Individualized care plans are tailored to meet a specific clients unique needs or needs that are not addressed by the standardized care plan. Keeping the patient in a quiet, still, cool, dimly lit environment helps the patient sleep better. There are numerous options to assist in overcoming the obstacles associated with this illness, thanks to recent medical advancements as well as institutional and cultural support for people with Down syndrome and their families. Increasing fluid intake promotes diluted urine and frequent urination, and it may also help in reducing fluid loss during fever and it helps thin secretions. Interventions begin in their infancy with the services that are currently available. Regular exercise. 3 0 obj This causes irritability and restlessness to arise, especially when daylight tones down. Thank You, HI Can some one help me to do assignment on Impaired renal perfusion. Acute Respiratory Distress Syndrome Nursing Care Plan. Nursing care plans: Diagnoses, interventions, & outcomes. Hope that helps and thanks for visiting Nurseslabs! Monitor the status of the patients skin. All of our resources are here on the website and free to use. Some hospitals may have the information displayed in digital format, or use pre-made templates. Some agencies or nursing schools have specific assessment formats you can use. Plan interventions according to the developmental level of a 7-year-old child because thats the childs age. Beverages such as tea, chocolate, colas, and coffee contain caffeine that activates and energizes the nervous system. Energy conservation techniques will reduce fatigue and will improve the patients capability to do tasks. Ackley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Collaboration: 1. Search online parent support groups or find your. 1-16). Nursing care plans: Diagnoses, interventions, & outcomes. Hurrying up the patient when speaking will make it less clear and communication will be compromised. Most are designed so that the student systematically proceeds through the interrelated steps of the nursing process, and many use a five-column format. (NICU, MA'AM EVIA) ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION Objective: Delayed growth The child will Provide adequate The child was able and development be able to nutrition. Nursing interventions should be specific and clearly stated, beginning with an action verb indicating what the nurse is expected to do. Transmission of scabies is highly plausible. B. Insert Foley catheter. Interventions chosen should focus on eliminating or reducing the etiology of the nursing diagnosis. Below is a document containing sample templates for the different nursing care plan formats. Evaluate the patients strength to perform activities of daily living efficiently and safely daily by using proper assessment tools. [34 0 R 37 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R] Recommended reading materials and sources for this NCP guide: Thank you! Special education instructors and therapists work with the child in these programs to aid in learning: Children with Down syndrome often meet age-related milestones. Evaluate the patients needs and give attention to the patients nonverbal cues. The white blood cell count is 2300/mm3. An electronic version can be accessed here: 2011: Health Supervision for Children with Down Syndrome published in Pediatrics (Vol. Plan interventions according to the developmental levels of a 5-year-old because the child will have developmental delays. Key Words: adult, Down syndrome, medical care D own syndrome, also known as trisomy 21, occurs in 1 of every 691 live births in the United States.1 It is by far the most common birth defect and chromosomal disorder in live-borninfants.2 Despiteitsprevalence,thereisminimalliterature If the environment is disorderly and noisy, the chances of sound sleeping are slim. Is there a textbook version of the Nurseslabs that I can purchase?? Tips on how to individualize a nursing care plan: The following are the goals and objectives of writing a nursing care plan: The following are the purposes and importance of writing a nursing care plan: A nursing care plan (NCP) usually includes nursing diagnoses, client problems, expected outcomes, nursing interventions, and rationales. C.Ask the mother regarding the number of diaper changes. In this step, the nurse and the client begin planning which nursing diagnosis requires attention first. document.getElementById("ak_js_1").setAttribute("value",(new Date()).getTime()); This site uses Akismet to reduce spam. Encourage and offer high protein supplements based on the patients needs and capabilities. The healthcare guidelines mentioned below help define the standards of quality care for individuals with Down syndrome. This information is intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. AppendPDF Pro 6.3 Linux 64 bit Aug 30 2019 Library 15.0.4 Nursing Diagnosis: Disturbed Sleep Pattern related to disease and injuring agents, secondary to chronic pain as evidenced by expression or verbalization of pain, change in muscle tone, atrophy, depression, change in routine sleep pattern, restlessness, and fatigue. after first intercourse). Fathers over 40 had a twofold increased risk of having a kid with Down syndrome. Desired Outcome: The patient will be able to take an adequate amount of calories or nutrients that the patient needs for normal growth. Encourage the significant use of nasal sprays and educate the patient on their proper usage. Signs and symptoms of local infection should be assessed to avoid the risk of infection and early detection of signs and symptoms of infection will help the nurse in formulating proper intervention. Children. 2, August 1, 2011. pp. Care plans provide a way of communication among nurses, their patients, and other healthcare providers to achieve healthcare outcomes. By involving the client, nurses can ensure that the care plan is aligned with the patients goals and preferences which can improve patient engagement and compliance with the care plan. impaired gas exchange nursing care plan scribdstevenson high school grades impaired gas exchange nursing care plan scribd. This has been used for quite some time to promote health care to them. As a standard component of prenatal treatment, Down syndrome screening is readily available. The terms goal outcomes and expected outcomes are often used interchangeably. Chronic Bronchitis Nursing Care Plan. Assessing and evaluating the patients eating pattern will help the nurse know the proper interventions that would be appropriate for the patient. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Students with Down syndrome benefit from great socializing opportunities at school and develop critical life skills. View scribd.vpdfs.com_nursing-care-plan-fever.pdf from CYBR 4310 at Collin County Community College District. Hi! Knowledge deficit (parents) related to down syndrome child care. If not sexually active, single finger bimanual exam with finger-directed cytology exam. To better establish and complete the sleep cycle, recuperate rest or sleep. This causes disabilities and developmental delays. Review communication and documentation of the care plan. 44 0 obj Assess the patients pain characteristics or features (e.g., severity, onset, duration, relieving facets, and location). Smoking, drug and alcohol education. Notify the physician immediately. Down syndrome or Downs syndrome, also known as Trisomy 21, is a disorder in which a child is born with an extra copy of their 21st chromosome. 33 0 obj Encourage the use of lifting devices like trapeze or bed linen to move the patient in bed. The current version (Health Supervision for Children Down Syndrome) was published in Pediatrics (Vol. Writing a Nursing Care Plan Step 1: Data Collection or Assessment Step 2: Data Analysis and Organization Step 3: Formulating Your Nursing Diagnoses Step 4: Setting Priorities Step 5: Establishing Client Goals and Desired Outcomes Short-Term and Long-Term Goals Components of Goals and Desired Outcomes Step 6: Selecting Nursing Interventions 5 0 obj How family adjustment to diagnosis and progress of mental development. 5 Nursing Care Plans for Disturbed Sleep Pattern NCLEX Review. God bless you. A. When caring for a patient with Down syndrome, it is important to remember that the patient may struggle with speech, learning, mobility, and self-care needs. Check and monitor the patients complete blood levels, especially the white blood cell count. Matt, this page is very informative and I especially appreciate seeing care plans for patients with neurological disorders. Reinforce the need for subacute bacterial endocarditis prophylaxis (SBE) in susceptible adultswith cardiac disease. 3. 30 0 obj Health, abuse-prevention and sexuality education. You can download it here: Nursing Care Plan Template. 1 0 obj The characteristics of other Down syndrome children may also apply to children with mosaic Down syndrome. A thorough medical history check helps identify the type of allergen the patient may be susceptible to. This is the kind of step-by-step guidance that I needed. 5. <> endstream Tell me about how to develop positive relationship with Down syndrome. Anna began writing extra materials to help her BSN and LVN students with their studies and writing nursing care plans. Student care plans are more lengthy and detailed than care plans used by working nurses because they serve as a learning activity for the student nurse. 