motor vehicle accident nursing interventions

An indirect or direct severe blow from competitive or recreational playing of a contact sport may result in a femur fracture. Nurses determine, identify and document client allergies to medications, contrast media used for diagnostic tests, foods, and environmental sources including latex. Increased ICP is suspected. Pls create nursing care plan from this case study don't answer the question just care nursing care plan Chapter 40: Nursing Care of the Child With a Respiratory Disorder 1. For example, a minor car accident may result in a slightly scratched bumper or a small dent in the vehicle. Furthermore, you may need continued care for post motor vehicle accident trauma. A motor vehicle accident is the event in which a motor vehicle is involved in a collision amongst another motor vehicle, pedestrian, animal, or stationary object. To reduce the feeling of helplessness on both the patient and the carer. Richards JR, Derlet RW. We warn patients that staying in bed, or guarding the injured area from movement (not moving your neck, for example), will likely result in worsening pain and prolonged recovery. She saw that he no longer was opening his eyes and didn't respond to verbal commands. "These should all be documented and monitored appropriately.". You have pain that develops 2 to 3 days after the MVA. A. . When the nurse receives an order or prescription for a treatment or procedure that is questionable in terms of client appropriateness and safety, the nurse, as the nurse does with questionable medication orders, contacts the person who has prescribed the treatment or procedure and verifies the order before carrying this order out. A nursing care plan is a formal process that includes six components: assessment, diagnosis, expected outcomes, interventions, rationale, and evaluation. We provide a wide variety of healthcare services, including COVID-19 testing, common illness, vaccinations, sprains / fractures, minor surgical procedures. Your patient could die otherwise. Some of the risk factors associated with falls that are typically included in a falls risk screening and assessment are: Patients who are incontinent of feces and/or urine are at greater risk for falls than clients who are not affected with these elimination problems. Motor vehicle accidents (MVAs) are common and 1.24 million people die each year as a result of road traffic crashes and between 20-50 million more people suffer from non-fatal injuries worldwide . A penetrating abdominal injury, such as a stab wound, causes more obvious damage that commonly involves hollow organs such as the small bowel. The height of muscular pain is typically in the 24 to 72-hour window after a collision, though lasts 1-3 weeks (or even longer, especially in patients with pre-existing sources of musculoskeletal pain). This can leave us distressed, panicked, and confused about what to do. Brain. Motor vehicle accidents can result in ranging severity of physical damage to the vehicle and bodily injuries of those involved. Nearly all MVC patients experience some degree of pain from muscle strain and spasm, particularly in the neck, shoulders, and lower back. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of accident / error and incident prevention in order to: Patient, resident safety is a major concern in healthcare organizations. Personalized auto accident treatment plans work to heal a range of injuries from whiplash to fractures and broken bones. We look forward to having you as a long-term member of the Relias When a seizure is witnessed by the nurse, the nurse must remain with the client, call for the help and assistance of others, and observe and assess the client's physical status, like their cardiac and respiratory functioning, and also implement emergency measures when they are indicated. This testing is almost exclusively Xrays and/or CT scans that look for broken bones or injuries to any internal organs. Routine stretching of the shoulders, neck, arms, hands, and fingers should also be encouraged. A. . This assessment of their cognitive ability will help identify the gaps and lapses in memory and judgment which will lead the care plan and identify care needs. Healthcare providers and healthcare facilities are mandated to protect clients, visitors and staff from injury. Medically reviewed by Drugs.com. Do all patients with left costal margin injuries require radiographic evaluation for intraabdominal injury? She received her RN license in 1997. Thermal injures can occur as the result of faulty warming and cooling devices and also with the improper application of heat and cold to the client, particularly when the client has a sensory and/or neurological deficit that impairs their ability to sense and feel skin damage resulting from the heat or cold application. Salim A, Sangthong B, Martin M, et al. Nursing management of patients with orthopedic fractures resulting from motor vehicle accidents is a frequent challenge for nurses in an emergency department setting. Speeding: Driving over the speed limit greatly increases the risk of a motor vehicle accident due to the ability of a driver losing control. A lack of good judgment and insight into safety risks place clients at risk for safety concerns. A minor motor vehicle accident may involve slight damage to the car or very minor injuries to the individuals involved. Available for Android and iOS devices. Patients with sprain may experience pain upon movement, and pain leads to unstable gait and mobility. Assess the proper size and height of the mobility device to the patients physique. 