Nurse's Pocket Guide

eadiness for enhanced IMMUNIZATIONS
• Ascertain/discuss conditions that may preclude client receiving
specific immunizations (e.g., history of prior adverse reaction,
current fever/illness, pregnancy, undergoing cancer/
other immunosuppressant treatments).
• Review community plan for dealing with immunizations/
disease outbreak. Identifies strengths/limitations.
NURSING PRIORITY NO. 2.To assist client/SO/community to
develop/strengthen plan to meet identified needs:
• Review parents’ knowledge/information regarding immunizations
recommended/required to enter school (e.g., hepatitis
B, rotavirus, Haemophilus influenza, mumps/measles/
rubella, varicella, and hepatitis A prior to kindergarten;
tetanus/diphtheria/pertussis, human papillomavirus by junior
high age; meningitis for college freshmen planning to live
in dorm) to document status, plan for boosters, and/or discuss
appropriate intervals for follow-up.
• Examine/discuss protective benefit of each vaccine, route of
administration, expected side effects, and potential adverse
reactions so that client/SO(s) can make informed decisions.
• Discuss appropriate time intervals for all recommended
immunizations, as well as catch-up and booster options for
children birth to 18 years.
• Review requirements for client preparing for international
travel to ascertain potential for contracting vaccinepreventable
disease in geographic area of client’s travel, so
that vaccines can be provided, if needed.
• Inform of exemptions when client/SO desires. Some states
permit medical, religious, personal, and philosophical
exemptions when parent does not want child to participate
in immunization programs. Refer to appropriate care
providers for further discussion/intervention.
• Define and discuss current needs and anticipated or projected
concerns of community health promotion programs. Agreement
on scope/parameters of needs is essential for effective planning.
• Prioritize goals to facilitate accomplishment.
• Identify available community resources (e.g., persons, groups,
financial, governmental, as well as other communities).
• Seek out and involve underserved/at-risk groups within the
community. Supports communication and commitment of
community as a whole.
NURSING PRIORITY NO.3.To promote optimum wellness:
• Review reasons to continue immunization programs. Viruses
and bacteria that cause vaccine-preventable disease and death
Information in brackets added by the authors to clarify and enhance
the use of nursing diagnoses.
394 Cultural Collaborative Community/Home Care