Health PromotionShingles Immunization

Tonya Anderson, RN, BSNPCNP Student

Auburn University

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)

Increase Awareness Improve Health Prevent Disease Motivate Patients to take control of their health Decrease Complications

Health Promotion Goals

Shingles Prevention

Health Promotion Project

Site: Thomasville Nutrition Center

Attendees: 24 Senior citizens age 60 and older.

Implementation

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

A 15 minute presentation Question and Answer session Survey

Delivery

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)

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)

One in five will have Post Herpetic Neuralgia

Skin infections and scarring Hearing loss Visual impairment

Complications

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

Redness, soreness, swelling, or itching at injection site. (1 in 3)

Headache (1 in 70)

Common Side Effects

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?

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

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.

Questions