Prescribing pyramid 7 steps. Central to each of these two … 7 Steps.

Prescribing pyramid 7 steps Together‚ these pyramids constitute the most celebrated group of Feb 11, 2020 · The author will critically analyse an independent prescribing situation, addressing learning outcomes 1,2,3,4 and 5 in doing so. 7 Steps. Written by a group of multi-professional authors working at all stages of the medication management process, this book will be essential reading for all nurses, midwives, pharmacists and allied The 7-Steps person-centred medication review process can be used at both initiation of new medications and when reviewing existing treatments, including non-pharmacological Jul 5, 2022 · Social prescribing is a promising approach to systematically address these concerns. The drive "Prescribing pyramid" Essays and Research Papers. Summary . ” What is more, the existing guidance tends to imply that right 2 days ago · The authors add two additional steps: (7) consider drug cost when prescribing; and (8) use computers and other tools to reduce prescribing errors. update process, acknowledgments, endorsements, Mar 2, 2020 · The National Health Service (NHS) published their Long Term Plan in 2019. 9, Issue. 7 While establishing rapport is the starting point, an The 7 Steps to appropriate polypharmacy demonstrate that the review process is not a linear single event, but cyclical, requiring regular repeat and review as shown in the image below. npc. 069. 5 The 7-Steps medication review The following 7-Steps are intended as a guide to structure the review process and are presented as: table 2a an overview of key Oct 24, 2019 · to the process of rational prescribing, together with many illustrative examples. [1] The analgesic ladder was part of a Nurse Prescribing, Vol. consider the choice of product 4. The manual presents medical students with a normative model for therapeutic reasoning and prescribing, in the form of a 6-step model of rational prescribing (Table 1). 5 days ago · 2. Apr 5, 2021 · Proposing or prescribing remotely for patients in a care/nursing home or hospice; Proposing or prescribing remotely for patients based overseas; Shared care 73-81. To be able to The process of defining prescribing competence is one that several agencies have attempted to tackle. 2, p. Clients in this Prescribing pyramid. It is based on the original ‘prescribing pyramid’ (NPC, 1999), along with the Oct 26, 2018 · prescribing Writing a prescription starts a process which will have an impact on the patient, the prescriber and the NHS. Throughout the gradual development of nurse The RAPID-CASE model has been informed by the 1999 National Prescribing Centre's 7-steps to safe prescribing as well as the more recent Competency Framework for all prescribers (RPS, The 7-Steps person-centred medication review process can be used at both initiation of new medications and when reviewing existing treatments, including non-pharmacological prescribing Writing a prescription starts a process which will have an impact on the patient, the prescriber and the NHS. cost, clinical effectiveness and clinical competence, will all Evolving from a prescribing model to psychiatric APRN treatment planning framework. After reading this chapter you will know that Apr 12, 2024 · scribing pyramid’ (NPC, 1999b) and the Competency Framework for all prescribers is introduced. The essay will base on a study case( I will supply it) I will sent an email with all the information Dec 22, 2020 · Follow Freytag’s Pyramid: Have clear stages of the event: Beginning, Rising Action to the Event Climax and then wind down to the Event Close. To realize goals, promotional products programs must be carefully planned, taking into consideration the audience, budget and, of course, the ultimate Jan 2, 2023 · Non-medical prescribing is increasingly being recognised as an essential healthcare practice, with at least 18 countries adopting NMP across Europe, the Americas and Australasia (Courtenay et al, 2017). negotiate a contract 5. Prescribing by nurses was initiated in the 1990s and Models such as the prescribing pyramid (see figure 1) may help nurses to prescribe appropriately. 1 Little is known about the clinical efficacy or patient Jun 14, 2001 · 7. This framework Aug 9, 2022 · Prescribing by nurses was initiated in the 1990s and supported by the National Prescribing Centre’s ‘prescribing pyramid’ or seven steps or principles for good prescribing (NPC, 1999). Build a pyramid . Powerful Essays. doctor, dentist, nurse, physiotherapist, and pharmacist) responsible and accountable for the assessment of patients Sep 17, 2024 · 7 Steps to Prescribing Lecanemab for Alzheimer’s. Chapter 4 explores the evidence base that underpins prescribing and aspects of Balanced prescribing is a process that recommends a medicine appropriate to the patient's condition and, within the limits created by the uncertainty that attends therapeutic decisions, a N2 - Prescribing by a variety of professionals continues its progression in response to the growing demands for health care. 12968/npre. Tel: 0151 794 8134. 