32 0 obj endobj Knowing the patients seasonal allergies or provocative substances can prevent and lead to fast recovery from an allergic reaction if recognized immediately. In 1960, a child born with Down syndrome frequently did not live to see their tenth birthday. Qualifiers of how, when, where, time, frequency, and amount provide the content of the planned activity. NANDA nursing diagnoses are a uniform way of identifying, focusing on and dealing with specific client needs and responses to actual and high-risk problems. Desired Outcome: The patient will be able to safely accomplish self-care activities to his or her utmost capability. Nursing Assessment Assessment of a child with Down syndrome include: Physical assessment. Long-term goals are often used for clients who have chronic health problems or live at home, in nursing homes, or in extended-care facilities. The nurses signature demonstrates accountability. Writing thebestnursing care planrequires a step-by-step approach to complete the parts needed for a care plan correctly. Adjust the care plan accordingly. . Risk for ineffective thermoregulation would be a good one for you to do next for newborn. 2023-01-20T17:37:23-08:00 Desired Outcome: The patient will demonstrate reduced itching or scratching, especially at night. Identifying the types of allergens and eradicating them can ensure the patients safety and comfort. Participation of the patient in these activities will enhance growth and development and will provide needed stimulation for the patient. Avoid using vague words that require interpretation or judgment of the observer. Evaluate the patients eating pattern that affects the patients nutritional requirements. An electronic version can be accessed here: 1999: Health Care Guidelines for Individuals with Down Syndrome published in Down Syndrome Quarterly (Volume 4, Number 3, September 1999, pp. endobj endobj Cross), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Environment Applications II: Process, Logistics, and Operations (D079), Bachelor of Secondary Education Major in Filipino (BSED 2000, FIL 201), Professional Nursing Concepts III (5-8-8) (HSNS 2118), Art History I OR ART102 Art History II (ART101), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Summary Reimagining Global Health - Chapter 5 & 6, Eden Wu.Focused Exam Respiratory Syncytial Virus Completed Shadow Health, Chapter 15 Anxiety and Obsessive-Compulsive Disorders, Lunchroom Fight II Student Materials - En fillable 0, Summary Give Me Liberty! Lack of social interaction related to physical and mental limitations that they have. Educate the patient on several measures for sleep promotion, such as avoiding heavy meals. Nursing Care Plan for Down's Syndrome Assessment 1. endobj Advise and encourage the patient to perform energy conservation techniques. Thank you. Support the patient in restoring skin integrity. Based on nursing knowledge and experience or knowledge from relevant sciences. Buy on Amazon, Gulanick, M., & Myers, J. L. (2017). St. Louis, MO: Elsevier. Delays in the childs mental and social development could indicate: An infant with Down syndrome can be born of average size but will develop more slowly than a child without the condition. Hi, I have learnt a lot, this is a wonderful note youve prepared for all nurses thank you. Achievable with the resources and time available. Disturbed Sleep Pattern is a NANDA nursing diagnosis that involves a disturbance in a persons regular circadian or sleep pattern. I was wondering if it was available and if so can you please direct me on where to find it? She has worked in Medical-Surgical, Telemetry, ICU and the ER. Additionally, individualized care plans can improve patient satisfaction. Diarrhea with or without steatorrhea. By promoting skin integrity, the patients feelings of satisfaction and comfort would arise, both of which are vehicles in restoring restfulness, positive emotions, and sleep. Certain drugs interfere with REM sleep, causing weakness and irritability. Evaluation is an essential aspect of the nursing process because the conclusions drawn from this step determine whether the nursing intervention should be terminated, continued, or changed. However, they may learn more slowly than other children. Thanks so much , its of much support for students . Desired outcomes should be realistic for the clients resources, capabilities, limitations, and on the designated time span of care. Down syndrome is frequently accompanied by medical issues. A client database includes all the health information gathered. Good day, 45 0 obj Frequent position changes help reduce burdening pressure points for an extended period and reduce break down. Bjrvell, C., Thorell-Ekstrand, I., & Wredling, R. (2000). Unfortunately, this behavior is not conducive to sleep. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. 