BLUEPRI NT - 3 BlueCross residents get COVID-19 vaccine 4 Difference between forgetfulness and dementia 6 Looking after your mental health

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BLUEPRI NT - 3 BlueCross residents get COVID-19 vaccine 4 Difference between forgetfulness and dementia 6 Looking after your mental health
     B LU E P R I N T

                               MAY 2021

3 BlueCross residents
  get COVID-19 vaccine

4 Difference between
  forgetfulness and dementia

6 Looking after your
  mental health
BLUEPRI NT - 3 BlueCross residents get COVID-19 vaccine 4 Difference between forgetfulness and dementia 6 Looking after your mental health
BlueCross residents get

                                                                                                                   COVID-19 vaccine
                    A message from
                    the CEO                              Residents at several                                  "I'm at a vulnerable age.               vaccine, some staff members          While the decision to receive
                                                                                                               I felt that for my safety               also took up the opportunity         the COVID-19 vaccine is entirely
                                                         BlueCross residences were
                     Welcome to the first issue of The                                                         and wellbeing, getting the              to receive the vaccine from the      voluntary, BlueCross strongly
                                                         given the opportunity to                              vaccine was for me. I had no            excess stock on vaccination day.     encourages all residents and
                     Blueprint for 2021. While the
                                                         receive their COVID-19                                apprehensive feelings at all,"                                               staff to be vaccinated as part
                     past 12 months were dominated                                                                                                     “We know that residents at
                     by the news of how COVID-19
                                                         vaccine when the                                      said Florence. “My family is                                                 of the Government program.
                                                                                                                                                       other BlueCross residences
                     has spread and impacted the         Australian Government                                 supportive of me getting the
                                                                                                                                                       are also waiting for their
                                                                                                                                                                                            None of the COVID-19 vaccines
                     world, 2021 kicked off with a       started the initial phase of                          vaccine and are also getting it
                                                                                                                                                       opportunity to be vaccinated.
                                                                                                                                                                                            approved for use in Australia
                     strong focus on the distribution    its national vaccine rollout                          themselves. We are all in unison
                                                                                                                                                       The rollout is managed at a
                                                                                                                                                                                            contain a live virus that can
of vaccines to bring the pandemic to an end.                                                                   on that.”                                                                    cause COVID-19.
                                                         in February 2021.                                                                             federal government level and
As you are aware, aged care residents and workers                                                              Apart from some tenderness at           we are working closely with the      Like any other vaccinations,
                                                         BlueCross Livingstone Gardens was
are given priority to receive the COVID-19 vaccine                                                             the injection site on her arm,          health authorities to expedite       some people may experience
                                                         the first BlueCross residence to be
and I am pleased to share that multiple BlueCross                                                              Florence did not experience             the process,” said Ingrid            minor side effects such as
                                                         included in the rollout, with over 93
residences have received their first dose of the                                                               any other side effects. “I didn’t       Harvey, Chief Operating Officer.     pain, redness and/or swelling
vaccine since the beginning of the national rollout.
You can read more about it in the next story,
                                                         per cent of residents receiving their
                                                         first dose of the vaccine on 1 March.
                                                                                                               even feel the needle going in,”
                                                                                                               she said.
                                                                                                                                                    "                                       at the injection site, mild fever
                                                                                                                                                                                            or headache. For BlueCross
                                                         Florence Parker, 86, felt honoured to
including resident Florence Parker’s vaccination                                                                                                                                            residents who received
                                                         be chosen as the first resident to be                 To those who are fearful or                The more residents                the COVID-19 vaccine, no
experience.                                              vaccinated.                                           have doubts about the vaccine,              and staff who are                significant reactions have been
We know that residents at other BlueCross                                                                               Florence said people
                                                                                                                                                       vaccinated, the greater              reported.
residences are also waiting for their opportunity                                                                       are fortunate and
                                                                                                                        privileged to be living
                                                                                                                                                           our ability to keep              Anyone with concerns about
to be vaccinated and we are working closely with
                                                                                                                        in Australia and have              our residents safe               the suitability of the COVID-19
the health authorities to expedite this. The more
people vaccinated, the sooner we can all return to                                                                      access to the vaccine             and for everyone to               vaccine is recommended to
a more normal life – and that’s what resident Joyce                                                                     to keep everyone safe.          live as normal a life as            speak to a general practitioner
Crawshaw is looking forward to so she can start                                                                          While residents were                  possible."                   or health professional so they
attending her monthly Girl Guide meetings again.                                                                                                                                            can make an informed decision.
                                                                                                                         given priority to
Read about Joyce's amazing journey with the Girl                                                                         receive the COVID-19
Guides in this edition.
We also share some educational articles to help you
distinguish between forgetfulness and dementia and
the importance of looking after your mental health.
We also debunk some common myths about private
home care, if you are considering getting services at
home for yourself or your loved one.
Happy reading and stay safe!

