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    Chn211rle Epi Group1

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    Alex Antiporda
    Ceres, a community health nurse, visited Bianca, a single mother of two children, Markus (4 years) and Zoe (9 months), after Bianca missed immunization schedules. Upon checking, Ceres found that Markus had not completed his vaccines while Zoe had received BCG, HEPA B, OPV 1, and PENTA 1 but was due for her second doses. Ceres educated Bianca on the importance of immunization, potential adverse effects and home remedies, and the immunization schedule to ensure both children receive their complete and on-time vaccinations at the Santolan Health Center every Wednesday.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Chn211rle Epi Group1

    Uploaded by

    Alex Antiporda
    1K views24 pages
    Ceres, a community health nurse, visited Bianca, a single mother of two children, Markus (4 years) and Zoe (9 months), after Bianca missed immunization schedules. Upon checking, Ceres found that Markus had not completed his vaccines while Zoe had received BCG, HEPA B, OPV 1, and PENTA 1 but was due for her second doses. Ceres educated Bianca on the importance of immunization, potential adverse effects and home remedies, and the immunization schedule to ensure both children receive their complete and on-time vaccinations at the Santolan Health Center every Wednesday.

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    Ceres, a community health nurse, visited Bianca, a single mother of two children, Markus (4 years) and Zoe (9 months), after Bianca missed immunization schedules. Upon checking, Ceres found that Markus had not completed his vaccines while Zoe had received BCG, HEPA B, OPV 1, and PENTA 1 but was due for her second doses. Ceres educated Bianca on the importance of immunization, potential adverse effects and home remedies, and the immunization schedule to ensure both children receive their complete and on-time vaccinations at the Santolan Health Center every Wednesday.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    1K views24 pages

    Chn211rle Epi Group1

    Uploaded by

    Alex Antiporda
    Ceres, a community health nurse, visited Bianca, a single mother of two children, Markus (4 years) and Zoe (9 months), after Bianca missed immunization schedules. Upon checking, Ceres found that Markus had not completed his vaccines while Zoe had received BCG, HEPA B, OPV 1, and PENTA 1 but was due for her second doses. Ceres educated Bianca on the importance of immunization, potential adverse effects and home remedies, and the immunization schedule to ensure both children receive their complete and on-time vaccinations at the Santolan Health Center every Wednesday.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 24

    National

    Immunization
    Program
    Group 1
    Aguisanda, Geneva Barrios, Maritoni
    Amurao, Lindzy Bendijo, Honney Faith
    Antiporda, Alexandra Bere, Gillianne Rhei
    Avano, Marjorie
    CASE SCENARIO

    Bianca, a 25-year-old single mother is living in Brgy. Santolan with her 4-year-old
    Toddler Markus and 9 months-old baby girl, Zoe. Ceres, a community health nurse
    at Santolan Health Center had a home visit to Bianca because she missed two
    immunization schedules of Zoe.

    Upon checking the immunization of both children, Ceres found out that Markus has
    not completed the vaccines. Name of child Birthdate Vaccines received

    Markus July 4, 2017 BCG HEPA B PENTA 1 OPV 1

    Zoe December 25, 2020 BCG HEPA B PENTA 1 OPV 1

    Santolan Health Center Immunization Schedule : Every Wednesday


    Table of Contents

    Possible adverse effects of


    01 Health Teaching Plan 04 immunization to her child

    Importance of
    02 immunization to her child 05 Home remedies after
    immunization

    Contraindication of
    03 immunization according 06 Schedule of immunization
    to DOH protocol
    Health
    Teaching
    Plan
    PURPOSE: The client will be able to
    understand the significance and benefits of
    having a complete immunization to her children.
    GOAL: After 1 hours of nursing intervention
    the client was able to have adequate knowledge
    about the significance and benefits of having a
    complete immunization for her children.
    OBJECTIVES CONTENT OUTLINE METHODS OF TIME ALLOTTED RESOURCES METHODS OF
    TEACHING EVALUATION

    COGNITIVE DEFINITION OF LECTURE 35 MINUTES 1. PowerPoint Question and


    Recognize the IMMUNIZATIONS: Presentation answer
    importance of 1. Expanded program 2. Pamphlet
    vaccination for her on immunization 3. Whiteboard and
    children • EPI vaccines Marker
    2. Benefits of
    immunization 
    3.Contraindications
    4. Scheduling of
    immunization

