Macon Health Care Center
Transcription
Macon Health Care Center
JULY 2015 Macon HEALTH CARE CENTER Your Skilled Nursing Home Choice For All Your Therapy Needs Our Staff Administrator Rachel Richardson, MHA Office Manager Gina Browning Secretary Beth Watts Director of Nursing Jodi Crawford, RN, BSN Care Plan Coordinator Cathy Snodgrass, RN Social Services Director Dena Wilt, B.S. Housekeeping/Laundry Mngr Linda Reynolds Maintenance Director Tim Scott Dietary Director Jana Reed Restorative Coordinator Rachel Zamora, LPN Regional Medical Records Dir. Michelle Knowles, RHIT Medical Records Director Julie Collins Medical Director Dr. James McDowell Activity Director Sara Bugg Therapy Director Lindsey Whittle, COTA Handic ap accessib le walkwa y all around the buildin g ...RESIDENT RIGHTS... Have Privacy & Respect You have the right to privacy in medical treatment, personal care, telephone and mail communications, visits from family and meetings of resident groups. You should be treated with consideration and respect, with full recognition of your dignity and individuality. You should not be required to do things against your will. Resident Of Louis Shoush ... The Month was born and raised in Macon. His parents Robert & Zelma Shoush, owned Shoush Floral. He had one sister, Mary Margaret and five brothers, Bob, S.J., Ronald, Jimmy and Buddy. He has been married to Margie Bullock for 65 years. They have 4 children, Debbie Popp, Gail Shoush, Kay Claypoole and Steve Shoush; 11 grandchildren and 11 great grandchildren (with a 12th on the way). Louis was a plumber and had the first backhoe in Macon. In earlier years, he was in a 3 piece band with Grace (Graves) Good on the piano, Louis on the drums and Ballenger on the trumpet. He also loved to swing dance. He and his brother, Buddy, would load up their parent’s flower delivery van with friends and go dancing. He and his brothers worked at Cleaver Brother’s Grocery Store during high school years. Hobbies: Loves fly fishing, carpentry and gardening. Favorite Food: Loves 2 kinds of pie, hot and cold. Partner Spotlight Shelley Carmack Shelley has been with MHCC for two and a half years as a CNA. She graduated from Fox Sr. High School in Fenton, MO on May 30th, 1985. Shelley is married to Jason Carmack and together they have seven children. Joe, Jamie, Jody, Jasper, Alex, Rober t & Harley. Shelley is also a very proud grandma to eleven grandchildren! Shelley enjoys camping, fishing and traveling. One day she would love to go to Australia! We asked Shelley what brings her the most joy at MHCC.... She said that her residents have always been the sunshine in her day! She also wanted to share with others that working in the medical field is a great career. To truly be successful in the medical field you must have the hear t for it! Shelley was also in the running for CNA of the RIVATE P year at our regional conference! Congrats! OMS O R We would like to Thank Shelley for being chosen r BLE fo A L I A for the July Par tner Spotlight! V A e Your residents Love you!!! Macon Health Care Center - 2 - “Caring in a Better Way, Day-by-Day” ar medic A Milestone Birthdays inJune! LaVerne Heaton turned 80 years young and Elizabeth Murphy turned 95 years young! Happy Birthday to you both!!! Member Phone: (660) 385-5724 Fax: (660) 385-3924 PLS BUILDERS, LLC ABC Licensed & Insured PRINTERS, INC. American Optometric Association MARK V. MADDOX, O.D. CRAIG A. ROSE, O.D. Primary Care of the Eye Vision Care Associates, LLC 1705 Prospect Drive Macon, MO 63552 & OFFICE SUPPLY MIKE COOK,Owner 314.660.1812 51 S. RUBEY • MACON, MO 63552 plsbuilders@yahoo.com 660-385-2322 Fax 660-385-5170 NEW CONSTRUCTION REMODEL, WINDOWS, DECKS, DOORS & MORE abcprinters@cvalley.net Monday, JULY 27, 2015 5:00 pm Free Light Meal Provided Our speaker will be from the Alzhiemer’s Association Contact Dena Wilt with any questions at 660-385-5797 Macon Health Care Center - 3 - “Caring in a Better Way, Day-by-Day” MACON HEALTH CARE CENTER THERAPY DEPARTMENT NEWSLETTER JULY 2015 