Govt.

College Of Nursing, Jodhpur

LESSON PLAN
TOPIC: Epidemiology & nursing management of mumps

Submitted to: Submitted by:

Mrs. Annamma sumon Pooja Choudhary
Nursing Lecturer M.Sc. Nursing previous year
Baseline information:
Name of the student teacher: Pooja Choudhary
Subject: Community Health Nursing
Unit: 4th
Name of the Topic: Epidemiology & nursing management of mumps
Group of students: B.Sc. Nursing 2nd year
Venue of the teaching: classroom
Date and Time of teaching:
Method of teaching: Lecture cum discussion method
Duration: 45 min
AV aids: LCD projector and Chart, Black board , pumplates, white board.
Size of group: 40
Previous knowledge: - Group has some knowledge about Epidemiology & nursing management of mumps
But they don’t have in depth knowledge about Epidemiology & nursing management of mumps.

General objective: - At the end of the class, students will be able to enhance their knowledge about mumps and it’s nursing
management.

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Specific objective: - At the end of teaching, students will be able to:
 Define mumps.
 Define epidemiology.
 Discuss about the incidence and epidemiological triad.
 Explain it’s mode of transmission and incubation period of mumps.
 Enlist the diagnostic investigation.
 Enumerate the clinical features.
 Explain the medical and nursing management of mumps.
 List out the complication
 Discuss about its preventive measures and vaccination schedule.

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 LESSON PLAN
DU SPECIF CONTENT A.V. TEACHIG EVALUA
RA IC AID LEARNING TION
TIO OBJEC S ACTIVITIES
N TIVE
SELF
INTRODUCTI
ON
My self pooja
choudhary
student of M.Sc.
(N) previous
and I am here to
fulfil my
curriculum
requirement.

EPIDEMIOLOGY & NURSING MANAGEMENT OF

MUMPS
Define Definition: -“The study of the distribution and determinants of health LCD Lecture cum What do
2 epidemio related states or events in specified populations, and the application of this proj discussion you
Min logy. study to the control of health problem”. ect- method used for understand
or the teaching. by
Students paid epidemiolo
attention in the gy?
classroom and
listened
carefully.

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 MUMPS
Define “To mump” (British word): grimace or grin (as a result of parotid gland
mumps. swelling)
An acute infectious disease caused by an RNA virus classified as genus Rubulo
virus of the family paramyxoviridae. Clinically the disease is recognized by
non-supportive enlargement and tenderness of one or both the parotid glands?
Other organs may also be involved. Constitutional symptoms vary, or may be in
apparent.
10
Lecture cum
min. LCD Tell me
discussion
INCIDENCE- Annual incidence of mumps in the absence of immunization proj
method used for
name of
Discuss ect- the factors?
is in the range of 100-1000 cases\ 100000 population with epidemic peak every the teaching.
about or
2-5 years. Natural infection with this virus is thought to confirm lifelong Students paid
its attention in the
inciden protection. classroom and
ce and listened
epidemi AGENT FACTORS carefully.
ological (A) AGENT: - The causative agent, Myxovirus parotiditis is a RNA virus of
triad. the myxovirus family. The virus can be grown readily in chick embryo
or tissue culture.
(B) SOURCE OF INFECTION: - Both clinical and subclinical cases.
Subclinical cases cases which account for 30-40 per cent of all cases .the
virus can be isolated from the saliva or from swabs taken from the

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 surface of stenson ‘duct. Virus has also been found in the blood, urine,
human milk and on occasion in the CSF.
(C) PERIOD OF COMMUNICABILITY: - Usually 4-6 days before the
onset of symptoms and a week or more thereafter. The period of
maximum infectivity is just before and at the onset of parotitis. Once the
swelling of the glands has subsided, the case may be regarded as no
longer infectious.
(D) SECONDARY ATTACK RATE: - Estimated to be about 86 per cent. LCD Lecture cum
proj discussion
HOST FACTOR ect- method used for
(a) Age and sex: Mumps is the most frequent cause of parotitis in children or the teaching.
in the age group 5-9 years. The average age of incidence of mumps is Students paid
higher than with measles, chickenpox or whooping cough. However no attention in the
classroom and
age is example if there is no previous immunity.
listened
(b) IMMUNITY: - One attack, clinical or subclinical, is assumed to induce carefully.
lifelong immunity .there is only one antigenic type of mumps virus, and
it does not exhibit significant antigenic variation.

