Assignment: NSG202 Pediatric Assignment – Lyme Disease
NSG202 Pediatric Assignment – Lyme Disease
NRSG 202 PEDIATRICS
ASSIGNMENT: LYME DISEASE
a. It’s the most common tick-borne disorder in the United States. Its caused by the spirochete (a type of bacteria), Borrelia burgdorferi entering the skin and loodstream through the saliva and feces of ticks, especially the deer tick.
Lyme Disease occurs most commonly in children 5 years old and adults 55
through 59 years old.
2. Clinical manifestations
a. Stage one: Early localized disease consisting of the tick bite at the time of inoculation, followed in 3 to 30 days by the development of erythema migrans at the site of the bite. In the beginning the lesion is a small erythematous papule that enlarges radially up to 30 cm (12 inches) over a period of days to weeks. Resulting in a large circumferential ring with raised, edematous doughnut- like border, thus looking like a bull’s eye. Common sites are the thigh, the groin and the axilla. The lesion usually feels warm to
the touch and may be described as “burning”. In some cases, it may be pruritic (itchy). The single ring- shaped rash may be associated with fever, myalgia, headache or malaise.
b. Stage two: Early disseminated disease, occurs 3 to 10 weeks after inoculation. Many patients develop multiple smaller, secondary annular lesions without the indurated center. These may appear anywhere, except for the palms of hands and soles of feet. In an untreated patient, these will disappear in 3 to 4 weeks. Often observed are the following constitutional symptoms: fever, headache, malaise, fatigue, anorexia, stiff neck, generalized lymphadenopathy, splenomegaly, conjunctivitis, sore throat, abdominal pain, and cough. A centered neurological finding of cranial nerve palsy (seventh nerve palsy) occurs in 3-5% of cases. In this stage, lymphocytic meningitis
may also develop, however the symptoms are said to be less acute than viral
meningitis. Other manifestations may include ophthalmic conditions such as
optic neuritis, uveitis, conjunctivitis and keratitis.
c. Stage three: This is the most serious stage of Lyme Disease, having systemic involvement of neurological, cardiac, and musculoskeletal systems that appears 2 to 12 months after inoculation. Lyme arthritis is the most common manifestation in this stage, with pain, swelling and effusion. In children, the arthritis is characterized by intermittently painful swollen joints (mainly in the child’s knees), with spontaneous remissions and exacerbations. A few rare neurological characteristics of Lyme Disease in pediatrics may include chronic demyelinating encephalitis, polyneuritis and possible problems with memory. Cardiac complications, which may occur in a small percentage of patients 4 to 5 weeks after arythema chronicum migrans, are commonly carditis and acute atrioventricular condition abnormalities that could possible result in a severe heart blockage. Although patients may be asymptotic, they may develop syncope, palpations, dyspnea, chest pain, and severe bradycardia.
NSG202 Pediatric Assignment – Lyme Diseasev
3. Diagnostic evaluation
a. Based primarily on history, observation of the lesion, and clinical manifestations. Serologic testing for Lyme disease at the time of the recognized tick bite is not recommended because antibiotic are not detectable in most people. Lab diagnosis can be established in later stages with a 2-step approach which includes the screening test enzyme immunoassay or immunofluorescent immunoassay.
4. Therapeutic management
a. When the rash appears or not too long after, children over the age of 8 are
treated with oral doxycycline. Children under the age of 8 are given
amoxicillin or cefuroxime. If patients are allergic to penicillin, …
5. Nursing care management
a. The main emphasis of nursing care should be focused on teaching the
parents to protect their children from exposure to ticks. Children should
avoid any places that may be tick infested. …
NSG202 Pediatric Assignment – Lyme Disease.
Important information for writing discussion questions and participation
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to.
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Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!