Robert Putamorsi
                                                            Florence Parker was honoured to be the first BlueCross          Resident Janiss Mitchell chose to receive the       Assistant Residence Manager Melissa Phillips
Chief Executive Officer                                           resident to receive the COVID-19 vaccine                  vaccine to protect herself and her loved ones          getting her COVID-19 vaccination shot

                                            MAY 2021
BLUEPRI NT - 3 BlueCross residents get COVID-19 vaccine 4 Difference between forgetfulness and dementia 6 Looking after your mental health
Difference between

 forgetfulness and dementia
                                                                                                             6. Poor judgment – If                inappropriate ways, it is likely   memory”. You can suggest that
                                                                                                             forgetfulness has reached the        these are signs of dementia.       they make a GP appointment
As we age, it is common for us to experience “senior moments” or “vague                                      level where the individual is                                           for a “checkup” or to renew
                                                                                                                                                  8. Changes in personality
moments”. This can be either a normal part of ageing or the early signs of                                   making forgetful judgements                                             scripts.
                                                                                                                                                  – According to Dementia
dementia. It can be very difficult to tell the difference between the two,                                   that place health or safety at
                                                                                                                                                  Australia, people living with      If the GP feels that your loved
                                                                                                             risk, like going out in the winter
especially in the early stages of dementia.                                                                                                       dementia can experience            one has the early stages of
                                                                                                             without a jacket, leaving the
                                                                                                                                                  changes in their personality.      dementia, ideally the next step
                                                                                                             stove or gas on at home, or
                                                                                                                                                  For example, someone in the        is to make an appointment
Normal forgetfulness                don't worry. When we are            dementia. This is also true for      being in minor car accidents
                                                                                                                                                  moderate stages of dementia        with your local Cognitive and
                                    excessively busy, we only have      people who lose weight due to        such as sideswiping the
1. You remember what you                                                                                                                          could suddenly be prone to         Memory Services. Some of
                                    room for so much information in     forgetting to eat or for people      letterbox in the driveway or
forgot later – If you forgot                                                                                                                      aggressive behaviour, paranoia     these clinics require a referral
                                    our minds and naturally, some       who gain weight because they         a parked car, there is a high
where you put your keys or were                                                                                                                   or impulsive behaviours.           from the GP, while some others
                                    things get pushed out.              eat many meals and forget            possibility that you are dealing
trying to remember the name of                                                                                                                                                       are happy for a phone call from
                                                                        about previous ones.                 with dementia-like symptoms.
the street your son lives on but    5. Being able to execute                                                                                      What to do if you                  a loved one.
                                    self-care – If you have had a       3. Difficulty in familiar settings   7. Difficulty making decisions
couldn’t, don’t worry. If you can
                                                                                                             – If a person you love is
                                                                                                                                                  notice signs of                    Although memory loss is a
remember the information later      crazy day and forgot five things    – While it is normal to get lost
                                    but can still settle into a nice    in new places, it is not normal      having a hard time making            dementia                           frightening prospect, there are
