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Health education about






Faculty in child health nursing.






M.Sc.(N) II year



Child Health Nursing






18 . 3 .13






Pediatric Medicine ward, GRH, Madurai



Discussion cum demonstration


Mrs. R.JEYASUNDARI M.Sc (N), M.A, M.Phil
Faculty in child health nursing ,CON ,MMC,

or killed or attenuated organisms in the individual system. Central objective: .INTRODUCTION Immunization is a process of protecting an individual from a disease through introduction of live . It gives resistance to an infectious diseases by producing or augmenting the immunity. Immunization against vaccine preventable diseases is essential to reduce the child mortality. It is one of the best buys in community health and one of the most cost effective health interventions. Artificially acquired immunity is developed by the immunization. It is mass means of protecting the largest number of people from various diseases. and handicapped conditions.

S.. 4. 2. enumerate the vaccines and its administration. define immunization & immunity. explain the types of immunity& immunizing agent. explain the National Immunization Schedule. brief out the maintenance of cold chain.The learners will be able to gain adequate knowledge about immunity& immunization and able to develop desirable attitudes and skills in applying this knowledge in the practice of nursing in various clinical and community settings. . Contributory objectives: The learners will be able to. Content IMMUNITY Immunity refers to the ability of the human body to resist disease agents Student teacher activity Explain with the help of roller board Learner activity evaluation Listening. No Time Contributory objectives 1 1 mit define Immunity & immunization. 5. 1. 3. define immunization. 6. enlist the nurses responsibility of immunization.

What is innate immunity? . IMMUNIZATION. Listening membranes Physiological factors - pH. interferons etc and mucous Answering.and their toxins through possession of antibodies. Answering. Immunization is a process of protecting an individual from a disease through introduction of live or killed or attenuated organisms in the individual system 2 2mit explain the types of immunity& Immunizing Agent. Explain with Types of immunity. temperature and oxygen tension limit microbial growth Protein secretions – complement. TYPES OF IMMUNITY & IMMUNIZATION AGENT. the help of Innate immunity. chart Physical barriers .

Natural-through placental Artificial-through antiserum injection. Associated antibodies with from presence another of immune animal or form exposure to the disease. Passive immunity. Active immunity. it divided in to.Phagocytic cells – macrophages and polymorphonuclear leucocytes Acquire immunity. Natural-subclinical Artificial-induced by vaccination. .

 Passive immunition.  Individual immunization. etc. DT. Human sera. Animal sera. Tetanus toxoid. Influenza.Immunization can be active or passive. Bacterial-pertusis. Viral-polio. Plague.Rabies. Toxoid.  Combied both active passive immunization. Killed vaccines.  Active immunization. Live Attenuated Vaccines Bacterial-BCG. and . cholera. Viral.mumps. Typhoid.

No Time Contributory objectives Content Studen t teacher Learner s activity Evaluation .S.

OPV – 1 and Hepatitis B-1 At 10 weeks DPT-2. OPV – 2 and Hepatitis B-2 At 14 weeks DPT-3.N o 2 min NATIONAL IMMUNIZATION SCHEDULE: Explain the AGE IMMUNIZATION National FOR INFANTS: immunization At birth BCG and OPV. OPV – 3 and Hepatitis B-3 At 9 months Measles At 16-24 months DPT .o dose schedule Time Contributory objectives Help with ohp At 6 weeks DPT-1.activity 3 S.OPV and Measles At 5-6 years DPT At 10 and at 16 years TT Content Student teacher Learners activity listenin g evaluation .

05 mg) Children (greater than 12 months of age) and adults: 0. attenuated mycobacteria.1 mL (0.05 mL (0.4 2mit Enumerate the administration of vaccines and dosage BCG BCG vaccine contains live. activity Help with ppt listening Enumerate the vaccinataion . viable. Dose Infants (12 months of age and younger): 0.1 mg) Route of administration Reconstituted BCG vaccine should be administered by intradermal injection into the most superficial layers of the skin. The area over the deltoid muscle is the preferred administration site.

followed by a scar at the immunization site. Common and local adverse events Intradermal administration of BCG vaccine usually results in the development of erythema and either a papule or ulceration (in about 50%). Do not freeze. Store the reconstituted product in a refrigerator at +2º C to +8º C and use within 8 hours.N o Time Contributory objectives Content Storage Requirements Store BCG vaccine in a refrigerator at +2º C to +8º C.S. Keloid formation occurs in 2% to 4% of vaccine recipients. Protect from light. Non-suppurative regional lymphadenopathy occurs in 1% to 10%. Most reactions are generally mild and do not require treatment Student teacher activity Learners activity evaluation .

easy to administer. Storage is best done at 2-10o c. This should be followed with the feeding of some water to ensure absolute ingestion of the vaccine. it is cheaper. Administration : OPV is administered as 2 drops directly into the mouth. Hence it is described as community medicine.S. Breast feeding need not be skipped before and after OPV administration. Student teacher activity Learners activity evaluation . sabin vaccine is a live but attenuated virus. helps to prevent establishment and spread of wild pathogenic polio virus in the community.N o Time Contributor y objectives Content POLIO VACCINATION : Oral polio vaccine.

