Lyme Disease. Case Study

A 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaints of headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’s symptoms began shortly after a camping vacation. He recalled a bug bite and rash on his thigh immediately after the trip. The following studies were ordered:

Studies Results Lyme disease test, Elevated IgM antibody titers against Borrelia burgdorferi (normal: low) Erythrocyte sedimentation rate (ESR), 30 mm/hour (normal: ≤15 mm/hour) Aspartate aminotransferase (AST), 32 units/L (normal: 8-20 units/L) Hemoglobin (Hgb), 12 g/dL (normal: 14-18 g/dL) Hematocrit (Hct), 36% (normal: 42%-52%) Rheumatoid factor (RF), Negative (normal: negative) Antinuclear antibodies (ANA), Negative (normal: negative)

Diagnostic Analysis Based on the patient’s history of camping in the woods and an insect bite and rash on the thigh, Lyme disease was suspected. Early in the course of this disease, testing for specific immunoglobulin (Ig) M antibodies against B. burgdorferi is the most helpful in diagnosing Lyme disease. An elevated ESR, increased AST levels, and mild anemia are frequently seen early in this disease. RF and ANA abnormalities are usually absent.

Critical Thinking Questions 1. What is the cardinal sign of Lyme disease? (always on the boards)

2. At what stages of Lyme disease are the IgG and IgM antibodies elevated?

3. Why was the ESR elevated?

4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment.

(in APA format, two bibliographical references less than 5 years,  please)

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Culture in nursing DQ4

Read chapter 4 of the class textbook and review the attached PowerPoint presentation.  Once done answer the following exercise;

  1.  During a diabetes education, Fatima indicates that she is Muslim and that for Ramadan she fasts from sunrise to sundown.
  2.  Using Leininger’s Sunrise Model, analyzed the dietary significance of fasting.
  3.  Discuss the possible nursing interventions to accommodate Fatima’s religious practice.  Please explain why you use the interventions.
  4. How might Fatima respond if she was told she couldn’t fast and why?

As stated in the class syllabus please present your assignment in an APA format, word document, Arial 12 font attached to the forum in the discussion tab of the blackboard title “week 4 discussion questions”.  The assignment must include at least 2 evidence-based references (excluding the class textbook) no older than 5 years.  References must be quoted in the assignment in order to comply with APA.   

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Application of statistics in health

Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:

  1. Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.
  2. Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making.

Three peer-reviewed, scholarly or professional references are required.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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DQ12

Re: Topic 1 DQ 2  Great post also in 2010 the Institute of Medicine(IOM) issued the Future  of Nursing leading  changes in Advancing Health (Institute of Medicine, 2010a)The report not  only informs and highlightes the needs for changes in nursing education  to meet the  changing face fo healthcare but also recommends  the nursing profession increase  the number of registered nurses (RNs) with bachelors degree in nursing (BSN) to 80% by the year 2020(IOM,2010a).The increase in complexity of care is one of the many reasons  driving the IOM recommendation.(NursingLicense.org,2016)with facilities believing that the associate  degree nurses are well trained to manage the day -to -day task  but healthcare today requires more than what is  taught in ADN program. Need APA RERENCE AND INTEX CITATION FOR THIS RESPONSE

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Nursing Leadership and management

Describe the characteristics of performance-driven team. Describe the difference between intrinsic and extrinsic motivation and explain why it is important in understanding the types of motivation when it comes to team performance.

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the impact of simulation on healthcare team training.

Review the 10 provided articles then write 3-4 pages to explore the impact of simulation on team training.

Categorize the findings to themes e.g. Leadership, communication, patient safety, situational awareness, mutual support, participant attitude, confidence etc…

cite information in APA 7th edition

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Select an ethnic minority group

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

  1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
  2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
  3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
  4. What health promotion activities are often practiced by this group?
  5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
  6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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nursing theory week 9

After reading chapters 19 and 20, please answer our discussion posts.

Discussion Question (Assignment worth 3 points) (Two Parts):

Part One

Reviewing the Nursing as Caring Theory, we come to understand that humans are intrinsically motivated to care for others. Based on this theory, how do you provide care for someone who is a criminal that needs care? (Example, a prisoner is brought to your unit for care, after being beaten for molesting a child).

Part Two

The transitions theory incorporates intervention and comprehension of what has taken place. How do you apply the transitions theory to your current nursing practice?

Remember APA 6th edition formatting, grammar, in text citations, and references. Refer to the grading rubric below.

Please 250 words answer the questions, this will be my first post.

and then 200 words a summary,, this summary will be the replies for my classmates.

total post : 450 words.

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Investigate Development Case: Cognitive Development in Infancy

Investigate Development: Cognitive Development in Infancy.

 

MAKE A DECISION: Is Russell at risk for developmental delay?

  1. Yes
  2. No

Why? Give reasons for why you chose the way you did. Consider the following factors in your reasons:

  • Cognitive development
  • Language development
  • Environment

Be sure to review the attached rubric for this assignment to ensure you cover all points appropriately.

Please see attachment for instructions

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Does Psychotherapy Have a Biological Basis?

Post an explanation of whether psychotherapy has a biological basis. Explain how culture, religion, and socioeconomics might influence one’s perspective of the value of psychotherapy treatments. Support your rationale with evidence-based literature.

Wheeler, K. (Eds.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company

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