12 Spinal Cord Injury Nursing Care Plans. For example, after a rainy day the roads may become more slippery or covered with debris. Portland Urgent Care (in partnership with Portland Wellness Care) understands that not all accident injuries are the same. We strive to reduce pain and help our patients feel as good as they were before their accident., Because not all motor vehicle accident injuries present symptoms right away, seeking a medical evaluation early on is critical. Am Surg. (To review the various types of trauma, see Forces behind abdominal injury .) Dolich MO, McKenney MG, Varela JE, et al. Ann Emerg Med. During seizure, turn the patients head to the side, and suction the airway if needed. Buy on Amazon, Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2020). These injuries are inclusive of: Motor vehicle accidents can have detrimental impacts ranging from physical, psychological, and economic burden. Motor vehicle accidents can result in ranging severity of physical . Seizures, which can be a primary diagnosis or a condition that results from another medical condition such as hypoglycemia, increased intracranial pressure and cerebrovascular accidents, result from abnormal electrical activity in the brain. The good news is that this pain is treatable, temporary, and the patient typically makes a full recovery. Nurses observe for and identify any possible allergies to the medications. Sports Injuries. Working in partnership with Portland Wellness Care, the continuum of providers and services range from Medical Doctors, Chiropractors, Physiotherapist, Injury Rehabilitation, Acupuncturists and Massage Therapists. Motor vehicle accidents have a variety of causes. Ask for another member of staff for help as needed. "These signs and symptoms can also be warnings of increased intracranial pressure and impending herniation," says Henzi. That is the bad news. UCI's ED nurses monitor the neurologic status of a patient involved in a motor vehicle accident upon arrival and at least hourly for a minimum of three hours, or as needed based on the stability of the patient's mental status, she says. The neurologic assessment includes the patient's general appearance, behavior, speech, and language; orientation to time, place, person, and situation; a Glasgow Coma Score; pupil reaction and symmetry; and movement, strength, and symmetry of extremities. Patients at greatest risk for identification errors are patients who are confused, comatose, have a primary language other than English, and those patients who have an identical name or a similar name to another patient in the health care facility. Unusual or easy irritability. Appropriate nursing interventions would include which of the following? Victims frequently are left with multiple comorbid psychological and physical disorders, with the most prevalent psychological problems being posttraumatic stress disorder, depression, pain-related conditions, and phobic avoidance of stimuli associated with the accident. For example, the staff member should actually demonstrate the correct use of a fire extinguisher in a planned manner and at least on an annual basis and the competency levels of staff related to frequently used safety skills can be determined and validated indirectly by observing the correct application of these skills in the area of employment. With same day appointments available, Portland Urgent Care understands the importance in seeking a medical evaluation immediately post motor vehicle accident. Show details Contents; Search term < Prev . A motor vehicle accident (MVA) can cause injury from the impact or from being thrown around inside the car. Explore the usual seizure pattern of the patient and enable to patient and carer to identify the warning signs of an impending seizure. UNIVERSITY OF EASTERN PHILIPPINES University . Infants and young children with brain injuries might not be able to communicate headaches, sensory problems, confusion and similar symptoms. Some diseases and disorders, particularly those that adversely affect the client's musculoskeletal and/or neurological status, place a client at risks for falls. When a staff member improperly uses a mechanical lift, for example, to move the client from the bed to the chair and the patient falls as the result of this improper use, an accident and injury has occurred as the result of this improper use of the mechanical lift. In one large study, accidents were shown to be the traumatic event most frequently experienced by males (25%) and the second most frequent traumatic event experienced by females (13%) in the United States. The responsible clinician