Susan M Ahlness APRN, BC Nurse Practitioner Sleep y Eye Medical Center Women’s Expo – September...
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Transcript of Susan M Ahlness APRN, BC Nurse Practitioner Sleep y Eye Medical Center Women’s Expo – September...
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Adult ImmunizationsSmoking Cessation
Susan M Ahlness APRN, BCNurse Practitioner
Sleep y Eye Medical CenterWomen’s Expo – September 28.2013
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Adult Immunizations
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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)
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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
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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
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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
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Zostavax (Shingles)Helpful hint: check with your
insurance/Medicare before getting the vaccination, as there sometimes are payment or reimbursement issues
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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
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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
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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
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Influenza (Flu)Flu Clinics at SEMC
Monday, September 30Thursday, October 3Friday, October 4Tuesday, October 8
Make an appointment with the receptionist
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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
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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
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“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
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Smoking Cessation
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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
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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
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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!
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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
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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!