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 treatmen 

CO 7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (PO 2 and 3)

The Assignment

Review Appendix A, Sections I–V in Finkelman (2016).

1. Select one of the sections and share how your chief nurse executive demonstrates expertise in these competencies.  Your comments should be about the “highest nursing leader” in your organization. Typically this is the leader who represents nurses and nursing to the governing board.
2. In your own words, explain the differences between a transactional nursing leader and a transformational nursing leader. What one is more like your Nurse Executive?
3. Describe how the Nurse Executive “leads the charge” for transformational leadership in an organization where you work or have done prelicensure clinical experiences.
4. Take us on a journey where you complete a story about your nurse executive or leader and the change that either has occurred or is necessary.

Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section. 

This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion. 

Please see the Writing Center located in the student portal for assistance with writing, APA, and online communication. 

Topic: Legal issues of an Advanced Practice Nurse in the Workplace 

Choose one topic from the following list and evaluate how the chosen topic impacts your role as an advanced practice nurse. What are the legal implications related to your role? Analyze how understanding of the chosen topic will impact your future role as an advanced practice nurse. 

Choose one:

• Employer and employee rights
• American with Disabilities Act
• Employment contracts and unionization
• Corporate liability
• Sexual harassment in the workplace
• Employees with AIDS/HIV and exposure to bloodborne pathogens
• Environmental health and safety
• 3 references needed APA style

original question:

Discussion Question

There are many types of elder abuse. Choose two types and discuss challenges you perceive in abolishing them. Justify why you consider them as the most crucial. Discuss how you can advocate and protect the elderly from abuse.

answer:

Introduction

Elderly abuse is referred to as the deliberate, repeated act or lack thereof by a caregiver in a relationship where there is an expectation of trust. The problem has become increasingly rampant, and it is related with higher numbers of people being admitted in hospital. In their study of elder abuse, Wang et al. (2015) affirm that up to 10% of elderly adults report undergoing some form of abuse.

            Elderly abuse manifests itself in different ways. There is neglect, which infers to failing or refusing to provide an older adult with the necessary care needed for sustenance. It can be in the form of refusing to provide food, clothing, medication, or hygiene. In addition, there is physical abuse in which bodily harm is inflicted upon the elderly. Based on the assessment of  Pillemer et al. (2016), physical abuse is the most common type of mistreatment.

 Specific societal issues form barriers to abolishing elderly abuse, thereby making abuse against the elderly prevail without intervention. The devaluation and lack of respect for the elderly is a good factor that has been erased for proper upbringing. Furthermore, shame and embarrassment often cause elderly victims of abuse to stay silent about their travails. Liu et al. (2017) affirm that physical abuse causes mental anguish to the elderly who in turn, stay quiet about the problem. Neglect and physical abuse are the most basic forms of elderly abuse, which require urgent attention. According to Yon et al. (2018) the prevalence of elderly abuse is most prevalent in institutions with physical abuse, neglect, and psychological forms of abuse taking the forefront.

 Elderly abuse arises from situations where stress becomes too much for caregivers. In this case, they should be accorded significant relief from the task through regular leaves or breaks. Furthermore, counseling should be carried out to address the stress that caregivers are exposed to. When the work becomes overwhelming, the caregivers should be listened and counseled to prevent pent up issues from being taken out on the elderly.

professor  question:

 Please talk more about physical and neglect.