ENVIRONMENTAL FACTOR
Mumps is largely an endemic disease. Cases occur throughout the year, but the
peak incidence is in winter and spring. Epidemics are often associated with
overcrowding. LCD Lecture cum What is the
5 proj discussion mode of
min ect- method used for transmissio
Explain MODE OF TRANSMISSION:- the teaching.
or, n?
its  Droplet infection and after direct contact with an infected person. The
chart Students paid
mode mumps virus replicates in the upper respiratory tract and is transmitted attention in the
person to person through direct contact with saliva or respiratory classroom and
of
droplets of a person infected with mumps. The risk of spreading the listened
transmi virus increases the longer and the closer the contact a person has with carefully.
ssion someone who has mumps. The infectious period is considered from 2

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 and days before to 5 days after parotitis onset, although virus has been
incubati isolated from saliva as early as 7 days prior to and up to 9 days after
parotitis onset. Mumps virus has also been isolated up to 14 days in
on
urine and semen.
period  When a person is ill with mumps, they should avoid contact with others
of from the time of diagnosis until 5 days after the onset of parotitis by
mumps. staying home from work or school and staying in a separate room if
possible.

INCUBATION PERIOD: - Varies from 2 to 4 weeks, usually 14-18 days. LCD Lecture cum Tell me
proj discussion name of
ect- method used for the
or, the teaching. diagnostic
Diagnostic studies chart Students paid test name?
2 Enlist attention in the
min the  The diagnosis of mumps parotitis is usually apparent from the clinical classroom and
diagnos symptoms and physical examination. listened
tic  An elevation in serum amylase levels is common the rise tends to carefully.
investig parallel the parotid swelling and then to return to normal within 2week.
ation.  Serology or virus culture.
 Enzyme immunoassay for mumps immunoglobulin.
 IgG and IgM antibodies are most commonly used for diagnosis. Tell me
 Cultured from the saliva, CSF, Blood, urine, and other infected tissues. two or
three
Clinical features:- clinical
 Pain and swelling in either one or both the parotid glands. symptoms
2 Enumer of mumps?
 Ear ache on the affected side prior to the onset of swelling.
min ate the
 Pain and stiffness on opening the mouth before the swelling of the
clinical
gland.
feature.

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  Affect the testes, pancreas, CNS, ovaries, prostate etc.
 In severe case –headache and other constitutional symptoms which may
last from 3-5 days.
 The swelling subsides slowly over 1-2 weeks.
Explain
the MEDICAL MANAGEMENT
5 medical Most of the symptoms of mumps can be managed with over-the-counter
min and
nursing medications for pain and fever. LCD Lecture cum
manage proj discussion
ment of  Medications for fever: There are a number of commonly used OTC ect- method used for
non-steroidal medications that can reduce your fever, or, the teaching.
mumps.
including acetaminophen, naproxen, and ibuprofen. Use these according chart Students paid
to package instructions and check with your doctor if they do not attention in the
adequately reduce your fever. classroom and
 Pain medications: Several of the medications that reduce your fever are listened
also effective for reducing pain. You can use over-the-counter pain carefully.
medication if you have muscle pain or pain from your swollen parotid
glands.

NURSING INTERVENTION
 Provide analgesics and apply warm or cool compresses to the neck area
to relieve pain.
 Give antibiotics and tapid sponge bath for fever.
 Increase fluid intake to prevent dehydration.
 Provide a high calorie, nutritionally rich soft or liquid food frequently.
 Avoid spicy, sour food that stimulate salivation or require the act of
chewing.
 Measure body weight daily.

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  Closely observe for complication.
LCD Lecture cum Tell me
List out COMPLICATION:- proj discussion two or
the  Orchitis ect- method used for three
complic  ovaritis or, the teaching. complicati
 Hepatitis and myocarditis. chart Students paid on of
ation.
5 attention in the mumps?
 Testicular swelling and tenderness denote orchitis
min classroom and
 High fever usually accompanies orchitis which develop typically 7-10 listened
days after the onset of parotitis. carefully.
 Upper abdominal pain, nausea and vomiting suggest pancreatitis. Mums
leading cause of pancreatitis in children. It occurs in about 4% of
patients.
 Lower abdominal pain and ovarian enlargement suggest oophoritis
which occur in 5% of post pubertal women usually unilateral.
 Rare complication include nerve deafness, polyarthritis, hydrocephalus ,
encephalitis ,cerebellar ataxia, facial palsy and transverse myelitis.
 Upto 15% of mumps patients may develop meningitis and a much
smaller proportion (0.02-0.03%) may develop encephalitis.
 Mumps is one of the main infectious causes of sensor neural deafness,
which affects approximately 5 per 100000 mumps cases.
 Mumps infection in the first trimester of pregnancy is associated with a
25% incidence of spontaneous abortion.