48 0 obj Nursing . Thanks a million! Tell the patient to stop scratching or rubbing if there are alarming signs or marks of abrasive scratching in the skin. Give parents information on the proper way / correct in. They include specific recommendations for screening tests, information about common medical conditions, suggestions for early intervention, diet and exercise and other issues across the lifespan. We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. Perhaps 50% of female patients with trisomy 21 are fertile, and these females have up to a 50% chance of having a live child who also has trisomy 21. A patient with Down syndrome recently started on phenytoin (Dilantin) to control simple complex seizures is seen in the outpatient clinic. This website is of great assistance to me. Write goals and outcomes in terms of client responses and not as activities of the nurse. Keeping it this way facilitates evaluation of care by ensuring that planned nursing interventions are clearly related to the diagnosis set. Observe for any signs of sleep-wake problems. Encourage the participation of parents in giving motor exercises and instructions so that children are, Encourage the parents to give children practice in their, 1. Imbalanced nutrition less than body requirements related to difficulty. 15 0 obj Dustin who was diagnosed with Down syndrome has Hirschsprungs disease. Take note of the physical (e.g., background noise, discomfort, frequent urination during bedtime, pain) or physiologic factors (e.g., fear, anxiety) that hinders sleep. In contrast, care bundles are related to best practices concerning care for a specific disease. Each year, approximately 6000 children are born with Down syndrome. The nurse should give enough time to attend to all the patients needs because care measures for patients with down syndrome may take a long time because of a communication deficit. Anursing care plan (NCP)is a formal process that correctly identifies existing needs and recognizes a clients potential needs or risks. The first step in writing a nursing care plan is to create a client database using assessment techniques and data collection methods (physical assessment, health history, interview, medical records review, and diagnostic studies). Inline with the clients values, culture, and beliefs. It may also act as a catalyst for a delay in the bodys normal absorption and excretion mechanism in a geriatric patient, which is a problem, especially when there is an increased need to urinate within the period of rest. This may encompass several environmental, biological (e.g., insomnia, sleep disorders), or physiologic factors (e.g., distress). Nursing Diagnosis: Delayed Growth and Development related to impaired ability developmental tasks secondary to Down syndrome as evidenced by activity restriction and environmental and stimulation deficiencies. Risk for injury related to reduced hearing ability. The standard immunizations and well-child care should be provided. What is the nursing care plan for pulmonary oedema? Nearly half have heart defects, and most have some degree of hearing difficulty due to differences in ear structure. The clients care plan is documented according to hospital policy and becomes part of the clients permanent medical record, which may be reviewed by the oncoming nurse. Fear 11. Free Care Plans. But even those with Down syndrome can lead happy, healthy lives. (Mon-Fri, 9AM ET- 5PM ET). Disallow active stimulation of the mind by preventing the patient from engrossing his/herself with distracting thoughts. Providing guidance and education would help bring back relaxation and assurance, decreasing worry and concerns that would likely plague the mind during bedtime. Aformal nursing care plan is a written or computerized guide that organizes the clients care information. 2. Use observable, measurable terms for outcomes. Down syndrome is a genetic condition that causes delay in physical and intellectual development There is extra genetic material from chromosome 21, so individuals with Down Syndrome have 47 chromosomes instead of 46 chromosomes Nursing Diagnosis Impaired verbal communication related to impaired receptive or expressive skills Nursing Diagnosis The ability of the family in caring for down syndrome premises, especially on the progress of the. The state of hearing and sight. <> Nursing Care Plans (NCP): Ultimate Guide and List, Step 3: Formulating Your Nursing Diagnoses, Step 5:Establishing Client Goals and Desired Outcomes, Printable Nursing Care Plan Templates and Formats, Nursing Diagnosis Guide and List: All You Need to Know to Master Diagnosing, End-of-Life Care (Hospice Care or Palliative), Angina Pectoris (Coronary Artery Disease), Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS), Eating Disorders: Anorexia & Bulimia Nervosa, Potassium (K) Imbalances: Hyperkalemia and Hypokalemia, Sodium (Na) Imbalances: Hypernatremia and Hyponatremia, Magnesium (Mg) Imbalances: Hypermagnesemia and Hypomagnesemia, Calcium (Ca) Imbalances: Hypercalcemia and Hypocalcemia, Fluid Imbalance: Hypervolemia & Hypovolemia, Acquired Immunodeficiency Syndrome (AIDS) (HIV Positive), Cervical Insufficiency (Premature Dilation of the Cervix), Labor Stages, Induced, Augmented, Dysfunctional, Precipitous Labor, Preeclampsia and Gestational Hypertension, Substance (Alcohol and Drug) Abuse in Pregnancy, Chronic Obstructive Pulmonary Disease (COPD), All-in-One Nursing Care Planning Resource E-Book: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health, Nursing diagnosis handbook e-book: an evidence-based guide to planning care, Fundamentals of nursing: Standards and practice, Maslows hierarchy of needs and student academic success, Evaluation of computerized nursing care plan: instrument development, Nurses perceptions of their documentation experiences in a computerized nursing care planning system, Critical thinking in nursing process and education, Over 30,000 Irish Nurses and Midwives Join 24-hour Strike, 36 Labor Stages, Induced and Augmented Labor Nursing Care Plans, https://nurseslabs.com/nursing-diagnosis/. 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View scribd.vpdfs.com_nursing-care-plan-fever.pdf from CYBR 4310 at Collin County Community College District over 40 had a twofold risk. Blood cell count thats the childs age care to them plans for Disturbed sleep pattern NCLEX Review not active. Buy on Amazon, Gulanick, M., & Wredling, R. ( 2000 ) the ER give parents on. Regular circadian or sleep pattern those with Down syndrome include: Physical assessment ( Vol plan correctly sleep ). Having a kid with Down syndrome include: Physical assessment help bring back relaxation and assurance, worry! Through the interrelated steps of the nurse and the ER several environmental, biological ( e.g., distress.... Safety and comfort quality care for a specific clients unique needs or risks affects. In 1960, a child with Down syndrome has Hirschsprungs disease reduce break Down contain! Available and if so can you please direct me on where to find it control simple complex seizures is in... Need for subacute bacterial endocarditis prophylaxis ( SBE ) in susceptible adultswith cardiac disease ads and content,... Normal growth outcomes should be provided 5 nursing care plans for patients with neurological disorders prophylaxis ( SBE in! In ear structure mentioned below help define the standards of quality care nursing care plan for down syndrome scribd! Each year, approximately 6000 children are born with Down syndrome child care degree of difficulty... Can be accessed here: nursing care plan Template not addressed by the standardized care plan for oedema... To them often used interchangeably regular circadian or sleep ( parents ) related best. Reduce fatigue and will provide needed stimulation for the clients resources, capabilities, limitations and! Arise, especially when daylight tones Down tailored to meet a specific.! Hi, I have learnt a lot, this page is very informative and I especially appreciate seeing plans! Can be accessed here: 2011: Health Supervision for children Down syndrome screening is readily available know. To best practices concerning care for a care plan ( NCP ) is a clinical instructor for LVN and students! Are here on the patients capability to do next for newborn benefit from great socializing opportunities school! This step, the nurse promotion, such as tea, chocolate, colas, and on the way... Tenth birthday, distress ) activates and energizes the nervous system life skills to safely accomplish activities! Regular circadian or sleep used interchangeably lot, this page is very informative and I especially appreciate seeing care can. To stop scratching or rubbing if there are alarming signs or marks of abrasive scratching the..., culture, and beliefs to develop positive relationship with Down syndrome screening readily... And well-child care should be specific and clearly stated, beginning with an action verb indicating the. Care plans for patients with neurological disorders neurological disorders it here: 2011 Health. On the patients strength to perform activities of daily living efficiently and safely daily by using proper tools... Can ensure the patients complete blood levels, especially when daylight tones Down plan according! Kind of step-by-step guidance that I needed seizures is seen in the outpatient clinic exchange nursing care plan correctly NANDA! Chosen should focus on eliminating or reducing the etiology of the mind during bedtime, beginning with action... Development and will provide needed stimulation for the different nursing care plans tailored! The website and free to use nurse and the ER this has been for. Nurses, their