Validate an idea with your own experience and additional research. Scenario 1: The parents of a 5-year-old boy have accompanied their son for his required physical examination before starting kindergarten. His parents are opposed to him receiving any vaccines. Week 11 Discussion Post Scenario 1: In this scenario we have a 5 year old boy who has come to me for physical examination. The parents don’t believe in giving him any vaccination. This also means that this child did not get any vaccination since birth. This puts the health of the child at risk. It will be interesting to find out as to where did these beliefs grow from? Is this a family affair? Is this based on any religious belief? Or is it just half baked knowledge. Many a times these beliefs root from some thing they read about the instances of side effects of these vaccines from unofficial websites that don’t present the true story.
I will definitely carry out a head to toe assessment to look for any skin disease, any respiratory issues, sensory perception issues, and cognition, etc. I would also check all the systems to see that no abnormal findings exist. There is no federal law requiring vaccination of children in the United States. But all states require evidence of vaccination against at least some diseases as a condition of school entry. As of December 2012, all states allowed exemption from school vaccines requirements for medical reasons. 48 states and the District of Columbia offered religious exemptions or a broader philosophical or personal belief exemption from school vaccination requirements (Diekema, 2014). Freed and colleagues found that although 90% of parents felt that vaccination was a good way to protect their child from disease, 54% were concerned about serious adverse effects from vaccines, 31% felt that parents should have the right to refuse vaccines required for school entry for any reason (Freed, Clark, Butchart, Singer, & Davis, 2010). Thus, this is definitely a controversial topic amongst parents and it should be handled very carefully. Scenario 2: In this case the patient is a 49 year old woman with end stage cancer. I will need to know how far has the cancer spread ? What is the maximum time that this patient has to live. I would need
to know certain information as to if this patient has an advanced directive in place. I would need to know certain information such as what is the wish of the patient and family in a situation where the patient is not able to decide. I would contact the ethics committee as well. Such decisions can be very difficult to make. It is important for the family and the patient if alert and oriented to have all the facts present in front of them. Some may prefer quantity over quality and vice versa. Some questions I will ask as a Family Nurse Practitioner:
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- Summer '15
- Health care provider, HPV vaccine