...Shingles Keonna White December 19, 2013 Anatomy & Physiology Introduction of Shingles If you have had chickenpox during your childhood, it is sure that the virus has stayed in your system for numerous of years. But the virus has then been reactivated in later life, and that’s what causes the skin disease called “Shingles,” to develop. As well as chickenpox, there are other diseases which weakens our immune system. For example, HIV and/or AIDS can also cause Shingles to develop. Shingles is not considered a life threatening virus, but can become quite painful. Shingles is an extraordinarily painful condition that involves inflammation of sensory nerves. Symptoms The symptoms of Shingles include a tingling and irritated burning feeling to the skin, but it usually appears down one side of your body. And it also includes a nasty, painful red rash in the form of a band, and develops after a few days. Shingles may consist of nerve pain in the face, feverish system, headache, arm and leg pains, and also swelling. You may have a general feeling of being unwell and serious aches and pains. While the shingles rash may appear anywhere on the body, it most often appears around the waistline or side of the butt. Even when there is no rash, the pain of shingles may be apparent. Before a rash is visible, the patient may notice several days to a week of burning pain and sensitive skin. Shingles rash starts as small blisters on a red base, with new blisters continuing to...
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...Angela Brown Nursing teaching plan NU1426 My patient is a patient that is leaving the E.R. after being diagnosed with the shingles virus. The patient came into the E.R. with a rash on the right side of the trunk. The rash presented as clear blisters and was painful to the touch. The physician diagnosed the patient with shingles and it is now my job to explain to the patient about the shingles virus. I would start by explaining that the painful rash is called the shingles virus. It is caused by the same virus that causes chicken pox and it is called herpes zoster. If they had the chicken pox as a child the virus has been in there body since they had them. It is an infection of the nerve. The virus presents usually on the trunk or side of the body but can present in other areas but that the rash they are experiencing is in the most common place. I would give the patient an overview of the symptoms. I would explain that the virus can cause clear blisters that are filled with liquid. These blisters will eventually burst and the skin will be red and...
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...Military Science Paper The Battle of Anzio In times of war, the outcomes of battles and engagements are dictated by several key factors, that can prove detrimental if overlooked. The successes and failures of the Allied Forces during World War II are attributed to the ability of leaders to plan, adapt, and control resources. The proper application of these resources, both human and non-human, are what determined victories and defeats. There are many examples in history, particularly in World War II history, from which military leaders can draw a wealth of knowledge from, and apply those learned lessons in military operations today. One such example, the Battle of Anzio, raises awareness of deplorable decision making and poor leadership which lead to the deaths of many soldiers. The battle also offers military leaders many insights on areas for improvement, and how to avoid a disaster like Anzio. In order to fully analyze and learn from the Battle of Anzio one must examine its history, military and political leadership, tactics, weapons and technology, and terrain to see how these factors affected the outcome of the battle. The Battle of Anzio was fought from January 1944 to May 1944, and was a part of the invasion of the Allied forces into Italy. On September 9, 1943, the Allies landed in Salerno and began their invasion into the north. They fought at great cost, inching their way northward in hopes of taking Rome. As they pushed north, the Allies were halted...
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...Definition Shingles, also known as Herpes zoster and Postherpetic neuralgia, is a viral infection caused by a virus known as the varicella-zoster virus that results in a rash that is painful and irritating. The varicella-zoster virus is the same virus that can lead to developing chickenpox (CDC). Thus, any person that has ever been affected by the chickenpox has the chance of developing shingles. After a person comes down with chicken pox and recovers, the varicella-zoster virus remains in their body and may not cause any more problems or may result in the formation of shingles later in life. When the virus reactivates in the body it forms as shingles (MedlinePlus). Key Features/Signs and Symptoms Beginning signs of shingles are itching, tingling, burning, or shooting pain. These signs are typically noticed on one side of the face or body. Pain levels for these signs range from mild to severe. Between one and fourteen days after experiencing the beginning symptoms, rashes and blisters will start to form. In cases that the rashes and blisters form on the face, vision and hearing may be affected. Other symptoms of shingles may include fever, headache, chills, and upset stomach (CDC). Etiology...
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...Herpes Zoster (Shingles) A 23-year-old female came to the clinic complaining of fatigue and a burning, tingling sensation down the back of her left leg. She stated that it feels like "pins and needles going up and down my leg," followed 2 days later by an eruption of a red bumpy rash which originated on the posterior left thigh. The red bumps became more pronounced and raised over the next couple of days. On examination, the rash had developed into multiple clusters of grouped vesicular lesions and spread from the top of her posterior left thigh, following dermatome S2, and ending at mid-calf. The patient reported having a low-grade fever for the past 2 days, but there were no other signs of infection. The patient complained of intense sharp, stabbing pain and mild itching. She stated that she tried applying a topical anti-itch cooling gel to the rash with no relief for the pain or the pruritis. She denied any exposure to harsh or irritating substances or allergens, such as poison ivy or poison oak. Patient denies prior hospitalizations, surgeries, or accidents. The patient does have a history of exercise induced asthma. During the exam the patient stated that she had had chickenpox when she was a child. Herpes zoster (HZ) or shingles, is an acute inflammatory eruption of incredibly painful vesicles that occur along a band-like unilateral pattern along the course of the peripheral nerves or dermatomes, and does not cross the midline of the body. Shingles results when the...
