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Slide 1: Nursing 501 Issues in Nursing and Health Care
Slide 2: Objectives  To examine the definition of Pandemic and compare to the results of H1N1  To discuss general definitions of Vulnerability as it relates to populations  To identify and examine two groups that are most vulnerable during the H1N1 pandemic.  To identify key roles that nurses and Advanced Nurse Practioners can play in helping vulnerable patients during pandemic.
Slide 3: Future Headlines to read Anonymous. (2009).
Slide 4: Is H1N1 a true Pandemic?  The World Health Organization Declares Pandemic when three conditions are met:  A disease must be new to a population or have not been present in a population for a long time.  The disease must be caused by a disease-causing agent that infect humans, causing serious illness.  The agent must spread easily and sustainably among humans. (n.d.). Retrieved February 13, 2009, from World Health Organization: http://www.who.int/csr/disease/swineflu/en/index.htm l
Slide 5: Declaration of Pandemic  H1N1 declared a Pandemic by WHO on June 11th, 2009
Slide 6: The Statistics  April 29, 2009 laboratory confirmed cases of     H1N1 in 9 countries June 11, 2009 confirmed cases in more than 74 countries and territories. July 1, 2009 cases confirmed in 120 countries and territories. February 12, 2010 H1N1 cases confirmed in over 212 countries and territories. At least 15292 deaths related to H1N1.
Slide 7: Defining Vulnerable Populations  Definition according to social science literature.  Definition according to the Pandemic and AllHazards Preparedness Act.  Definition according to the Department of Health and Human Services.
Slide 8: Who are the vulnerable populations during the H1N1 Pandemic?  Pregnant Women
Slide 9: Weeks of gestation/pregnancy NUMBER OF WEEKS PREGNANCY ALONE PREGNANCY AND ONE complications GESTATION OR MORE COMORBIDITIES 2.9 1 TO 7 21 TO 26 37 TO 42 1.06 2.52 3.4 4.67 7.9 Jamieson, D. J., Honein, M. A., Rasmussen, S. A., Williams, J. L., & al., e. (2009).
Slide 10: Protection of the Pregnant women.  Education about risk reducing behaviors  Education of early signs and symptoms of H1N1  Vaccination Jamieson, D. J., Honein, M. A., Rasmussen, S. A., Williams, J. L., & al., e. (2009).
Slide 11: Who are the vulnerable populations during the H1N1 Pandemic?  Children Stevenson, E., Barrios, L., Cordell, R., Delozier, D., & al., e. (2009)
Slide 12: Plan of protections  Infection control policies and practices  Hygiene  Immunization  As a last resort – mitigation. Stevenson, E., Barrios, L., Cordell, R., Delozier, D., & al., e. (2009)
Slide 13: Problems when pandemic occurs  Time restraints for vaccine development  Limited resource of free standing Children’s Hospitals  Limited resources for care of children at general hospitals Stevenson, E., Barrios, L., Cordell, R., Delozier, D., & al., e. (2009)
Slide 14: Purposed Solutions specifically for children  Delivery of care in the school system  Sick Child Care sites
Slide 15: Unique solution  Telephone or internet diagnosis of Influenza with prescription of antivirals.
Slide 16: In Conclusion  H1N1 is pandemic  Two very vulnerable groups are pregnant women and children  Due to their increase risks they have special needs that must be met by the healthcare system  Nurse practioners and advanced practice nurses can play many key roles in meeting their needs.
Slide 17: Resources  Anonymous. (2009). Critical Care Services and 2009 H1N1 Influenza in Austrailia and New Zealand. The New England Journal of Medicine , 361 (20), 1925 - 1936.  Hutchins, S. S., Truman, B. I., Merlin, T. L., & Redd, S. C. (2009). Protecting Vulnerable Populations From Pandemic Influenza in the United States: A Strategic Imperative. American Journal of Public Health , S2 (99), S243 - S249.  Jamieson, D. J., Honein, M. A., Rasmussen, S. A., Williams, J. L., & al., e. (2009). H1N1 2009 Influenza Virus Infection During Pregnancy in the USA. The Lancet , 374 (9688), 451 460.  Stevenson, E., Barrios, L., Cordell, R., Delozier, D., & al., e. (2009). Pandemic Influenza Planning: Addressing the Needs of Children. American Journal of Public Health , 99 (S2), S255 - S261.