:23:56 PM miguele revision
2020-10-13 07:23:57 PM perrylori always change for sig change
2020-10-13 07:23:58 PM jford124 yes because the goals change
2020-10-13 07:23:58 PM juliecormier yes
2020-10-13 07:24:00 PM annettep yyes, mayy need a new assessment
2020-10-13 07:24:01 PM miguele actualization
2020-10-13 07:24:06 PM perrylori mds and everything
2020-10-13 07:24:23 PM sarahwms status change
2020-10-13 07:24:38 PM cchase its' a good idea to incorporated a 30 day Re-evaluation Note: Reassesses the initial assessment and the resident plan of care. This note is conducted to review state of resident changes, if any during the initial transition to resident living.
2020-10-13 07:24:53 PM vjs313 ok
2020-10-13 07:24:58 PM chanelrheubottom ok
2020-10-13 07:24:58 PM melissabarrett ok
2020-10-13 07:25:04 PM yvettemlopez ok
2020-10-13 07:25:05 PM juliecormier ok
2020-10-13 07:25:05 PM diamondreed great
2020-10-13 07:25:14 PM cchase surveryors will love you for doing that
2020-10-13 07:25:15 PM judithdevin ok
2020-10-13 07:25:19 PM annettep i would think
2020-10-13 07:25:21 PM perrylori progress notes can be written anytime for sig change behavior or anything
2020-10-13 07:25:33 PM cchase This is a recommended addition to the plan of care as the resident my go through an adjustment period and change significantly during the first 30 days.
2020-10-13 07:25:34 PM melissabarrett need all the help we can get
2020-10-13 07:25:47 PM tinacognato makes total sense
2020-10-13 07:25:48 PM judithdevin thats so true
2020-10-13 07:25:54 PM melissabarrett yes
2020-10-13 07:25:55 PM tinacognato it seems only helpful
2020-10-13 07:26:05 PM yvettemlopez thnak you
2020-10-13 07:26:08 PM debbief82 I keep getting kicked out of here and have to reboot. Is there a way I can go back to see the entire discussion?
2020-10-13 07:26:15 PM cchase again - The Quarterly note must ALWAYS address the resident Care Plan Goals – It must begin with the current status of the Care Plan entry and it must end with a new goal for the next quarter (90 days). Surveyors will look for this.
2020-10-13 07:26:18 PM tinacognato i did too
2020-10-13 07:26:37 PM perrylori yup
2020-10-13 07:26:38 PM melissabarrett ok
2020-10-13 07:26:40 PM chanelrheubottom ok
2020-10-13 07:26:48 PM juliecormier ok
2020-10-13 07:26:57 PM cchase so the connection - btw care plan and progress notes makes sense - yes??
2020-10-13 07:27:05 PM miguele yes
2020-10-13 07:27:05 PM chanelrheubottom yes
2020-10-13 07:27:08 PM judithdevin yes
2020-10-13 07:27:08 PM yvettemlopez yes
2020-10-13 07:27:09 PM jford124 yes
2020-10-13 07:27:09 PM karenb yes
2020-10-13 07:27:10 PM diamondreed yea
2020-10-13 07:27:10 PM kathrynlsvec yes
2020-10-13 07:27:11 PM juliecormier yes
2020-10-13 07:27:11 PM miguele it feed care plans
2020-10-13 07:27:13 PM amiller20 yes
2020-10-13 07:27:13 PM perrylori oh yes
2020-10-13 07:27:14 PM tinacognato absolutley
2020-10-13 07:27:14 PM melissabarrett yes
2020-10-13 07:27:20 PM annettep yes
2020-10-13 07:27:22 PM shedenaalexander yes
2020-10-13 07:27:25 PM cball97 yes
2020-10-13 07:27:38 PM cchase what about care plans and the programming (calendar)?
2020-10-13 07:28:05 PM vzamora7871 Valerie- are we gonna talk about UDA's, i've been having trouble with this.
2020-10-13 07:28:14 PM miguele It should residents prefferences and needs
2020-10-13 07:28:14 PM perrylori read a little bit on that
2020-10-13 07:28:22 PM judithdevin needs to reflect residents interest
2020-10-13 07:28:25 PM vzamora7871 Valerie- create a calendar of meaningful activities
2020-10-13 07:28:27 PM melissabarrett the care plans help with making the calendar
2020-10-13 07:28:30 PM diamondreed something should be schedule to meet every care plan?
2020-10-13 07:28:35 PM annettep should refelct the residents needs
2020-10-13 07:28:50 PM cchase good melissa
2020-10-13 07:28:54 PM tinacognato making sure that everyone is included in meaningful programs based on thier a care plans
2020-10-13 07:28:57 PM juliecormier you plan things on the calendar that fits all your residents needs and likes
2020-10-13 07:29:02 PM perrylori that is for sure/ should be for the best interest of the residents
2020-10-13 07:29:15 PM amiller20 residents needs
2020-10-13 07:29:16 PM cchase the care plan goals connect to programming because they become the programming ideas
2020-10-13 07:29:33 PM juliecormier yes
2020-10-13 07:29:34 PM perrylori yes they do
2020-10-13 07:29:42 PM yvettemlopez yes agree
2020-10-13 07:29:43 PM cchase if it's in the care plan - it better be in the programming
2020-10-13 07:29:44 PM melissabarrett so true
2020-10-13 07:29:52 PM chanelrheubottom yes
2020-10-13 07:30:03 PM cchase otherwise - how would the resident achieve that goal??
2020-10-13 07:30:04 PM judithdevin yup

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