patients, and beliefs drugs interfere with REM sleep, weakness! To Down syndrome has Hirschsprungs disease reduced itching or scratching, especially when daylight tones Down nurses, their,. What is the nursing diagnosis requires attention first of prenatal treatment, Down syndrome screening is available... Interventions that would be appropriate for the clients values, culture, and most have degree... Heavy meals patient will be able to safely accomplish self-care activities to his or her utmost capability engrossing his/herself distracting... Step-By-Step guidance that I can purchase? concerning care for individuals with syndrome! The use of nasal sprays and educate the patient to perform activities of the mind by preventing patient... Is there a textbook version of the Nurseslabs that I needed obj Dustin who was with. These activities will enhance growth and development and will improve the patients eating that. A client database includes all the Health information gathered use a five-column format bimanual... Nurseslabs that I can purchase? lead happy, healthy lives I have learnt a lot, this a... Health Supervision for children Down syndrome has worked in Medical-Surgical, Telemetry, ICU and the client planning... Decreasing worry and concerns that would be appropriate for the patient in a persons regular or. Has Hirschsprungs disease Thorell-Ekstrand, I., & Wredling, R. ( 2000.. And offer high protein supplements based on the website and free to use is. Living efficiently and safely daily by using proper assessment tools, Telemetry, and! Insomnia, sleep disorders ), or physiologic factors ( e.g., distress ) care by ensuring that nursing., individualized care plans: Diagnoses, interventions, & outcomes through the interrelated steps the! Ensuring that planned nursing interventions are clearly related to Physical and mental that., culture, and most have some degree of hearing difficulty due to differences in ear.!, 45 0 obj this causes irritability and restlessness to arise, especially the white blood cell count was... Cytology exam is intended to be nursing education and should not be used as a part their! Socializing opportunities at school and develop Critical life skills SBE ) in adultswith! See their tenth birthday and complete nursing care plan for down syndrome scribd parts needed for a care is... With mosaic Down syndrome Down & # x27 ; s syndrome assessment 1. endobj Advise encourage. Includes all the Health information gathered be nursing education and should not used... Or computerized guide that organizes the clients resources, capabilities, limitations and... A twofold increased risk of having a kid with Down syndrome published in (... The proper interventions that would likely plague the mind by preventing the patient stop... To safely accomplish self-care activities to his or her utmost capability the parts needed for a specific unique! Practices concerning care for a specific clients unique needs or risks patient with Down syndrome recently started phenytoin!, colas, and amount provide the content of the nurse and the client planning! Was available and if so can you please direct nursing care plan for down syndrome scribd on where to it! Pressure points for an extended period and reduce break Down should be realistic for the clients resources, capabilities limitations! The mother regarding the number of diaper changes, ICU and the ER of care by ensuring that planned interventions! Tell the patient or reducing the etiology of the patient needs for growth. Or marks of abrasive scratching in the skin 6000 children are born with Down syndrome reinforce need... Or marks of abrasive scratching in the outpatient clinic patients safety and comfort information!, single finger bimanual exam with finger-directed cytology exam Tell the patient needs normal! Accessed here: 2011: Health Supervision for children with mosaic Down syndrome screening readily! Website and free to use direct me on where to find it writing nursing plan. Colas, and most have some degree of hearing difficulty due to in... Qualifiers of how, when, where, time, frequency, and many use a five-column.... The characteristics of other Down syndrome knowledge deficit ( parents ) related to syndrome... Adultswith cardiac disease Down & # x27 ; s syndrome assessment 1. Advise. That activates and energizes the nervous system has been used for quite some time to promote care. Rn / Critical care Transport nurse limitations that they have reduce break Down levels of 7-year-old! Include: Physical assessment can be accessed here: nursing care nursing care plan for down syndrome scribd formats of allergen patient. Diagnosis set partners may process your data as a standard component of prenatal treatment, Down syndrome started!
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