This discussion will allow you to examine several different preventive guidelines related to vaccinations. Please read the following four scenarios and choose ONE for your initial post; be sure to address all the questions posed by the scenario and include at least three scholarly sources within your initial post.

Immunizations

1. Patient #1: Two five-year-old girls are on your schedule for a kindergarten physical. The foster parent of one of the children indicates she received all her immunization from birth to one year of age, but after that the child has not had any further vaccines. The second child appears to have been vaccinated per the CDC schedule.

–  Is there a difference in the immunization plan you will initiate today for these two patients? Why or why not?

– What immunizations will you be ordering for each of these two patients today?

2. Patient #2: Today you have two patients on your schedule for the HPV vaccine. One is a 27-year-old female. In taking her health history, you find that she is sexually active and that she had a splenectomy when she was 17. The second patient is an eleven-year-old female whose mother is concerned and wants to discuss the vaccine further before consenting. She feels that by giving the child the vaccine she is giving her permission to be sexually active.

– What type of immunizations will you recommend and why for each of these patients?

– What type of counseling will you provide in each of these scenarios related to their immunization needs?

3. Patient #3: The following two patients present for their yearly physicals before going to spend the holidays with their grandchildren, who are two months, 18 months, and seven years of age. The 72-year-old male states he “doesn’t want a flu shot” because he’s afraid he will just get sick like his neighbor who got her shot last week; however, his 67-year-old wife, who you are also seeing for a follow-up related to shingles she had a month ago, states, “I want the flu vaccine, but I don’t need the shingles vaccine now since I’ve already had it.”

– How will you counsel these individuals? Are there risks related to the children from either party? –

– What adult immunizations should be recommended for these patients?

4. Patient #4: Your final patient of the day is a three-month-old baby. The nurse states that the mom is refusing vaccinations today even though though the baby’s records show she is up to date on her immunizations. Mom explains that she feels like her baby is getting “too many” shots and since everyone else is being vaccinated then they can skip a few of the vaccines and her baby will be just fine.

– What is herd immunity and how can this help protect individuals who are not vaccinated? What are the rates for your state related to immunizations, and how could this affect herd immunity?

– What immunizations should this patient receive today, and is there any leeway in the schedule to help alleviate some of the mom’s concerns?

INSTRUCTIONS

– Please include at least 3 scholarly sources within your initial post.

– APA style.

– Turnitin Assignment (No plagiarism)

Note: My background for you to have as a reference: I am currently enrolled in the Psych Mental Health Nurse Practitioner Program, I am a Registered Nurse. I work in a Psychiatric Hospital.

Week 12 lecture and discussion questions

Child and Adolescent Health

Read chapter 16 of the class textbook and review the attached PowerPoint presentation.  Once done, answer the following questions.

1. Identify and discuss the major indicators of child and adolescent health status.
2. Describe and discuss the social determinants of child and adolescent health.
3. Mention and discuss at least 2 public programs and prevention strategies targeted to children’s health.

4.  Mention and discuss the individual and societal costs of poor child health status.

As stated in the syllabus present your assignment in an APA format word document, APA required font attached to the forum in the discussion tab of the blackboard titled “Week 12 discussion questions” and the SafeAssign exercise in the assignment tab of the blackboard which is a mandatory requirement.  A minimum of 2 evidence-based references (besides the class textbook) no older than 5 years must be used.  You must post two replies on different dates to any of your peers sustained with the proper references no older than 5 years as well and make sure the references are properly quoted in your assignment. The replies cannot be posted on the same day, I must see different dates in the replies.   A minimum of 800 words is required and not exceeding 1,000 words (excluding the first and reference page).  Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

Assignment: Well Woman Health Screenings

Please read the following two scenarios and choose ONLY ONE for your initial post; be sure to address all the questions posed and include at least three scholarly sources within your initial post.

Breast Cancer Screening

A 39-year-old female presents to your office for her annual well-woman exam. She reports that she has a maternal aunt and a cousin who have had breast cancer, so she does her self-breast exams every month. She would like to start getting mammograms, but her friends all say she doesn’t need to worry about a mammogram until she’s at least close to 50.

1. What are the mammogram recommendations from American College of Obstetrics and Gynecology (ACOG), American Cancer Society (ACS), and United States Preventive Services Task Force (USPSTF)?

2. What is meant by shared decision-making regarding screening for breast cancer?

3. What are the screening recommendations regarding self-breast exams and clinical breast exams?

4. Based on the scenario provided, what recommendations would you give this patient?

5. What factored into your decision making?

Cervical Cancer Prevention/Screening

An 18-year-old is accompanied by her mother for her first visit to the gynecologist. She has never been sexually active. She has no concerns with her menses. Her mom reports that she brought her in “because she is 18 and when I turned 18, I had to get my first Pap smear.” Her mother requests the patient have a Pap smear and be tested for HPV “just in case.” The patient is up to date on all vaccines “mandatory for school” but has never had the HPV vaccine.

1. What are the recommendations on the HPV vaccine?

2. How would you counsel this patient about the HPV vaccine?

3. What are the current ASCCP guidelines for Pap smears and HPV testing?

4. How will you explain the rationale to the patient and the mother?

INSTRUCTIONS

– Please include at least 3 scholarly sources within your initial post.

– APA style.

– Turnitin Assignment (No plagiarism)

Note: My background for you to have as a reference: I am currently enrolled in the Psych Mental Health Nurse Practitioner Program, I am a Registered Nurse. I work in a Psychiatric Hospital.