Immunization and discrimination

Immunization Hesitancy

Instructions

It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format.

Discussion Prompt [Due Wednesday]

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.

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

  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.

Please review the rubric to ensure that your response meets the criteria.

Estimated time to complete: 2 hours

 

Discrimination

Instructions

It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format.

Discussion Prompt [Due Wednesday]

Case Study:

Martha Miller is a 32-year-old, African American single mother living in a midsize city. She has three children from previous relationships. Her partner is Mick, a 38-year-old White man who lives with her, and who is unemployed. Although he is actively looking for a job, he has not worked in more than a year. Her oldest child is 8 years of age, she has a 4-year-old, and her youngest is 17 months. She works as a hotel housekeeper from 7:30 a.m. to 3:30 p.m. and at a fast-food restaurant from 6 p.m. to 11:30 p.m. She has limited time home with her children, only seeing them briefly after her first job, and then again in the morning before work. Her partner helps with the cooking and childcare. She is overweight with a body mass index of 32, has mild hypertension, and had a second A1c level of 6.4 for which you prescribed Metformin 500 mg twice a day during her last clinic visit 6 months ago. At that visit, she saw a dietitian for dietary counseling, and you spoke with her about developing a plan to get 150 minutes of exercise weekly.

She has not been back to see you despite repeated calls to her cell phone, a number that changes about every 8 to 10 months. She finally came into clinic last week, and you have determined that she is 20 weeks pregnant. You are concerned about the effectiveness of her medication, her very stressful life, and lack of follow-up as problems that can affect her health and that of her baby.

Questions

Select one of the options below and discuss the ways in which this condition/social problem might increase her health risks?

  1. The effects of income inequality on her health and ability to be an active participant in her care.
  2. Racial discrimination she may experience related to her romantic relationship.
  3. Health disparities she may experience related to her pregnancy, such as the risk for preterm labor and the high rate of infant mortality in low-income women.

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.

Please review the rubric to ensure that your response meets the criteria.

Estimated time to complete: 2 hours

 

 

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