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 Discuss
about
its Prevention
preventi
ve Vaccination: - highly effective live attenuated vaccine is now available for the
10 LCD Lecture cum Which site
min measur prevention of mumps. proj discussion is use for
es and  A single dose 0.5ml IM over the one year of age . ect- method used for administer
vaccina or, the teaching. mumps
 Second dose is recommended for children at 4-6 years of age. chart Students paid vaccine
tion
attention in the and amount
schedul Mumps surveillance: - WHO recommends classroom and of dose?
e. listened
a. Clinical mumps: - acute onset of unilateral or bilateral tender, self- carefully.
limited swelling of the parotid or other salivary gland, lasting 2 or more
days and without other apparent cause.
b. Laboratory confirmed mumps: - confirmation by positive mumps IgM
antibody (without mumps immunization in the previous 6 week) or sero
–conversion with 4-fold or greater rise in mumps IgG titre; or isolation
of mumps virus from saliva, urine or cerebrospinal fluid.
c. Epidemiologically- confirmed mumps

Health education
Isolate yourself or your child to prevent spreading the disease to others.
Someone with mumps may be contagious up to five days after the onset of signs
and symptoms.

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  Take over-the-counter pain relievers such as acetaminophen (Tylenol,
others) or a non-steroidal anti-inflammatory drug such as ibuprofen
(Advil, Motrin IB, others) to ease symptoms.

 Use a warm or cold compress to ease the pain of swollen glands.

 Wear an athletic supporter and use cold compresses to ease the pain of
tender testicles.

 Avoid foods that require lots of chewing. Try broth-based soups or soft
foods, such as mashed potatoes or oatmeal.

 Avoid sour foods, such as citrus fruits or juices, which stimulate saliva
production.

 Drink plenty of fluids. When will

LCD Lecture cum we give
Vaccination Schedule and Use
proj discussion first dose
The first dose of mumps-containing vaccine should be given on or after the first ect- method used for of vaccine?
or, the teaching.
birthday. Mumps-containing vaccine given before 12 months of age should not chart Students paid
be counted as part of the series. Children vaccinated with mumps-containing attention in the
classroom and
vaccine before 12 months of age should be revaccinated with two doses of listened
MMR vaccine, the first of which should be administered when the child is at carefully.
least 12 months of age.
In 2006, ACIP recommended a second dose of mumps vaccine for school-age
children and for adults at high risk of mumps exposure (i.e., healthcare

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personnel, international travellers, and students at post-high school educational
institutions).The combined MMR vaccine is recommended for both doses to
ensure immunity to all three viruses.
The second dose of MMR vaccine should be given routinely at age 4 through 6
years, before a child enters kindergarten or first grade. The recommended health
visit at age 11 or 12 years can serve as a catch-up opportunity to verify vaccina
- tion status and administer MMR vaccine to those children who have not yet
received two doses of MMR. The second dose of MMR may be administered as
soon as 4 weeks (i.e., 28 days) after the first dose.
Contraindications and Precautions to Vaccination
 Persons who have experienced a severe allergic reaction (anaphylaxis)
to a vaccine component or following a prior close of mumps vaccine
should generally not be vaccinated with MMR.
 MMR vaccine does not contain penicillin. A history of peni - cillin
allergy is not a contraindication to MMR vaccination. Pregnant women
should not receive mumps vaccine, although the risk in this situation is
theoretic. There is no evidence that mumps vaccine virus causes fetal
damage. Pregnancy should be avoided for 4 weeks after vaccination
with MMR vaccine. Persons with immunodeficiency or
immunosuppression resulting from leukemia, lymphoma, generalized
malig - nancy, immune deficiency disease, or immunosuppressive

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 therapy should not be vaccinated.

SUMMARY
The study of the distribution and determinants of health related states or events in specified populations, and the application of this study to the
control of health problem. To mump” (British word): grimace or grin (as a result of parotid gland swelling)An acute infectious disease caused by
an RNA virus classified as genus Rubula virus of the family paramyxoviridae which has a predilection for glandular and nervous tissues.
INCUBATION PERIOD: - Varies from 2 to 4 weeks, usually 14-18 days.
CONCLUSION
Study has reached differing conclusions regarding whether infection with the mumps virus during pregnancy leads to an increased rate of
spontaneous abortion. Before vaccination about 10% of cases of aseptic meningitis were due to mumps, the symptoms resolve within 10 days.

ASSIGNMENT

Write nursing care plan on a patient suffering from mumps .

REFERENCES

1. WHO (2007), weekly Epidemiological record, 16th feb, No 7, 2007.

2. Park Textbook of prevention and social medicine(2017),24th edition ,page no 162-163.

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3. World Health Organization. Immunization, vaccines and biologicals: mumps. 2016 [updated August 9, 2017; cited 2018 Jan]. Available
from: www.who.int/immunization/monitoring_surveillance/burden/vpd/surveillance_type/passive/mumps/en.
4. Hirsh BS, Fine PEM, Kent WK, et al. Mumps outbreak in a highly vaccinated population. J Pediatr 1991;119:187–93.
5.  http://www.cdc.gov/mumps/index.html.

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