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Table 6.2: Matching the attributes of resident autonomy to the model and the guideline ................................................................................................... 245 Table 6.3: Assessment tools which informed the care planning .............................. 246 Table 6.4: Documentary evidence of resident autonomy: Before and after phase 2 action research ............................................................................................ 249 Table 7.1: Factors affecting resident autonomy. ...................................................... 273 List of Figures Figure 1.1: Projected Numbers of Older People in Ireland by Gender and Age Group, 2011 to 2041 .................................................................................................. 15 Figure 1.2: Residential Units by Regional Health Office: Percentage Distribution of Patients Resident at 31 December 2008 by Bed Type and Medico-Social Status (CSO, 2008) ............................................................................ 16 Figure 3.1: The single embedded case study: Exploring autonomy for older people in residential care............................................................................................ 99 Figure 3.2: Key stages of action research (Greenwood and Levin, 1998) ............... 104 Figure 4.1: Example of how interview questions were developed from the concept analysis ................................................................................................... 143 Figure 4.2: Question 1 from the staff interview guide ............................................. 148 Figure 4.3: Question 1 from resident interview guide ............................................. 150 Figure 4.4: Stages of analysis of interviews and observations ................................ 158 Figure 4.5: Example from Kogan’s attitude survey ................................................. 159 Figure 5.1: Length of time HCAs assigned to the research unit .............................. 167 Figure 5.2: Length of time nurses assigned to the unit ............................................ 168 Figure 5.3: Results from analysis of residents’ sets of documentation .................... 178 Figure 6.1: Hodges Model (2000) ............................................................................ 243 7
This thesis is the work of Claire Welford, and its contents have not been previously submitted in pursuit of a degree at National University of Ireland, Galway or any other University. 8
Page 1 and 2: Exploring and Enhancing Autonomy fo
Page 3 and 4: 3.4.1.3 Grounded Theory ...........
Page 5 and 6: 5.4 Resident Profile ..............
Page 7: List of Tables and Charts Table 1.1
Page 11 and 12: Abstract The purpose of this study
Page 13 and 14: Conference Presentations Welford, C
Page 15 and 16: 14 Chapter 1: Introduction and Back
Page 27 and 28: 1.5.4 Aim for Phase Two 26 Chapter
Page 29 and 30: 2. Literature Review 28 Chapter 2:
Page 31 and 32: 30 Chapter 2: Literature Review Hof
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58 Chapter 2: Literature Review Pre
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60 Chapter 2: Literature Review inf
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62 Chapter 2: Literature Review (19
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2.4.3 Section Summary 64 Chapter 2:
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66 Chapter 2: Literature Review kno
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68 Chapter 2: Literature Review con
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70 Chapter 2: Literature Review and
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72 Chapter 2: Literature Review Tab
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3.1 Introduction 3. Research Framew
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76 Chapter 3 Research Framework exp
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78 Chapter 3 Research Framework and
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3.3 Rationale for Choice of Researc
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3.4 Research Methodologies/Strategi
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84 Chapter 3 Research Framework Acc
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86 Chapter 3 Research Framework Onw
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88 Chapter 3 Research Framework res
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90 Chapter 3 Research Framework stu
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3.4.3 Rationale for Research Method
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94 Chapter 3 Research Framework as
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96 Chapter 3 Research Framework stu
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98 Chapter 3 Research Framework dem
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100 Chapter 3 Research Framework va
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102 Chapter 3 Research Framework In
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Winter (1989) provided an overview
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106 Chapter 3 Research Framework a
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108 Chapter 3 Research Framework co
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110 Chapter 3 Research Framework al
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112 Chapter 3 Research Framework ob
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114 Chapter 3 Research Framework po
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3.9 Data Analysis 116 Chapter 3 Res
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118 Chapter 3 Research Framework th
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120 Chapter 3 Research Framework ad
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122 Chapter 3 Research Framework Yi
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124 Chapter 3 Research Framework (2
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126 Chapter 3 Research Framework Be
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128 Chapter 3 Research Framework wi
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130 Chapter 3 Research Framework sh
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132 Chapter 3 Research Framework re
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4.3 Inclusion Criteria 134 Chapter
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4.5 The Role of Reflection 136 Chap
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4.7.3 Adding Rigour to the Document
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140 Chapter 4 Research Method auton
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142 Chapter 4 Research Method were
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Pilot interviews were conducted pri
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4.9.2.3 Analysis of the pilot inter
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148 Chapter 4 Research Method resid
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150 Chapter 4 Research Method maint
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152 Chapter 4 Research Method end o
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4.10.3.1 Coding 154 Chapter 4 Resea
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156 Chapter 4 Research Method The i
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• Coding guide/Start list • 10
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160 Chapter 4 Research Method 4.12
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162 Chapter 5 Findings needs room (
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164 Chapter 5 Findings other course
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Healthcare Assistants' Age Profile
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6 5 4 3 2 1 0 Figure 5.2: Length of
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170 Chapter 5 Findings number of da
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172 Chapter 5 Findings By evening t
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5.5.7 Management of the Research Un
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Philosophy of Care 176 Chapter 5 Fi
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178 Chapter 5 Findings recognition
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180 Chapter 5 Findings “Dr. spoke
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182 Chapter 5 Findings themselves.
