Adult ImmunizationsSmoking Cessation

Susan M Ahlness APRN, BCNurse Practitioner

Sleep y Eye Medical CenterWomen’s Expo – September 28.2013

Adult Immunizations

Childhood ImmunizationsBirth to age 2

22 vaccinations (Dtap, Hib, Pneumo, HepB, HepA, IPV, MMR, Varicella)

3 oral doses (Rotavirus)

Kindergarten4 vaccinations (Dtap, IPV, MMR, Varicella)

7th grade1 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 60About 50% effective in preventing an episode

of shingles (herpes zoster) infectionShingles 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 childhoodMay 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 yearRecommended for all over 6 months of ageEach 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, coughThe “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 30Thursday, October 3Friday, October 4Tuesday, 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 immunizationAgeOther medical conditionsAvailabilityCheck at your clinic to see what is right for you

Other VaccinationsMMR (measles, mumps and rubella)

Varicella (chicken pox)HPV (human papilloma virus)

MeningitisHepatitis AHepatitis 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

Smoking Cessation

Becoming a non-smokerNicotine 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 patternsTo 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-smokerMotivation – the smoker must want to quit

Health Family’s healthPersonal appearance, odorFinancial

$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 GumNicotine LozengesNicotine PatchesNicotine inhaler Pills – Chantix

Check with your insurance policy for assistance – many of these items can be FREE!

Smoking Cessation ClassesFreedom From Smoking is a seven week

program endorsed by the American Lung Association

Group and individual learningRecognition of behavior patternsGoal settingCoaching, support and reward system

Freedom From SmokingClasses available at SEMC

Check with us for dates and timesThree certified instructors

Rachel Severson Sandy Domeier Sue Ahlness

Available to set up classes at your worksite – just ask!