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Include the canges that take place in the body.
Usully measured by height and weight and degree of system maturation |
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Involves the changes that take pace on a social, emotional and psychological level. |
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During neonetal or infant period : |
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Vision is not clear, but hearing and taste are developed. Certain reflexes (automatic responses) are also developed . |
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Certain reflexes (automatic responses) are developed, such as : |
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Definition
- Moro reflex/startle reflexWhen a loud noise startles the infant, the arms are spread across the chest, the legs are extended, and the head is thrust back.
- Grasp reflex touching the infat's palm causes te fingers to flex in a grasping motion.
- Rooting (sucking) reflex stroking the cheek or side of the lips stimulates the infant to turn its head in the direction of the stroking.
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Emotional attachments move from self-awareness and parental or caregiver attachment toward ties with other family members |
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Neonatal and Infant Period |
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May play in the company of other children but with no interaction |
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Chooses sex-differentiated friends |
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Hormonal changes stimulate the secondary sex characteristics, but not yet in period of sexual functional Mood seings and feelings of insecurity are common Arms and legs seem out of proportion to the rest of the body. |
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Gradual success in mastering the developmental tasks of the age. The adolescent is able to make comparison between the values she has been tought and reality.
The gradual development of sexual maturity. |
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She sum of ways we react to the events in our lives. |
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When caring for elderly adult (age 65 and older) remember : |
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Definition
- Avoid rapid change in position
- Allow the patient to dangle at the bedside prior to transfer and ambulation
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A gradual loss of vitality and stamina
Physical changes that signal the aging process. For example, sight and hearing diminish. |
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Later Maturity (65 to 75 years) |
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that we pass through eight growing stages in search of who we really are (self-identity). |
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During each stage, there are choices to be made before moving on to the next task, Erikson called these the tasks of personality development. |
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Definition
Approximate Age[2] | Virtues | Psycho Social Crisis [3] | Significant Relationship[2] | Existential Question[2] | Examples[2] |
0-2 years |
Hopes |
Basic Trust vs. Mistrust |
Mother |
Can I Trust The World? |
Feeding, Abandonment |
2-4 years |
Will |
Autonomy vs. Shame and Doubt |
Parents |
Is It Ok To Be Me? |
Toilet Training, Clothing Themselves |
4-5 years |
Purpose |
Initiative vs. Guilt |
Family |
Is It Ok For Me To Do, Move and Act? |
Exploring, Using Tools or Making Art |
5-12 years |
Competence |
Industry vs. Inferiority |
Neighbors, School |
Can I Make It In The World Of People And Things? |
School, Sports |
13-19 years |
Fidelity |
Identity vs. Role Confusion |
Peers, Role Model |
Who Am I? What Can I Be? |
Social Relationships |
20-24 years |
Love |
Intimacy vs. Isolation |
Friends, Partners |
Can I Love? |
Romantic Relationships |
25-64 years |
Care |
Generativity vs. Stagnation |
Household, Workmates |
Can I Make My Life Count? |
Work, Parenthood |
65-death |
Wisdom |
Ego Integrity vs. Despair |
Mankind, My Kind |
Is It Ok To Have Been Me? |
Reflection on Life
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Term
Maslow describe human needs as |
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Definition
physical, psychological and sociological |
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Maslow placed the needs on a continuum in which |
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Definition
physical needs had to be satisfied first |
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Maslowe's Hierarchy of need |
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is a state of discomfort that is unpleasant for the patient. |
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Pain is always a warning that is |
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Definition
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Occurs suddenly and without warning. Result of tissue damage, caused by conditions such as injury or surgery. |
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Persistent pain (chronic pain) |
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Lasts longer than six months. It may be intermittent or constant. May be caused by multiple medical conditions. |
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Definition
Occurs as a result of an amputation. The pain is real, not imaginary.
for example, the patient has had a leg removed, but complains of pain in the toes. |
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Radiating pain moves from the site of origin to other areas. For example, when a patient is having a heart attack, the pain may radiate from the chest to the jaw or arm. |
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The most accurate and reliable indicator of the existence and intensity of pain (should be respected and believed) is |
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The patient's self-report |
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Always report verbal complaints of pain by |
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describing the pain in the patient's exact words. |
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When their culture is considered |
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Pain assessment.