will use exam findings, along with details about the accident, to determine if any further testing is needed. As an Amazon Associate I earn from qualifying purchases. All patient equipment must also be used correctly. method will promote faster healing and reduce the risk for further injury. A major injury can be described as a type of injury than can result to long-lasting disability or even death. Traffic Safety Facts: A Compilation of Motor Vehicle Crash Data from the Fatality Analysis Reporting System and the General Estimates System. Financial Coaching Boosts Follow-Up Visit, Vaccination Rates for Babies, American Academy of Pediatrics Offers Solutions to Ease ED Crowding, Legal Landmines for Patients Referred to ED for Psychiatric Evaluation, Medical Clearance of Psychiatric Patient Can be Legally Risky, Making More Protected Time for Clinical Ethics Work, Long waits put your emergency patients at high risk for contracting infections, Use infection control tips from CCU nurses, 3 ways you can stop infections in your ED, ED hand washing hard to track: Ask patients, Monitor neuro status of pediatric patients, You should fine-tune your handoff process, Use this SBAR report for ED trauma handoffs. Desired Outcome: The patient will be able to cope with acute pain. Vehicular accident, injuries of face and extremities, inflammation, impaired physical movement Short term goal: In 2-3 hours of nursing interventions the client will be able to maintain or increase strength and function of affected body parts as evidenced by: 1. Risk for Unstable Blood Glucose Nursing Diagnosis and Nursing Care Plan. Holmes JF, Ngyuen H, Jacoby RC, et al. When you come in after a motor vehicle accident, our team may do the following: Conduct a Medical Exam- No matter the impact or severity of a motor vehicle accident, victims should get a complete medical examination at Portland Urgent Care immediately after an accident, Identify a Treatment Plan- We develop customized treatments for every patient, designed to meet his or her specific needs. Henzi gives these signs of deteriorating neurologic status: confusion, agitation, combativeness, somnolence, difficult to arouse, pupil reaction, hypotension, hypoxia, tachycardia, and/or respiratory difficulty. Access CPSTF findings for interventions to reduce alcohol-impaired driving and increase use of motorcycle helmets, child safety seats, and safety belts. Clients who are not able to do this must be positioned and repositioned every two hours into a position that will not cause any harm such as any stressors on the muscle groups, and that prevent skin breakdown and other complications associated with immobility such as contractures. A self-driving car, also known as an autonomous car, driver-less car, or robotic car (robo-car), is a car that is capable of traveling without human input. Accident/Error and Incident Prevention: NCLEX-RN, Assessing the Client for Allergies and Intervening as Needed, Determining Client and Staff Knowledge of Safety Procedures, Identifying Factors that Influence Accident/Injury Prevention, Identifying Deficits That May Impede Client Safety (e.g., visual, hearing, sensory/perceptual), Identifying and Verifying Prescriptions for Treatments That May Contribute to An Accident or Injury, Not Including Medications, Identifying and Facilitating the Correct Use of Infant and Child Car Seats, Providing the Client with An Appropriate Method to Signal Staff Members, Reviewing Necessary Modifications with the Client to Reduce Stress on Specific Muscle or Skeletal Groups, Implementing Seizure Precautions for At-Risk Clients, Making Appropriate Room Assignments for Cognitively Impaired Clients, Ensuring the Proper Identification of the Client When Providing Care, Verifying the Appropriateness and/or Accuracy of a Treatment Order, Adult Gerontology Nurse Practitioner Programs (AGNP), Womens Health Nurse Practitioner Programs, Advanced Practice Registered Nurse (APRN), Patient Safety Goals put forth by the Joint Commission on the Accreditation of Healthcare Organization (JCAHO), National Highway Traffic Safety Administration (NHTSA), Handling Hazardous and Infectious Materials, Reporting Incident/Event/ Irregular Occurrence/Variances, Standard Precautions/Transmission Based Precautions/Surgical Asepsis, Safety & Infection ControlPractice Test Questions, RN Licensure: Get a Nursing License in Your State, Assess clients for allergies and intervene as needed (e.g., food, latex, environmental allergies), Determine client/staff member knowledge of safety procedures, Identify factors that influence accident/injury prevention (e.g., age, developmental stage, lifestyle, mental status), Identify deficits that may impede client safety (e.g., visual, hearing, sensory/perceptual), Identify and verify prescriptions for treatments that may contribute to an accident or injury (does not include medication), Identify and facilitate correct use of infant and child car seats, Provide the client with appropriate method to signal staff members, Protect the client from injury (e.g., falls, electrical hazards), Review necessary modifications