We Ha OutPa ve tie Thera nt py Too! Macon HEALTH CARE CENTER Providing Skilled Therapy 7 Days A Week 29612 KELLOGG AVE, MACON, MO • 660-385-5797 Caring for Your Elderly Parents Your mom and dad used to take care of you. Now suddenly, they are the ones who need help. Ideally, we all want our parents to be able to make their own decisions and control their own living environments. However, sometimes the struggle for independence can compromise health and safety. When this happens, it is important to know how to address your parent’s needs. First, you must recognize that your elderly parent may stubbornly refuse any help you offer. They may even deny they have a problem. Do not take this personally. Instead, try to understand their feelings. Perhaps your parent worries that their autonomy is being threatened. It is common for an older person to resist any assistance that makes them feel they are losing privacy, dignity or independence. The worst thing you can do when encouraging your parent to seek help or change their lifestyle is to make them feel powerless. Instead, keep the following suggestions in mind: • Allow them to remain in control as much as possible. Your mission should be keeping them healthy and safe, not micro-managing their life. Give options, not ultimatums. • Change takes time. Help by making the smallest changes possible that still provide the desired benefit. Don’t try to overhaul your parent’s life all at once. • Express your own feelings. By sharing your emotions and fears with your parent, you can approach necessary lifestyle changes as a team, not adversaries. When possible, give your parents the tools that will help them maintain independence or even help each other. For instance, a occupational therapist may be able to help your parents maintain or regain the strength necessary to perform some daily tasks. If they can stay active, they’ll be able function better, which will make you both happier. maconhealthcarecenter.com Come to Macon Health Care Center for all your short-term rehabilitation needs. • • • • • • • Improve daily living Total knee replacement Total hip replacement Fractures Stroke Balance and falls General weakness after hospital stay We’ll get you home quickly. Macon Health Care Center 29612 Kellog Ave. Macon, MO 63552 660-385-5797 Phone 660-385-5814 Fax OUR RESID E HAVE NT’S VOT US BE ED THERA ST PY TOWN IN ! YourTherapyDept.com Macon Health Care Center - 4 - “Caring in a Better Way, Day-by-Day” Gardening is a Health Benefit for Senior Citizens Gardening is a Health Benefit for Senior Citizens HEADING HOME! SUCCESS STORIES Senior Friendly Exercise Right at Your Backdoor Gardening is an excellent form of low impact exercise for senior citizens, the disabled, and people recovering from injury. Although some heavy tasks are inappropriate for people with compromised physical ability, many others offer a great opportunity to stretch muscles, improve muscle-tone, and gently increase heart rate. Planting seeds, pulling weeds, and pruning flowers are great occupational therapy activities. Raking leaves or planting a small tree can help maintain muscle, improve your balance, and increase your heart rate. Of course, most people don’t begin gardening for physical stimulation. Young and old alike find gardening to be therapeutic for both mind and body. Yes, gardening can actually improve your mood. When you’re at peace psychologically, you generally feel better physically. With so many things that a garden offers, from color therapy and aroma therapy to the meaning of flowers, it is hard to feel blue when you are surrounded by green. Moreover, you can reap nutritional benefits by planting food you know will be local and organic. In the metro Washington, DC area peach and pear trees perform very well. Blueberry and Aronia bushes deliver powerful doses of antioxidants. Herbs like Basil, Lavender, Rosemary, Parsley, Oregano, Thyme, Peppermint, Chamomile, and Lemon Verbena soothe the senses and make wonderful teas. Many will come back