Because unrelieved pain has a negative effect on the patient's health and functional status. |
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The quality of pain control is influenced by the |
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Definition
education, experience and attitude of the health care providers |
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Term
Nurse consideration to determines which medication to administer (which drug to be use) by |
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Definition
NA observations, patient's self-report of pain intensity, and physical assessment findings. |
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NA are not directly responsible for pain management, but your observations and nursing care are very important because |
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Definition
NA work closely and intemately with the patient. |
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Term
After the nurse administers pain medication before moving the patient, performing procedures or undertaking activities wit at least |
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is a state of mental and physical comfort, calmness, and relaxation |
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Definition
is a period of continuous or intermittent unconsciousness in which physical movements are decreased. |
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Eldery adult over the age of 65 require sleep about |
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The study how the time of day affects body function |
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Type of sleep cycle that has four phases, progressing from light to very deep.
Begins when the patient first falls asleep.
In the first to phrase patient is easily aroused. |
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Definition
Nonrapid eye movement (NREM) sleep |
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Term
This is the part of the cycle in which dreams occur. Avoid awakening a patient. Patient passes into REM sleep within approximately 60 to 90 minutes after falling asleep. |
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Lasts a few minutes, easily awakened, Vital signs decrease progressively, if aroused during this phase, patient may feel as if he or she had been daydreaming.
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Patient remains easy to arouse, progresses into sound sleep, body function and vital signs decrease, last 10 to 20 minutes. |
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First stage of deep sleep, patient is difficult to arouse, little or no body movement, muscles are completely relaxed, vital sign continue to decrease, last 15 to 30 minutes. |
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Definition
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Deepest stage of sleep cycle, patient is very difficult to arouse, body rest and restoration occur, sleep walking and enuresis (bedwetting)/incontinence may accur during this stage, lasts about 15 to 30 minutes. |
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Begint about 50 to 90 minutes after first falling asleep, full color dreaming, BP, pulse and respirations vary, limited of no voluntary movement, patient is very difficult to arouse, mental restoration occurs, lasts about 20 minutes. |
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Chronic deprivation of quality or quantity of sleep because sleep is ended or interrupted prematurely |
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disorder characterized by sleeping very late in the morning and napping during the day. Cause can be physical or psychological |
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A condition in which patients have sudden, uncontrollable, unpredictable urges to fall asleep during the daytime hours. These individuals also get adequate sleep at night. |
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A potentially serious condition in which air flow stops for 10 seconds or more. |
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Which is prolonged sleep loss (inadequate quality or quantity of REM or NREM sleep). |
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Ulcer pain may worsen during this time, waking the patient up when the patient first goes to sleep |
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the gastrointestinal tract secretes more acid when the patient first goes to sleep. |
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Definition
Move from head to feet and from torso to limbs |
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The golden rule for pain relief is |
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Definition
- That what ever is painful to adults is painful to children unless proven otherwise.
- Pain should be based on scientific facts, not personal beliefs or opinions
pg 130 |
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Term
Patient responses to pain |
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Definition
- some individual do not feel pain as acutely as others, some try to ignore pain
- Other pts may try to deny pain
- pain may be related to culture (some think that showing pain is a sign of weakness etc)
- Pain causes stress and anxiety, interfering wiht comfort, rest and sleep.
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Body language is the first clue that a patient is having pain. This may be the only clue in some : |
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Definition
- pediatric
- cognitively impaired patients
- from others culture
- pts who are comatose
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Definition
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The most accurate and reliable indicator of the existence and intensity of pain, and should be respected and believed is |
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Definition
The patients' self report |
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It is untrue patients who are smiling or laughing cannot be in pain because |
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Definition
- Patient who are in pain may appear comfortable even while they are having severe pain.
