Counsel employee to take all an- tiviral medication as prescribed by personal health care provider, if started within 24 to 72 hours of symptom onset. Discuss availability of vaccine (Zostavax) to help prevent shingles in adults age 60 and older. Discuss with employee the need for work restrictions if has active lesions and works in health care with immunosuppressed patients. Objectives Clinical Assessments and Interventions Follow-up Actions 129 Advise employee not to pick or scratch le- sions, to avoid contact with immunosup- pressed individuals, pregnant women, and babies or adults who have not had chicken- pox, and to avoid constricting clothing. Recommend plenty of rest and to eat healthy.
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