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...Shingles What is shingles? Shingles is a medical condition characterized by reactivation of varicella zoster virus. Varicella zoster is the virus responsible for chicken pox – this disease frequently affects toddlers and presents with diffuse bodily rash with blisters. After contracting this disease, the virus regressed and remains dormant in nerve cells called the dorsal root ganglia. These bundles or ganglia of cells house varicella zoster until a period of time when the body becomes stress or the immune system suppressed. This causes the virus to wake up or reactivate, and travel down nerve dermatomes where they produce painful blisters and rash. This usually occurs on one side of the body. If it involves the face, it may lead to...
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...Shingles is a form of herpes (herpes zoster) caused by the Varicella Zoster Virus. This virus is the same virus that causes the chickenpox in childhood. After an individual is infected with the chickenpox virus and recovers, the virus lays dormant in the body until it is reactivated. A shingles outbreak can cause neurological complications which cause the patient to suffer from pain where the outbreak occurred, long after the rash has cleared up, sometimes for the rest of their lives. This is due to damaged nerve fibers in the cells that were infected with the virus. Both chicken pox and shingles have been prevalent in history, dating back before the 1700s. At this time, doctors had no way to differentiate between chicken pox, shingles, smallpox, or blisters caused by the streptococcus virus due to the similar look of the rashes. It wasn’t until 1953 that Thomas Huckle Weller proved that both rashes came from the Varicella Zoster virus. Symptoms of shingles include pain, burning and itching. These symptoms occur in the nerve cells where the virus has been activated, so they typically occur in a band along only one side of the body. After a few days of this burning sensation, a blistering rash appears on the skin in...
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...Shingles in Older Adults Kim Walton, RN Olivet Nazarene University GNS 312 Strategies for Student Success BSN 190 NRSG 102 Cathi Schlosser December 14, 2013 Certification of Authorship: I certify that I am the author of this paper and that any assistance I received in its preparation is fully acknowledged and disclosed in the paper. I have also cited any sources from which I used data, ideas, or words, either quoted directly or paraphrased. I also certify that this paper was prepared by me specifically for the purpose of this assignment. Your Signature: Kim Walton, RN________________________________ You are a nurse working in a physician’s office. You are rooming a 75-year-old woman that arrives today complaining of a rash on her torso that is itching and painful to touch. As you question her about her symptoms you find that the rash developed last night but she had been experiencing a low grade fever and general malaise for the last three days prior to the rash developing. You immediately suspect shingles and await the diagnosis confirmation by the physician. When you re-enter the room the woman is tearful and has many questions along with stories of prolonged severe pain, even after resolution of the rash, from two of her closest friends. Your job is to educate your patient regarding the origin of the disease, its treatment including anti-viral medication along with medications for possible prolonged pain, and the vaccine to help reduce her...
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...Infectious Disease (Shingles) Tomakio Robinson February 3, 2012 Jessica Grippo HCA/240 Shingles virus which the medical terms use is herpes zoster, which is accompanied by a local rash and pain. Shingles virus usually covers certain areas of the skin encompassing about one to three dermatomes. The dermatome area is supplied by just one single nerve root, shingles is known by blisters superimposed by an aggressive red inflamed base. Shingles virus only occurs on one side of the body, the pain of shingles is very severe and those who have experienced the shingles virus describe shingles as a burning sensation. The area of the body which is affected by shingles virus becomes very sensitive to the touch which is medically known as allodynia. When allodynia is present many people usually wear loose fitting clothing because shingles are very painful. Shingles is a reaction of varicella-zoster virus, which is a form of herpes that causes chickenpox. Once a person has had chickenpox, the virus from the chickenpox remains in the nerve roots and remain inactive until it begins to flare up again; but this time instead of chickenpox the individual will get shingles. If someone has ever had a mild case of chickenpox can catch shingles. Any individuals with a weak immune system are very vulnerable to activating the virus that forms shingles. There are many ways the immune system can become weak such as recent surgeries, medications, serious illness or disease and poor nutrition...
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...33 feet long. Asphalt shingles are precut roof coverings that are normally rectangular in shape. Both products use asphalt in the manufacturing process, and when used as intended and properly installed, both product will keep out the rain. There similarities pretty much end there, but there are several critical differences between the two products. (-- removed HTML --) Intended Use (-- removed HTML --) If your roof rises less than 2 inches vertically for every 12 inches of horizontal run, it has a pitch of 2:12. These types of roofs are often referred to as flat roofs. Only roll roofing is suitable for flat or low-slope roofs; shingles will...
