What tissues can be attacked by your immune system?

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Using the internet, conduct a search of autoimmune disorders. How many disorders can you find? What tissues can be attacked by your immune system? Select one autoimmune disease to summarize. What are the common signs and symptoms exhibited in a patient with this disease?
Your response should be at least one page in length. Include at least one reference to support your work in APA format. You are required to use at least your textbook as source material for your response. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.
Please follow instructions carefully!!!!!!!!!!!!!

.What clinical manifestations are present in Ms. G?

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Ms. G., a 23-year-old diabetic, is admitted to the hospital with a cellulitis of her left lower leg. She has been applying heating pads to the leg for the last 48 hours, but the leg has become more painful and she has developed chilling.
Subjective Data
•Complains of pain and heaviness in her leg.
•States she cannot bear weight on her leg and has been in bed for 3 days.
•Lives alone and has not had anyone to help her with meals.
Objective Data
•Round, yellow-red, 2 cm diameter, 1 cm deep, open wound above medial malleolus with moderate amount of thick yellow drainage
•Left leg red from knee to ankle
•Calf measurement on left 3 in > than right
•Temperature: 38.9 degrees C
•Height: 160 cm; Weight: 83.7 kg
Laboratory Results
•WBC 18.3 x 10¹² / L; 80% neutrophils, 12% bands
•Wound culture: Staphylococcus aureus
Critical Thinking Questions
1.What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.
2.Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”
3.What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.
4.What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

Certification Plan

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Begin to develop a plan to pass the Certification Exam.:
(1). Write an Explaination of Why you selected AANPC Certification Exam
My exam is  (AANPC Certification Exam).
(2). Compare your home state’s laws in regards to Advanced Practice Nursing
Practice to an alternate state with a less or more restrictive practice environment.
(3). Consider the differences in certification exams options for your specialty (FNP)
(4). Reflect on how to approach relocating licensure from one state to another
Write a 3-page paper which summarizes the following:
(5). Identify the certification exam you selected and explain why
(6). Outline your plan for passing the appropriate National Certification Exam
(7).  Describe the NP Practice environment for your home state OF (TEXAS) highlighting restrictions or limitations for practice
PLEASE FOLLOW THE ABOVE 7 HEADINGS ACCORDINGLY

Essay

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In each case, answer the questions at the end of the case and give researched references to support your assertions; also, explain what would be the ethical course of action and the legal requirements for action in the case.

 

Case One

 

Mrs. Lewis was head nurse on a medical surgical floor in a community hospital with 250 beds. Over the course of 6 months, she noticed that all patients admitted from the Shady Rest Nursing Home had signs of severe injuries other than those connected with the admitting diagnosis. There appeared to be patient abuse in the nursing home. Mrs. Lewis investigated discreetly and found no explanation possible except abuse. In accord with the obligations of the law in her state, she reported the matter to the Department of Welfare Bureau of Inspection.

 

The Welfare Department investigated immediately, found proof of abuse, and threatened to close down Shady Rest if there were any more recurrences. Mrs. Lewis was overjoyed until her hospital administrator, bypassing the director of nursing, called her in and warned her that she would be fired if she reported any other instances of abuse. Shady Rest sent the hospital a lot of business, and good relations had to be maintained.

 

Mrs. Lewis was even more shocked when she discovered that the administrator was a golf partner of the owner of Shady Rest and was doing an old buddy a favor. Despite fears of retaliation, Mrs. Lewis consulted a lawyer, who threatened the hospital with exposure and with penalties that would follow if one of its employees failed to follow the reporting provisions of the law on abuse in nursing homes.

 

Did Mrs. Lewis act correctly? What should she have done if she could not have afforded to consult with a lawyer? In what ways can whistle-blowers protect themselves? Must the art of intimidation be part of the toolbox of healthcare professionals in order to protect their patients? Is power an appropriate consideration in healthcare ethics?

 

Case Two

 

On a July weekend, Mrs. Allesfertig, nursing supervisor of the whole hospital, discovered that the intensive care unit was seriously understaffed. She pulled two nurses with previous ICU experience off other floors to bring the unit up to strength in view of the extreme level of acute care needed. On the following Monday, Dr. Bestknabe, who has overall responsibility for the ICU unit, closed the unit for further admissions until the staffing had been worked out on a permanent basis.

Should the new staffing policy give the nurses authority to refuse to admit patients when the staff is not sufficient to handle them? (In some hospitals, nurses have this authority.) Can any policy take precedence over the professional judgment of trained ICU nurses?