LEANDA, MARIA OBJECTIVES At the end of the lessons, the students will be able to;
1. Describe and define the Influenza
2. Determine the source of infection and mode of transmission of Influenza 3. Know the PHN responsibilities and nursing care to the patient who has influenza. 4. Know the incubation period, communicability, susceptibility, resistance, occurrence and, 5. Determine the methods of preventing and control of Influenza. INFLUENZA • Also known as the flu, influenza is a contagious illness in the respiratory tract that infects the nose and throat and can move into the lungs. • Fever* or feeling feverish/chills, Cough, sore throat, runny or stuffy nose, muscle or body aches, Headaches, fatigue (tiredness) • some people may have vomiting and diarrhea, though this is more common in children than adults. ETIOLOGY •Influenza viruses cause the flu. •Influenza is a single- stranded, helically shaped, RNA virus of the orthomyxovirus family. •There are four types of flu viruses: influenza A, B, C and D. • INFLUENZA A VIRUS • INFLUENZA C VIRUS • Infects both human and • Generally cause mild animals illness. • Do not cause epidemics. • Constantly changing and capable of causing flu pandemics. • INFLUENZA D VIRUS • Influenza D viruses • INFLUENZA B VIRUS primarily affect cattle • Only found in humans. with spillover to other animals but are not • Less severe than known to infect people to influenza Type A. cause illness. This Photo by Unknown Author is licensed under CC BY-NC-ND MODE OF TRANSMISSION -Influenza viruses spread from person to person, primarily through respiratory droplets. (e.g., when an infected person coughs or sneezes near a susceptible person)
-Indirect transmission occurs
when a person touches their face after touching a virus- contaminated surface (fomite) • Influenza A virus transmission from animals to humans is rare but possible.
• Infected birds shed influenza virus in
their droppings, mucus, and saliva,
• Transmission to humans can occur
from direct contact with an animal or contact with a sick animal’s environment (by inhalation of airborne viruses or through fomite transmission). INCUBATION PERIOD
• The incubation period
for influenza is usually 2 days (range 1-4 days. Influenza illness can range from asymptomatic to severe infection.) SOURCE OF INFECTION • The source of infection usually is a case or sub-clinical case (Human seasonal Influenza) • During epidemics, a large number of mild and asymptomatic infections occur, which play an important role in the spread of infection. • The secretions of the respiratory tract are infective. PERIOD OF • COMMUNICABILITY • SUSCEPTIBILITY • Influenza is communicable for up to • Increased susceptibility 24 hours prior to onset of to infection and the risk symptoms. factors associated with • Adults can transmit progression to severe influenza from the day influenza-related before symptom onset to approximately 5 to 7 disease are determined days after symptoms by a multitude of viral, begin. host, and environmental • Children can transmit conditions. influenza to others for 10 or more days after symptoms begin. • RESISTANCE • OCCURRENCE. • Resistance to the flu can be • In temperate climates, influenced by various factors. seasonal epidemics occur A key aspect is the ability of the mainly during winter, while in virus to undergo genetic tropical regions, influenza changes, leading to different may occur throughout the strains. year, causing outbreaks more • This evolutionary process can irregularly. reduce immunity from previous • In the Philippines the flu infections or vaccinations. season coincides with rainy • Vaccination is a key way to season which is between build immunity against the flu. February and June. METHODS OF PREVENTION and CONTROL
GET WASH YOUR AVOID STAY AT HOME
HANDS TOUCHING IF YOU DON’T VACCINATED YOUR EYES, FEEL WELL. REGULARLY. NOSE, and MOUTH. DRINK REST AVOID CLOSE SEEK PLENTY OF CONTACT MEDICAL WATER WITH SICK CARE IF PEOPLE SYMPTOMS GET WORSE. PUBLIC HEALTH NURSING RESPONSIBILITIES • Management of respiratory dysfunction. • Managing fever and respiratory symptoms. • Infection control and prevention. • Ensure that the client is willing and able to listen to information about the disease. • Instruct the client and family members about influenza types, when typical outbreaks occur, and methods to avoid infection. • Educate about influenza immunizations. • Clarify concepts about influenza treatment and mitigation. NURSING CARE for the patient with INFLUENZA VIRUS • Promoting Effective Airway • Assess vitals Clearance. • Listen to the lungs for • Improving Breathing Pattern wheezing and rales and Breathing Exercises • Assess oxygenation and • Managing Pain and Discomfort respiration • Managing Hyperthermia • Monitor intake and output • Promoting Optimal Fluid • Encourage hydration Balance • Place the patient in the • Providing Patient Education & semi-Fowler position Health Teachings • Encourage patients to cough “But as for you, be strong and do not give up, for your work will be rewarded.” -2 Chronicles 15:7