(be it five minutes or two hours                                                                                                                                                     many ways to determine the
later), you are probably fine.      bath or feed yourself well at the   to get lost on your way home.        simple decisions like what to        If you notice a loved one          difference between normal
                                    end of the day, you are probably    If you notice that a friend          eat or where to go or if they        displaying signs of dementia, it
2. Tools to help you remember                                                                                                                                                        forgetfulness and potential
                                    experiencing normal signs of        or loved one is forgetting           become frustrated over simple        is important to enlist the help
– If you forget to take your                                                                                                                                                         Alzheimer’s symptoms. If you
                                    age-related forgetfulness.          how to get home or to the            issues, it is likely that this is    of their GP as the first step as
medication unless you set a                                                                                                                                                          notice any of the dementia
                                                                        local supermarket, or cannot         dementia-related forgetfulness.      the person may not be aware
mobile phone reminder or write                                                                                                                                                       symptoms in yourself or a
                                                                                                             Additionally, if a person you
yourself a note, don't worry.       Signs of dementia                   remember which room is the                                                that they have the early signs     loved one, seek medical care
                                                                        bedroom or which car belongs         love seems to have “forgotten”       of dementia. Your loved one
People who use post-it notes or                                                                                                                                                      immediately in order to produce
                                    The following are signs of          to him or her, these are most        how to act in social situations      may not want to make a GP
electronic reminders are likely                                                                                                                                                      a positive outcome.
                                    dementia, which are quite           likely signs of dementia.            or acts out in dangerous or          appointment to “check their
to be experiencing “normal”         different to normal age-related
forgetfulness.                                                          4. Difficulty in new settings
                                                                        – Another common symptom
3. Transience and absent-           1. Forgetting important             of dementia is the tendency
mindedness – Transience is          information – The symptoms          to become disorientated in
when the brain forgets some         of dementia go beyond               new environments, i.e. the
memories over time. This may        merely forgetting where you         new information is difficult to
be a good thing as the brain is     placed your car keys or when        process or remember, so there
removing unused memories to         an appointment was booked.          is difficulty recalling it. The
prepare room for the new ones.      Symptoms of dementia include        disorientation can extend to
Absent-mindedness is when you       forgetting important information    both place and time.
are not 100 per cent focused on     such as the names of friends
                                                                        5. Frequently forgetting
                                                                                                                        ”Inatilia nonte, ute ad cultissi facta, videa viris
the information you should have     and loved ones.
remembered at the time, for
                                    2. Difficulty with simple tasks
                                                                        words – While it is normal to                    acerum senati, ut adductum ingulin timilius,
example, you were preoccupied                                           grapple for the right word, it
with other thoughts.
                                    – If you or a loved one have a      is not normal to forget words                     haessedo, claretem lario iam tercesse cretr.”
                                    hard time remembering to pay        altogether. If you notice that you
4. Forgetfulness is associated      bills, pick up spouses/children                                                                               Sue, BlueCross nurse
                                                                        or loved one cannot remember
with being busy – If you forgot     or carry out normal hygiene         simple words, slurs words or
to return a phone call or make      procedures like brushing teeth      forgets important information
your way to a meeting because       and showering, it is likely that    like a loved one’s name or
you were having a busy day,         this forgetfulness is a sign of     birthday, it is time to seek help.