    AFFECTIVE IMMUNIZATION LECUTE AND 15 MINUTES 1. Video Observing


    Express their MANAGEMENT: DEMONSTRATION presentation Demonstrations
    feelings about the 1. Adverse 2. PowerPoint
    topic effects presentation
    2. Using of home
    remedies

    PSYCHOMOTOR SUMMARIZATION DISCUSSION 10 MINUTES 1. Visual aids Sharing of feedbacks


    Know how to take OF TOPIC: 2. Whiteboard and
    care of a child after 1. Feedback Marker
    immunization.
    01
    Importance of
    immunization to
    her child
    What is immunization?
    Immunization is the process whereby a person is made immune or
    resistant to an infectious disease, typically by the administration of a
    vaccine. Vaccines stimulate the body’s own immune system to protect
    the person against subsequent infections or disease.

    Why is it important?
    Immunization helps her child to become immune from diseases caused
    by bacteria or viruses. It is a simple and effective way of protecting
    children from serious diseases.
    It not only helps protect individuals but also protects the wider
    community by minimizing the spread of disease.
    02
    Contraindication
    of immunization
    according to
    DOH protocol
    Contraindication to immunization

    While vaccines benefit most individuals, there are rare situations


    where vaccination is not recommended. Contraindications and
    precautions identify situations when vaccines should not be given.

    Sometimes there are reasons why a specific vaccine should never be


    administered (also called an absolute contraindication) and there are
    times when you should delay giving the vaccine for a short period of
    time (also called temporary contraindication).
    • Reason for NEVER administering a specific vaccine:
    - an infant or person who has a history of anaphylaxis or severe
    hypersensitivity reaction during previous immunization to subsequent
    doses of a vaccine.
    - person with a known allergy to a vaccine component should
    not be vaccinated.
    • Reason for DELAYING administering a specific vaccine:
    - if a mother/parent strongly objects to immunization of a sick
    infant. Ask the mother to come back when the infant is well.
    - if a child is suffering from some chronic condition and is
    under medication. Consultation with the primary physician could
    result in postponed immunization until after the medication or
    treatment is completed.
    Additional information for containdication:
    There are a few absolute contraindications to the EPI vaccines. Do not give:
    • Pentavalent vaccine/DPT to children over years of age.
    • Pentavalent vaccine/DPT to a child with recurrent convulsions or
    another active neurological disease of the central nervous system.
    • Pentavalent vaccine 2 or 3/DPT 2 or 3 to a child who has had
    convulsions or shock within 3 days of the most recent dose.
    • Rotavirus vaccine when the child has a history of hypersensitivity to a
    previous dose of vaccine, intussusceptions or intestinal malformation, or
    acute gastroenteritis; and
    • BCG to a child who has signs and symptoms of AIDS or other immune
    deficiency conditions or who are immunosuppressed.
    03
    Possible adverse
    effects of
    immunization to her
    child
    • Is redness and/or a small lump at the injection site
    • An acute inflammatory reaction within 2-4 days after vaccination
    BCG • Deep abscess at vaccination site
    • Indolent ulceration
    • Glandular enlargement
    • Local soreness at the injection site
    • Severe skin reaction
    • Fever
    HEPA B • Sore throat
    • Swelling in your face or tongue
    • Burning in your eyes
    • Skin pain followed by a red or purple skin rash that spreads
    (especially in the face or upper body)
    • Raised temperature (fever)
    PENTA 1 • Local soreness at the injection site
    • Convulsions
    OPV NONE
    Why do we have side effects from vaccines?
    By allowing an external agent to enter the body, there is always the
    possibility that the body will respond, as the cells are made to detect any
    infectious agent and fight it.