Leukemia and other malignancies HIV Adverse reactions: Mild diarrhea in case of over dose Student teacher activity Learners activity evaluation . National Immunization Day during winter (usually Dec-Jan) regardless of their immunization status. It is over and above the routine doses of OPV.N o Time Contributor y objectives Content Pulse polio means simultaneous mass immunization of all infants and children under 5 years at a particular date i. Contraindications : It should be avoided in children suffering from severe diarrhea and an acute illness.e.S.

The vaccine is stored best at a temperature of 2-10oc.5 ml of the triple vaccine is given deep intramuscularly over the lateral thigh or the deltoid. Student teacher activity Learners activity Evaluation . Contraindications: Severe reaction to previous DPT injection Progressive neurologic disease.S. Administration: A dose of 0.N o Time Contributor y objectives Content DPT VACCINATION : DPT (triple) vaccine offers combined prophylaxis against diphtheria.25 – 0. pertussis and tetanus.

THE EQIPMENT Walk in cold room Deep freezerand ice line refrigerator Small freezer Cold boxes Vaccine carrier Day carrier Explaining with flannel graph listening .Adverse reactions: Fever and febrile convulsion Local painful swelling 5 10 mts enumerate maintance of cold chain Maintance of cold chain. The ‘cold chain’ is the system of transporting and storing vaccines within the safe temperature range of 2˚C to 8˚C IMPORTANCE OF COLD CHAIN  Biological products  lose potency with time  Process irreversible and accelerated if proper storage conditions are not adhered to.

Ice packs S.N o Time Contributor y objectives Content Student teacher Learners activity Evaluation .

Motivation of general people about the importance of immunization and its benefits. 2. Estimation of beneficiaries of the area and identification of non-participants and dropouts of immunization. 4. immunization camps.6 2mit Enlist the nurses responsibility for child immunization 1. Organization of immunization clinics at different health institutions. Arrangement and maintenance of required amount of vaccines and other necessary equipments and materials for the particular immunization center or clinic. 3. out-reach and home based services. activity Help with Handout Reading and listening List out any two nurses responsibility .

Conclusion: The ideal vaccines should induce permanent immunity. From this health education the client. public know the importance of immunization. parents . not produce disease to the recipient and be easy administer. have minimal side effects. be free of toxic substances. BIBLIOGRAPHY: .

Paul.P.Hockenberry (2006). 7. New Delhi : Jaypee Brothers Medical Publishers. Piysh Gupta.Books : 1. TI CO CONTEN N M NTR T O E IBU TOR Y OBJ ECT IVE 1 defi IMMUN TEA LE EV CH AR AL ER NE UA AC R TI TIV AC ON ITY TIV ITY . 3.Parthasarathy’s IAP Textbook of Pediatrics 4th edition Jaypee publishers.madras. Textbook of pediatric nursing 6th edition Elsevier publishers Philadelphia. 8. 5. Parul data’s pediatric nursing 1st edition saunders publishers. Suraj Gupte (2009).. Net references: S. Ghai O. (2004) Ghai Essential pediatrics 6th edition New Delhi : CBS Publisher Marilyn J. Broadribb’s Introductory Pediatric Nursing 7th edition Lippincott publishers. K.K. Text book of Pediatics.. Adele Pillitteri Child Health Nursing Care of the child and family Lippincott publishers. Achar’s (1989). 6. The short text book of Pediatrics (11th Ed.wikipedia.2nd edition orient longman publications anna salai . A. 4. 9. Marlow(2008). Wong’s Essentials of pediatric nursing 7th edition New Delhi : Reed Elsevier India. 2.

ne ITY Immunit im y refers to the mu ability of nity the human & body to resist im disease agents mu and their niz toxins through atio possessi on of n antibodi es. IMMUN IZATIO N Immuniz .

ation is a process of protectin g an individu al from a disease through introduct ion of live or killed or attenuate d organis ms in the individu al system TYPES OF IMMUN .

temperat ure and .ITY Innate immunit y. Physical barriers skin and mucous membra nes Physiolo gical factors pH.

oxygen tension limit microbia l growth Protein secretion s – lysozym e. interfero ns etc . comple ment.

Associat .Phagocy tic cells – macroph ages and polymor phonucl ear leucocyt es Acquire immunit y.

ed with presence of antibodi es from another immune animal or form exposure to the disease. Again it divided .

. Naturalsubclinic al Artificia linduced by vaccinati to. Active immunit y.

Naturalthrough placental Artificia lthrough antiseru m injection . .P assive immunit y.


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