Nursing diagnosis – READINESS FOR ENHANCED IMMUNIZATION STATUS

READINESS  FOR  ENHANCED

IMMUNIZATION  STATUS

DEFINITION

A pattern of conforming to local, national, and/or international stan-

dards of immunization to prevent infectious disease(s) that is sufficient

to protect a person, family, or community and can be strengthened

DEFINING CHARACTERISTICS

Expresses desire to enhance

• Behavior to prevent infectious disease.

• Identification of possible problems associated with immunizations.

• Identification of providers of immunizations.

• Immunization status.

• Knowledge of immunization standards.

• Record keeping of immunizations.

ASSESSMENT FOCUS    (Refer  to  comprehensive  assessment  parameters.)

• Healthcare system

• Self-perception

EXPECTED OUTCOMES

The patient will

• Express knowledge of health-seeking behaviors necessary to partic-

ipate in immunization.

• Demonstrate adherence behavior to standard recommended immu-

nization protocols.

• Develop an ongoing plan for maintaining records of

immunizations.

SUGGESTED NOC OUTCOMES

Community Health Status: Immunity; Community Risk Control:

Communicable Disease; Immunization Behavior; Knowledge:

Infection

INTERVENTIONS AND RATIONALES

Determine: Assess patient’s prior participation in immunization pro-

gram. Determine patient’s perception of the need for the prevention

of infectious diseases and responsibility for controlling the spread

of communicable disease. Assess patient’s attitude toward health-

seeking behavior that leads to immunization and knowledge of

infection control through immunization for communicable disease.

Assessment factors help in determining appropriate interventions.

Perform: Administer vaccines, as ordered, to ensure expected result

will occur. Implement a mechanism or device for record keeping

of immunizations to prevent gaps and overlaps in patient immuniza-

tions.

Inform: Help patient understand possible risks associated with immu-

nizations to assist patients identify reportable risks and

complications resulting from immunizations.

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Attend: Encourage patients to have immunizations as close to due

dates as possible to ensure that protection from disease will be con-

sistent and continuous.

Listen attentively to what patient has to say about fear of vaccines.

Fear is often the factor that keeps people from being vaccinated.

Manage: Request for a case manager to make a home visit to help

prepare the family for the patient’s return to a safe environment.

Refer patient to community resources that may offer assistance to

the patient when needed.

Offer written information that can be referred to when needed.
Refer to home health nurse for a follow-up visit in the home.

SUGGESTED NIC INTERVENTIONS

Communicable Disease Management; Immunization/Vaccination

Management; Infection Control

Reference

Wiggs-Stayner, K. S., et al. (2006, August). The impact of mass school immu-

nization on school attendance. Journal of School Nursing, 22(4), 9–22.

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