1. Health Promotion Shellie Ray, RN, BSN NP Student Auburn University

2. What is health? According to the World Health Organization (2011), health is defined as “a state of complete physical, mental, and social well- being and not merely the absence of disease or infirmity.” World Health Organization (2011). Definition of health. Retrieved November 2, 2012, from http://www.who.int/about/definition/en/print.html 20121102131642150658011

3. Health Promotion Nurse Practitioners fulfill the role of health promotion by: ordering health screenings prescribing preventive therapies such as immunizations promoting lifestyle changes such as weight loss and smoking cessation educating patients on disease prevention

4. Goals of Health Promotion Increase health awareness Increase motivation Build skills to enable a person to take control of their health Improve their health Disease prevention

5. Health Promotion Project Zostavax

6. Implementation Site: Anniston Family Practice Health Risk Assessments performed for BCBS Blue Advantage patients. Lacking knowledge regarding the shingles immunization.

7. Design The project was directed towards individuals ages 60 and older seen in clinic during one week in October. Goal: educate patients regarding the shingles vaccine so that they may make an educated decision regarding decision to receive vaccine Brochure developed and given to each individual with the following information regarding the shingles virus.

8. Shingles (Herpes Zoster) A painful, blistering skin rash caused by the varicella-zoster virus, the same virus that causes chickenpox

9. You are at risk If you had chickenpox, the virus becomes dormant in the cells of the nervous system and may not cause problems for many years.

10. Zostavax The Advisory Committee on Immunization Practices of the Centers for Disease Control (2011) recommends Zostavax for people 60 years and older to help prevent shingles. Centers for Disease Control (2011, January). Shingles Vaccination: What You Need to Know. Retrieved November 2, 2012, from http://http://www.cdc.gov/vaccines/vpd-vac/shingles/vacc- need-know.htm 201211021309221273604632

11. Complications of Shingles 1 in 4 people will experience 1 or more complications of shingles: post herpetic neuralgia scarring bacterial super infection pneumonia cranial and motor neuron palsies visual impairment hearing loss Johnson, R. W., Bouhassira, D., & Kassianos, G. (2010). The impact of herpes zoster and post-herpetic neuralgia on quality-of-life. BMC Medicine, 8(37). 201211090828241701796770

12. Common Side Effects of Zostavax Redness, soreness, swelling or itching at the injection site Joint pain Muscle pain Fever Nausea Headache Some individuals may develop a chickenpox like rash around the injection site.

13. Who should not get Zostavax? Allergic to gelatin Allergic to neomycin Weakened immune system due to disease or medications Pregnant or planning to get pregnant

14. Talk to your healthcare provider if you plan to get the Zostavax at the same time as the pneumonia vaccine. It is recommended to get these vaccines at least 4 weeks apart. Zostavax and the flu vaccine may be given at the same time.

15. Talk to your healthcare provider about the Zostavax today.

16. Get Vaccinated!!

17. Delivery The teaching method was designed after Nola Pender’s Health Promotion Model. Three components to this model: 1.individual characteristics and experiences: previous experience with vaccines 2.behavior-specific cognitions and affect: perceptions of +/- effects of vaccine 3.behavioral outcomes: desired outcome of vaccine Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2011). Health Promotion in Nursing Practice (6th ed.). Boston, MA: Pearson. 20121102123400504448294

18. Evaluation Survey 1. Was the material presented in a format that you could understand? 2. Was the education provided sufficient to answer questions regarding shingles? 3. In your opinion, has the instructor provided you with information to help you decide on whether or not you will receive the shingles vaccine? 4. Were the training aids (brochure) helpful? 5. What are some other health topics you would be interested in learning more about?

19. Result 15 patients educated 12 received vaccine

20. References Centers for Disease Control (2011, January). Shingles Vaccination: What You Need to Know. Retrieved November 2, 2012, from http://http://www.cdc.gov/vaccines/vpd-vac/shingles/vacc-need-know.htm 201211021309221273604632 Johnson, R. W., Bouhassira, D., & Kassianos, G. (2010). The impact of herpes zoster and post-herpetic neuralgia on quality-of-life. BMC Medicine, 8(37). 201211090828241701796770 Pender, N. J., Murdaugh, C. L., & Parsons, M. A. (2011). Health Promotion in Nursing Practice (6th ed.). Boston, MA: Pearson. 20121102123400504448294 World Health Organization (2011). Definition of health. Retrieved November 2, 2012, from http://www.who.int/about/definition/en/print.html 20121102131642150658011