- Vital signs may be normal
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Clues that the patient is having pain include |
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Definition
- Facial expressions
- Grimacing
- Refusing to move
- Stiff, rigid or limited movements
- Moaning, crying, yelling or screaming
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Nursing assistant are not directly responsible for pain management, but NA work closely and intimately with the patient, it is very important to report the |
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Definition
observation and nursing care |
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State of physical and emotional well being |
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Definition
Comfort
The pts is calm and relax, is not in paint or upset |
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Definition
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"Unnecesary noise is the most cruel abuse of care which can be inflicted on either the sick or the well" |
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Definition
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The state of discomfort that is unpleasant for the pts |
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Definition
Pain
always a warning that something is wrong
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Avoid making assumptions about the presence or absence of pain if the pts is laughing, talking or sleeping. Vital signs may be normal. |
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Definition
Regurlarly ask patients if they are in pain. |
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Term
Pain assessment and mangement by nurse involves many factors, NA responsiblity is |
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Definition
Reporting the information to the nurse.
Observations (see, hear, and observe) contibute to this assessment and the patient's well-being. |
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Nursing recognizes the individual within an ethnic and cultural group and provides nursing care that assures cultural as well as individual acceptance and comfort |
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Definition
putting your self in the patient's shoes and understanding how it feels. |
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Believe illness develops when the harmony between body, mind, and spirit is disrupted |
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Definition
Native Americans.
Sand paintings are used in healing rituals to diagnose conditions and prescrie treatment |
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Believe that illness is caused when an imbalance exists in the four body fluids |
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Definition
Hispanic
May use native healers, candles, prayers, and wearing of medals as metods os treatment and restore balance |
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Milk and meat products may not be served at the same time |
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Restrict food intake on specific dates |
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Not permitted to drink alcohol |
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Personal space 18 to 36 inches. Eye contact is acceptable |
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Definition
Caucasians (Europan and Skandinavian descent) and Americans |
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Standing closer to another person (5 to 10 inches) |
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Direct contact when speaking but consider prolonged contact disrespectful |
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Consider eye contact inappropriate. The averted eyes and shifting gaze perceived as repectful in |
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Aware and appreciate personal characteristic of other |
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When this beliefs are rigid and are based on generations. |
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Clasification by share physical characteristics |
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Refers to the way a particular group views the world and the set of traditions that are passed on from generation to generation |
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Definition
culture
Culture mores (customs) Influence the way people will interact
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Special group within a race as defined by national origin and/or culture |
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Commonly health opinions, knowledge and attidudes about the world and life |
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Definition
Beliefs
Influence the person's feeling about illnes and the kind of health care he will choose |
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The part of person that gives a sense of wholeness by fulfilling the human need to feel connected with the world and to a power greater than oneself |
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An organized system of belief in a deity (higher power) |
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Major religions of the US |
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- Protestantism (various denominations)
- Roman Chatolicism
- Judaism
- Islam
- Hinduism
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Solemn and ceremonial acts that reinforce faith |
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Definition
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Crucifix, Bible and religious medals |
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Prayer rug, pray five times each day in direction of their holy city, Mecca, Koran |
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Definition
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Amulets (charms against evil) and special charms |
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Definition
Native American and some peoples in the Middle East |
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Holy book Torah, yarmulke (cap), tallith, menorah, bar mitzvah (when a boy reach puberty) |
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Definition
Orthodox Judaism (Jewish) |
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Baptism, Holy Communion, cross, Bible |
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Definition
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Baptism, Holy Communion, Anoiting of the Sick, Reconciliation, Bible, medals, pictures and statues of saints, rosaries, crucifix |
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Definition
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Greeting with handshake and hug is common in |
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Definition
Hispanic cultures
Handshake is traditional in the US for both man and women.
Middle Eastern countries only men may greet other men in this manner
Asian cultures are less likely to shake hands, especially with women |
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Group that consider silence to be essential to understanding |
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Caucasian families, tend to be structured as more independent unit consisting of mother, father and children. Care of the elderly is more likely to be given over to others |
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Extended family are common in |
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Asian, Hispanic, Native American culture |
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engraved stones, rings or other object that are used to ward off evil |
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alleged power to protect its owner from danger or harm |
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