Main Question Post -- Week 11: Discussion Scenario case study
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.
In this scenario, the presents present with his 5-year-old for compulsory physical analysis, knowing that the parents dissented to immunization does indicate that the 5-year-old boy never received any immunization since natal which could position the child health at peril. As an advanced nurse practitioner, I would like to find out from the parents where the principle came from; if it was a family concern or related to any religious belief, or attained knowledge from something read or
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Conversely, school immunizations remain as sensitive and debatable subject amid parentages and need to be judiciously handled by the advanced nurse practitioner for effective patient and provider rapport.
Scenario 2:
Scenario #2: A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.
In this scenario, the patient is a 49-year-old woman with end-stage cancer. End of life snags are always poignant for the healthcare provider and family mutually, I would need to comprehend the extent of the cancer proliferation, the maximum period given to live; if the patient has an advanced directive in place. According to American Cancer Society (2017), advanced directive usage emerges when the patient is incapable of making the decision for themselves. I would need to understand the patient and family wish in event whereby the patient in incapable to make a decision, the ethics committee will be contacted because the end of life issues can be arduous. It is vital that the family and patient while alert and oriented to have every necessary information to make an informed decision because several might desire quality over quantity and vice-versa. Further, I would encourage the family to be at bedside with life-saving procedures to allow the family to comprehend the practicality of the condition and to eyewitness extend of the life-saving procedures and to
For many of years, parents have been dealing with the idea of having their child vaccinated or choosing not to vaccinate them at all. Some parents would argue about the different viewpoints of the vaccinations given to children. Some parents
People in the United States are urged from day one that vaccinations are important for the well being of their children and for everyone that your child may come in contact with. Recently, childhood vaccinations have been stigmatized as a negative process. Parents have become increasingly concerned about the effects and side effects of vaccinations. The problem being, that the infectious diseases that are being prevented for, are being forgotten about. Vaccinations have been doing their job in protecting us for so long that the infectious diseases are less scary than vaccination process itself (Austvoll-Dahlgren & Helseth, 2012, p. 271). Vaccinations are a preventative measure and one that will continue to be implemented in children for their individual safety and for the safety of the public. However, it is still the families’ choice whether or not they want to proceed with the vaccination process or not. Most vaccinations are going to be administered by a registered nurse, therefore, it is the role of the nurse to supply information, and answer questions when counseling families through this process. The goal is to make people feel as comfortable and as informed as possible so that they can make a decision on whether to submit to the vaccination process or not.
Controversy concerning the risks of vaccinations will always exist. As is the nature of a preventative intervention, it is difficult to rationalize giving a completely healthy child an injection that is known to have varying degrees of sides affects5. Additionally, these injections are to provide immunity to children for diseases that have an extremely low risk of circulating within a population. Since these vaccines have been able to protect so many individuals from experiencing these dangerous infections, most parents do not even have personal experiences regarding the impact of these diseases. As such, many parents do not see the vaccine-preventable disease as a threat to their child. This often causes parents to not fully understand the risk their child has for contracting a disease and the subsequent danger of a vaccine-preventable disease infection verses the potential side effect of a vaccine which is normally only mild to moderate discomfort for their child15.
In any case, a parent or guardian’s child is their number one priority. Across the nation, sons, daughters, nieces, nephews, and younger relatives are adored and loved by their family. Most will receive vaccines, but a few will not. Despite the families’ differing points of view, they all have one something in common: the children all attend school. There is an immense risk when allowing unvaccinated children to attend the nation’s schools. Two authors of a recently read article can further support the claim. “We found that unvaccinated
Childhood vaccinations in the United States has become a very controversial issue over the years whether it should be the parents’ rights or the governments right to require them. There are specific immunization schedules, all are important but the most important ones are the ones received during our childhood. Immunizations received during childhood have eradicated diseases such as measles and polio, they prevent outbreaks, contribute to the “herd” immunity and implications of future generations. Although, there are individuals who are against vaccinating their children due to not being properly educated on the safety of vaccines and believing in fallacious claims such as vaccination cause Autism and Sudden Infant Death Syndrome. Vaccinations are important for all ages but during childhood they are the most critical to the health of all individuals around the United States and the world. Childhood vaccinations are crucial to everyone, and it is important that children receive all scheduled immunizations.
