Shingles in Older Adults

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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)

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