                                               MAY 2021
BLUEPRI NT - 3 BlueCross residents get COVID-19 vaccine 4 Difference between forgetfulness and dementia 6 Looking after your mental health
Looking after your                                                         Your mental health is your psychological     Ignoring the symptoms over long

                                                                                                                                                                           Self Care
                                                                                 and emotional wellbeing. From time to        periods of time can be detrimental

        mental health
                                                                                 time, it is normal to feel sad, moody,       to your mental health and wellbeing.
                                                                                 angry or frustrated as we deal with the      If you are finding it hard to cope
                                                                                 ups and downs of life. However, if you       with everyday living, the good news
                                                                                 experience these feelings intensely          is that there is support available, as
                                                                                 for long periods of time, you could be       well as effective treatments to help
 Getting older is a gift but it also brings its fair share of challenges as we   suffering from depression.                   older people recover.
cope with declining physical and mental health. Looking after our mental         Depression is a serious medical              A good first step is speaking with
   health is important as it is the central part of our overall wellbeing.       condition that can cause severe              your doctor as they can refer you to
                                                                                 symptoms affecting how you think, feel       the right support services if necessary.
                                                                                 and act. According to Beyond Blue, it        Alternatively, you can contact one of the
                                                                                 is estimated that between 10 to 15 per       organisations below for help or advice.
                                                                                 cent of older people are experiencing
                                                                                 depression and about 10 per cent             Where to get help
                                                                                 experience anxiety.
                                                                                                                              Head to Health – guide to some
                                                                                 Older people are more susceptible to
                                                                                                                              of Australia’s most trusted mental health
                                                                                 feelings of nervousness, sadness, grief
                                                                                                                              organisations. Visit
                                                                                 and loss and these in part, can be due to
                                                                                 various factors such as illness or chronic
                                                                                 disease, frailty or loss of independence,    Open Arms – mental health support for
                                                                                 financial stress, increasing isolation or    veterans, ADF personnel and their family
                                                                                 loneliness, or death of a life partner. A    members. Call 1800 011 046 or visit
                                                                                 significant change in living arrangements
                                                                                 such as transitioning into residential
                                                                                 aged care can be a trigger too. Over the     Beyond Blue – for people feeling
                                                                                 past 12 months, the COVID-19 pandemic        depressed or anxious. Call 1300 22 4636
                                                                                 and the associated fears and restrictions    or visit
                                                                                 has also had an impact on mental health.     Lifeline – for anyone having a personal
                                                                                 Good mental health is often associated       crisis. Call 13 11 14 or visit
                                                                                 with healthy ageing, and will help you
                                                                                 feel more confident and have better self-
                                                                                                                                Common causes of mental
                                                                                   Looking after your mental                    health issues in older people
                                                                                 health is important to help you                 x   Illness
                                                                                  get the most out of life and                   x   Frailty and loss of independence
                                                                                                                                 x   Grief and loss
                                                                                 maintain healthy relationships                  x   Financial stress
                                                                                          with others."                          x   Changing living arrangements
                                                                                                                                 x   Increasing social isolation
                                                                                 Unfortunately, many older people
                                                                                 are hesitant to talk to someone or             Ways to improve your
                                                                                 seek professional help when they are           wellbeing
                                                                                 experiencing depression or anxiety.             x   Eating well
                                                                                 They may just shrug it off as a form of         x   Getting enough sleep
                                                                                 weakness or character flaw, rather than a       x   Exercising regularly
                                                                                 genuine health condition.                       x   Spending time with friends and family
                                                                                 Sometimes, the symptoms of depression           x   Sharing feelings with others
                                                                                                                                 x   Doing enjoyable and relaxing activities
                                                                                 or anxiety are not obvious as they often
                                                                                                                                 x   Volunteering and helping others
                                                                                 develop gradually over time. If you are
                                                                                 struggling to stay happy or find meaning
                                                                                 in life, do not suffer in silence.

                                MAY 2021                                                                             07
BLUEPRI NT - 3 BlueCross residents get COVID-19 vaccine 4 Difference between forgetfulness and dementia 6 Looking after your mental health
      An amazing 80 years                                                                          carry the flag,” she said.
                                                                                                   Guiding was more formal in
                                                                                                                                        In 1981, Joyce was presented
                                                                                                                                        the coveted Laurel Award for
                                                                                                                                                                             spirit of Guiding to others
                                                                                                                                                                             along the way.”