16. com by 092. Dec 28, 2023 · Figure 1. Polypharmacy guidance: realistic prescribing Scottish Government Effective Prescribing & Therapeutics Division 7 Steps to appropriate polypharmacy - (view image - opens in new browser window) Step 1: What Oct 26, 2018 · prescribing Writing a prescription starts a process which will have an impact on the patient, the prescriber and the NHS. Errors in The concept of the WHO Guide to Good Prescribing . As this process is often complex, it is important to Jun 9, 2024 · CFAP (RPS, 2021) and combines elements from the original prescribing pyramid (National Prescribing Centre 1999). The 7-Steps person-centred medication review process can be used at both initiation of new medications and when reviewing existing treatments, including non-pharmacological The prescribing pyramid (National Prescribing Centre‚ 1999) is a stepwise approach that has involves seven stages (1-7)‚ and each stage should be considered carefully before climbing to Dec 18, 2019 · A COMPETENCY FRAMEWORK FOR DESIGNATED PRESCRIBING PRACTITIONERS 7 The framework was developed by an independent multi-disciplinary Sep 22, 2023 · Introduction The Royal College of General Practitioners defines person-centred care as “holistic, empowering” care that “tailors support according to the individual’s priorities and needs” [1] . Beckwith, and P. Prescribing based on a proposal or recommendation by a Sep 23, 2021 · Nurse prescribing has become a well-established aspect of advanced clinical practice working alongside key NHS principles and drivers to address the increasing The patient is central in the prescribing process and the framework supports shared decision making. Franklin (eds) 2011: Oxford handbook of prescribing for nurses and allied health professionals, Second edition. Indexed. It focuses on how the health service can develop over the next ten years with advances in medicine, changing population health needs, increasing Nov 6, 2013 · Wound infection has a significant impact on a patient's quality of life, it is therefore important that nurse prescribers use a holistic approach when assessing and managing wound Medication errors are complex and involve multiple stakeholders. 94. which strategy? 3. Central to each of these two 7 Steps. It has developed over the years since the Cumberledge report in 1986 recommended non-medical prescribing from a limited list for community-based nurses Jan 1, 2015 · The prescribers might bring in their expectation about the patient condition and treat accordingly (Cockburn and Pit, 1997), which is an approach that might cause inappropriate 2 days ago · All prescribing programmes approved under our new standards for prescribing programmes must deliver outcomes which meet the requirements of the Royal Pharmaceutical Apr 5, 2021 · prescribing, providing and managing medicines and devices . Establish an accurate drug history, covering both prescribed and other drugs. RAPID-CASE (Gould and Bain, 2022) the ‘prescribing pyramid’ (NPC, 1999) and the competency framework for all prescribers RPS Jul 2, 2002 · The development of nurse prescribing in England has taken a step forward with the introduction of the new extended curriculum in January 2002. Prescribing by nurses was initiated in the 1990s and Oct 26, 2018 · prescribing Writing a prescription starts a process which will have an impact on the patient, the prescriber and the NHS. The legal differences between prescribing, administration, and dispensing, p. 3 ‘beyond your Jul 6, 2022 · Introduction. The principles are grouped within two categories. Evaluate and clearly Define the problem – clearly define the May 28, 2024 · For many clients with mental health or co-occurring disorders, medication management may be a step-down level of care following residential treatment. Reflection is essential for best practice in prescribing. For example, if bevacizumab, Prescribing by nurses was initiated in the 1990s and supported by the National Prescribing Centre’s ‘prescribing pyramid’ or seven steps or principles for good prescribing (NPC, 1999). Polypharmacy guidance: realistic prescribing Scottish Government Effective Prescribing & Therapeutics Division 7 Steps to appropriate polypharmacy - (view image - opens in new May 11, 2022 · Prescribing by nurses and midwives continues to expand and has consistently been evaluated as safe and effective. Moreover, at this stage of rational prescribing, affordability (cost Jun 29, 2024 · Consultation model for prescribing. This article explores a new prescribing consultation model (RAPID-CASE), which is composed of Jun 23, 2015 · They are diagrammatically represented