Health Promotion

Health PromotionShellie Ray, RN, BSNNP StudentAuburn University

What is health?According to the World Health Organization (2011), health is defined as a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.

World Health Organization (2011). Definition of health. Retrieved November 2, 2012, from http://www.who.int/about/definition/en/print.html 20121102131642150658011

Health PromotionNurse Practitioners fulfill the role of health promotion by:ordering health screeningsprescribing preventive therapies such as immunizations promoting lifestyle changes such as weight loss and smoking cessationeducating patients on disease preventionGoals of Health PromotionIncrease health awarenessIncrease motivationBuild skills to enable a person to take control of their healthImprove their healthDisease prevention Health Promotion ProjectZostavax

ImplementationSite: Anniston Family Practice

Health Risk Assessments performed for BCBS Blue Advantage patients.

Lacking knowledge regarding the shingles immunization.DesignThe project was directed towards individuals ages 60 and older seen in clinic during one week in October.Goal: educate patients regarding the shingles vaccine so that they may make an educated decision regarding decision to receive vaccineBrochure developed and given to each individual with the following information regarding the shingles virus.7Shingles (Herpes Zoster)A painful, blistering skin rash caused by the varicella-zoster virus, the same virus that causes chickenpox

You are at riskIf you had chickenpox, the virus becomes dormant in the cells of the nervous system and may not cause problems for many years.

Zostavax The Advisory Committee on Immunization Practices of the Centers for Disease Control (2011) recommends Zostavax for people 60 years and older to help prevent shingles.

Centers for Disease Control (2011, January). Shingles Vaccination: What You Need to Know. Retrieved November 2, 2012, from http://http://www.cdc.gov/vaccines/vpd-vac/shingles/vacc-need-know.htm 201211021309221273604632

Complications of Shingles1 in 4 people will experience 1 or more complications of shingles:post herpetic neuralgiascarringbacterial super infectionpneumoniacranial and motor neuron palsiesvisual impairmenthearing loss

Johnson, R. W., Bouhassira, D., & Kassianos, G. (2010). The impact of herpes zoster and post-herpetic neuralgia on quality-of-life. BMC Medicine, 8(37). 201211090828241701796770

Common Side Effects of ZostavaxRedness, soreness, swelling or itching at the injection siteJoint painMuscle painFeverNauseaHeadacheSome individuals may develop a chickenpox like rash around the injection site.Who should not get Zostavax?Allergic to gelatinAllergic to neomycinWeakened immune system due to disease or medicationsPregnant or planning to get pregnantTalk to your healthcare provider if you plan to get the Zostavax at the same time as the pneumonia vaccine. It is recommended to get these vaccines at least 4 weeks apart.

Zostavax and the flu vaccine may be given at the same time.

Talk to your healthcare provider about the Zostavax today.Get Vaccinated!!

DeliveryThe teaching method was designed after Nola Penders Health Promotion Model.Three components to this model: individual characteristics and experiences: previous experience with vaccinesbehavior-specific cognitions and affect: perceptions of +/- effects of vaccinebehavioral outcomes: desired outcome of vaccinePender, N. J., Murdaugh, C. L., & Parsons, M. A. (2011). Health Promotion in Nursing Practice (6th ed.). Boston, MA: Pearson. 20121102123400504448294

Evaluation Survey1. Was the material presented in a format that you could understand?2. Was the education provided sufficient to answer questions regarding shingles?3. In your opinion, has the instructor provided you with information to help you decide on whether or not you will receive the shingles vaccine?4. Were the training aids (brochure) helpful?5. What are some other health topics you would be interested in learning more about?

Result15 patients educated12 received vaccine

ReferencesCenters for Disease Control (2011, January). Shingles Vaccination: What You Need to Know. Retrieved November 2, 2012, from http://http://www.cdc.gov/vaccines/vpd-vac/shingles/vacc-need-know.htm 201211021309221273604632

Johnson, R. W., Bouhassira, D., & Kassianos, G. (2010). The impact of herpes zoster and post-herpetic neuralgia on quality-of-life. BMC Medicine, 8(37). 201211090828241701796770

Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2011). Health Promotion in Nursing Practice (6th ed.). Boston, MA: Pearson. 20121102123400504448294

World Health Organization (2011). Definition of health. Retrieved November 2, 2012, from http://www.who.int/about/definition/en/print.html 20121102131642150658011