    Most common side effects of immunization to her child are:


    • Fever (that is, a temperature over 38.5°C)
    • Redness, swelling, and tenderness around the area where the needle
    went in
    • Babies may be unsettled or sleepy
    • Sometimes, a small, hard lump (nodule) at the injection site may
    persist for some weeks or months. This should not be concern and
    requires no treatment.
    04
    Home remedies
    after
    immunization
    After vacccination, children may be fussy because of pain or
    fever. To reduce discomfort, you may want to give your child a medicine
    such as acetamin- ophen or ibuprofen. If the child is fussy for more than
    24 hours, call your healthcare provider.
    • Feed your baby to relieve vaccination pain.
    • A little sugar water may help shots under 6 months.
    • Apply a cool wet cloth if the child experience discomfort at the
    injection site after vaccination, it can help reduce tenderness and
    swelling.
    • If fever persist give child a cold sponge bath.
    • Use the 5 S’s approach.
    5 S’s Approach
    • Swaddle him immediately after vaccination.
    • Place him on the side or the stomach.
    • Make shushing sounds.
    • Swing him in your arms or an infant swing
    • Give him something to suck, for example, your breast, a milk bottle
    or a pacifier
    05

    Schedule of
    immunization
    Zoe

    DOB: December 25, 2020

    Current Immunizations:
    BCG, HEPA B, OPV 1, PEN 1
    VACCINE NUMBER DOSE 1ST DOSE 2ND DOSE 3RD DOSE NOTE
    OF GIVEN
    DOSES
    BCG 1 1 DECEMBER 25, COMPLETE
    2020
    HEPA B 1 1 DECEMBER 25, COMPLETE
    2020
    PENTAVALENT 3 2 FEBRUARY SEPTEMBER 29, OCTOBER 27, The 2nd dose is given as
    VACCINE 10,2021 2021 2021 soon as possible. The 3rd
    dose is scheduled 4
    weeks after the 2nd dose.
    ORAL POLIO 3 2 FEBRUARY SEPTEMBER OCTOBER 27, The 2nd dose is given as
    VACCINE 10,2021 29,2021 2021 soon as possible. The 3rd
    dose is scheduled 4
    weeks after the 2nd dose.
    INACTIVATED 1 NONE NOVEMBER 24, IPV can be given between
    ORAL POLIO 2021 3 1/2 month and 1 year.
    PNEUMOCOCCA 3 1 SEPTEMBER OCTOBER 27,2021 NOVEMBER the PCV was not given on
    L CONJUGATE 29,2021 24,2021 the 6th week of life of zoe.
    VACCINE Administer 1st dose as
    soon as possible.
    MMR 2 1 SEPTEMBER DECEMBER 29, After the 1st dose in the
    29,2021 2021 9th month of zoe, the 2nd
    dose is scheduled 3
    months after.
    MARKUS

    DOB:
    July 04, 2017

    Current Immunizations:
    BCG, HEPA B, OPV 1, PEN 1
    VACCINE NUMBER DOSE 1ST DOSE 2ND DOSE 3RD DOSE NOTE
    OF GIVEN
    DOSES
    BCG 1 1 JULY 4, 2017 COMPLETE
    HEPA B 1 1 JULY 4, 2017 COMPLETE
    PENTAVALENT 3 2 AUGUST 16, SEPTEMBER 29, OCTOBER 27, The 2nd dose is given as
    VACCINE 2017 2021 2021 soon as possible. The 3rd
    dose is scheduled 4
    weeks after the 2nd dose.
    ORAL POLIO 3 2 AUGUST 16, SEPTEMBER OCTOBER 27, The 2nd dose is given as
    VACCINE 2017 29,2021 2021 soon as possible. The 3rd
    dose is scheduled 4
    weeks after the 2nd dose.
    INACTIVATED 1 NONE NOVEMBER 24,
    ORAL POLIO 2021
    PNEUMOCOCCA 3 1 SEPTEMBER OCTOBER 27,2021 NOVEMBER The PVC vaccine was not
    L CONJUGATE 29,2021 24,2021 given before the 1st
    VACCINE birthday of Markus.
    Administer 1st dose as
    soon as possible
    MMR 2 1 SEPTEMBER DECEMBER 29, The MMR vaccine was not
    29,2021 2021 given before the 1st
    birthday of Markus.
    Administer 1st dose as
    soon as possible
    Thanks!
    CREDITS: This presentation template was created by
    Slidesgo, including icon by Flaticon, and infographics &
    images from Freepik

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