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Adult Immunizations Smoking Cessation

Adult Immunizations Smoking Cessation

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Adult Immunizations Smoking Cessation

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  1. Adult ImmunizationsSmoking Cessation Susan M Ahlness APRN, BC Nurse Practitioner Sleep y Eye Medical Center Women’s Expo – September 28.2013

  2. Adult Immunizations

  3. 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)

  4. 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

  5. Should I get Tdap or Td? • Pregnant women are revaccinated with Tdapduring 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

  6. 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

  7. Zostavax (Shingles) • Helpful hint: check with your insurance/Medicare before getting the vaccination, as there sometimes are payment or reimbursement issues

  8. 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

  9. 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

  10. 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

  11. Influenza (Flu) • Flu Clinics at SEMC • Monday, September 30 • Thursday, October 3 • Friday, October 4 • Tuesday, October 8 • Make an appointment with the receptionist

  12. 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

  13. 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

  14. “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

  15. Smoking Cessation

  16. 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

  17. Becoming a non-smoker • Motivation – the smoker must want to quit • Health • Family’s health • Personal appearance, odor • Financial • $7.50 per pack x 365 days = $2737.50 per year • x 10 years = $27,375 • x 40 years = $109,500

  18. 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!

  19. 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

  20. Freedom From Smoking • Classes available at SEMC • Check with us for dates and times • Three certified instructors • Rachel Severson • Sandy Domeier • Sue Ahlness • Available to set up classes at your worksite – just ask!