Shingles in Older Adults Kim Walton, RN Olivet Nazarene University GNS 312 Strategies for Student Success BSN 190 NRSG 102 Cathi Schlosser December 14, 2013 Certification of Authorship: I certify that I am the author of this paper and that any assistance I received in its preparation is fully acknowledged and disclosed in the paper. I have also cited any sources from which I used data, ideas, or words, either quoted directly or paraphrased. I also certify that this paper was prepared by me specifically for the purpose of this assignment. Your Signature: Kim Walton, RN________________________________ You are a nurse working in a physician’s office. You are rooming a 75-year-old woman that arrives today …show more content…
5). Finally, there is a vaccine that has been shown to reduce the number of cases of shingles in patients over the age of 60 known as Zostavax. This is a one-time vaccine used to actually prevent the disease. It is given subcutaneously in a patient’s arm. It is important to educate the patient that even though it is a proven immunization for fighting shingles, Medicare Part B (the patient’s medical coverage) does not cover the vaccine. The patient may have Part D coverage (prescription coverage) that will cover the vaccine, however, it must be given at a pharmacy, not a physician’s office or clinic setting. This is confusing for the patient, causing some of them to forego the vaccine altogether. Some patients believe that once they have had the shingles they do not need to get the vaccine. However, this is untrue. As this is a virus that stays within the body even after an outbreak, the best way of preventing further outbreaks is with the immunization. If a patient presents with active skin lesions, the vaccine literature advises waiting until resolution of these lesions prior to receiving the vaccine. As our children have an immunization schedule, it is now becoming practice that our aging adults also have an immunization schedule. This schedule now includes pneumovax (pneumonia vaccine), influenza vaccine, TDaP (tetanus, diphtheria and pertussis)
There are different kind of people who have the most vulnerable to shingles disease. The first kind of people who can get the Shingles are people that got chickenpox disease. For example children that got chickenpox maybe they get also shingles when they get older. The second kind is the people who direct connect with the rash because the virus cannot be transmitted to the people by the air. However, Herpes zoster is very common, especially in older people such as people between 50 to 60 years old.
There is also a vaccine recommended to anyone 50 and older to help prevent the outbreak of shingles.
The person that has the shingles has the virus infection and if the blister have not begun to heal and fluid inside leaks or drain and they come in contact with someone who has never had the chicken pox you will then pass the virus varicella zoster that causes chickenpox. If you have had chickenpox you will never have to worry about catching the chickenpox but you are now acceptable to get shingles later in life. As you get older you will want to prevent yourself from getting shingles so you can go to your physician ask to get the vaccine that helps to prevent the shingles from becoming active. Patients that are 55 and over needs to get the vaccine Azzurx this vaccine treatment this is an antiviral medicine that will stop you from acquiring shingles and also treat simplex herpes virus. Without the vaccine you may have reoccurrence of shingles and it can even be more painful than the first episode. So when u reach a certain age you should consider getting the vaccination cause it is recommended if you get it you will reduces the chances of getting shingles and will be less painful and heal faster. The physician will administer this vaccine shot in the arm it may cause pain, soreness and swelling afterwards. It is recommended that if you are around the age 60 or after have been infected with shingles you should
This article addresses Shingles also known as herpes zoster which originates from the virus that also causes chicken pox. The burden of this disease is that it causes severe pain and rash with a blistering. According to this article there is an increased risk of a stroke or heart attack within the first week of your diagnosis.
Prior to reading the article I had an idea of what shingles was, and heard some information regarding the epidemic of shingles, but never knew exactly what it was. While reading the article I discovered that shingles is a viral infection caused by the reactivation of the varicella zoster virus, which is actually the same virus that produces chickenpox that produces a painful skin rash within the host. Since shingles is a part of the herpes family it usually appears as a strip of blisters anywhere on the body.
Nearly 1 out of every 3 people will develop shingles in their lifetime. It is estimated that one million or more shingles cases occur each year in the United States. Shingles, also known as zoster or herpes zoster, is a viral infection that causes pain, burning, or a tingling sensation, along with an itch and blisters that usually form on one side of the body (figure 1).