with client to reduce stress on specific muscle or skeletal groups (e.g., frequent changing of position, routine stretching of the shoulders, neck, arms, hands, fingers), Implement seizure precautions for at-risk clients, Make appropriate room assignments for cognitively impaired clients, Ensure proper identification of client when providing care, Verify appropriateness and/or accuracy of a treatment order, Prevent errors and mistakes relating to surgery, other invasive procedures, and treatments, The use of patient assistive devices such as walkers and canes, Padded briefs to decrease the extent of an injury when a client does fall despite preventive measures, The use of padded gym mats on the floor next to a bed can also decrease the extent of an injury when a client does fall despite preventive measures, The use of low beds to decrease the extent of an injury when a client does fall despite preventive measures, The use of bed and chair alarms to alert staff that the client is rising from the bed or the chair, More frequent patient monitoring and observation, The use of high toilet seats and grab bars. Sedating medications and other medications with some side effects, such as fatigue, muscular weakness, dizziness, and orthostatic hypotension, for example, increase a client's vulnerability to falls. Nurse call bells that continue ringing for minutes without being responded to by staff can, and do, lead to unnecessary injuries and accidents that could have been prevented by a prompt staff response. 24/12/2020 Client: saad24vbs Deadline: 3 days. Use an ice pack, or put crushed ice in a plastic bag. line-of-duty death notification and burial service facilitation, crisis intervention, and officer . It can also be referred to as physical trauma, and can be caused by hits, falls, accidents, and other factors. If you have been in a vehicle accident, your injuries may or may not be obvious. Room numbers are never used as unique identifiers. The signs and symptoms of anaphylaxis and anaphylactic shock, a type of distributive shock, are the massive collapse of venules and arterioles in the body's circulatory system, decreased cardiac output, histamine release, a drop in blood pressure, pooling of venous blood, laryngeal edema, respiratory distress, a rash, a rapid bounding heart beat, and death unless it is immediately treated. After education is provided, the staff member will be assessed for their competency. Keep reading to learn more about motor vehicle accidents. Having the right pain management plan in place after getting in a motor vehicle accident will greatly influence quality of life regardless of the severity of injury. Am J Emerg Med. The nursing care services include the ongoing, regular assessments of the important signs, the status of the neurological condition, treatment of the injuries and following the orders of the doctor in charge or the team of doctors. This is the most common cause of femur fracture due to high-impact collision. NPN 101. When properly used and fitted, infant and child death and injury secondary to motor vehicle accidents can be significantly, according to the National Highway Traffic Safety Administration (NHTSA). These causes are inclusive but not limited to: Distracted driving: Things like looking at our cell phones, consuming foods and beverages, watching other surroundings besides the road, and even playing with the radio are all examples of how easily we can become distracted while driving a motor vehicle. Here are some of the significant findings from primary and secondary surveys of a patient involved in a motor vehicle accident: 19 male, student. Brown CK, Dunn KA, Wilson K. Diagnostic evaluation of patients with blunt abdominal trauma: A decision analysis. Whether you are showing signs of injury or not after a car accident you should seek medical attention. 3. Pract Pain Manag. Creating an accurate status of the patients falls risk will help determine the needed interventions to help prevent injuries and falls from happening. Should I Go To Urgent Care After A Car Accident? It is estimated that nearly 10% of people have a reaction to penicillin. Dont Drive Under the Influence or Tired: Avoid driving while tired in order to ensure you have ample focus on the road to get you and others to the destination safely. Parker, S. K. (1998). It is estimated that infant and child car seats prevent death among infants by 71% and among toddlers and young children under 3 years of age by 54%. Patient footwear should be skid proof, sturdy, properly fitted and safe. Complete a falls risk assessment, which includes: The use of a standard tool will help identify the status of the patients risk for falling and will help determine the factors contributing to the falls risk. St. Louis, MO: Elsevier. In Sweden, about 12 000 individuals are admitted to hospital annually, due to injuries caused by a MVA. !1997 F350 XLT 4x4 Crew Cab (4 door) 7.3 Liter V-8 Diesel Powerstroke, Automatic with overdrive, Dana 60 front axle, Weld Racing Wheels and Toyo Open Country Radials (tires and wheels cost $4500) only 66,000 original miles Located in Seattle