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Chart 5.13: Element 5 Values and be
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186 Chapter 5 Findings In the follo
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188 Chapter 5 Findings Thirty-three
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Table 5.7: Themes from analysis of
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Resident participants described rel
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The observations recorded staff ass
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196 Chapter 5 Findings Staff partic
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198 Chapter 5 Findings mean, if the
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200 Chapter 5 Findings is about the
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202 Chapter 5 Findings Staff partic
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204 Chapter 5 Findings here (laughs
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206 Chapter 5 Findings “I feel th
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208 Chapter 5 Findings and the nurs
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210 Chapter 5 Findings The observat
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212 Chapter 5 Findings However, mor
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214 Chapter 5 Findings that must ha
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Staff participants also expressed t
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218 Chapter 5 Findings This sub-the
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its, the extra little bits, like ev
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222 Chapter 5 Findings The intervie
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224 Chapter 5 Findings Several nega
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226 Chapter 5 Findings contributes
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228 Chapter 5 Findings “A male re
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230 Chapter 5 Findings “You know
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232 Chapter 5 Findings difference (
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6. Phase Two 6.1 Phase Two: Enhanci
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236 Chapter 6 Phase Two Reflection
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238 Chapter 6 Phase Two revealed th
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240 Chapter 6 Phase Two work but fi
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Table 6.1: Summary of nursing model
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244 Chapter 6 Phase Two We all felt
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246 Chapter 6 Phase Two important e
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248 Chapter 6 Phase Two Reflection
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250 Chapter 6 Phase Two suggested t
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252 Chapter 6 Phase Two knowledge g
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254 Chapter 7 Discussion found that
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256 Chapter 7 Discussion persons. M
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7.2.2 The Personal: The Personality
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260 Chapter 7 Discussion community
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262 Chapter 7 Discussion to-one con
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264 Chapter 7 Discussion Rodgers an
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7.3.1 Being Personal: Being Imperso
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268 Chapter 7 Discussion adequate t
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270 Chapter 7 Discussion possession
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272 Chapter 7 Discussion participat
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274 Chapter 7 Discussion 7.4 Summar
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276 Chapter 7 Discussion templates
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278 Chapter 7 Discussion This resea
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7.5.3 Method issues 280 Chapter 7 D
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282 Chapter 7 Discussion Research c
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284 References Babbie, E. (1990) Su
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286 References Carr, S., L. Hussier
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288 References Davies, S., Ellis, L
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290 References Farrell, G.A. (1991)
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292 References Gold, R. (1958) Role
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294 References Holroyd, A., Dahlke,
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Kirk, J., & Miller, M. L. (1986).Re
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298 References McCormack, B. (2004)
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300 References National Council on
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302 References Pullen, D.L. (2006)
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304 References Schumaker, K.L. & Go
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306 References Van Manen, M. (1990)
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Appendix 1: HIQA Standards Summary
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Appendix 2 : Concept Analysis Illus
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Appendix 3 : Model Cases 312 Append
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Appendix 4 : Methodologies 314 Appe
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Appendix 5 : Ethics letter 316 Appe
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Appendix 6: Information Sheet 318 A
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Appendix 7: Consent for Whole Study
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decide to participate you will be f
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324 Appendices Informed Consent For
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Appendix 9: Documentary Analysis Au
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Appendices Attribute Evident (Yes/N
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330 Appendices
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Attribute Tick if observed Self-gov
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Attribute An atmosphere of openness
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Appendix 12: Interview Guides 336 A
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Question Theme How do you get to kn
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Question Theme What decisions do yo
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Number/Code Age Sex Barthel Score T
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Important Probes Decision-making Fl
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Appendix 13: Floor Plan 346 Appendi
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Appendix 14: Data Reduction 348 App
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Appendix 15: Data Display 350 Appen
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Maintaining dignity Residents deleg
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354 Appendices Appendix 16: Conclus
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356 Appendices Appendix 17: Kogan
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358 Appendices 10. It would probabl
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360 Appendices 32. Most old people
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Resident Dependency 362 Appendices
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364 Appendices
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Total number of staff at morning re
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Total number of staff at morning re
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Appendix 20: Residents’ Documenta
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372 Appendices
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Appendix 21: Care Planning Presenta
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RLT Care Planning This is about id
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Benefits of Assessment A proactive
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Implementing The health care profes
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Who Should Sign? The person who ca
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Description Month Task Commencing M
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Appendices Action Plan Statement of
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Appendices 1. Personal Care List Cu
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Appendices 2. Daily Life - Promotio
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Appendices 4. Food List Any Food Li
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Appendices Appendix 25: Care Plan Q
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Appendices Appendix 26: Critical Co
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Appendices FACILITATION DOMAIN Conc
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