Shingles is a rash caused by the varicella zoster virus, which is a type of herpes virus. Viruses are not alive, which is the main reason it is difficult to treat viruses. They reproduce by infecting host cell with their genetic material; the host cell uses virus’s genetic material to make new viruses and then the host cell release the newly produced virus to its outer environment.
Ferguson --- based on the Center for Disease Control and Prevention website --- the vaccines are meant to prevent any occurrence of the shingles, so it may be unlikely for any shingles to appear during 5 years of its effectiveness. They had also mentioned how one is still able to receive the vaccine even after having shingles, but it’s suggested to ask ones healthcare provider first. As for why vaccines are approved for adults over 50 ---- based on U.S. Food & Drugs question and answer, they mention how they conduct a study on people ageing from 50 and older and see what effectiveness of both zostavax and placebo have on shingles. Research shows that the vaccine inside the people ages 50-69 were more effective than those aging form 70 -80.
This paper will be surrounding the relationship between varicella and herpes zoster and the clinical impact or the disaster in the older population. Herpes zoster infection in seasoned adults, usually called shingles, relate to a plenitude of indications. Indications such as rashes, nerve damage, pain, and long haul difficulties. Shingles is a response from chickenpox normally throughout the youth years, and can happen at any age. Having shingles can result in negatively impact the day-to-day functions and the quality of life for the patient. I will be explaining the affects, symptoms, treatments, and outcomes
Shingles is a viral infection, caused by the Varicella-Zoster virus. This is the same virus that affects you when you have chicken pox. Varicella-Zoster is not the same virus that causes cold sores or genital herpes, this would be the HSV1, or HSV2 (herpes simplex virus.) HSV1 is associated with cold sores, HSV2 is associated with genital herpes. However, once you have had chicken pox, the virus lays dormant, so later in life the virus can become active. Activated later in life the virus becomes shingles. This virus lays dormant in the nerve tissue close to the brain and spinal cord. Once the virus is activated, it is a very painful virus, that takes weeks or months for the virus to run it’s course.
The shingles vaccine has been available in the United States since 2006 and is an effective method in preventing individuals, especially those aged 60 years or older, from developing a herpes zoster infection1. However, even though immunization is a relatively easy prevention method, many older adults are not receiving the shingles vaccine. Though some individuals may choose to not be vaccinated for personal or religious reasons, other barriers do exist. Limited physician education of the national recommendations and vaccine effectiveness has resulted in less than 25% of eligible older adults receiving the herpes zoster vaccine as of 20152. Lack of proper storage capabilities has also limited many clinics from carrying the vaccine. The shingles vaccine must be stored frozen and administered within thirty minutes, which is not always feasible for primary care or community-based clinics3. Luckily, public health professionals have been focusing on shingles vaccination among older adults and some interventions have emerged with the goal to increase its uptake.
There are many strategies to control the widespread of shingles. Anyone who is not affected with the shingles virus should stay away from people who have chicken pox if you have never gotten chickenpox before. There are vaccines to prevent anyone from getting chickenpox. This is the best idea for the young and for the elderly who has never had chickenpox. This will help to reduce the risk of catching shingles if you are around someone who has
The scholarly journal article, “Shingles vaccination: background and advice for community nurses” written by Edward Pursell, senior lecturer at King’s College London is aimed at educating nurses about the shingles vaccine. The author accomplishes this by first explaining the pathophysiology of shingles, the rate of occurrence, then goes into the discussion of vaccinations available which are aimed at reducing the occurrence of shingles primarily in the older adult population (age 65 +). The author is from the UK, therefore some components may differ from the United States’ population but the points stated
Chickenpox can best be prevented by given the dose of varicella vaccine to children, adolescents, adults and the herpes zoster vaccine for people age 60 and above (Maurer & Smith 2013). Generally, people who get the vaccine will not get chickenpox, however, if the vaccinated person get chickenpox, the symptoms is usually mild fever or no fever, fewer red spots or blisters.
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