perennially, adding spice to your dishes and your life, year after year. Always consult your doctor before engaging in physical activity to determine the level of exercise appropriate for you. If you hire a landscaper to perform the laborious tasks and manage the lighter garden upkeep on your own time, you can maintain a beautiful garden forever. Pictured is Kay Beautte giving Clark Dobbs a train puzzle she put together for him. She made it for his train room at home. 2nd Year Junior Volunteers Jonah & Destiny Macon Health Care Center - 5 - “Caring in a Better Way, Day-by-Day” Macon Health Care Center - 6 - “Caring in a Better Way, Day-by-Day” Macon Health Care Center - 7 - “Caring in a Better Way, Day-by-Day” Macon Health Care Center - 8 - “Caring in a Better Way, Day-by-Day” ... Rehab To Home Therapy ... Macon Health Care Center - 9 - “Caring in a Better Way, Day-by-Day” Get in your daily water quota with Fruit-infused Water - 6 ways! From berries, to citrus, to cucumber and herbs, we’ve got you covered for refreshing drink recipes all summer long! S u m m e r Baking Soda Sea Art Starfish Baking Soda Dough Silpat Mat or parchment paper Cookie cutters Round tip needle Paint brushes White acrylic paint Tropical blue paint or your choice Silver nail polish Clear acrylic spray E6000 glue Newspaper to cover work space Dump dough onto parchment paper or Silpat and cover with damp cloth until it is cool enough to handle. Roll out dough into 1/4” thich sheet and use cookie cutters to cut shapes or free hand shapes. To make starfish, take 5 balls and use your thumb and pointer finger to shape and flatten into triangles. Take the triangles and combine them together, pinching the edges on both the front and back. Very important, to smooth out the edges where the pieces connect or you will get seams and lots of cracks. Use the end of a pen or paintbrush to make decorations in starfish. Sand dollars were made using circle cutter and decorated using the pen head and a butter knife. Bake at 175º on Silpat mat or parchment paper for 45 mintues to 1 hour. Let cool. When they are cool, cover your table and start painting. Let paint dry and then seal with a clear acrylic spray. (Can be framed as shown above.) F u n This Gummy Worm Punch is a perfect drink to serve on a hot summer day, not to mention perfect for bug- or mad scientist-themed birthday parties, St. Patrick’s Day, Halloween and impromptu picnics in the yard. Kids love the color and, well, get pretty excited about the *stars of this drink*, those wiggly gummy worms, too! First of all, this punch is only three ingredients: Hawaiian Punch Green Berry Rush, lemon-lime soda and gummy worms. Super simple and so easy to make in a pinch! What makes it unique is “the freezing of the gummy worms.” You start by filling each cup of a muffin tin with two gummy worms. Pour a little Hawaiian Punch into each muffin tin. Just enough so it covers the worms. If you have a few little pieces of the worms sticking out of the top of the liquid, that’s fine! Place the tin in your freezer and allow the “disks” to freeze – usually 2-3 hours is sufficient. Alright, so when you’re ready to serve the drink, fill 3/4 of the glass with the Hawaiian Punch and 1/4 of the glass with lemon-lime soda. Make sure to not fill it too full because you’re going to be dropping in one of the frozen gummy worm disks. Note: If you’re making this punch for a large group, just fill a punch bowl, following the same instructions as above – 3/4 Hawaiian Punch, 1/4 lemon-lime soda. I would make at least 12-24 frozen disks for a punch bowl. Drop the disks into individual glasses immediately before serving. If you’re looking to keep the punch, itself, cold. You could freeze some Hawaiian Punch the day before in a ring mold or in ice cube trays to add to the punch the day of the party. If you’re really adventurous, throw some worms into the mold or the smaller cubes, too! Med LA Power Recliners & Much More Depending on the size of the glass, I’ll put one to two disks