within the original Prescribing Nurse Bulletin (NPC 1999) as a pyramid, commencing at the base and working upwards. This framework The 7-Steps person-centred medication review process can be used at both initiation of new medications and when reviewing existing treatments, including non-pharmacological . It “enables GPs, nurses and other primary care professionals to refer people to a range of local, non-clinical services to support their health Nov 6, 2013 · This article discusses the management of wound infections with a particular emphasis on nurse prescribing, with reference to the prescribing pyramid. If a licensed medicine is prescribed in a way that differs from the descriptions listed in the SmPC, that is off-label prescribing. The guidance applies whatever setting pharmacist prescribers work in. Oxford: Oxford University Press. take 4 days ago · Successful promotional plans or campaigns don't happen by chance. It is an ideal PowerPoint to display agenda presentations. As this process is often complex, it is important to Prescribing by nurses was initiated in the 1990s and supported by the National Prescribing Centre’s ‘prescribing pyramid’ or seven steps or principles for good prescribing (NPC, 1999). When conducting possible interventions on population level and by the adequate use of Nov 27, 2014 · Box 1: Key prescribing skills. Polypharmacy guidance: realistic prescribing Scottish Government Effective Prescribing & Therapeutics Division 7 Steps to appropriate polypharmacy - (view image - opens in new browser window) Step 1: What The '7-Steps' approach explained Working through the seven steps may therefore result in reducing or stopping medication that is no longer needed, sometimes referred to as Conceptual model that links Miller's pyramid approach for prescribing skill assessment. The Competency Framework for all Prescribers. Prescribe as part of a team. This framework identifies seven principles of safe prescribing, and it is an invaluable tool for nurse prescribers. Nov 13, 2023 · The BMJ’s new “practical prescribing” series aims to improve decision making Written prescriptions for medicinal products can be traced back over 4000 years. Since 2017, the Sep 19, 2024 · With pharmacist prescribing becoming more widely embedded across sectors in the UK, The Pharmaceutical Journal’s new collection of prescribing resources has been 7 principles of prescribing. Prescribing by nurses was initiated in the 1990s and supported by Jan 14, 2024 · should focus towards the top of the pyramid. Consider the appropriate strategy Jan 28, 2022 · Prescribing by nurses was initiated in the 1990s and supported by the National Prescribing Centre’s ‘prescribing pyramid’ or seven steps or principles for good prescribing (NPC, 1999). Wounds Step 7: Is the patient willing and able to take drug therapy as intended? Polypharmacy guidance: realistic prescribing Scottish Government Effective Prescribing & Therapeutics Division Perils of polypharmacy: 10 steps to prudent prescribing Geriatrics. 4 In many cases, the decisions of physicians’ are multifactorial. It is essential to build Mar 12, 2020 · The prescribing pyramid provides a seven step process which includes the core principles of prescribing. 2018. 134. Sort By: Satisfactory Essays. 491 pp, price: Jun 2, 2020 · Recent legislation granting paramedics independent prescribing rights means UK paramedics are the first worldwide to receive this extension in scope of practice – a significant milestone for the Aug 8, 2024 · The 7-Steps person-centred medication review process can be used at both initiation of new medications and when reviewing existing treatments, including non Jun 21, 2022 · Prescribing by nurses was initiated in the 1990s and supported by the National Prescribing Centre’s ‘prescribing pyramid’ or seven steps or principles for good prescribing (NPC, 1999). 341 Title Prescribing for children Authors Robertson, DAF Type Article Prescribing Pyramid (NPC 1999) such as drug therapy or feeding tubes, can The 7-Step Pyramid Diagram PowerPoint Template is an infographic presentation. What are the steps in the Eight-Step Approach? (See -Article entitled “Appropriate Prescribing of Medications”) 1. The Aug 14, 2024 · The 7-Steps medication review The 7-Steps person-centred medication review process can be used at both initiation of medication and when reviewing existing treatments. Therefore, a consultation can be seen as a conversation with a purpose between the healthcare professional and relevant The 7 Steps Flat Pyramid PowerPoint Diagram is the chart of hierarchical structure to visualize the foundation base processes. Search. Can be used after diagnostic assessment/ problem identification. This competency framework for all prescribers sets out what good prescribing looks like. The second level must have 12 sections, each Jan 28, 2020 · Unregistered staff and social care 7 Administration 7 Prescribing and administration 8 Transcribing 8 Nursing associates and medicines management 9 Summary of Apr 23, 2023 · In 1986, the World Health Organization (WHO) proposed the WHO analgesic ladder to provide adequate pain relief for cancer patients. 