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...may help to reduce the cost of your utility bills each month. A shingle roof generally lasts 15-20 years; however, if you live in an area that is susceptible to extreme weather, such as snow, hail or severe storms, it may be necessary to replace the roof sooner than you originally expected. Signs of Roof Damage If you have lived in your home since the current roof was installed, you are aware of the timeframe in which you should pay more attention to the signs it may be time to replace the roof. However, if you recently purchased your...
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...Roof: Tear off two layers of shingles on house and clean up debris and haul away. House will be protected from shingles that are torn off. Install new chimney flashing, new roof to wall tin flashings, new metal valleys, new 6” of ice and water shield, new ridge vent and new ridge cap. Install new synthetic shingle underlayment, new pipe flashing, tuck point the chimney. New Owens Corning Duration shingles: $11,900 New Owens Corning Oakridge shingles: $11,400 Gutters: Install 5” with 3x4 downspouts: House $1530 Payment is as follows: 1/3 at signing and 2/3 is due upon completion. Terms and Conditions: The owner or agent certifies that he has read this agreement, and terms and conditions have been explained to him and that he fully understands them; that there is no understanding verbal or otherwise than that contained in this agreement. All measurements and depths are approximate. All materials to be at contract specifications. Contractor carries all legally required insurance. However, homeowner is responsible for permits if needed and lot line locations. Owner assumes responsibility for any landscaping repairs and gives contractor permission to access property with any equipment. Lien waivers are available upon completion. Buyer and contractor agree if any disputes arise throughout this transaction it shall be settled through arbitration. In no way shall the contractor be liable for any legal expenses. In the event of cancellations, prior to start of work...
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...Shingles Shingles (Herpes Zoster) is a rash found on the skin that originates from the same virus as chickenpox. “This virus is called the Varicella zoster virus (VZV) and is in the herpes family of viruses. After an individual has chickenpox, this virus lives dormant in the nervous system and is never fully cleared from the body”, (Stoppler, 2010). The virus reactivates when the carrier becomes extremely stressed, develops an immune deficiency, develops cancer, or other similar circumstances. Shingles usually occurs in people over the age of 60 but anyone can be at risk of getting the virus. Symptoms of the virus usually start with a very painful, sensitive area on the skin for several days. Next, a rash will appear with blisters that continue to form for about three to five days. “The blisters follow the path of individual nerves that come out of the spinal cord in a specific "ray-like" distribution (called a dermatomal pattern) and appear in a band-like pattern on an area of skin. The entire path of the affected nerve may be involved, or there may be areas in the distribution of the nerve with blisters and areas without blisters”, (Stoppler, 2010). In most cases, only one nerve will be affected by the virus. After the blisters pop, they will begin to heal. The duration of the viral outbreak will usually last between three and four weeks. Treatment Shingles is contagious and can be spread from the infected person to people who have not yet had the chickenpox. If infected...
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...period is fourteen to sixteen days from time of exposure but potentially could be ten to twenty-one days (CDC, 2013). The mode of transmission for varicella is direct contact of the blisters, or through the respiratory system. The earliest signs and symptoms is are first fever and then a red rash. In children the rash may be noticed first before the fever. The rash begins as macules, to papules, vesicles, pustules, and then crusts over. Once the rash becomes crusted over the chickenpox is no longer contagious. Chickenpox can be in different stages of the disease process while some may be crust over and be non contagious there may be other blisters that are still active and contagious. Chickenpox can also be spread from an individual who has shingles. Complications of chickenpox are bacterial skin infections in children and adults pneumonia (these are the most common they may occur vice versa) (CDC, 2013). According to the Center for Disease and Control Preventions more serious complications can occurs such as, “...septicemia, toxic shock syndrome, necrotizing fasciitis, osteomyelitis, bacterial pneumonia, and septic arthritis. Other complications caused by varicella include cerebellar ataxia, encephalitis, viral pneumonia, and hemorrhagic conditions”(2013). People who are most at risk for complications are infants, adults, pregnant...
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... The aspect of the community health nurse will be discussed and information on a national organization for infectious diseases will be provided. Chicken pox and shingles are caused by the virus varicella-zoster. The varicella-zoster virus is spread through the air by coughing or sneezing and can also be spread by touching the blisters or inhaling particles from the blisters ("CDC," n.d.). Chicken pox (varicella) is a highly contagious virus. The reactivation of the chickenpox virus (varicella-zoster virus) is called shingles. It usually is dominant in the nervous system for years or decades. Shingles (varicella-zoster) is spread through direct contact with fluid from the blisters and causes chickenpox if the person who comes in contact with the fluid from the blisters has never had the virus ("CDC," n.d.). Early symptoms of chickenpox may include fever, fatigue, irritability, loss of appetite and body aches with the appearance of itchy red rash usually occurs one to two days later. The rash usually last about five to ten days and heals with scabs ("National Foundation for Infectious Diseases," n.d.). Shingles symptoms are manifested as a painful vesicle filled rash to one side of the body. This usually occurs on the trunk or face. Numbness may be present for several days prior to outbreak. Shingles blisters scab over in about seven to ten days and may take two to four weeks to completely go away ("CDC," n.d.). People at the highest risk for complications from...
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