in per drink. The disks sink to the bottom of the glass, cooling the punch, and in about a minute or so, the worms begin to emerge from the ice and little pieces of the ice float to the top, making the drink look like it has a little slime on top. LOVE that. Macon Health Care Center - 10 - “Caring in a Better Way, Day-by-Day” 14 m ins Skinny Mexican Grilled Corn is the perfect Summer side dish! (Skinny) Mexican Grilled Corn Author: the cookie rookie Recipe type: Side Dish Serves: 4 Ingredients 4 m ins Cook time 10 m ins Total time 14 m ins Skinny Mexican Grilled Corn is the perfect Summer side dish! Author: the cookie rookie Recipe type: Side Dish • 4 ears of fresh Sweet Corn (shucked) Serves: 4 • 2 T plain Greek Yogurt • 2 T lite sour cream Ingredients • ¾ cup shredded parmesan cheese • 1 tsp chili powder • 4 ears of fresh Sweet Corn (shucked) • 1 tsp Fiesta Lime Mrs. Dash (opt) • 2 T plain Greek Yogurt • Dash of salt and pepper • 2 T lite sour cream • ¼ cup fresh cilantro, chopped • ¾ cup shredded parmesan cheese • 1 lime, cut into wedges • 1 tsp chili powder Prep time • Light Olive Oil or Olive Oil Spray • 1 tsp Fiesta Lime Mrs. Dash (opt) 4 m ins • Dash of salt and pepper Cook time • ¼ cup fresh cilantro, chopped 10 m ins • 1 lime, cut into wedges Total time Instructions 14 m ins • Light Olive Oil or Olive Oil Spray S u m m e r Corn is the Summer side 1.perfect In a small bowl, mixdish! together greek yogurt and sour cream. Set aside. 2. In a small bowl, mix together chili powder, Mrs. Dash (opt), and salt and pepper. Set aside. ie 3. Spray or brush each ear of corn lightly with olive oil Instructions 4. Grill for approximately 10 minutes, turning often to avoid burning. The corn should brown in places and be cooked through. 1. In a small bowl, mix together greek yogurt and sour cream. Set aside. 5. Take corn off of grill and brush with mixture. 2.Greek In a Yogurt small bowl, mix together chili powder, Mrs. Dash (opt), and salt and pepper. Se 6. Sprinkle with spice mixture, cheese, and cilantro 3. Spray or brush each ear of corn lightly with olive oil 7. Squeeze lime wedges over each piece of corn. 4. Grill for approximately 10 minutes, turning often to avoid burning. The corn should et Corn (shucked) places and be cooked through. urt 5. Take corn off of grill and brush with Greek Yogurt mixture. 6. Sprinkle with spice mixture, cheese, and cilantro mesan cheese 7. Squeeze lime wedges over each piece of corn. LIBRARY AND COMPUTER FOR OUR RESIDENTS IN THE ACTIVITY ROOM s. Dash (opt) pper , chopped ges ve Oil Spray Activity Department News... With a heavy heart I announce I will be leaving MHCC at the end of July. My family and I will be moving back to the Sedalia area to be near our family that we have missed. I will also be following a dream I’ve had to work in the Real Estate Business with my family. MHCC will forever hold a place in x together greek yogurt and sour cream.my Setheart. aside. The residents have become just like family to me. x together chili powder, Mrs. Dash (opt),They and salt andtaught pepper.me Setso aside. have much about life. Our residents have ch ear of corn lightly with olive oil shown me the true importance of family, faith and just how tely 10 minutes, turning often to avoid burning. The corn should brown in important the little things in life are. ked through. I want to thank our Administrator, Rachel, for giving ll and brush with Greek Yogurt mixture. me this wonderful opportunity to be apart of an amazing mixture, cheese, and cilantro team! I have learned so much from my time at this center. ges over each piece of corn. While being the Director of Activities I have met so many lovely people in this community and center. My job here was made easier because of our dedicated volunteers. Without them the activity department would not be what it is. So a BIG Thank You to our volunteers for all their devotion and for the smiles you bring to our residents each month. Please remember if you have questions regarding the Activity