Health Care Concepts II s1

IMMUNITY

RNSG 1533 Health Care Concepts II

Concept – IMMUNITY Concept Definition Immunity is a physiologic process that provides an individual with protection or defense from disease. Exemplars  Vaccines  Otitis Media  Urinary Tract Infection  Cellulitis  Osteomyelitis  Pneumonia  Appendicitis  Trauma-Sprain Objectives 1. Explain the correlation between the listed exemplars and the concept of Immunity (including compromised antecedents, deficit measurement in attributes, a list of negative consequences, and the interrelated concepts which may be involved). 2. Identify conditions that place an individual at risk for imbalance leading to compromised Immunity resulting in the listed exemplars. 3. Identify conditions that place an individual at risk for a compromise in Immunity that can be resolved with immunizations. 4. Correlate the administration of Immunizations (Vaccines) to the concept of Immunity including: a. A description of the antecedents of active and passive immunity b. The promotion of attributes of immunity by immunizations, c. The positive outcome of protection from microorganisms with immunizations, and d. The relationship of the sub-concepts of Immune response and Infectious response with immunizations. 5. Apply the nursing process with collaborative interventions for individuals experiencing the listed exemplars including individuals receiving immunizations. Assignments Review the following content from previous courses  Immunity Concept Analysis Diagram  Oxygenation Concept Analysis Diagram  Gas Exchange Concept Analysis Diagram  Tissue Integrity Concept Analysis Diagram  Thermoregulation Concept Analysis Diagram  Giddens – Chapters 20, 21, & 22

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Prior to class: *Page numbers, assignments, and other lecture information will be posted on blackboard in a READ ME file. Complete the assigned reading.  Burchum, J. & Rosenthal, L. (2015). Lehne’s pharmacology for nursing care (9th ed). St Louis: Elsevier Saunders. . Chapter 67: Review of the Immune System . Chapter 68: Childhood Immunization . Chapter 70: Antihistamines . Chapter 83: Basic Principles of Antimicrobial Therapy . Chapter 84: Drugs that Weaken the Cell Wall I: Penicillins . Chapter 85: Drugs that Weaken the Cell Wall I: Cephalosporins, Carbapenems, Vancomycin, and others . Chapter 86: Bacteriostatic Inhibitors of Protein Synthesis . Chapter 88: Sulfonamides and Trimethoprim . Chapter 89: Drug Therapy of Urinary Tract Infections . Chapter 91: Miscellaneous Antibacterial Drugs

 Lewis, S.L., Heitkemper, M.M., Dirksen, S.R., O’Brien, P.G., & Bucher, L. (2014). Medical surgical nursing (9th ed). St. Louis: Mosby Elsevier. . Appendicitis: Chapter 43: pp. 973 & 974 . Cellulitis: Chapter 24: pp. 434 & 435 . Otitis Media: Chapter 22: pp. 404-405 . Pneumonia: Chapter 28: pp. 522-528 . Trauma-Sprain: Chapter 63: pp. 1506-1508 . Urinary Tract Infection: Chapter 45: pp. 1055-1058, 1061, 1062: Chapter 46: pp. 1064-1069 . Vaccines http://www.cdc.gov/vaccines/vac-gen/life-cycle.htm http://www.cdc.gov/vaccines/vac-gen/common-faqs.htm Be familiar with the vaccine schedule, “For everyone”, through 18 years of age: http://www.cdc.gov/vaccines/schedules/index.html

 McKinney, E. S., et al. (2013).Maternal-child nursing (4th ed.). St Louis: Elsevier Saunders. . Chapter 41: The Child with an Infectious Disease

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Internet Otitis Media http://www.stanfordchildrens.org/en/topic/default?id=otitis-media-middle-ear-infection-90- P02057 http://www.youtube.com/watch?v=vR2KpGn2fPM https://www.youtube.com/watch?v=UBobShigoFk

Urinary Tract Infection https://www.niddk.nih.gov/health-information/health-topics/urologic-disease/urinary-tract- infections-in-adults/Pages/facts.aspx https://health.clevelandclinic.org/2015/10/can-cranberry-juice-stop-uti/

Trauma-Sprain http://www.youtube.com/watch?v=suCKm97yvyk http://orthoinfo.aaos.org/topic.cfm?topic=a00150 http://www.mayoclinic.org/diseases-conditions/sprained-ankle/basics/definition/con- 20032428

Cellulitis http://www.medicinenet.com/cellulitis/article.htm http://www.emedicinehealth.com/cellulitis/article_em.htm http://www.youtube.com/watch?v=B8KGu6EAR7s http://www.youtube.com/watch?v=yG5Owb1yHB8 https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0078236/ Clinical Case: http://www.youtube.com/watch?v=Mrzn1MP2Mb8

Pneumonia http://www.lung.org/lung-disease/pneumonia/ https://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0063028/ The Signs and Dangers of Pneumonia: http://www.youtube.com/watch?v=nBqF7lOcUiU Community Acquired Pneumonia Made Simple: http://www.youtube.com/watch?v=MnUbl- xNzt0 Community Acquired and Hospital Acquired Pneumonia: http://www.youtube.com/watch? v=Blwvh3nfQS0

Appendicitis http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001302/ http://digestive.niddk.nih.gov/ddiseases/pubs/appendicitis/ http://www.youtube.com/watch?v=4VVbOjBX5ew

Immunizations CDC: 2016 Combined Immunization Schedule Birth through 18 Years http://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-schedule.pdf

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For Parent: Instant Immunization Schedule http://www2a.cdc.gov/nip/kidstuff/newscheduler_le/ Adult Immunization Schedule 2016 http://www.cdc.gov/vaccines/schedules/hcp/adult.html Overview of VAERS (Vaccine Adverse Effects Reporting System) http://www.youtube.com/watch?v=a9bXB3R2qP8&feature=youtu.be

Concept Content Outline For Each Exemplar: Pathophysiology Risk Factors Nursing Process Assessment: Comprehensive history Physical assessment Cultural, behavioral, social assessment Physical and psychological clinical manifestations Diagnostic tests Planning Implementation: Nursing; Primary, Secondary, & Tertiary, Teaching Collaborative, Pharmacological therapy, Non-Pharmacological therapy, Procedural therapies

Positive Outcomes

Negative Outcomes

Reviewed 11/2016