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Discussion Topic 2 Immunization Hesitancy

Discussion Topic 2 Immunization Hesitancy

Sample Answer 

Discussion Topic 2 Immunization Hesitancy

How Can You Explain Why HPV Is Recommended and at What Age(s)?

Close to every person who is sexually active will, at one time or another, get HPV if they are not vaccinated against the virus. In the US, approximately 14 million people, including teenagers, get HPV infections every year. While it is possible for an infection to clear off without medical intervention, those that do not clear can develop certain forms of cancer. Additionally, doctors routinely screen for cervical cancer, but no screening tests are recommended for detecting the other five cancer types that HPV causes. These five cancers may remain undetected until it is too late, and they can cause serious health issues (Chia-ching, & Palefsky, 2015). HPV vaccination is a preventive measure against the development of these cancers. Thus, the CDC recommends that children between the ages of 11-12 years get vaccinated with two doses. Those aged between 15 and 26 years need to get three shots of the HPV over a period of 6 months (Meites, Kempe, & Markowitz, 2016).

How Can You Answer the Questions in a Sensitive Way but Still Provide Recommendations for the Vaccine?

In reassuring the parent, I would tell her that the HPV vaccine protects her daughter before she gets exposed to the disease. That is why the vaccine is administered earlier to offer protection long before exposure to the virus occurs. I will also tell her that getting the shot now will mean that her daughter gets only two shots rather than three if she waits any longer. Additionally, I will inform the mother that studies have shown that getting the HPV vaccine does not increase the likelihood of a child engaging in sexual activities (Kasting et al., 2016). Further, symptoms of HPV do not manifest in some people; thus, such people unknowingly pass on the virus. Lastly, I will reassure the mother that no evidence links HPV to problems with future fertility, but women with HPV pre-cancer lesions could need treatment that would result in fertility issues (Pereira, 2015).

References

Chia-ching, J. W., & Palefsky, J. M. (2015). Human papillomavirus (HPV) infections and the importance of HPV vaccination. Current epidemiology reports2(2), 101-109.

Kasting, M. L., Shapiro, G. K., Rosberger, Z., Kahn, J. A., & Zimet, G. D. (2016). Tempest in a teapot: A systematic review of HPV vaccination and risk compensation research. Human vaccines & immunotherapeutics12(6), 1435-1450.

Meites, E., Kempe, A., & Markowitz, L. E. (2016). Use of a 2-dose schedule for human papillomavirus vaccination—updated recommendations of the Advisory Committee on Immunization Practices. Morbidity and Mortality Weekly Report65(49), 1405-1408.

Pereira, N., Kucharczyk, K. M., Estes, J. L., Gerber, R. S., Lekovich, J. P., Elias, R. T., & Spandorfer, S. D. (2015). Human papillomavirus infection, infertility, and assisted reproductive outcomes. Journal of pathogens2015.

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Question 


Discussion Topic 2 Immunization Hesitancy

Discussion Topic 2 (Immunization Hesitancy)

***The initial discussion response should be in the range of 250-300 words. All questions in the topic must be addressed. All discussions need to be supported by a minimum of two scholarly resource. Journals and websites must be cited appropriately (Citation and reference must adhere to APA format). All components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Case Study:

Mary is a 12 year old female client who presents to the clinic for her middle school wellness visit.

History

Mary does not have any medical or surgical history.  She does not currently take any prescribed or over the counter medication.  She is allergic to amoxicillin resulting in a rash.  Her family history consists of ovarian cancer-maternal aunt and Type II Diabetes Mellitus – paternal grandmother.

Discussion Topic 2 Immunization Hesitancy

Discussion Topic 2 Immunization Hesitancy

She currently lives with her mother, father and 15 year old brother.

Subjective and Objective findings are unremarkable.

Immunization History includes the following:

  • Birth – Hep B dose 1
  • Age 2  months – Hep B dose 2, DTap dose 1, IPV dose 1, Hib dose 1, PCV7 dose 1
  • Age 4 months – DTap dose 2, IPV dose 2, Hib dose 2, PCV7 dose 2
  • Age 6 months – Hep B dose 3, DTap dose 3, Hib dose 3, PCV7 dose 3
  • Age 12 months – MMR dose 1, IPV dose 3, PCV7 dose 4
  • Age 18 months – Dtap dose 4, Varicella dose 1, Hep A dose 1
  • Age 5 years – MMR dose 2, Varicella dose 2, IPV dose 4, DTap dose 5

Questions

Discussion Topic 2 Immunization Hesitancy

Discussion Topic 2 Immunization Hesitancy

  1. As a provider you will need to be prepared to answer questions about HPV vaccine from parents/guardians and patients. Therefore, based on the provided resources and your understanding of immunization recommendations, How can you explain why HPV is recommended and at what age(s).

Mary’s mother does not believe that her daughter needs HPV vaccine because she is not sexually active.  She is concerned about her daughter viewing this vaccine as a license to practice unsafe sex.

  1. How can you answer the questions in a sensitive way but still provide recommendations for the vaccine.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

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