To begin, there are various legal aspects that follow the topic of immunizations and vaccinations in the United States. Legally, immunizations are required by many school districts around the country and places of employment, especially in healthcare positions such as nursing. "New rules for
Often debated, with strong convictions on each side, timely immunizations for children do more good then harm. Over the last few years, a phenomenon has come to our door steps. It used to be that all parents would immunize their children, without fail, because doctors told them to. In the past, the only non-immunized children were the children with health deficiencies. These children depended on the “herd” mentality. However, times are changing and parents are choosing to not immunize their children mainly based on these reasons: the possibility of them getting autism, parental lack of education about immunizations and lastly they believe that the illnesses that children are being immunized against are gone and immunizations are no longer needed.
It was made up of three parts. The first was a general scale the authors were asked to answer about their general attitudes and beliefs about parents and their responses to vaccinations. The second asked the professional what actions they believed and/or did take when a parent refused to have their child vaccinated. Noted in this study was that there were listed five different vaccines that are regularly given to all infants free of charge from all infant-care health settings. They were asked to answer on a scale of how much or how little they they agreed with a parent refusing each of the five vaccines. The third section of questions asked the pediatrician for their demographic data such as age, background, and place of employment, to be used to ensure no outlying data was influential to a pediatrician’s response to
In the article, The Academy of Pediatrics’ Annual Leadership Forum had a vote on issues of concern to pediatricians across the country with two of the top three resolutions dealing with vaccination refusals. The first policy statement from The Academy of Pediatrics’ called for the elimination of nonmedical
The controversy concerning vaccination for children has been a debate for many parents. A vaccine is defined by the American Center for Disease Control and Prevention as, “a biological agent used to prevent very serious illnesses and diseases, such as smallpox, measles, influenza, tuberculosis, and hepatitis by injecting a weakened infectious organism into the human body” (CDC). Once the dead organism is injected our bodies create antibodies from them which can begin protecting us. Some parents are skeptical of how injecting kids with weakened diseases could ultimately protect them which manifest some distrust in doctors. Also, a big fear of parents are the side
Vaccinations are a great success to public health. However, this is a case that deals with self-sufficiency in contrast to a whole population. I will be approaching this case by using John Mill’s theory. As a doctor, your main concern is the health of a child. When a child comes in extremely ill and the parents do not agree to vaccinating the child then you are kind of stuck in the middle because you would hate seeing the child suffer. In order to save a child’s life and other children around them parents should listen to doctors and have them vaccinated. If they refused, I would politely have them go to another doctor because it is something I would lose sleep over knowing that I can save a child, as well as many others, but the parents are not cooperating. As a doctor, we have special obligations to help people in need and protect the helpless ones who cannot protect themselves against a disease. Healthy people protect themselves by getting vaccinated, this is condoned by Mill’s theory. So doctors are authorized to interfere with an individual’s freedom and self-determination because they will prevent harm to other people.
The United States of America strongly endorses universal immunization. However, for childhood immunization programs to be successful,parents must comply with the immunization recommendation. The problem of parental refusal of immunization for children is an important one for pediatricians. The same goes for Germany whereas Germany is quite successful in gaining the parents’ trust to provide immunization for their children. However, according to the German Medical Association, children should be vaccinated twice: once between 11 and 14 months of age and a second time four to six weeks later. Most parents in the U.S are not allowing their children to take vaccines because they do not believe in it. It was through my research of the reasons why
After review of the current literature and criteria of effectiveness for the immunization policy, the evidence supports that the policy only needs slight modification. The health of the children in the state of Mississippi is safe guarded by the immunization regulations in place. The opinions and critiques of a few argue that legal rights of guardians have been revoked with the policy in place; however, it is the opinion of this paper that physicians and other pediatric providers adhere to the standards of the Mississippi policy. The Mississippi Childhood Immunization Policy eliminates unnecessary philosophical and religious exemptions.
The topic of whether to vaccinate ones’ child always seems to be a hot topic for most parents. Some believe that vaccinations are a definite must and their child is vaccinated on time and has every single vaccination they need. Then you have another parent that believe their child only needs certain ones or vaccinate on their own schedule, or you have those parents who think their child absolutely doesn’t need any vaccinations at all.
The significant issue in primary health care identified in this case study is the fact that Joan has not had her kids immunised due to the fact she states “my kids my rules” and also she states to the nurses that her sister had told her the immunisations gave her kids autism, so there was no need point in having her kids immunised is there? As part of Primary Health Care, both Terri and Many should offer Joan some correct educational advice about the benefits for both her and the children whom have not been vaccinated. And the fact that Joan is not managing