Transcript Adult Immunizations - Sleepy Eye Medical Center

Susan M Ahlness APRN, BC
Nurse Practitioner
Sleep y Eye Medical Center
Women’s Expo – September 28.2013
Childhood Immunizations
 Birth to age 2
 22 vaccinations (Dtap, Hib, Pneumo, HepB, HepA, IPV, MMR, Varicella)
 3 oral doses (Rotavirus)
 Kindergarten
 4 vaccinations (Dtap, IPV, MMR, Varicella)
 7th grade
 1 or more vaccinations (Dtap)
(Does not include annual flu vaccinations)
Tetanus, Diptheria and
Pertussis (Tdap)
Tetanus (Td)
 Given as a childhood series, then a booster is required
every 10 years
 May give booster early if there is a serious injury or risk
of infection
Should I get Tdap or Td?
 Pregnant women are revaccinated with Tdap during
pregnancy to prevent transmission of pertussis
(whooping cough) to infants
 Grandparents, daycare workers, etc. should consider a
booster with Tdap if caring for infants
 A small percentage of people have a serious reaction to
pertussis vaccine and require Td
Zostavax (Shingles)
 One dose suggested after age 60
 About 50% effective in preventing an episode of
shingles (herpes zoster) infection
 Shingles is caused by a reactivation of the chicken pox
virus that is dormant in your body
 Can cause painful, irritating rash almost anywhere on
the body.
 Sometimes the rash causes long-term, severe pain
Zostavax (Shingles)
 Helpful hint: check with your insurance/Medicare
before getting the vaccination, as there sometimes are
payment or reimbursement issues
Pneumococcal (Pneumonia)
 Primary series given in childhood
 May be repeated in early adulthood with certain risk
factors such as lung disease, diabetes, immune
disorders
 A one-time vaccination, is suggested after age 65
Influenza (Flu)
 Seasonally given in fall of each year
 Recommended for all over 6 months of age
 Each year the flu vaccine is different – it is made up of
three of four of the flu strains expected to be most
prevalent – you need to be revaccinated every year
Influenza (Flu)
 Influenza/Flu is an upper respiratory illness
 Headache, fever, body aches, cough
 The “stomach flu” is not prevented by a flu shot – they
are two different illnesses!
 You cannot get Influenza from the vaccination
Influenza (Flu)
 Flu Clinics at SEMC
 Monday, September 30
 Thursday, October 3
 Friday, October 4
 Tuesday, October 8
 Make an appointment with the receptionist
Influenza (Flu)
 Several ways to get protection
 Injectable (in a muscle)
 Injectable (intradermal/top layer of skin)
 Inhaled (nasal)
 There a special requirements for each type of
immunization
 Age
 Other medical conditions
 Availability
 Check at your clinic to see what is right for you
Other Vaccinations
MMR (measles, mumps and rubella)
Varicella (chicken pox)
HPV (human papilloma virus)
Meningitis
Hepatitis A
Hepatitis B
 Consider updating these vaccines, depending on
where you live, where you work, where you are
travelling, your age, your health and other factors
“When did I get my last tetanus
shot?”
 MIIC – Minnesota Immunization Information
Connection – statewide database accessible by
providers to check immunization status from any
clinic in MN
Becoming a non-smoker
 Nicotine is highly addictive
 Nicotine affects the brain within 10 seconds of inhaling –
faster than any other psychoactive drug
 For smokers, it is pleasurable and is a very important
part of their lives
 Recognize habits, behavior patterns
 To become a non-smoker, need to develop new habits
and behaviors that take priority over smoking
 Reinforcement and support during tough times is very
important
Becoming a non-smoker
 Motivation – the smoker must want to quit
 Health
 Family’s health
 Personal appearance, odor
 Financial
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$7.50 per pack x 365 days = $2737.50 per year
x 10 years = $27,375
x 40 years = $109,500
Becoming a non-smoker
 Pharmaceutical aids
 Nicotine Gum
 Nicotine Lozenges
 Nicotine Patches
 Nicotine inhaler
 Pills – Chantix
 Check with your insurance policy for assistance – many
of these items can be FREE!
Smoking Cessation Classes
 Freedom From Smoking is a seven week program
endorsed by the American Lung Association
 Group and individual learning
 Recognition of behavior patterns
 Goal setting
 Coaching, support and reward system
Freedom From Smoking
 Classes available at SEMC
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Check with us for dates and times
 Three certified instructors
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Rachel Severson
Sandy Domeier
Sue Ahlness
 Available to set up classes at your worksite – just ask!