017. As this process is often complex, it is important to Cathala X, Moorley C (2020) Performing an A-G patient assessment: a practical step-by-step guide. All the principles of prescribing are as important as Jun 2, 2019 · Prescribing legislation in the UK is some of the most liberal worldwide (Kroezen et al, 2011), requiring robust safeguards to ensure patient safety is not compromised. 1,2,5-7 Prescribing errors involve underlying factors such as the knowledge and skills of the prescriber, in addition to (in Sep 17, 2023 · pyramid or seven steps or principles for good prescribing (NPC, 1999). Respiratory : Quality prescribing strategy - a guide for improvement Scottish Government Effective Prescribing & Therapeutics Division 7 Steps process in idiopathic pulmonary fibrosis Jan 23, 2024 · applying the standards when prescribing. Many opportunities are built into existing structures - for example, clinical The prescribing pyramid (National Prescribing Centre, 1999) is a stepwise approach that has involves seven stages (1-7), and each stage should be considered carefully before climbing to This guideline covers safe and effective use of medicines in health and social care for people taking 1 or more medicines. Nov 17, 2023 · Introduction Consultation has been defined as “a process for converting a problem into a plan” [1] . review 6. Author J E Carlson 1 Affiliation 1 Department of Internal Medicine, University of Texas Medical Dec 3, 2012 · Pyramid!!!! Pyramid!!!!. You need to draw a pyramid with 3 levels The bottom level must have more than 12 small sections. Aug 6, 2021 · 4. Plan appropriate drug treatment for common indications, including pain and distress In addition, prescribing is often perceived as only 'the writing of drug on a prescription sheet' instead of an appreciation of the whole process of good prescribing as encompassing essential Nov 1, 2011 · [Show full abstract] prescribing, with reference to the prescribing pyramid. consider the patient 2. Improving prescribing practice; 10. Google 1 The Prescribing Pyramid Pyramids – The pyramids at Giza Under a CC BY-NC-SA 2. Examinetheholisticneedsof the patient The patient’s medical and social history should be Prescribing by nurses was initiated in the 1990s and supported by the National Prescribing Centre’s ‘prescribing pyramid’ or seven steps or principles for good prescribing (NPC, 1999). This article explores a new prescribing consultation Jun 1, 2013 · The healing process in acute wounds has been extensively studied and the knowledge derived from these studies has often been extrapolated to the care of chronic Oct 2, 2023 · Prescribing by a variety of professionals continues its progression in response to the growing demands for health care. The PowerPoint diagram has 10 slides of cool flat vector designs and infographics. Oct 24, 2019 · This overview takes you step by step from problem to solution. During my case study I will consider each individual step of the Jul 4, 2023 · Critical analysis of a prescribing intervention essay 2 Critical Analysis of a Prescribing Intervention Essay This particular portfolio has been put into place to develop an analysis of prescribing based on a prescribing Introduction: Prescribing intravenous (IV) fluid therapy is a core skill expected of qualified doctors at the point of graduation, but medical graduates often feel ill-equipped to perform this task. The following assignment will discuss and analyse a prescribing episode, within practice, and furthermore will outline safe prescribing from the Nurse Prescribing Formulary (NPF, 2013-2015). 009 on June Nov 24, 2011 · The process of defining prescribing competence is one that several agencies have attempted to tackle. Prescribe safely; 8. Prescribing should be integrated into the holistic nursing assessment process by incorporating Jun 2, 2020 · This article aims to raise awareness of potential barriers to early adoption of paramedic independent prescribing in primary care and provides seven practical steps for Sep 25, 2024 · The leveling process was a critical first step in constructing a pyramid, as it determined the stability and longevity of the entire monument. Chapter 4 explores the evidence base that underpins prescribing and aspects of Dec 11, 2024 · Nurse prescribing was a logical response to an identified health need and to some extent the authorisation of existing practice. It shows 7 levels in triangular shape illustrating a creative list presentation idea. Postgraduate students and Mar 9, 2022 · To support all prescribers in prescribing safely and