Nursing Case Study Analysis (1)

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101

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Feb 20, 2024

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Seepersad 1 Gaitree Seepersad Professor Branson English 101 02/12/2024 Nursing Case Study Analysis Introduction As parents, we naturally want to know what is being introduced into our children's bodies, including those administered through vaccinations. In a healthcare setting, two parents arrive with their one-year-old son. They express that they are against the MMR vaccine being administered. The reason for this is because of the mother's belief that it contributed to her other five-year-old child developing autism. My goal as a healthcare provider would be to ensure the well-being and safety of the child and to respect the parent’s decision while doing so. I will ensure the parents are provided with information needed to help make this decision. Relevant Facts While the parents have concerns about the MMR vaccine, they are known to be very attentive and educated. The parents have three children, one of whom is five years old and is under the spectrum for autism. The mother firmly believes that the MMR vaccine is what caused his diagnosis because after receiving it, he started developing symptoms, hence the reason for being hesitant towards MMR vaccination. However, Provider Resources for Vaccine Conversations with Parents (pg.1) states, "Many rigorous studies show that there is no link between MMR vaccine or thimerosal and autism."
Seepersad 2 Possible Actions As a healthcare provider with the child’s best interest in mind my first option would be to engage in open conversation with the parents, addressing all their concerns to the best of my ability. Acknowledge the mother's worries and offer reassurance based on scientific evidence to address her concerns. Engaging in an open conversation with the parents might give them a sense of safety. Provide the parents with resources and evidence to illustrate the advantages of vaccination. Educate the parents on the importance of vaccines by sharing extensive research, such. The Center for Disease and Control Prevention, Autism and Vaccines states, "Since 2003, there have been nine CDC-funded or conducted studies that have found no link between thimerosal-containing vaccines and ASD. These studies also found no link between the measles, mumps, and rubella (MMR) vaccine and ASD in children .” Suppose the parents refuse to vaccinate even after being provided with proven facts and evidence that the MMR vaccine doesn't cause autism. In that case, I, as a healthcare provider, will respect their decision. My next step as a provider would be to continue care for the child as needed. I would also document the parents' refusal of the vaccine and the reasons they provided for their decision. Consequences of Possibilities A positive outcome would be the parent’s approval of giving the child the MMR vaccines promptly and being protected against diseases. Another possibility would be that the parent’s still refuse the vaccination. A possible consequence for the child not taking the vaccine would be that the child contracts diseases that could have been prevented. “If a parent refuses to vaccinate, you can share the fact sheet. If You Choose Not to Vaccinate Your Child, Understand the Risks and Responsibilities ( http://www.cdc.gov/vaccines/conversations ), which explains the
Seepersad 3 risks involved with this decision including risks to other members of their community, and the additional responsibilities for parents, including the fact that, when their child is ill, they should always alert health care personnel to their child’s vaccination status to prevent the possible spread of vaccine-preventable diseases.” Sourced in the Supplement reading “Talking with Parents About Vaccines for Infants, Strategies for healthcare professionals .” Recommended Course of Action My best course of action would be to communicate and educate the parents on vaccination. I believe this is the best approach because it allows me to speak to them with empathy and understanding, drawing from my own experiences as a parent. Speaking with the parents will allow me to understand their concerns. Understanding the parent's concerns will allow me to provide them with accurate information. When I know the parent's concerns, I can clarify any misconceptions they might have about the MMR vaccine. Providing the parents with factual, tested, and proven information about vaccination boosts their confidence in making informed decisions about their child's health. Conclusion In conclusion, as parents, we naturally prioritize understanding what is introduced into our children's bodies, including vaccinations. When faced with parents who is hesitant towards the MMR vaccine due to concerns about autism, my goal as a healthcare provider is to ensure the well-being and safety of the child while respecting the parents' decision. I will engage in open conversation with the parents, addressing their concerns and offering scientific evidence. Providing them with resources and evidence on the benefits of vaccination is essential, along with educating them on the importance of vaccines through extensive research. While respecting
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Seepersad 4 their decision, I will continue to document their refusal and offer ongoing care for the child. This analysis holds personal significance for me as it shed light on the challenges faced by healthcare workers. While we strive to ensure safety for individuals and the community, it's a complex and challenging responsibility. Ultimately, communicating and educating the parents on vaccination is crucial, as it empowers them to make informed decisions that positively impact their child's health and well-being.
Seepersad 5 Works Cited “GACVS, MMR Vaccines and Autism.”  World Health Organization , World Health Organization, 24 Jan. 2003, www.who.int/groups/global-advisory- committee-on-vaccine-safety/topics/mmr-vaccines-and-autism . MPH, OPEL, D.J. MD, “Talking with Parents about Vaccines for Infants.”  Centers for Disease Control and Prevention , Centers for Disease Control and Prevention, 11 Apr. 2018, www.cdc.gov/vaccines/hcp/conversations/talking-with-parents.html#wrapping-up- conversation.