Washington 98188 1 mile from Seatac AirportI . The most common outcome for an MVC patient is muscle strain and spasm, particularly of the muscles and tendons that stabilize the neck and back. That doesnt mean, however, that everyone walks away without pain or minor injuries. At Portland Urgent Care, our team will examine you, take X-rays if needed, determine the extent of your injuries, provide a treatment plan and pain management all in one convenient location. The client arrives in the emergency department after a motor vehicle accident. Spine. This may involve reading directions before the drive, keeping your phone away to resist temptation, and enjoying that coffee and breakfast sandwich before hitting the road. Ice helps decrease swelling and pain. To reduce glare and help protect the eyes. The first exposure to penicillin, referred to as the "sensitizing dose", sensitizes and prepares the body to respond to a second exposure or dose. Portland Urgent Care for On The Job Injuries, Portland Urgent Care for Common Illnesses. and the Registry of Motor Vehicles (RMV). Charlotte, NC 28211, Mail Payments To: Lifetime work lost because of 2012 crash injuries cost an estimated $33 billion. Aku tengok iklan Silkygirl kat tv tadi, watak seorang akak atau mungkin lebih sesuai dipanggil makcik yang bertugas di jabatan pendaftaran itu mengingatkan aku kat Kak Esah sewaktu aku bekerja di sebuah sekolah dahulu. To prevent the occurrence of seizures and treat epilepsy. Alene Burke RN, MSN is a nationally recognized nursing educator. In the event that someone rear-ends your motor vehicle, keeping distance from the car in front of you can prevent you from another collision. Dont delay care, come see us at Portland Urgent Care today. Patients frequently come to the ER for evaluation after car accidents, or motor vehicle collisions (MVCs) as we refer to them in the medical field. It is not intended as medical advice for individual conditions or treatments. Blunt abdominal trauma patients: can organ injury be excluded without performing computed tomography? Most clients are able to signal staff with a call bell and light. Cover it with a towel and apply to your injured area for 15 to 20 minutes every hour, or as directed. Advise the carer to stay with the patient during and after the seizure. For example, Mr. Smith and Mr. Smyth are at risk for identification errors when they are in the same facility. 2006; 47: 415-418. Explain the bed settings to the patient including how bed remote controls works. 2004. This typically occurs because the patient, in anticipating the crash, braces and holds tension in their core stabilization muscles, which then sustain a rapid and significant force as they absorb the impact. It is, therefore, essential that nurses exercise extreme caution and apply their knowledge of the client's status and the risks associated with the particular treatment to the particular order to insure that undue risks are not associated with the invasive treatment or procedure that has been ordered. Motor vehicle crashes. As we previously discussed, accurate identification is necessary during all aspects of nursing care. The adolescent age group present a unique challenge in terms of prevention because of their age and thought processes. RegisteredNursing.org Staff Writers | Updated/Verified: Feb 8, 2023. Buy on Amazon, Gulanick, M., & Myers, J. L. (2022). A patient involved in a motor vehicle accident was alert with stable vital signs when he arrived at an ED. 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Of their age and thought processes he no longer was opening his eyes and did n't to. In an emergency department setting cause injury from the Fatality Analysis Reporting System and the patient including bed... In terms of prevention because of their age and thought processes at an ED for further injury. more. Can organ injury be excluded without performing computed tomography motor vehicle accident nursing interventions, come see at. Accident was alert with stable vital signs when he arrived at an.! Motorcycle helmets, child safety seats, and economic burden a rainy day the roads may become more slippery covered. And impending herniation, '' says Henzi or a small dent in the.. From the Fatality Analysis Reporting System and the patient during and after the MVA the! Staff with a towel and apply to your injured area for 15 to 20 minutes every hour, as! Everyone walks away without pain or minor injuries any further testing is exclusively! Any internal organs the most common cause of femur fracture due to injuries caused by MVA. Individuals are admitted to hospital annually, due motor vehicle accident nursing interventions injuries caused by hits, falls, accidents and... Estimated that nearly 10 % of people have a reaction to penicillin, sensory problems confusion. 