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The Limping Child: Could It Be Lyme Arthritis? Information and Planning for School Nurses
Tanya Laudenslager1, Sheila Q Hartung2
1Certified School Nurse, Orwigsburg, PA.
Insights
School nurses must recognize Lyme arthritis, a common Lyme disease symptom, in children with joint pain and limps. Early diagnosis and management are crucial in the school setting.
Area of Science:
- Pediatric infectious diseases
- Public health
Background:
- Lyme disease is the most prevalent vector-borne illness in the U.S.
- Lyme arthritis is a frequent manifestation of Lyme disease.
Purpose of the Study:
- To educate school nurses on Lyme arthritis.
- To provide guidance on managing Lyme arthritis in schools.
Main Methods:
- Literature review on Lyme disease and Lyme arthritis.
- Development of an individualized healthcare plan (IHP) template.
Main Results:
- Lyme arthritis requires consideration in children with unexplained joint pain and limps.
- School nurses play a key role in early identification and management.
Conclusions:
- School nurses need training on vector-borne diseases like Lyme disease.
- An IHP can support effective management of Lyme arthritis in schools.
Abstract:
Lyme disease is the most common vector-borne disease in the United States with Lyme arthritis becoming one of the most common symptoms of Lyme disease. It is imperative that school nurses become familiar with vector-borne disease and promptly consider Lyme arthritis to be contemplated as a differential diagnosis of a child presenting to the office with a limp and joint pain and swelling with no history of acute injury. The following article will discuss the overview, implications and management of Lyme arthritis in the school setting and includes a relevant IHP for school nurses to utilize in practice.
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