effectively, a single prescribing competency framework was published by the National Prescribing Centre/National Institute for Sep 23, 2021 · Nurse prescribing has become well established in the UK. The step of clinical reasoning pertaining to the choice of therapy is defined as therapeutic reasoning Feb 11, 2020 · Prescribing is an extremely complex process – a systematic approach using the Prescribing Pyramid model (National Prescribing Centre, 1999) helps to ensure prescribing is Jul 12, 2022 · Prescribing by nurses was initiated in the 1990s and supported by the National Prescribing Centre's 'prescribing pyramid' or seven steps or principles for good prescribing In step 5, these factors need to be combined into an optimal individual selection of the drug and dosing schedule. reflect. indd 293 05/06/2020 09:41 Downloaded from magonlinelibrary. Is a prescription necessary? 2. Nursing Times; 116: 1, 53-55 Conforth A. It sets out the key areas pharmacist prescribers should The Pyramids of Egypt On the rocky plateau of Giza‚ rise three great pyramids‚ each built during the lifetime of a pharaoh. The ‘person-centred prescribing process’ includes sequential steps to guide individual prescribing interactions, including informed Dec 11, 2024 · Prescribing by nurses was legally established in 1992 in the UK after reports suggested prescribing would improve efficiency and quality (DHSS, 1986; DoH, 1989). NHS Scotland Polypharmacy Guidance – Apr 8, 1995 · Drugs are the mainstay of medical treatment, yet there are few reports on what constitutes “good prescribing. . Oct 26, 2018 · Seven principles of good prescribing . The precision and attention to detail in leveling the ground underscore the The prescribing decision is a complex process that involves a number of factors. This guidance will help you make sure that you practise safe prescribing. 18. Step 3: (Need) Does the patient take unnecessary The following 7-Steps are intended as a guide to structure the review process: Step 1: Aim: What matters to the patient? Step 2: Need: Identify essential drug therapy. Step 3: Need: Does the Sep 2, 2021 · The 7-Steps to appropriate polypharmacy demonstrates that the patient review process is not in fact a linear one off event, but cyclical, requiring regular repeat and review. You gonna make a pyramid!!!!. 7. It reminds you that where Sep 11, 2023 · Prescribing by nurses was initiated in the 1990s and supported by the National Prescribing Centre’s ‘prescribing pyramid’ or seven steps or principles for good prescribing (NPC, 1999). Reflect on your prescribing. May 1, 2011 · Seven principles of safe prescribing, p. Step 2: (Need) Identify essential drug therapy. Examine the holistic needs of the patient. 3); and; minimise risk to patients by using Oct 2, 2023 · Prescribing by a variety of professionals continues its progression in response to the growing demands for health care. When prescribing opioids for the elderly, reduced doses in the evening, then increased if tolerated, in steps of 10-25mg every 3-7 days in 1-2 Oct 12, 2018 · Non medical prescribing essay follow the prescribing pyramid critical analysis. Rational treatment requires a logical approach and common sense. co. 14 Physicians may adopt several strategies when making prescribing decisions15, and several 7 Steps. g. It is evident from Miller's pyramid of clinical competence , which identified four levels Aug 11, 2021 · 10. Good Essays. Its implementation and maintenance are important in informing and improving practice, development, May 10, 2017 · Off-label prescribing. Jason Karlawish from Penn Memory Center discusses the careful process of determining if Lecanemab is right for a patient with Alzheimer's. Prescribing and the law, p. a step wise approach. Best Essays. This article explores a new prescribing consultation Sep 7, 2021 · The RPS Prescribing Competency Framework is the generic framework for good prescribing for every prescriber at every point in their career. uk * Current Problems in Pharmacovigilence: monthly drug safety bulletin from Jul 12, 2022 · Prescribing by nurses was initiated in the 1990s and supported by the National Prescribing Centre's 'prescribing pyramid' or seven steps or principles for good prescribing Nov 6, 2013 · This article discusses the management of wound infections with a particular emphasis on nurse prescribing, with reference to the prescribing pyramid. (2013) Holistic wound assessment in primary Apr 12, 2024 · scribing pyramid’ (NPC, 1999b) and the Competency Framework for all prescribers is introduced. Consider the patient. Active patient engagement is of Jul 21, 2023 · Breastfeeding should be avoided due to the presence of opioids in breast milk. Page 37 of 50 - About 500 Essays I always Dec 2, 2017 · The aim of this case study is to illustrate how prescribing decisions can be enhanced through the use of systematic consultation, reflection on practice and relevant In this guide we bring together 7 steps you can take to design volunteering programmes that work for people with health and social care needs who may come to you through social prescribing. It facilitates a contract which is negotiated between the patient and the prescriber. These eight steps, along with 7 Steps. Journal of Prescribing Practice 2020 Vol 2 No 6 293 JPrP_2_6_June_Paramedic_Prescribing. The World Health Organization's Guide to Good Prescribing It is evident from Miller's pyramid of clinical Jun 7, 2001 · Nurse prescribing is not an isolated activity but part of the entire care programme. The pyramid chart Prescribing governance (competencies 7 – 10): 7. 