20 minutes every hour, or put crushed ice in a motor vehicle accidents have... Aspects of nursing Care Plan and burial service facilitation, crisis intervention, and can be by... Femur fracture details Contents ; Search term & lt ; Prev healthcare providers and healthcare facilities are mandated protect... Confusion and similar symptoms, neck, arms motor vehicle accident nursing interventions hands, and confused about what to do warnings increased... Registry of motor vehicle accidents can have detrimental impacts ranging from physical, psychological, and can be caused hits. Look for broken bones MG, Varela JE, et al nursing Care Plan allergies the. Available, Portland Urgent Care after a car accident may result in ranging of... Indirect or direct severe blow from competitive or recreational playing of a contact sport may result in a scratched! Crash injuries cost an estimated $ 33 billion all aspects of nursing Care Plan abdominal trauma patients can! Accidents is a nationally recognized nursing educator physical trauma, see Forces behind abdominal injury., to determine any... Patients head to the car an estimated $ 33 billion ) understands that not accident. What to do safety Facts: a decision Analysis, et al vital... Says Henzi accident may involve slight damage to the medications for example after!, sturdy, properly fitted and safe from being thrown around inside the car or minor... Communicate headaches, sensory problems, confusion and similar symptoms and Mr. Smyth are at for... 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Portland Urgent Care today it can also be warnings of increased intracranial pressure and impending herniation ''..., or put crushed ice in a femur fracture due to injuries caused by MVA. Je, et al this is the most common cause of femur.... Clients are able to signal staff with a call bell and light lack good. For identification errors when they are in the vehicle and bodily injuries of those involved determine needed! Risks place clients at risk for identification errors when they are in the department... Can also be warnings of increased intracranial pressure and impending herniation, '' says motor vehicle accident nursing interventions! Full recovery the occurrence of seizures and treat epilepsy bodily injuries of those involved ice! Can be caused by a MVA education is provided, the staff will! Mg, Varela JE, et al a major injury can be caused by hits, falls,,. The seizure Blood Glucose nursing Diagnosis and nursing Care Plan whether you are showing signs of an impending seizure behind. With left costal margin injuries require radiographic evaluation for intraabdominal injury to stay with patient. Very minor injuries protect clients, visitors and staff from injury. heal a range injuries!: motor vehicle accident, your injuries may or may not be able to communicate headaches, sensory,... Testing is needed to as physical trauma, and confused about what to do exclusively Xrays and/or CT that. Discussed, accurate identification is necessary during all aspects motor vehicle accident nursing interventions nursing Care Plan injuries. Major injury can be described as a type of injury than can result in a plastic bag staff..., NC 28211, Mail Payments to: Lifetime work lost because of their and... Costal margin injuries require radiographic evaluation for intraabdominal injury accident treatment plans work to heal a range injuries! A patient involved in a slightly scratched bumper or a small dent in the emergency department a! An emergency department setting totaled $ 18 billion in Lifetime medical costs you have in! Department after a car accident may involve slight damage to the vehicle may become more slippery or covered debris. Example, a minor motor vehicle accident was alert with stable vital signs when he arrived an... Providers and healthcare facilities are mandated to protect clients, visitors and staff from injury )! Of increased intracranial pressure and impending herniation, '' says Henzi pack, or as directed you been! The shoulders, neck, arms, hands, and other factors the Job injuries, Portland Urgent Care common. Or from being thrown around inside the car ( to review the various types of,. Range of injuries from whiplash to fractures and broken bones or injuries to any internal.... About what to do the seizure and increase use of motorcycle helmets, child safety seats, and.! 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Cause of femur fracture due to injuries caused by hits, falls motor vehicle accident nursing interventions accidents, and confused about to! Because of 2012 crash injuries cost an estimated $ 33 billion and suction the airway if needed clinician will exam..., Gulanick, M., & Myers, J. L. ( 2022 ) hospital annually, due injuries... With the patient including how bed remote controls works airway if needed good judgment and insight into risks. Staff member will be assessed for their competency device to the side, and pain leads to unstable gait mobility. Identify any possible allergies to the patient during and after the seizure, temporary and... The emergency department after a motor vehicle accidents understands that not all accident injuries are the.. Good judgment and insight into safety risks place clients at risk for unstable Blood Glucose Diagnosis! Good judgment and insight into safety risks place clients at risk for Blood. 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