Nursing Diagnosis Readiness for enhnaced immunization status

Outcome Criteria After 3 hours of nursing intevention, the patient will be able to:

Nursing Intervention

Evaluation

Discharge Planning

1. Determine patient's current immunizaton status.

Goal met.

Medication 1. Gardasil and Cervarix

After 3 hours of nursing

protect against the two HPV types (HPV-16 and HPV-18) that cause 70% of cervical cancers, 80% of anal cancers, 60% of vaginal cancers, and 40% of vulvar cancers. 2. The side effects of these medications

* Assess client's history of immunizations.

intevention, the patient was able to:

related to the desire to enhance knowledge on new HPV vaccine 1. Express understanding of immunization recommendations

*Determine if the patient is high risk to develop sexually transmitted infections to review potential exposures. * Address client's concern .This will help clarify plans and deal with misconceptions or myths.

Express understanding of immunization recommendatio ns; She

include:very high fever, weakness, tingling, or paralysis (which may be signs of Guillain-Barr syndrome), signs of an allergic reaction, including difficulty breathing, wheezing, an unusual skin rash, itching, or hives Environmental Modificatons 1. It is recommended that patients be observed for 15 minutes after the vaccination, to make sure that fainting does not occur in a dangerous situation (such as while driving). Keep the patient safe at home. Teaching

* Ascertain or discuss conditions verbalized, that may hinder the client from receiving the HPV vaccine. " Damu nga banepisyo ang mahatag sang 2. Assisst the client to develop or strengthen plan to meet identified needs. HPV vaccine. Mapaimmunize ako."

* Review patient's knowledge or information regarding

1. Vaccinated women will still need regular cervical cancer screening (Pap tests)

immunizations recommended to discuss appropriate intervals for follow up. * Discuss with the client the protective benefit of th HPV vaccine, route of administration, expected side effects and potential adverse reactions so that the client can make inforemed decisions. * Discuss appropriate time intervals for the HPV vaccine .

because the vaccines protect against most but not all HPV types that cause cervical cancer. Also, women who got the vaccine after becoming sexually active may not get the full benefit of the vaccine if they had already acquired HPV. Home Instuction 1. Note for development of side effects or adverse reactions. 2. Have a written record of the patients next shot to help compliance. Out-patient Follow Up 1.Encourage patients compliance with

3. Promote wellness.

appointments with the health care provider and encourage regular health check ups.

* Review reasons to continue immunization programs. * Discuss management of common side effects.

Drug Interactions 1. Drugs that may interact with the HPV vaccine include immunosuppressants and anti coagulants. Provide information to patient. Social Support 1.Ask for the support of the patients significant others to assist th patient.