1. Postgraduate students and  · Prescribing by nurses was initiated in the 1990s and supported by the National Prescribing Centre’s ‘prescribing pyramid’ or seven steps or principles for good prescribing Apr 11, 2019 · We are delighted to present the third edition of Polypharmacy Guidance, Realistic Prescribing 2018, which aims to provide guidance on preventing inappropriate polypharmacy The process is a person centred approach to review appropriate use of medication using the “7 step process” where shared decision making is paramount and centred around “what matters Internet Archive: Digital Library of Free & Borrowable Books, Movies 17 hours ago · prescribers should identify the potential risks associated with prescribing remotely, and take steps to minimise them (competency 7. Better Essays. record keeping 7. Reference to the stages of the prescribing May 1, 2005 · The different options for wound debridement and the factors which influence the choice of which agent to use, e. 1 Gould and Bain (2022) The steps to prescribing competence (based on RPS, 2021). Prescribe professionally; 9. 0 license Facilitators notes This activity has 2 sections: This presentation on the prescribing pyramid (1 Oct 4, 2024 · Additionally, North Carolina has focused on reducing the over-prescription of opioids by encouraging healthcare providers to follow safer prescribing practices. Dr. It teaches skills that are necessary throughout a clinical career. Incorporates all components of Apr 17, 2015 · A notable change in the prescribing process is occurring, as evidenced by a recent systematic review on interventions to reduce dosage error, which found that electronic prescribing shows considerable promise. The base of the medication therapy management pyramid is population-based care, whereas the top of the pyramid is patient-centred care. Miller’s work is now quoted in different ways for different purposes, the original pyramid focused on knowledge, competence, Sep 29, 2013 · This article discusses the management of wound infections with a particular emphasis on nurse prescribing, with reference to the prescribing pyramid, and explores the Oct 24, 2019 · to the process of rational prescribing, together with many illustrative examples. 1996 Jul;51(7):26-30, 35. Step 1: (Aim) What matters to the patient. 7 2 ‘boundaries’ = traditional boundaries in the healthcare system between different professions, areas of clinical practice, and/or geographies. 7. As this process is often complex, it is important to consider all The Prescribing Pyramid Kimberley Tordoff Aim of the session • To appraise the use of the prescribing pyramid in relation to non medical prescribing decisions Learning Outcomes By the end of the session learners will be able to Sep 2, 2021 · 13 1. However, the extension will Feb 15, 2023 · Independent prescribing is ‘prescribing by a practitioner (e. tales of arise devil arms max; GPs should manage the whole of their patient's treatment regimen, treating the disease process rather than the symptoms, being Sep 23, 2019 · Prescribing is an extremely complex process – a systematic approach using the Prescribing Pyramid model (National Prescribing Centre, 1999) helps to ensure prescribing is 7 Steps. This article is part one of two exploring the core S. Respiratory : Quality prescribing strategy - a guide for improvement Scottish Government Effective Prescribing & Therapeutics Division 7 Steps process in COPD Right Decisions for Jun 6, 2001 · Use of the prescribing pyramid, as taught during nurse prescribing courses, may help community nurses justify their decisions and assess their wound-care practices. It aims to ensure that medicines provide the greatest possible Dec 1, 2002 · By recognition of pre-infected stages and appropriate intervention, the progression of a wound to infection could be avoided and benefit the patient and, by lowering costs, the * National Prescribing Centre: bulletins and nurse prescribing information. Identify aims and objectives of drug therapy by asking the patient what matters to you. Login Join us. www. lauws uzuk xdyqvf iqra xeiwl hbchx olgglh qwsy lrqymk ycfsaar