          in Guiding
                                                                                                                                        her outstanding service with
                                                                                                   those days, she explained. “Our                                           Joyce turns 100 in June
                                                                                                                                        the Guides, which took her
                                                                                                   meetings would commence with                                              and feels blessed to be
                                                                                                                                        by surprise. “My first reaction
                                                                                                   an inspection and we would                                                given a long life and a good
                                                                                                                                        was ‘Why me? I haven’t done
                                                                                                   lose drill patrol points if badges                                        memory. As an only child, she
    When Joyce Crawshaw joined the Girl Guides in 1932, she never                                  weren’t shining and shoes
                                                                                                                                        anything spectacular’. However, I
                                                                                                                                                                             attributes her longevity to the
  imagined this would become a lifelong involvement spanning eight                                                                      felt very honoured and received
                                                                                                   polished.”                                                                organic and healthy diet she
                                                                                                                                        the award at a special gathering
                   decades across two continents.                                                  When World War II broke out,
                                                                                                                                                                             grew up on. “My parents were
                                                                                                                                        at Frederick Street Methodist
                                                                                                                                                                             country people. My father grew
                                                                                                   Joyce was among one of the           Church, attended by many
                                                                                                                                                                             his own vegetables and kept
                                                                                                   750,000 Guides in the UK to          Guiding and personal friends.
                                                                                                                                                                             chickens so we had our own
                                                                                                   contribute to the war effort.        It was a great evening and
                                                                                                                                                                             eggs, and my mother cooked
                                                                                                   “We all played our part during       a wonderful memory which I
                                                                                                                                                                             and baked – everything was
                                                                                                   the war years. I was a Ranger        treasure.”
                                                                                                   then, helping in the forces’         Joyce said it was a privilege
                                                                                                                                                                             For her milestone birthday, Joyce
                                                                                                   canteen on the church premises,      to be part of a worldwide
                                                                                                                                                                             doesn’t want any material things.
                                                                                                   knitting scarves and gloves, and     organisation where one can
                                                                                                                                                                             “I got all the things I need. I just
                                                                                                   collecting newspapers.”              always find friends anywhere
                                                                                                                                                                             wish I can continue to maintain
                                                                                                   Joyce also took on various other     and be sure of a welcome. “I’ve
                                                                                                                                                                             my independence and do the
                                                                                                   roles throughout the years, from     gained so much from Guiding
                                                                                                                                                                             things I love.” And that includes
                                                                                                   Brownie Pack Leader to Guide         over the years and hope I’ve
                                                                                                                                                                             attending the monthly meetings
                                                                                                   Lieutenant, then Brown Owl           managed to pass on the
                                                                                                                                                                             at Acacia!
                                                                                                   following a short hiatus from
                                                                                                   the Girl Guides after she got
                                                                                                   married. Joyce was appointed
                                                                                                   as the District Commissioner for
  Joyce Crawshaw (2nd row, 5th from right) with the 6th Slough (Methodist) Guide Company           Wigston, Leicestershire, from
                                                                                                   1966 to 1972 and later, the new
                                                                                                   Division Commissioner when a
Joyce, who hailed from           Joyce’s earliest memory           uniform consisted of the
                                                                                                   County Division was formed in
Slough, a large town 30km        of her Guiding years was          blue cotton dress, long black
                                                                                                   the area. One of Joyce’s most
from west central London,        when she enrolled in the 6th      stockings and a large hat. We
                                                                                                   memorable experiences was
emigrated to Australia
in January 1994. Her
                                 Slough (Methodist) Guide
                                 Company as an 11-year-old.
                                                                   didn’t mind the cold though
                                                                   as we had a good view of the
                                                                                                   when she and a few leaders were
                                                                                                   presented to Princess Margaret
involvement with the Girl                                          proceedings,” said Joyce.
                                                                                                   when she opened the Girl
Guides continued in her              I was part of the             Joyce recalled how much she     Guides headquarters in Leicester.
adopted country where she        Guard of Honour when              enjoyed learning new skills
joined a local Trefoil Guild –                                                                     “My husband Brian had always
                                   the Duchess of York             during her earlier Guiding
                                                                                                   been very encouraging and
Acacia, the adult section for
                                 (later Her Majesty the            days, from making knots
former or current members of                                                                       supportive of all my Guiding
                                                                   and simple bandaging to
Guiding.                         Queen Mother) visited                                             activities,” said Joyce. “He
                                                                   communicating in Morse
                                                                                                   suggested that I learn to drive
Now a resident at BlueCross        Slough to open the              code and Semaphore
                                                                                                   and I eventually passed my test
Livingstone Gardens, Joyce            new Methodist                signalling. “I also enjoyed
                                                                                                   and was able to take myself to
continued attending the                                            hikes, cooking dinner over a
                                       Central Hall."                                              visit other units and attend many
monthly meetings at Acacia                                         campfire, the monthly church
                                                                                                   special occasions.”
until the COVID-19 pandemic      “I remember it was a cold         parades and eventually the
broke out in March 2020.         November day and our              honour of being chosen to
                                                                                                                                                Joyce Crawshaw dedicated most of her life to Guiding

                                            MAY 2021
BLUEPRI NT - 3 BlueCross residents get COVID-19 vaccine 4 Difference between forgetfulness and dementia 6 Looking after your mental health
Five common myths about