Department just ask for Penny Danner. Sincerely, Sara Bugg Macon Health Care Center - 11 - “Caring in a Better Way, Day-by-Day” r e c i p e Water Color Painting Class Lunch Outing Tux, Tees & More RED WING BOOTS - CARHARTT CLOTHING CUSTOM TEES, CAPS & JACKETS TUXEDO RENTALS 101 Vine Street, Macon, MO 63552 Phone (660) 385-4620 Fax (660) 385-5535 Ken & Dana Hildreth, Owners King CONSTRUCTION and Electric, LLC 37033 MENEFEE ROAD NEW CAMBRIA, MO 63558 660-424-0311 or 660-464-1911 FAX: 660-226-5683 Macon Health Care Center - 12 - “Caring in a Better Way, Day-by-Day” Pastor Kohn & His Helpers Always bring smiles to the residents Urgent Care-Macon Complete Family Medicine, LLC Urgent 402 E. Briggs Drive Macon, MO 63552 385-2147 or 800-634-8261 Macon Care 1206 N. Missouri Street, Ste C Macon, MO 63552 660.395.7575, 660.665.7576 (fax) www.cfmkv.com After Hours call, 660.785.1000 1513 N. Missouri • P.O. Box 128 MACON, MO 63552-0128 660/385-3161 Macon Health Care Center - 13 - “Caring in a Better Way, Day-by-Day” Macon Health Care Center - 14 - “Caring in a Better Way, Day-by-Day” MONDAY TUESDAY 6 20 27 19 26 9:00..... Bible Study with Bill Lear 2:00..... Bevier Baptist Church 8:30 ...... Door to Door 9:00 ...... Morning Drive Around the Lake 1:30 ...... Bingo & Prize Table 2:30 ...... Ice Cream Parlor Opens! 8:30......Door 2 Door 9:00......Pizza Biscuits 9:00....... Bible Study with 1:30......Bingo & Prize Table Bill Lear 2:00.......Atlanta Christian 2:30......Ice Cream Parlor Opens! Church 6:15......Bill Lear & Friends Music 9:00......Bible Study with Bill Lear 1:30......Gospel Center Choir 3:00......Checkers 4:00......Dinner Conversations SUNDAY BLESSINGS 13 8:30 ...... Door to Door 9:00 ...... Trip to Donut Palace 9:30 ...... Morning Drive Around Town 1:30 ...... Bingo & Prize Table 2:30 ...... Ice Cream Parlor Opens! 7:00 ...... Line Dancers 8:30 ...... Door to Door 9:30 ...... Cooking Club 1:30 ...... Bingo & Prize Table 2:30 ...... Ice Cream Parlor Opens 12 SUNDAY BLESSINGS! 9:00 ...... Bible Study with Bill Lear 2:00 ...... Bevier Baptist 5 1 29 8:30......Door 2 Dor 9:30......Watercolor Painting Class 1:30......Bingo & Prize Table 2:30......Ice Cream Parlor Opens! 28 3 10 8:30......Door to Door 9:00......Cooking up a Storm 2:00......Name that Price! 3:00......Ice Cream Parlor Opens! FRIDAY 4 11 LET FREEDOM RING! SATURDAY 9:00......Fried Pickles by Sara 10:30.... Bible Study with Clark Dobbs 2:00......Social Hour & Music 6:30......BINGO with the 4H 30 23 8:30......Door 2 Door 9:30......Mango Smoothies For All 10:30....Bible Study with Clark Dobbs 2:00......Social Hour 16 25 10:00....Chekers in the Day Area 2:00......Card making with Becky 4:00......Dinner Conversations 18 8:30......Door to Door 10:00....Puzzle Mania 9:00......Pie Making 2:00......Checkers&Horse 10:00....More Pie Making shoes in the 2:00......Pice Social for All Courtyard 4:00......Dinner Conversations 24 17 8:30......Door to Door 9:00......Wooden Sign Project 10:30.... Nail Salon 2:00......Scrapbooking & Card Making 3:00......Ice Cream Parlor Opens! 10:00......Pitch Playing 10:00.....Expo Center at 8:30......Door to Door 2:00 ......Checkers & 9:30......Price is Right the Fair Horseshoes in the 10:00....Name that Tune! 10:30.....Bible Study with 2:00......Lemonade Stand Courtyard Clark Dobbs 2:00......Social Hour & Music 2:30......Summer Memories 4:00 ......Dinner Conversations in the Courtyard 3:00......Hallway Greetings 6:30......Open Arms Choir 10:00....Music & Smiles 8:30......Door 2 Door with Pastor Kohn 9:00......Cooking Club 10:30....Bible Study with Mango Time! Clark Dobbs 1:30......Bingo & Prize 2:00......Social Hour & Table Music 2:30......Ice Cream Parlor 3:00......In the News Opens! 