health promotion shingles immunization tonya anderson, rn, bsn pcnp student auburn university
TRANSCRIPT
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Health PromotionShingles Immunization
Tonya Anderson, RN, BSNPCNP Student
Auburn University
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Health promotion is one of the most important roles of the nurse practitioner.
The goal for each patient is that they achieve and maintain optimal health.
“Optimal Health is created by a balance of all of the components of health: physical, psychological, and spiritual.”
Examples: immunization, smoking cessation, health screenings, disease prevention classes, and weight loss and diet education.
Health Promotion
(Dunphy, 2011)
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Increase Awareness Improve Health Prevent Disease Motivate Patients to take control of their health Decrease Complications
Health Promotion Goals
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Shingles Prevention
Health Promotion Project
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Site: Thomasville Nutrition Center
Attendees: 24 Senior citizens age 60 and older.
Implementation
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The project focused on individuals age 60 years and older.
Goal: Educate the group about shingles, its complications, and prevention through vaccination.
A brochure was developed and provided for each that attended.
Design
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A 15 minute presentation Question and Answer session Survey
Delivery
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A painful skin rash that is made up of blisters which develop on one side of the body.• Fever, chills, headache, upset stomach• Symptoms last 2-4 weeks.
It is not contagious but those who have not had the chickenpox or the chickenpox vaccine can get chickenpox. This is rare.
Shingles is caused by the same virus that causes chickenpox (varicella-zoster).
Shingles (Herpes Zoster)
(CDC, 2011)
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If you have had the chickenpox then the shingles virus is dormant in the cells of the nervous system and may manifest at any time in your life.
One in three people age 60 or older will have shingles.
People who are age 85 or older have a 50% risk of having shingles.
Risks
(CDC, 2011)
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One in five will have Post Herpetic Neuralgia
Skin infections and scarring Hearing loss Visual impairment
Complications
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Licensed in 2006 CDC (2011) recommends Zostavax for
age 60 and older Reduces risk of shingles by 51% Reduced risk of post herpetic neuralgia
by 67% Cash cost is $220 Covered by Medicare D plans
Zostavax
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Redness, soreness, swelling, or itching at injection site. (1 in 3)
Headache (1 in 70)
Common Side Effects
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Those with weakened immune systems due to HIV, chemotherapy, leukemia, lymphoma, or long-term steroid use
Pregnant Those allergic to gelatin or neomycin
Who should not take Zostavax?
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20% had shingles in the past 46% did not know that shingles could have
long term effects 1 of 24 did not know about the Zostavax 21% had taken the vaccine Of the 79% that had not 57% plan to take the
vaccine 100% of the group believed that the
information was helpful
Evaluation
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References
Centers for Disease Control (2011, January). Shingles Vaccination: What you need to Know. Retrieved on November 9, 2012, form http://www.cdc,gov/vaccines/vpd-vac/shingles/vacc-need-know.htm
Dunphy, L. M., Winland-Brown, J. E., Porter, B. O. & Thomas, D. J. (2011). Primary care: The art and science of advanced practice nursing (3rd ed.). Philadelphia, PA: F. A. Davis Company.
Rutechi, G. W. (2013, October). Herpes zoster on the rise. Consultant: Peer-Reviewed Consultations in Primary Care 53(10), 751.
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Questions