                                                                                                                                                                                  Around BlueCross
    private home care
 The demand for home care services is growing as more older people choose to
  live in their own home. For those who are not eligible for government-funded
care or are on a waitlist, a good alternative is to purchase home care on a fee for
service basis. This guide aims to dispel some common myths about private home
                care to help you get started on the aged care journey.
Myth #1: Private home                  Myth #3: Once you sign up,         Myth #5: Private home care
care is too expensive                  you are locked into a              is only for people who live                                                3
Private home care fees vary
                                       contract                           alone in their own home
between providers and are              Private home care is generally     Anyone can receive private
normally charged at an hourly          offered without any lock-in        home care and the eligibility
rate. If you were to add up the        contracts. Always check with the   requirements differ from one
monthly cost of permanent              provider before commencing         provider to another. Being an
residential care or assisted living,   services. At BlueCross, we do      aged care provider, BlueCross
you will find that private home        not lock you into a contract.      provides private home care to
care is a more affordable option.      You can purchase the service as    anyone aged 65 and above,
It allows people to remain in the      a one-off visit or on a regular,   whether they live alone, with
comfort of their own home for          ongoing basis. The services are    family or in an aged care
longer to receive the care and         flexible and can be accessed or    home. From personal care to
services that they need to stay        withdrawn easily, with a short     companionship and having                        5
safe and well. It always pays
to shop around and compare
                                       minimum period of notice at no
                                                                          someone to take you out on
                                                                          an excursion, shopping trip or
                                                                                                             4                                  6
what home care services are                                               event, BlueCross can provide
available and find an option that      Myth #4: You don’t get the         various home care services
is affordable to you.                  option to choose your carer        tailored to your personal needs,
                                                                          lifestyle and budget.
                                  We know how important it
Myth #2: You cannot have          is for you to have a trusted,
private home care if you          experienced and qualified carer
already receive Government-       that you can get along with on
funded services                   a personal level. While we do
You can purchase private home not have a screening process
care and use it alongside any     for clients to choose their
other Government-funded home preferred carer, we make the
care services, for example, while effort to find out your personal
you are waiting for a Home
Care Package to be available
                                  needs, preferences and what’s
                                  important to you through a
or as a top up to maximise the    face-to-face assessment. We                                                                               1   Tarralla | Bob's Delivery Service
level of service being delivered listen to what you would like in a                                                                         2   Karinya Grove | Pat's 102nd Birthday
from your Package. It can also    carer and do our best to find the                                                                         3   Sheridan Hall Caulfield | Shabbet
be used to purchase services      right carer for you. Our aim is to                                                                        4   Monterey | Art Therapy
                                                                                                                                            5   Willowmeade | St Patrick's Day
that are not provided by          ensure your transition to having
                                                                                                                                            6   Cresthaven | Les and June's 70th
Government-funded services.       services at home goes smoothly                                                                                Wedding Anniversary
                                  and comfortably.                                                                                          7   Oakleigh | Mardi Gras
                                                                                                                     10                     8   Silverwood | Bunny Fever
                                                                                                                                            9   Hansworth | Easter Fun Day
                                                                                                                                           10   Western Gardens | Lunar New Year

                                                  MAY 2021
BLUEPRI NT - 3 BlueCross residents get COVID-19 vaccine 4 Difference between forgetfulness and dementia 6 Looking after your mental health
                                       NEVER GETS OLD
                                       As one of Victoria’s largest aged care
                                       providers, we care for more than
                                       2600 residents across 32 aged care
                                       residences and over 1000 clients
                                       living in their own homes.

                                       RESIDENCE LOCATIONS
                                       Avondale Heights Mill Park            Sunshine
                                       Glenroy          Northcote
                                       Ivanhoe		        Preston

                                       Box Hill			        Kew			             Surrey Hills
                                       Camberwell         Malvern East       Templestowe
                                       Caulfield		        Mooroolbark        Toorak
                                       Croydon            Mt Waverley        Vermont South

                                       Brighton		   Mordialloc               Sandringham
                                       Chelsea      Mulgrave
                                       Cheltenham		 Oakleigh
                                       Cowes		            Kilmore

                                       HOME CARE SERVICES
                                       Government-funded and private home care services to
                                       keep you living your best you. For more details, visit


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                                                        to us as it forms part of our
For all enquiries, call 1300 133 414
                                                        commitment to continuously
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                                                        provide. To share your feedback,
                                                        please email                          
BLUEPRI NT - 3 BlueCross residents get COVID-19 vaccine 4 Difference between forgetfulness and dementia 6 Looking after your mental health BLUEPRI NT - 3 BlueCross residents get COVID-19 vaccine 4 Difference between forgetfulness and dementia 6 Looking after your mental health BLUEPRI NT - 3 BlueCross residents get COVID-19 vaccine 4 Difference between forgetfulness and dementia 6 Looking after your mental health
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