8:30......Door to Door 9:30......Watercolor Painting Class 1:30......Bingo & Prize Table 2:30......Ice Cream Parlor Open! 15 8:30......Door 2 Door 9:30......Watercolor Painting Class 1:30......BIngo & Prize Table 2:30......Ice Cream Parlor Opens 22 9:00......CST Group 10:30....Lunch Outing 1:30......Bible Study with Carmen 3:00......Coffee Breaking News 2 8:30......Door to Door 10:30....Bible Study with Clark Dobbs 2:00......Social Hour & Music 7:00......Fireworks! THURSDAY to the 8 9:00......Trip 9 Macon Co. Fair 8:30......Door to Door 9:30......Watercolor Painting Class 1:30......Bingo & Prize Table 2:30......Ice Cream Parlor Open! First Day of July!!! Whoo Hoo! WEDNESDAY 21 9:00......CST Group 10:30....Out on the Town 2:00......Carmen’s Bible Study 2:30......Nacho’s for all 14 9:00......CST Group 10:00....Musie with David & Arlene Foster 11:15.....Out on the Town 2:00......Bible Study with Carmen 3:00......Cookie Club & Hallway Smiles 9:00......CST Group 11:00.....Out on the Town 2:00......Bible Study with Carmen 3:00......Lemonade Stand 7 Residents Shopping Day is Every Thursday JULY SUNDAY (OUTINGS ARE SUBJECT TO CHANGE DUE TO THE WEATHER) ACTIVITY CALENDAR Thank You to All our Advertisers in the Newsletter! Strong Hands. Open Hearts Physical Performance Systems Physical-Occupational-Speech Your Premium Home Care Provider Since 1972 MAURY ALLEN Cheif Executive Officer 3702 W. Truman Blvd., Suite 119 PO Box 6818, Jefferson City, MO 65102 Office (573) 893-6477 Toll Free (800) 690-1753 Fax (573) 893-6302 3527 West Truman Blvd, Ste 300, Jefferson City, MO 65109 Office: 573-893-4446 Fax: 573-893-8488 www.ppstherapies.com Mobile: 573-808-0441 m_allen@ppstherapies.com Raspberry’s Bar-BQ 902 E. Briggs Drive, Macon, MO 63552 660-395-3000 Specializing in Smoked Pork, Beef & Chicken! We also have Shrimp & Fish! Mon-Thurs, 11am - 8pm; Fri-Sat, 11 - 9 Closed Sundays DINE-IN or CARRY OUT Hwy 63 North, Macon 660-385-1436 Greening~Eagan~Hayes Funeral Homes G E J T Holman Construction LLC P.O. BOX 591 MACON, MO 63552 H Talt Holman Owner/Operator Flat Work Foundations Macon - Bevier - Shelbina Clarence - Shelbyville Locally Owned & Operated e ak T Weunchgs L tin ea s Ouo Ar ant T aur st Re www.gehfh.com Phone: 385-2136 General Contracting Excavating 660-651-6655 cell 660-385-7888 office 660-385-1855 fax e-mail jtholman@jtholman.com web www.jtholman.com We, the staff of MHCC, would like to express our Deepest Sympathies to the family & friends of... Norma Aldrich & Frank Formento Gifts in memory or in honor of loved ones are received at the office daily. They are source of inspiration and a constant reminder of what this nursing home is all about. All contributions to Macon Health Care stay here in this building. These contributions help toward our goals of meeting the needs of our residents, family support and education. An acknowledgement is sent to the family of the loved one if an address is available. SHAVER ROOFING & SEAMLESS GUTTER 35 Years in Business Now Offering Certainty Extended Warranties 660-768-5524 CALLAO, MISSOURI JULY RESIDENTS & THERAPY PATIENT BIRTHDAYS Janet Dorr - 7/11 Sue Chambers - 7/5 Harlan Cress - 7/30 Dale Carr - 7/6 Vivian Littrell - 7/7 PLEASE HELP US IN SENDING A BIRTHDAY CARD SHOWER TO OUR RESIDENTS. OUR ADDRESS IS MACON HEALTH CARE, P.O. BOX 465, MACON, MO 63552 PARTNERS BIRTHDAYS Sabrina Drew - 7/4 Celeste Reed - 7/12 Rachel Mynear - 7/6 Shannon Bettes - 7/14 Liz Wallace - 7/6 Ashley Bailey - 7/26 Linda Reynolds - 7/7 Lashanna Davidson - 7/29 Caressa Amen - 7/8 Shelley Carmack - 7/30 John Meisner - 7/9 Macon Health Care Center - 15 - “Caring in a Better Way, Day-by-Day” MACON HEALTH CARE 29612 KELLOGG AVENUE MACON, MO 63552 (660) 385-5797 www.maconhealthcarecenter.com July 2015 • 112 Bed Skilled Nursing Facility • 24 Bed Alzheimers Unit • Private & Semi Private Rooms • • Newly Remodeled Private Medicare Rooms • Medicaid/Medicare • Managed Care & Assisted Living • As a recipient of federal financial assistance, Macon Health Care Center does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, national origin, sex, gender, or on the basis of disability or age in admission to, participation in, or receipt of their services and benefits or any of its programs and activities or in employment.
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